1999, 03-26 Permit App: 99002323 MHProject Number: 99002323 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/26/99 Page 1 of 1
Project Information:
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Permit Use: INSTALL NEW MANUFACTURED HOME
Setbacks: Front 30 Left: 34 Right: 7 Rear:
Site Information;
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Plat Key: 000146 Name: BARKER ROAD MOBILE HOME
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Contact: 1; ER, JESSIE ANN
Address: 1 21 E MONTGOMERY DR
32 C - S - Z OTIS ORCHARDS, WA 99027
Phone: (540) 924-2129
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District: G
Parcel Number: 55082.0910
SiteAddress: 18821 E MONTGOMERY D
OTIS_ORCHARDS, WA US
Location:: Oil
Zoning: UR -7
Water District:
Area: 0 Sq Ft
Urban Residential -7
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: HER, JESSIE ANN
Address: 18821 E MONTGO tRY DR
OTIS ORCHARDS. N.- 99027 -
Hold: El
Depth: 0 Right Of Way 00 I.
Department
BUILDING
Comments:
Review
Site Plan Review
• • -.• • •:isiMs*':'...rtniSSMONSSESSMS8Mi*M
HEALTHDISTRICT Septic System Review
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Permits:
Comments:
****M9SNAMMONSMNSINMAWX::::
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
STATE SURCHARGE
INSPECTION FEE
COUNTY SURCHARGE
Payment Summary: Namsommaaktm.,
Operator: JDL
Permit Type
Manufactured Home
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 Y OR BLANK
2 SECTIONS
1 Y OR BLANK
Permit Total Fees:
Fee Amount
54.50
$100.00
$22.00
S126.50
•
Printed By: JDL Print Date: 3/26/99
Fee Amount Invoice Amount Amount Paid Amount g
S126.50
S126.50
$0.00 )
$0.00 12() '()
...:4,:g030,31441r$S463?&V$933:1111MAISSON:i3i:
Please make sure that the following items are shown on,
the proposed plot plan: + ,
s.
A' 3.
a 4.
n 5.
7.
�g.
a 10.
� 1Z
n 13.
•
Direction NORTH
Generaloiogfaphy (slope) and drainage
characteristics
Roads and driveways
AU surface water
Cuts and banks
Property «ries and boundaries
Existing and proposed buildings
Easements (utility, drainage, etc.)
Wells and water lines (existing and
proposed)
Any neighboring wells closer than 100 feet
to your property line
Proposed and existing septic system and
100% replacement area.
Dimensionsflocations of all items
Location of approved testhotes
1. Disposal system needs to be ionated with easy access for
pumping the tank and maintaining the drakafield.
2. Perforated drainfield pipe shall be at least:
a. 5 feet from property fines and easements
b. 10 feet from buildings and water tines •
c. 100 feet from any source of water which includes
wells. springs. ponds. streams.
3. Dralnfield shall consist of at least two laterals or runs of
perforated pipe.
4. There must not be more than 100 feet of drainfield pipe per
latest or rush.
•
5. • All p7e forated drainfield. pipe • chat be installed level; or drop
no more than one inch per 100 feet. Ends must be
conneete4-If possible.
De not ace drahfk(d. iperunder area where vehicles pass
or large animals stay.
7... Wsteraght pipe Shap eut&id atleast4 feet *mike septic
tank to the edge of the dtalnfield trench o *caddied.
8. The perforated drainfield Pik rust be at least 41ndhes lower
than the watertight p)pe1eading out of the septic tank.
9. The septic tank shell be et least 6 feet from any structure or
property tine.
10. If yotu_ere installing your own system. Please pick uR a copy
of the' tJI.ES ANDy T IGI1S. [?0R :ONSRE SEWAGE
shod l'SYST6Y1 ANE' eititt r.
%,.;
Regionat Health
4.:::.1,f7,„._•,•.
DlsttICt •
vi liaise to Health Divi to
it lite e e Allen e. I `.'
e; :,,, 99221 44-f156Q .
oaiEciTolvs TO SITE i LW APPL.#:
10�
1119 i P S � * o ?.r -k- v - (2Q �o SITE ADDRESS: ► $ $ a ( I o-.-� Go
tOv--F t o SAcvcso.� � n5k- To :0 tuwamovi
dl S__1{17� i
- I:11'11; o Qcln.P%vt.
APPROVALS by Spokane
Regional Health District;
o Grainfield • feet
l.eaclhbed 4400 sq.feet
0 Trench width inches
❑ Maximum trench depth
❑ Minimum trench depth
❑ Cap fil inches of cover
O Total gravel required under the
perforated pipe: - inches
O Rve gallons of water are •
required for •0' Box
inspection
Comments:
✓( ail s,��Q Rubs
•
Calc (509) 324-1560 for
inspection before covering.
if you cannot install this
system according to this
approved plan, you must call
the office at (509) 324-1560
to discuss BEFORE THE
INSTALLATION.
Signature L r 2
Date /2y9f
coNvENnouAL naval CROSS SECTION
L
2. -
Is the ptoputy sine die ane as tdiowa ell the Assessors
map or plat map/ !]yes Ono
if not, what land use acdaa hots or will tains place/
I 9. Has thIsland use action (eadtiate ofcxeahpdoe,
agtregadon. seeneyado4. bent.lkT d with due .
Assessocs office Oyes I]tio
owns
of
+Desiyoa _ --�UUri
-ZONE:
ROAD WIDTH: fl
FRONT: In FLANKING:
COMMENTS:
3
1'9
GROUND SURFACE
12-24'
wets'
.
tercth:s
:oorTo of6 it* Es
caAva. • , • :....C...%
. •• .— 44Nat
p oAtAtNleo
oEs�
•
• colFAr OOVYNWARO, Ott
BF -CRAWL • • • • •
v
+trehress
thttavat wtont
1.
ee map'vlew for piping detail.. r
ravel must be 1% to 2% inch diameter or washed
t,c:ncte►cr, ow.
S,
T
n North
4
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i -
DeAzNl
FIELD
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11/44.pkViAL-\t
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1111
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PI
'r -
j D2-1....) t_ 3o w
U y
J
s.
d
s
M .r.t Go w, L t~ L .
oaiEciTolvs TO SITE i LW APPL.#:
10�
1119 i P S � * o ?.r -k- v - (2Q �o SITE ADDRESS: ► $ $ a ( I o-.-� Go
tOv--F t o SAcvcso.� � n5k- To :0 tuwamovi
dl S__1{17� i
- I:11'11; o Qcln.P%vt.
APPROVALS by Spokane
Regional Health District;
o Grainfield • feet
l.eaclhbed 4400 sq.feet
0 Trench width inches
❑ Maximum trench depth
❑ Minimum trench depth
❑ Cap fil inches of cover
O Total gravel required under the
perforated pipe: - inches
O Rve gallons of water are •
required for •0' Box
inspection
Comments:
✓( ail s,��Q Rubs
•
Calc (509) 324-1560 for
inspection before covering.
if you cannot install this
system according to this
approved plan, you must call
the office at (509) 324-1560
to discuss BEFORE THE
INSTALLATION.
Signature L r 2
Date /2y9f
coNvENnouAL naval CROSS SECTION
L
2. -
Is the ptoputy sine die ane as tdiowa ell the Assessors
map or plat map/ !]yes Ono
if not, what land use acdaa hots or will tains place/
I 9. Has thIsland use action (eadtiate ofcxeahpdoe,
agtregadon. seeneyado4. bent.lkT d with due .
Assessocs office Oyes I]tio
owns
of
+Desiyoa _ --�UUri
-ZONE:
ROAD WIDTH: fl
FRONT: In FLANKING:
COMMENTS:
3
1'9
GROUND SURFACE
12-24'
wets'
.
tercth:s
:oorTo of6 it* Es
caAva. • , • :....C...%
. •• .— 44Nat
p oAtAtNleo
oEs�
•
• colFAr OOVYNWARO, Ott
BF -CRAWL • • • • •
v
+trehress
thttavat wtont
1.
ee map'vlew for piping detail.. r
ravel must be 1% to 2% inch diameter or washed
t,c:ncte►cr, ow.