2004, 03-12 Permit App: BLD-04-03753 MHSpokane
valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MANUFACTURED HOME
Job Address: 211 N MARGUERITE RD
SPOKANE WA 99212
Description: PLACEMENT OF DOUBLEWIDE MANUFACTURED HOME
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: Blk:
JAMESON, JESS
JAMESON, JESS Phone:
310 S PINES RD
SPOKANE VALLEY, WA 99206
ON THE ROCK CONSTRUCTION
PO BOX 19315
SPOKANE WA 99219
Phone:
Lic No:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #:
Applied:
Issued:
Expires:
Parcel No: 45184.1131
(509) 953-7383
(509) 599-7214
ROCKCI*984JS
BLD -04-03753
Zoning:
03/12/2004
03/12/2004
09/08/2004
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
MANUFACTURER
2w
2003
27 X 58
1
3
30
62
21
21
PALM HARBOR
Fees:
PER SECTION FEE
Total Calculated:
Deposits/Receipts:
Total Due:
100.00
100.00
0.00
100.00
teack .50 co
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
initials / Date
Building )*G4)
Planning
Public Works/ WC/ - OUI I3q
cutfAcita
THIS IS NOT A RECEIPT
CITY OF
4,,,OrValley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: // /i/ /I a V' G U P_ r. J %r Sp aJ /t 4 vie CO Q. q q 2,Z,
ASSESSOR'S TAX PARCEL NUMBER(S): ij 51? /I- /1 3 / 7T; -,?G k
LEGAL DISCRIPTION:
v
ft-
PERMIT DESCRIPTION: Doc (
:$ BUILDING PERMIT ® CHANGE IN USE 0 GRADING
O RELOCATION
DSIGN Q TENANT
$ MANUFACTURED HOME
DOTHER
OWNER / APPLICANT INFORMATION
a OWNER: S5 A -T a /Ile5c 11
PHONE(;_5-0 9) q 52i7 n FAX:
ADDRESS:1 /O S / ! ✓7 f S Sio Ho n r LO? Q y aot
0 / /
CITY,STATE, ZIP
MI CONTRACTOR: 1\17 1? 0 Ct.('
PHONE:(509) )V FAX:509 T53;S 31
ADDRESS: PO, 8&$ )?'!J 'r i- ,� n�^l 992 r 9
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # frO c KC -/L/ D U
APPLICANT: ---ra S 5 A --Tee-/)')' /'/
PHONE:SOf ' 5 ? 171 8'3 FAX:
ADDRESS:3 IO 5 Ph. e•5 5p0-, � 1.1_4( g f9 -a‘
CITY, STATE, ZIP
ARCHITECT: PA / %'i HA 2 8o k. /'t l=
PHONE: 4-07) 9,20-,303 o FAX:6-d g) g2�-Oa 5e'
5Paia,Nrva.
ADDRESS:
CONTACT: rr ," 4/nah
a - U/
CI , STATE, ZIP
PERMIT/BUILDING INFORMATION
COST OF PROJECT: Yqi Lc!) /
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES: /
NUMBER of BEDROOMS: 3
FLANKING SETBACK: /VA
l �
FRONT SETBACK:
REAR SETBACK: h
30% SLOPES ON PROPERTY: /V4
OCCUPANCY GROUP: $/NfG/ F y
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY: ,¼N "
CRITICAL AREAS: A/UA/
LEFT SETBACK: /
i
RIGHT SETBACK: A /
CURRENT PROPERTY SIZE: /20 I 0
MAIN FLOOR SQ FT: /5 -‘‘..5 -7-
2ND FLOOR SQ FT:
5`G‘..92NDFLOORSQFT: NA
UNFIN BASEMENT: /y
FINISHED BASEMENT: HA
GARAGE:
COVERED DECK: A/ 4-
CURRENT PROPERTY USE: H e n I DECK: /4 -
CURRENT SEPTIC USE: C417/ 5 B Lt.) r
CURRENT WELL USE: y(Art Ii/h5oh W4/,'- Q Sr
IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME SIGN
WIDTH: LENGTH:
YEAR: or) PIT SET:
MANUFACTURE Fy\ 4a.i bD�
SQ FT OF SIGN: HEIGHT OF SIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER:
PAINT BOOTH:
FIREWORKS DISPLAY:
FIRE ALARM:
TENT:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE I
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
® BOLTING
FIRM NAME:
INSPECTOR(S):
®CONCRETE
® REINFORCEMENT
PHONE:
® WELDING
FAX:
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: YES ® NO
IS PUBLIC WATER AVAILABLE: 0 YES ® NO
IF YES: ® COUNTY CITY
IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: 0 YES 0 NO
I DATE:
METHOD OF PAYMENT::
CASH CHECK
1
1
STAFF:
1
0
VISA
BANKCARD #; EXP/RES: VIN #
AUTHORIZED SIGNATURE*
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
$15.00
$100.00
SPO N Couvr
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 211 N MARGUERITE RD
SPOKANE, WA 99206
Parcel Number: 45184.1131
Subdivision: SP -1000-94
Block: Lot:
Zoning: UNK Unknown
Owner: JAMESON, JESS A
Address: 310 S PINES
SPOKANE WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 04001206 Inv: 1 Issue Date: 3/12/2004
Permit Use: SEWER CONNECTION - HARRINGTON
Applicant: JAMESON, JESS A
310 S PINES
SPOKANE WA 99206 Phone: (509) 953-7383
Contact: JAMESON, JESS A
310 S PINES
SPOKANE WA 99206 Phone: (509) 953-7383
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: OWNER License #: OWNER
1
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
3/12/2004
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page - ‘1 of 1
Receipt # Payment Amt
1025 $100.00
PERMIT
NOTICE ,
It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and
requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's
or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-
way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of
right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely
with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the
owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan)
required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site
drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be com-
pleted prior to final approval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy; completed
inspection record card must be available on site.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected
prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Department
of Building & Planning
477-3675
• Construction in a flood plain, Division of Engineering & Roads
477-3600
• Electrical wiring, State Department of Labor and Industries
324-2640
• On-site waste disposal system, Spokane Regional Health District
324-1560
• Road cuts for utilities or driveways, Division of Engineering &
Roads - 48-HOUR NOTICE REQUIRED
477-3600
or State Department of Transportation
456-3000
• Sewer connection, Division of Utilities
477-3604
or City Public Works Department
625-6300
PERMIT EXPIRATION AND REFUNDS
Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for
a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a
minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year
of the date of expiration for one-half the original fee, subject to certain limitations—please call us if you have any questions.
All refund requests must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment.
Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized
more than 180 days after fee payment.
MISTAKE?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please
bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to
the Division of Building and Code Enforcement at the below address.
Spokane County Department of Building & Planning
1026 West Broadway Avenue
Spokane, WA 99260
• Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133
FORM 30-050202 BLDG PERMIT
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