2001, 02-22 Permit App: 01001007 MHProject Number: 01001007 Inv: I Application Date: 2/22/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: DOUBLE WIDE MOBILE HOME Contact: HOMEBOYS CONSTRUCTION
Address: 14525 N NEWPORT HWY
C - S - Z: MEAD, W.A. 99021
Setbacks: Front Left:,,e Right Rear:,,� Phone: (509) 468-1750
215 1'6 Group Name:
Site Information: Project Name:
Plat Key: 006047 Name: SP -1205-99 District: F
Parcel Number: 45183.0666 Block: Lot: D
SiteAddress: 507 N DICK RD Owner: Name: EVANS, LUKE
SPOKANE, WA USA 00000 Address: 5820 E 4TH #7
Location:: SPO SPOKANE, WA 99212-2860
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,408 Sq Ft Width: 80 Depth: 155 Right Of Way (ft): 20
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review'
Released By:
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Plan Review
Approach / Drainage
Landuse/Zoning
Released By: - -----
Released By:
Released By:
Project Number: 01001007 Inv: I Applicalio�n Date: 2/22/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
- --- Manufactured Home ---
Contractor:
- -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: m.„,;...
Operator: CKF Printed By: CKF Print Date: 2/22/01
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
Notes: .....,:. �.
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ADDRESS
ZONE`______
ROAD w'IDTH
FRONT '15 - IN
COMMENTS iwas _
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This sate pian is being subrOf
obtaining a building permit a is f� r
carrec;!
representation of the proposal. iii know
property
knes/dimensions, curb lines. structures
nd easements
have been identified. Also indicatcd are vetlands,
bodies of water, steep slopes or other c
;cal areas.
Signed:
Date: ______._..
M
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TRACT CA
12,471 SQ.FT.
N - 5!}5
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Project Description:
r
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
MIWO"t c
TYPE OF APPLICATION
-Pk i u}4i-jE ?(eo P464f
❑ Building Permit
❑ Change in Use
❑ Grading
Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
SPECIFIC SITE INFORMATION
Street Address: -6-0,7 d• b I ce
Assessor's Tax Parcel Number(s): 4 > $ J, 016/J6
n
Legal Description: "%��}i L°i �� ��� � � %� • i Zo /* � 99
Department Use Only•7
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front: Rear:
Leh: Right.
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
❑ Owner: e Phone: S • ���
eC- �✓�S
ZAPant: Phone:L—Ij
A H+� ���•��ZA7
Fax:
i.Jv�i�i, Fax:
Mailing Address: �
5.820 A. `,,i 07
Mailing Address:
City, State, Zip
oe. GtT' 992 /Z
City, State, Zip
❑��C(j t ctor Phone -7
❑ Architect/Engineer Phone
1�tDMf Boyce Fax V62--_5 7 Z,4
Fax
tad tg address
/�Z 1 SZ.5 06,e. 9L4
Mailing address
Cine, State zip
City, State Zip
WA St. e Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2,d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign_
Width:�� '
Length: l /� //
Whac is the squzae footage of the sign
face?
How high is the sign?
1 es, identify O on siteplan Yes o
6 V
O Concrete 13 Welding 0 Bolting 0 Reinforcement
Address
Year: 7
liQ��
Makg: U
/vim
N of signs
Area of existing signs
RelocationFire Safety
Previous address Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display _
Proposed use Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Examiner Phone
Inspectors:
Address
1 es, identify O on siteplan Yes o
Inspector Phone
O Concrete 13 Welding 0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No
What is the current property size? - &S
1 les, identi�on site plan
/2 ,
(square feet or acres) 7"
Is any part of the property within 250 feet of a shoteine?
What is the current use of this property?
V�" i
1 es, identify O on siteplan Yes o
Is public water available to the site? O Yes O No
Is your property in a designated wildlife habitat are
Will the site be served by a septic system? 0 Yes 3KNo
0 Don't know 0 YesNo
Is the property inside the PSSA? O Yes
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
If yes, identify on site plan
Ifyes, identify on the site plan O Yes X No
0 Maybe 0 Don't know O Yes ANO
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the propert
property?](
0 Yes �No
1 es, identi on siteplan 0 Yes Cp \No
Are there slopes greater than 30% on the property? (3 ft rise in 100 ft)
Are critical or hazardous materials used or stored on site?
% 0 Yes No
O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? '
Is public sewer available to the site? O Yes O No
O Yes
O No
Is the property inside the ASA? O Yes
O No
Is public water available to the site? O Yes O No
O Yes
O No
Is the property inside the PSSA? O Yes
O No
Is the property located within 1000 feet of a Natural Resource
Area? O Yes O No
Date Received: Staff Representative:
ADDRESS -IN,2'
ZONE
ROADWIDTH,
IDTH
FRONT_
COMMENTS -
z
i
,
s
11
2
T-4_281 3s
This site plan is being eub `
fa
of
obtaining a building permit ,
coned
mMsentation of the proposal. Ali know
property
iines/dimensions, curb tines. structures
nd easements
have been identified. Also indicated are vetlands.
bodies of water, steep slopes or cther c
ical areas.
Signed:
Date: _
0
t
ACT MCS
12,411 SQ.FT.
N - 505 beck
This site plan is being subr
obtaining a building permit
representationo e propc
Ftnes/dimensio
have been identVied, Also
bodies of waiter,i6steA slog
Tu
J for thepurpose of
is a true and correct
All known property
-uctures and easements
3ted are wetlands,
!other critical areas.
rgency
around
ADDRESS r�
ZONE � 25
OAD WD F,� ^ .
FRONT
C MENTS
REV ED B
`m _ 1 \ � � Ing re \Egress
1
.15