1997, 09-25 Permit App: 97007692 MHPROJECT NUMBER= 97007692
APPL'ICATIbN DATE= 09/25/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13510 E BROAD LN
ADDRESS= SPOKANE WA 99216
PARCEL#= 46344.1303PTN
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME W/GARAGE
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
OWNER=
STREET=
ADDRESS=
005425
00020454
1 #
PLAT NAME=
LOT=
F/A=
DWELLINGS=
HAUGEN, GUST
PO BOX 7263
KENNEWICK WA 99336
CONTACT NAME= GERRY MAHN
BUILDING SETBACKS: FRONT= 25
******************************
DEPARTMENT
SP -881-93
ZONE= UR -3.5 DIST#= H
F WIDTH= 96 DEPTH= 211 R/W= 20
1 WATER DIST = TRENTWOOD
PHONE= 509 735 4437
PHONE NUMBER= 208 687 1898
LEFT= 8 RIGHT= 8 REAR= 85
REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
BUILDING WATER VERIFICATION- Q--' I°J /,
S
OP (l:4• °��
COMMENTS:
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW
APPROVAL: J SHATTO
ENGINEER APPROACH/FLOOD
COMMENTS:
REQUIRED
PLAIN/DRAINAGE
DATE: 09/25/97
- •
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
///07
FIRE DISTR HYDRANTS REQUIRED
COMMENTS:
PROJECT NUMBER= 97007692
APPLICATION DATE= 09/25/97 PAGE= 02
******************************* BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
GERRY MAHN CONSTRUCTION
11355 N TIMBERRIDGE RD
RATHDRUM ID 83858
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
24 X 24 SQ FT=
#HANDICAP=
DESCRIPTION
GARAGE
GROUP TYPE
U-1 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
RESIDENTIAL SURCHARGE
STATE SURCHARGE
***************************
CONTRACTOR= G
STREET= 11
ADDRESS= RA
PHONE= 208 769 5576
ADDITION= CHANGE OF USE=
BLDG HGT= 13 STORIES= 1
576 SPRINKLER= N
CRITICAL MAT= N
SQ FT
576
VALUATION
6912.00
QUANTITY FEE AMOUNT
Y
Y
Y
125.50
27.61
4.50
** MOBILE HOME PERMIT *****************************
YR/MAKE= 1997 MARLETTE
SERIAL#=
C
IMB
ID 38
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 26 LENGTH= 56 HEIGHT= 00
INSPECTION FEE
QUANTITY FEE AMOUNT
2 100.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT
MANUFACTURED HM
157.61
100.00
257.61
.00
.00
157.61
100.00
.00 257.61
*******************************************************************************
* PLAT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
WATER PLAN REQ AND WATER SYSTEM TO BE OPERATIONAL.
COUNTY PARKS DEPARTMENT MITIGATION AGREEMENT REQUIRED.
DRAINAGE PLANS REQUIRED.
PRIVATE ROADS IMPROVED TO COUNTY STANDARDS/OUNTY FIRE; CODE.
ONE FIRE HYDRANT REQUIRED AT MAYHEW AND PRIVATE ROAD.
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
112Iec-0
Legal description as it appears oh the property deed
OWNER or OCCUPANT
(J57- /14 uye n)
Mailing address
P 130X 7263
Who should we contact regarding this project?
ASSESSOR'S tax parcel number?
Phone
City, state
iCeitm) t.J1 Glc
c�
Whatd thispermit?
Zip
Phone
(fig) x9-��5 % 6 02 '20� ‘$7 -- /c??cP
work " being done under
pi r- $4 tiec-v ,r7013r` "eom e — sf-1977G �/c - 6W 2,C
Contractor
6ele 47I )
WA State Con ctor license #
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
0.3V,
Mal"4: De-te„SYSi J , vh-i
Re�tb 0Jo i�
Y/ 2
Architect/Engineer
Main floor area
Unfinished basement area
2nd floor area
Garage area
�x 2
Finished basement area
Size of decks, etc.
co)
What is the heat source?
What is the cost of your,.project?
P'°°
Manufactured Home
Sign
Width:
Year:
l 9,97
Installer
Length:
What is the square footage of
the sign face?
1How high is the sign?
Make:}4�
Contractor
Wa State Contractor license #
Wa State Contractor license #6.0.0901 C 03 . rt/
A) /23 5” 7y+ -, e- 4 e PP g3
Mailing address
Relocation
Mailing address
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display
VALUE
Contractor
WA State Contractor license #
Contractor
WA State Contractor license #
Mailing address
'Mailing address
1Fuel Storage Tanks
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
Vv a Contractor license #
ass
Swimming Pool
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
WA State Contractor license #
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
lot discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
•
Site Plan
rJ
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1
Q0,
awb
c)
6.1
1
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
O Septic tanks & wells