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2007, 05-21 Permit App: 07001884 MHProject Number: 07001884 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/21/2007 Page 1 oft Project Information: Permit Use: 1998 28 X 48 GOLDENWEST Setbacks: Front 15 Left: 37 Right: 5 Rear: 54 Site Information: Contact: BUD AND DOUG'S Address: PO BOX 774 C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 926-3626 Group Name: Project Name: Plat Key: MI1007 Name: BARKER ROAD MOBILE PARK District: East Parcel Number: 55082.0410 Block: 3 Lot: 10 SiteAddress: 19011 E MARIETTA AVE Location:: CSV Zoning: UR -7 Urban Residential -7 Water District 134 CONSOLIDATED ID #19 Hold: ❑ Area: 8,190 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: FREEZE, KARINE & JOHN Address: 123 S WRIGHT CT LIBERTY LAKE, WA 99019 Review Septic Sys Review Released By:. - Landuse/Zoning/HE Conditions Permits: Released By: 5/207 Manufactured Home Contractor: BUD'S & DOUG'S MH SVC LLC Firm: BUD'S & DOUG'S MH SERVICE L Address: 17906 E COWLEY AVE GREENACRES, WA 99016 Item Description INSPECTION FEE Phone: (509) 926-3626 Units Unit Desc 2 # SECTIONS Operator: JD Printed By: JD Fee Amount $100.00 Permit Total Fees: $100.00 Print Date: 5/21/2007 05/21/2.007 - 13:42b 14:109 -k4CUSu PERMIT CENTER Project Nr is s :r: 07001884 Inv: 1 SRHD EHS 5096280037 TO 3241567 P.01'02 PAGE 01/01 Application Date: 5/21/20071:7 Page 1 of 2 THIS IS NOT A PERMIT �`f' h. Penalties will be assessed for commencing work without a permW4y F4,�'�� T211 Pr4iprtl'a jb nrtafinn: Pemilt Ute: 1998 28 X'48 GOLDENWEST Contact BUD AND DOUG'S Address: PO BOX 774 A<rfl C - S - Z SPOKANE VALLEY, WA 99016 Setback i: tont 15 Left: 37 Right 5 Rear. 54 Phone: (309) 926-3626 Group Nsmc: Projoct Name: 6.Sitelnfornteh Plat b111007 Name: BARKER ROAD MOBILE PARK Pa co C Qunbcr. 55082.0410 Block: 3 Iii:eAddress: 19011 t MARIETTA AVE Location:: CSV Lot: 10 Owner: Name: Address: Zoning: UR -7 Urban Resld ential-7 Witter District: 134 CONSOLIDATED ID #19 Area: 8,190 Sq Ft Width: 0 Depth: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Iitf Ngtglienr Septics Review SEW9.fi _,`t;: fl i .. awa District East FREEZE, ICARiNE & JOHN 123 5 WRIGHT CT LIBERTY LAKE, WA 99019 Hold: p Right Or Way (ft): 0 Lcm I Ise/Luning/HE Cooditious Permits: ._. ��....�.� Manufactured Mame Contracto o BUD'S & DOUG'S Mil SVC LLC Firm BUD'S & DOUG'S MU SERVICE L Addre!s: 17906 E CO'\W'LEY AVE Phone: (509) 926.3626 CIEENACRES, WA 99016 I ipJ _'cnptlon INSPE : C10N FEE Optta or: 11) Units Unit Den 2 # SECTIONS Permit Total Fees: Printed By: JD Prue Date: Fec .4t oA unr $100.00 $100.00 5/2112007 MAY 21 2007 14:40 50532415E7 PAGE.01 Prbject Number: 07001884 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/21/2007 Page 2 of 2 Notes Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JD Printed By: JD Print Date: 5/21/2007 • Spokane jMalley Community Development Permit Center W E C S o t/ r�' 11707 E Sprague Ave, Sm e 106 Spokane Valley, WA 99206 MAY 1. 2007 (509)688-0036 FAX: 9)688-0037 ww vspokanevallev. Manufactured Home Permit Application OTHER PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: 1 R 0 1 k 9 VY\ Ct /t In it 4-be Seo-an U it LLOq q9 co- 7 ASSESSORS PARCEL NO: S S'U / p LEGAL DESCRIPTION: Building Owner: nn Name:Qud kDa O14ILL id -02... So/ta.t.“ n Name:j 4 ri 47 o -P n4 Le_ City: 3;3ojt(,1e UG //PU tate: 4„/4 Zip: ? (9 Ut Address: i,? 2 S, W ri Q h'+ cif Contractor Lic No: Exp Date: City: _ha H L k `' State:um Zip: Cit fiO/, Phones_04 9i l 0 - x,71 ci Fax: Contact Person Name: g a rc w& F re e i e Phone: ("-"fn4) 7/o— a'f't 9 y Describe the scope of work in detail: Contractor: nn Name:Qud kDa O14ILL id -02... So/ta.t.“ Address:utx t) is o V 7 7 q City: 3;3ojt(,1e UG //PU tate: 4„/4 Zip: ? (9 Ut Phone"isb_3/oLa, 'Fax: Contractor Lic No: Exp Date: City Business Lic. No: 84' etA 0 D M VIS" / L a Wo1/401 a 0.a /6" po-45 sot 44-1 DPause 11,1a I ,1 • �- MANUFACTURED HOME Width: Length: y? Year: 9 Y(52 Pit Set: no Septic/Sewer: Manufacture: 6., tdevn limey *- Previous Address: Ltsn0 (2 d dtvn. W R' Proposed Use: haidAtirdli The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature Method of Payment: D Cash Bankcard #: Authorized Signature: REVISED 8/232005 0 Check Date C-16-0 7 0 Mastercard ❑ VISA Expires: VIN#: RETURN ADDRESS CLS ESCROW, INC. #3302 PO Box 141037 Spnkann Valley, WA g9716 LEASE CHECK ONE Manufactured Home diWASXIX6iRR f1AiF DEPARTMENT of (TITLE ELIMINATION LICENSING • • Application •TRANSFER IN LOCATION • Anyone who knowingly makes a false statement of a material fact is guilty REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punlshed by a fine, imprisonment, or both. (RCW 46.12.210) 1 MANUFACTURED HOME TPO / PLATE NUMBER +166408 YEAR 1999 MAKE GOLDE LENGTH/WIDTH(FEET) 48 X 27 VEHICLE IDENTIFICATION NUMBER (VIN) GW0R23N21737 2 LAND LEGAL DESCRIPTION ON PAGE y, MANUFACTURED HOME WILL BE L�eAFFIXED • REMOVED REAL55082. 04 PARCEL NUMBER 55082.0410 LOT 10 BLOCK 3 PLAT NAME OR SECTION/TOWNSHIP/RANGE BARKER ROAD MOBILE HOMES OUARTER/OUARTER SECTION 3 GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS 2 NUMBER OF LEGAL OWNERS 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER THOMAS W. SPRINGER NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER JOAN J. SPRINGER ADDRESSCITU STATE ZIP CODE Il4z3-East-9th 1c70tk E.DClc�.x'L€tt &Spokane Valley WA 99314 99 0:.4 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER CLS Mortgage, Inc. Its Successors and/or Assigns NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 12904 E. Nora Ave. Spokane Valley WA 99216 GRANTEE NAME 1 DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I / WE A • RE THE REGISTERED 0 NER(S) OF IhHIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABL r_--- S -- Signature of Additional Registered Owner and Title, IF APPLICABLE'i, NOTARY SEAL OR STAMP I NOTARIZATION/CERTIFICAT} • N FOR REGI RED OWN (S) SI ATURE 0AA6OA / 1 TERI HOLLIS e of Washington County of Signed or attested q f� ��v1 before me on //i7'1 09 NOTARY PUi3LIC ' n ca5 W 1 ` / Si"_ 1 v f �QJL. ��LxM' STATE OF WASHINGTON b COMMISSION EXPIRES JULY 19, 2011 I b RI T h� gnatur\ ME OFREGIISTTEEREOOWNER e4ARTORAG r "^Cl i' i vt�✓! 1 1(/� Title RINT NAME OF REGISTER WNER IIt� 1 PRINrE NAME OF NOTARY /'� County/Office No OR AND: Dealer No. OR I�/� I DEALERSHIP 0 TI N A NT/NOTARY Notary Expiration Date El TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME (TYPED OR PRINTED) TITLE COMPANY / PHONE NUMBER SIGNATURE / POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. g BUILDING PERMIT OFFICE CERTIFICATION I Certify that: 0 the manufactured home has been affixed to the real property as described. 10 a building permit has been issued for this purpose and the attachment wil be inspected upon completion. NAME (TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE F 03 BLDG PERMIT 9 SIGNAT RE 1 PpSITIO i -4 At ✓_tLci� S)12(`c<<,( I r,i2� DATE i(� � TDBI2Da (R/6/06) W PLga 1 of 2 us0 4� 70, C' -iso ►-ioxzs `f i a-ra l_ 70 4x 4� Property Square Footage 8,190 Marietta Ave. 90 I I a t* --'t i to as L � SSba .4jo c�: +�.az c--100 8 S Road Center W 0 a. a. Q 2 Z w 0 Marietta Ave. 70 58' 37 Driveway 1,344 Sq. Ft. Manufactured Home Property Square Footage 8,190 Road Center