2009, 11-13 Permit App: 09003616 MHProject Number: 09003616 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/13/2009 Page 1 of 2
Project Information:
Permit Use: 2009 26 X 44 MARLETTE Contact: GARY'S BACKHOE SERVICE
Address: 17517 S MALLOY PRAIRIE RD
C - S - Z: CHENEY, WA 99004
Setbacks: Front Left: Right: Rear: Phone: (509) 239-4433
Group Name:
Site Information: Project Name:
Plat Key: CONY Name: CONVERTED CNTY DATA District East
Parcel Number: 55082.0409
Block: Lot:
SiteAddress: 19021 E MARIETTA AVE Owner: Name: BEE, KENNETH & CHARLENE
Address: 19021 E MARIETTA
Location:: CSV SPOKANE VALLEY, WA 99027
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: O
Area: 8,190 Sq Ft Width: 70 Depth: 117 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 10
Review Information:
Review
Septic Sys Review
Released.By: - -`
Originally Released: 11/9/2009 By: LHALSEY
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 11/6/2009 By: mpalaniuk
Manufactured Home
Contractor: GARY'S BACKHOE SERVICE Firm: GARY'S BACKHOE SERVICE
Address: 17517 S MALLOY PRAIRIE RD
CHENEY, WA 99004
Item Description
INSPECTION FEE
Phone: (509) 239-4433
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: .JD Printed By: joint Print Date: 11/13/2009
Project Number: 09003616 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/13/2009 Page 2 of 2
Septic designed for 2 bedrooms.
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $100.00 $100.00 $0.00 $100.00
$100.00 5100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm Print Date: 11/13/2009
Permit Center
ry�'^„oseti\11703 E Sprague Ave, Suite B-3
M�tlle Spokane Valley, WA 99206
. 1/2 Hey (509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Community Development
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER: ) (pt b
PERMIT FEE:
CSITE ADDRESS:
ie(2_ 1i4Llcy
ASSESSORS PARCEL NO: Sj 0% ,Q 40 LEGAL DESC
Building Owner : ;
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Name: fit ¶-k
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Name: £.hv‘ L-
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Address:' 96 1
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State:w fir' Zip 9C.102-1
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Phone,_ 9 9
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Fax:
Contact Person -
Name: (1 Ja e.Ltry} t2 Ip
Phone: 50C1 ' l9wl - a'
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.Contract
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Name: fit ¶-k
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Address:atj0$(l� y W `C9i ,AU
CitytS'o(V.L state:w .A Zip:CIA3 I
Phoneiq cfn,Atq Fax:
Contractor Lic No:6 -7Sas gap pte:4n
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City Business Lic. No:
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Describe the scope of work in detail: IA (1_ N2 ti
Describe �6 if
oa C\Cid tr) VO^t�
MANUFACTURED HOME
Width: a&' g 11
Length: M 4
Manufacture: A.A- At Lci- 4 c -
Year: 9 n 09
Pit Set: tics
(Septic ewer:
Previous Address: fl(AO
Proposed Use: L.s.uYlnc\ QuJA-t JA -10 Ct2 j
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.
cSignature__)
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED W23/2005
0 Check
❑ Mastercard
Expires:
L - Dated I' `p 07
❑ VISA
VIN#:
Spokane
Valley®
•
For City Use Only
PLUS Project Number (hc'1( (>I ie -
Project Address _
1Gi17+ N1-o:r'
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 - -
509.688.0036 • Fax: 509.688.0037,♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during. the, review process of your project
application, we arc providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a _revised target.date.
Your application review TARGET DATE is '7:
The TARGET DATE is the 'date. We estimate your_projectapplication will have, had, its'initial-technical
review. It is not the date for approval or permit issuance.
Tips fora Smoother Prolcc
Submit complete, accurate plans and documents. ,
any time may be required fyr re=submittals as project application rericu-ers, srbrk- on multiple applications and,
nzcv be several dans Wire flim circ look at your new or revised information.:'
Application Review
Designate a specific contact person to communicate with the City:"
d'/iile the person designated as the applicant's contac9 person with the Citv'can be clmnged,oneindii'iclual'with the'
expertise for dealing with reviewer comments would be the hest aoice for'the entire review process.
•
i Call staff regarding the status of your project only after the target date shown at the top of the page."
Although you .should be ccinacted on or hr the target date, please feel free to contact,us if you haven "theard from'us
by' your target' date. Stiff May.contact roti before the tat -gel date if the ininal,reviex is complete.' By following this_
procedure. you will save time and allow the reviewers to complete the cork more.e 1beditiotrsli
Steps in the Permit Process'
1. Counter Complete. Your application has been, accepted as: counter: complete. This means all of the. 'required
documents, as indicated on your Pre -Application Checklist have been submitted' 'or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step ill the.process-is a quality check to make.sure that theapplicationis reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete. your application -will. be routed to the appropriate staff and remain,in their•review queue until it
conies up for review. '
3. Technical Compliance..Once an application is administratidely'coniplete, iri's routed to' technical staff for compliance
review. Depending on the type .of project, technical:staff May. include. multiple reviewers: You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical'compliance review is complete.''
4. Permit Issuance: When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center, When all:sections
of the application are received; a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up._Information regarding fees and pre-construction.meetings (if required) will be provided by
the Permit Specialist at that time. •
WHITE -APPLICANT PINK -BUILDING FILE
REV 9/07
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PLANNING DEPT. APPROVED
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