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2006, 06-13 Permit App: 06002292 MHProject pp Number: 0 2 Inv: 1 Application Date: 06/13/2006 Page 1 of 2 *Wane THIS IS NOT A PERMITBUILDING DIVISION P nee be assessed for commencing viditik7ititkoativa4aezmitSuite 106 Spokane Valley, WA 99206 Project Information: Permit Use: SINGLE WIDE MOBILE HOME, 1981 Contact: COURCHAINE, JAYN Address: 17201 E CATALDO C - S - Z: SPOKANE VALLEY, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 924-3492 Group Name: Project Name: Site Information: Plat Key: Name: BARKER ROAD MOBILE HOMES ADD District: East Parcel Number:. 55082.1220 Block: SiteAddress: 2612 N MCMILLAN RD Location:: CSV Zoning: UR -7 Water District: Urban Residential -7 Area: 9,000 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Lot: Owner: Name: COURCHAINE, JAYN Address: 17201 E CATALDO SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Information: Review Building Plan Review PER MANUFACTURER'S SPECIFICATIONS Septic Sys Review Originally Released: 06/13/2006 By: a_blake SEE APPROVAL BY HEALTH IN FILE Originally Released: 06/13/2006 By: a_blake Landuse/Zoning/HE Conditions Originally Released: 06/13/2006 By: cjjanssen Permits: Operator: AMB Printed By: AB Print Date: 06/13/2006 NOTICE The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the applicant/permittee that the use described on the front of this permit complies with applicable codes 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 City Code: 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 setback from property lines. Minimum setbacks are established by City of Spokane Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback provisions lies solely with the permittee -neither the City of Spokane Valley 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. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. PLUMBING — after rough -in, before covering, and final. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to concealing. FINAL — when complete and prior to occupancy and/or use. 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 completed prior to final approval of a building or issuance of a Certificate of Occupancy. 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. PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover. RIGHT-OF-WAY/APPROACH — prior to placement of concrete/asphalt 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 Building department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency. Building, plumbing (includes interior reversals for sewer) and mechanical, City of Spokane Valley Building Division 688-0054 Road cuts for utilities or driveways, City of Spokane Valley Public Works 688-0195 or State Dept of Transportation 324-6000 Permits and inspections for electrical wiring, State Department of Labor Permits and inspections for Sewer Connection. Spokane County Utilities Division And Industries 324-2640 477-3604 Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections, Spokane Valley Health Distnct 324-1560 Fire Department 892-4122 State law RCW 19.122 requires that prior to any excavation the "CALL BEFORE YOU DIG' center must be notified. Call before you dig at least 2 working days in advance, 456-8000. PERMIT EXPIRATION AND REFUNDS All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to finish the original permit. All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized when an application is withdrawn or cancelled prior to the plan review being completed. Owner / Agent Date Staff Approval Date Project Number: 0 2 Inv: 1 Application Date: 06/13/2006 Page 2 of 2 Spokane THIS IS NOT A PERMITBUILDING DIVISION 4000"hi ll be assessed for commencing vtbiWilEitlpiia43ArrintitSuite 106 Spokane Valley, WA 99206 Contractor: OWNER Item Description INSPECTION FEE Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 # SECTIONS Fee Amount $50.00 Permit Total Fees: $50.00 Notes: Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $50.00 $50.00 $0.00 $50.00 $50.00 $50.00 $0.00 $50.00 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: AMB Printed By: AB Print Date: 06/13/2006 NOTICE The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the applicant/permittee that the use described on the front of this permit complies with applicable codes 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 City Code: 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 setback from property lines. Minimum setbacks are established by City of Spokane Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback provisions lies solely with the permittee -neither the City of Spokane Valley 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. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. PLUMBING — after rough -in, before covering, and final. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to concealing. FINAL — when complete and prior to occupancy and/or use. 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 completed prior to final approval of a building or issuance of a Certificate of Occupancy. 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. PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover. RIGHT-OF-WAY/APPROACH — prior to placement of concrete/asphalt 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 Building department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency. Building, plumbing (includes interior reversals for sewer) and mechanical, City of Spokane Valley Building Division 688-0054 Road cuts for utilities or driveways, City of Spokane Valley Public Works 688-0195 or State Dept of Transportation 324-6000 Permits and inspections for electrical wiring, State Department of Labor Permits and inspections for Sewer Connection, Spokane County Utilities Division And Industries 324-2640 477-3604 Permits and inspections for on-site septic systems. Spokane Regional Fire spnnkler and alarrn systems and private access road inspections. Spokane Valley Health Distnct 324-1560 Fire Department 892-4122 State law RCW 19.122 requires that prior to any excavation the "CALL BEFORE YOU DIG" center must be notified. Call before you dig at least 2 working days in advance. 456-8000. PERMIT EXPIRATION AND REFUNDS All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is finished. If a pen -nit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to finish the original permit. All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized when an application is withdrawn or cancelled prior to the plan review being completed. Owner / Agent Date Staff Approval Date Project Number: 06002292 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/13/2006 Page 1 of 2 Project Information: Permit Use: SINGLE WIDE MOBILE HOME, 1981 Contact: COURCHAINE, JAYN Address: 17201 E CATALDO C - S - Z: SPOKANE VALLEY, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 924-3492 Group Name: Site Information: Project Name: to C . : : a. 3MONEENAMMOARMAVAMMSZOMMENEWNSAVINagValgiNi Plat Key: Name: BARKER ROAD MOBILE HOMES ADD District: East Parcel Number: 55082.1220 Block: SiteAddress: 2612 N MCMILLAN RD Location:: CSV Zoning: UR -7 Water District: Area: 9,000 Sq Ft Urban Residential -7 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: COURCHAINE, JAYN Address: 17201 E CATALDO SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Septic Sys Review Released By: Landuse/Zoning/HE Conditions Permits: Released By; Contractor: OWNER Item Description INSPECTION FEE Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 # SECTIONS Fee Amount $50.00 Permit Total Fees: $50.00 Operator: AMB Printed By: AMB Print Date: 6/13/2006 0b/13/lbbb lb: UD 'n7.7[41o1 JUIN 13 2006 11;16 FR Project Nurn be r: 06002292 Inv: 1 Application T THIS IS NOT A PEwork without a permitPenalties will be assessed for commencing TO 3241567 Date: 6(13/2006 Permit Vag: tS1NGLE WIDE MOBILE ROME, 1981 Setbacks: F rc int Sit, information: MOBILE HOlt�s ADD Plat ]K:e' Name: BARKER ROAD _ __ _ — -- __ Sln-/FLot P�i el 2lumber: 55082. 1220 Owner: Name: COURCRAiNE, JAYN iteAddreae; 2612 N 1V1CMiLLAN RD Address: 17201 E CATALDO SPOKANE VALLEY, WA 99016 Lett Right: Rear: Con COURC1iA1NE, JAYN Address: 17201 E CATALDO C . S . Z: SPOKANE VALLEY, WA 99016 Phone: (509) 924-3492 Group Name: Project Name: P. 01/03 Page 1 01 £ District: East Location:: CSV Zoning: UR -7 Urban Residential -7 Hold:.� wets Minionofway (8): o Area: 9,000 Sq Ft Width: 0 Depth: 0 Right Nbr of Bldgs: 0 Nbr of Dwellings: 0 ReviewI;1oji p1,immarmiorwr B oil ding Plan Review Septic Sys Revi SEWAGE SYSTEM -est -Ot La:utast/Zoning/HE Conditions Permits: Cont ec:cr: OWNER Itg ttlpe.scri ti INSPECTION FEE .011111111 MangfacturEd Home FIrrn OWNER Phone: (000) 000-0000 Lillis Unit Desc 1 # SECTIONS C.►p, a ator: AMB Printed By: AMB JUN 13'2006 11:24 Fp, Amount 550.00 Permit Total Fees: S50.00 Pmt Date: 6/13/2006 5093241567 PAGE.01 06/13/2006 10:05 5dyJ441b/ JUN 13 2006 11:1? FR ,11111 J a3. MRny CrTZ TO 3241567 P.03/03 S40.14' / 4-.4' ► Jc... dix4cd ) 4 G /nOil Ic Ito 7,7.4.11<-7 JUN 13 2006 11:24 42 GM 24. 3G ** TOTAL PRGE.03 ** 5093241567 PAGE.02 ctrt0.14. Permit Center Fpne 11707 E Sprague Ave, Suite 106 .00.*Yd lle (p09ka8e8 V0a0l3le6y,FWAXA: (9590290)66 88-0037 Community Development www.spokanevalley.org Manufactured Home Permit Application PERMIT NUMBER: cQ-9d PERMIT FEE: SITE ADDRESS: (.Q Maka. ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: DName: 7,t)/de--, Address: Name:" y tj ,:7(.2 .. /- 2,t.,,,, Address: ' 17,2)/ City Business Lic. No: /1 City: 0 � State:60/¢ Zip: ll� Phone _ / Fax: Contact Person Name: f ,_) Phone: c7 � 8 ,.2_e-0 Describe the scope of work in detail: j1% Contractor: DName: 7,t)/de--, Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: /4A,,/ MANUFACTURED HOME Width: ,/ Y Manufacture: Length: Year: Pit Set: /.0 d ewer: Previous Address: -y ' S c rsL Proposed Use: 34"...1,?, / ��, - <— 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 Date Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 823/2005 ❑ Check ❑ Mastercard Expires: VISA VIN#: Spokane �Ualley DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION PART I APPLICANT: 1 � i CC, ell. I^ e MAILING ADDRESS: " :4"-/ 7e2 / CITY: q �/ �,? STATE: Lci/fe ZIP:.11 PHONE: HOME) 5 / /.Z 7 .7 Y L. ( ) 9g:? o85 CELT) S-4 7.2 G -2.=' y� NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW LEGAL OWNER: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: (HOME) TAX PARCEL NO: �S(' 2 . 12-20 (WORK) (CELL) STREET ADDRESS OF SITE: LEGAL DESCRIPTION: SECTIONS) TOWNSHIP RANGE ZONING CLASSIFICATION: U COMPREHENSIVE PLAN CATEGORY: i TYPE OF ADMINI TRATIVE EXCEPTION REQUESTED: EXPLAIN REASON FOR REQUEST: d' Sa-tst C �m d pi //d-3 APPLICABLE SECTIONS) OF ZONING CODE: NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE INCLUDED WITH THIS APPLICATION PART II LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) I, 4.27J- c>PGl�i� - , (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. ADDRESS: 't / 7 c2e:5/ ( _ /L �� __ 14 711/A; (State) (Signature) PHONE: 9.7 )/ ZIP: (Date) NOTARY (For Part II above) STATE OF WASHINGTON ) ss: COUNTY OF SPOKANE ) SUBSCRIBED AND SWORN to before me this 13411 day of dUlt.- , 20ag, NOTARY SEAL Notary Public in and for the State of Washington Residing at: )�" �(i. i ,� -WC). .._c-c3/01,,g(iiqe_ WC). Pt;iqF Q92i‘, My appointment expires: �T - �C - G g' DATE SUBMITTED: Lc FEE: C`L 01( PART III (To be completed by the Planning Staff) RECEIVED BY: FILE N0.: - t- Cep PART IV DETERMINATION File No: AE- 1 I - (--( The Department of Community Development finds that the information provided by the applicant and required compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not adverse affect on the adjacent properties nor the public's general health, safety and welfare. The Department of Community Development approves / denies this "Administrative Exemption" as conditioned below, for the property described in Part I, pursuant to Sections 14.506.000 and 14.506.020 of the Zoning Code. This administrative exception is subject to the following conditions of approval: 1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future property owners, heirs or any successor in interest to the property subject to the conditions of approval contained herein. 2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code. 3) The applicant shall comply with all applicable development regulations and standards. 4) The applicant and property owner shall comply with the following additional conditions: This administrative exception is hereby a proved this 1 --)— day of 1 t.A I , 20CV Approved b X.k L - cu Title e NA ((- c E -f A l 1 Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call (509) 921-1000 Rev 6/03 c,rcke ie r q, Prop 04 a ci `e�iSiEa( I ,oI p,u-,C6,/c ///0,0e-e,//0,0e-e, (\ 4-2 eir icyP( X�Sf1 Z4 GP -1", a �� A _`> 1)(0E=i�Cr�l ►� tE-i I- CLL CcS 1 ay -PLANNING MK AMMO BY:�—�s�� ATE: C) ) ai' p!d77_l"►e- sib /(I ✓ a L la lJ 6 ,fie 75' 3 )z;