2001, 08-21 Permit App: 01007040 MH • 4
Project Number: 01007040 Inv: 1 Application Date: 8/21/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: KIRK DOWNING
Address: 14525 N NEWPORT HWY
C-S-Z: MEAD WA 99021
Setbacks:Front 25 Left: 26 Right: 10 Rear: 33. Phone: (509)468-1450
Group Name:
Site Information: Project Name:
Plat Key: 006047 Name: SP-1205-99 District: F
Parcel Number: 45183.0665 Block: Lot: C
SiteAddress: 505 N DICK RD Owner:Name: MILL,OLGA
SPOKANE,WA USA 99212 Address: 12422 E MANSFIELD,#59
Location::SPO SPOKANE WA 99216
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 12,411 Sq Ft Width: 80 Depth: 155 Right Of Way(ft): 20
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: a. . .. . n. ,.."-4.M..:,.. ,I NA., ,1 I,way,0,1 d • ° ... . „aV a i ,- '" ,P099h,ti ': .._
Department Review —,
BUILDING Site Plan Review ` Releas y ----) t -
Hold Reasons:
Permit Conditions:
Y J _
BUILDING Plan Review i Released By: r (.- ---1'` r
f_7_,_))L-...X-. -, --- )
•
Hold Reasons: -
,
Permit Conditions:
ENGINEER Approach/Drainage Released By: . - 1-01
Hold Reasons:
Permit Conditions: b rs pi�_ ___@t d)
UTILITIES Sewer Review �—L-4--3f
il Released By: rI-1--
,y...r, -
Hold Reasons:
Permit Conditions: 61 6 6 ( d 1
Permits:
Project Number: 01007040 Inv: 1 Application Date: 8/21/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home —
Contractor: HOMEBOYS Firm: HOMEBOYS
Address: 14525 N NEWPORT HWY Phone: (509)468-1750
MEAD,WA 99021
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 2 SECTIONS $100.00
COUNTY SURCHARGE 1 Y OR BLANK $22.00
Permit Total Fees: $122.00
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 8/21/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $122.00 $122.00 $0.00 $122.00
$122.00 $122.00 $0.00 $122.00
e
R
--..r.--_—
1 ► PROJECT APPLICATION 'WORK SHEET
} SPOKANE COUNTY DIVISION-OP BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
thi `' •.SPOKANE,WA 99260
SrO; n
509-477-1675
SPECIFIC SIVE INFORMATION
Street Address: ,5"-c:3s /q. 1) t c i /ate
Assessor's Tax Parcel Number(s): li:I 2 . o 6 6
Legal Description: ? .. em -/7,05-- • ----, ,�^C,� ,,a If -
GCT - _
Project Description: Vk-4,3 10 Ciei I g-J 16 é A-6h--4-a#4/h--11"(1-LA /4-v-e--Z-
o Building Permit 0 Change in Use CI Grading Manufactured Home Permit
O Relocation 0 Sign ra O her
iY
OWNER/APPL.ICANT INFORMATION
El Indicate mho should be co tact regarding tris praiect
O Owner. Phone: 9 ,p, G _09.0 p 7
Appliaor_ Phone- LA.s- S
�L/ A /Ht'L-L F 9g / - 6o t‘ y / kg /)chi-✓-1, Faz ,Z- ye
L4a1 A,1 c)-
. H ms ,A 7 MailingAddrar
City.Siam ✓L' City,Sore,Zip
- --?0 r . IL)4 99 74 4
❑Cow or Phone /1 S 1CI Aeth Engineer Phone ——(:)/Lt .-C3.-33CH g,.X 57 2. 1=:;
MacTaag address
771,7q_n_-_(1.1„,„,e,- ,14,,,i
Gey.State Z p City,Scare 73p
VA_MootractorlicenseI Contact mane
/U_EB • o 33?C
PRO INFORMATION
-
Building height to peak i of stories Main fluor sq.
-ft. Unfinished basement sq.ft. -
DitneasSons - Total habitabk space floor sq.ft. Finished basement sq.ft-
Occupancy group Construction type Garge sq_h- Deck sq.ft, -
Cott of project - Heat source(electric.gas,ere.)
# ri
` r
•
Vsidth: w Co 1--ea
ea ► Length: ` .. :.v, . . :imingrii7ofatugas5thes'aftki'*fthe2ig'
G (�. ,�Qface
How high is the sign?
Yes' . .
_.__ . . . _ _
__ ...._____ _. _ _
�b� Area of tasting signs
-
Previous mess
Fire Sprinkler Tear
- - Paint booth Fire Alarm • Fireworks display
Proposed useValue-
•
111111 intpeaor Hroex
0 Concrete 0 Welding 0 Bolting Cl R'-, oreement Addeess
•
DIICnONAL SITE INFORMATION
Are there structures or the property? 0 Yes f To What is the current property size?
Ijyes,identify on site plan (square feet or acres) /2-1 Lfrt40 d
Is any part of the property within 250 feet of a s re -ae_? What is the current use of this property?
If yes,idant:i on sire plan O Yes o v�
Is your property in a designated wildlife habitat ar-? Will the site be served by a septic system?0 Yes No
. 0 Don't know Ci Yes . •o
Is say part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Yrs,iderzri�r on sire pL:n ]�_ Ilya,iden4 on the site plan 0 Yes )(No
O Maybe C3 Dons know 0 Yes Td No
Are there any'wetlands,streams or ponds within 200 feet of the is there evidence of fill or excavation on the propert
property? O Yes No
I idea - on site n - 0 Yes I0 -
Are there slopes greater than 30%on the property?(3Q ft rise in 200 ft) Are critical or hazardous materials used or stored on '
(. °(+) 0 Yes �r9 No O Yes ' No
N ,\
DEPARTMENT-USE
. . • _ -
D,rc Reca.ed SuffRepreae ea ivy
l METHOD OF PAYMENT _"' .- —
~ SUBTOTAL
0 CASH 0 CHECK ❑ ❑ so....
_ 4 1.
FAXED PERMITS WEI.ONLY BE ACEPTFD WITH PAYMENT OF A MAJOR CREDIT CARD • •.- ' .
•
DATE: EXPIRES: .
BANKCARD NUMRFR:
AUTHORIZED SIGNATURE
` ; + t AL
5d5 � ►^0) fls
ADDRESS d ? 5 Z 9 N
ZONE v_1 0 0.` co o�-
OADWIDTHeD-pi = ' `° Q a ' `°
gRONT -
FLANKINGES CCOMMENTSfrFi\ � � o ��-?-
�
� ¢ � � ��
R VIEWED ,_,,,,........,r9
/��� Np vl ��24.-Oi( �( , �11 � , d ��. o
r p l', -,-,i,, ,-- 1
y9
\ith\
,1,..,.:, V �p e
o y2qto
O, G f
N N f9 O - t�1�
X731---4." S 11'w -.11Z Z S
m
r.
BKd m A
t *P-A9--f) 6 ,_(___c-(y_
24.'-•8`' 7c 441-011 L, 31,
"`A 4 I
�, SCIS ,N • C/� �.i
. mow. •••••• ELI
( A.......
ar
25-o I 6 o 14/Opp,
--...t.....,......./g 1 1114/701,/
Is n 611%t,d6b Jo
N. < > 3 Lta4: /r6;8/14/
lo, .1 1
1 i i 1 .
N. 8/7,4.. 7'
.. 1.: i i tt 9.5
j-0/1 4141.-
.4t. 1 A I
3
Xi l 1
/ . ` k I
v