2003, 11-04 Permit App: BLD-03-02971 MHikokaneS
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MANUFACTURED HOME
Job Address: 525 N MARGUERITE RD
SPOKANE VALLEY WA 99212
Description: NEW DOUBLE WIDE MANUFACTURED HOME
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
FROELICH, ERNIE
RENEGADE OF WA LLC
11014 E VALLEYWAY AVE
SPOKANE VALLEY, WA 99206
RENEGADE OF WA LLC
11014 E VALLEYWAY AVE
SPOKANE VALLEY WA 99206
Lot: Blk:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -03-02971
Applied:
Issued:
Expires:
Parcel No: 45184.0750
Phone: (509) 927-7368
Phone:
Lic No:
(509) 927-7368
RENEGWL971 OJ
Zoning:
11/04/2003
05/02/2004
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
MANUFACTURER
2w
2003
28 X 44
3
21
50+
10' 6"
67
GOLDEN WEST
Fees:
PER SECTION FEE
Total Calculated:
Deposits/Receipts:
Total Due:
100.00
100.00
0.00
100.00
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building
Planning
Public Works
L
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THIS IS NOT A RECEIPT
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•
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: iV IMO .1 ii f (L
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
els/ e`! 07so
PERMIT DESCRIPTION: ?lac.,. , do, Idle to c r; zcUF
a BUILDING PERMIT - a CHANGE TN USE • C GRADING
CI -RELOCATION • D -SIGN ['TENANT
V�;Mu1 •
MANUFACTURED HOME
OttLER
OWNER / APPLICANT INFORMATION
D OWNER: Wawir� lain re `i (.14
® APPLICANT:
PHONELSi 9:S J. - h FAX: PHONE: FAX:
ADDRESS: c-11.5-�: Uia�yr �; 4.-h :., �jc+ , L QP•)?_
CITY,$TATE, ZIP .
°CONTRACTOR:7rc.N(c.)4:C•® ARCHITECT:
PHONE:( Q'� q,) 7 - ,)36 6- FAX: PHONE:
ADDRESS: U I c 1 `f rL • ca . 1 % (..Jc7 / ; Ups / !� jQ- �`f ADDRESS:
ITY,.STATE, ZIP
ADDRESS:
CITY, STATE, ZIP
FAX:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # � (c M.% i, v-) l--` •l I V S CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS: X
'NUMBER OF STORIES:
NUMBER of BEDROOMS: 3
FLANKING SETBACK:
FRONT SETBACK: , I
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
MAIN FLOOR SQ FT: iit
2ND FLOOR SQ
UNFIN BASEMENT:
STRUCTURES ON PROPERTY: FINISHED BASEMENT:
CRITICAL AREAS: GARAGE:
CURRENT PROPERTY SIZE: COVERED DECK:
CURRENT PROPERTY USE: DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME
SIGN
WIDTH: v2� LENGTH: 4/'/
YEAR: _.Lx)
PIT SET: Yes
MANUFACTURER: &ILA 0
SQ FT OF SIGN:
# OF SIGNS:
TYPE OF SIGN:
HEIGHT Or SIGN:
AREA OF EXIST SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER:
ADDRESS:.
PHONE: FAX:
INSPECTOR:
ADDRESS:
CITY, STATE, ZIP
PHONE: FAX:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
® BOLTING
FIRM NAME:
INSPECTOR(S):
®CONCRETE
® REINFORCEMENT
PHONE:
® WELDING
FAX:
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: YES I3 NO
IS PUBLIC WATER AVAILABLE: YES 1:1NO
IF YES: 0 COUNTY ® CITY
IF. YES, WHICH WATER DIST/IRR: +!u
N J< A
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: id YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: YES NO PSSA: 0 YES 0 NO
DATE: l
STAFF:
METHOD OF PAYMENT:
0 p
CASH CHECK
BANKCARD A/; EXP/RES' VIN#
AUTHOR/ZED SIGNATURE:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
orUU 1iLDG.
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Z 002/002
Site Information
Project Information
Site Address: 525 N MARGUERITE RD
SPOKANE, WA 00000
Parcel Number: 45184.0750
Subdivision: HUTCHINSONS ADD
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: FROCHLICH, ERNIE
Address: 525 N MARGUERITE
SPOKANE, WA 99212
it uilding Inspector. BOBBY STONE
Water Dist:
C
Project Number: 03007332 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - WOODLAWN
10/10/2003
Applicant: RENEGADE
11014 E VALLEYWAY
SPOKANE WA 99206 Phone: (509) 927-7368
Contact: RENEGADE
11014 E VALLEYWAY
SPOKANE WA 99206 Phone: (509) 927-7368
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Server Connection Permit
Permits
Contractor: RENEGADE OF WA License #: RENEGWL971OJ
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 thc 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.
those related to trench safety.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
515.00
S100.00
Payment Summary •
Total Fees AmountPaid AmountOwing
5100.00 S100.00
50.00
Tran Date
10/10/2003
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
6472
Payment Amt
5100.00
PERMIT
1 I Li:
1
1
PLANNING DEPT. APPROVED
BY.
DATE: I •14 • a 3
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