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2007, 10-05 Permit App: 07003767 MH• Project Number: 07003767 Inv: I Application Date: 10/5/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Parcel Number: 55082.1216 Block: Lot: SiteAddress: 19119 E MONTGOMERY DR Owner: Name: SIJER, T H & M A Address: 19119 E MONTGOMERY DR Location:: CSV OTIS ORCHARDS, WA 99027-9564 Zoning: UR -7 Urban Residential -7 Water District: 134 CONSOLIDATED ID #19 Hold: Area: .00 Acres Width: 69 Depth: 115 Right Of Way (ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Septic Sys Review Released By: SEWAGE SYSTEM DESIGNED FOR 2 BEDROOMS ONLY SAME LOCATION PER LANCE @ THE HAELTH DEPARTMENT Originally Released: 9/26/2007 By: jdavis Landuse/Zoning/HE Conditions Released By: Permits: Contractor: OWNER Item Description INSPECTION FEE Originally Released: 9/26/2007 By: tschmidt Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 # SECTIONS Permit Total Fees: Operator: JD Printed By: JD Print Date: Fee Amount $100.00 $100.00 10/5/2007 ProjectNumber: 07003767 Inv: I Application Date: 10/5/2007 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary:tt. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Manufactured Home $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: 10/5/2007 09/25/2607 13:26 509324156r 1' " P.04/05 Sf7P 24 2007 15:17 FR SP UALLEY PERMIT CTR 52196880037 TO 3241567 Permit Canter PER-MJT NU-1MBER: r .>`M11 �e 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 PERMIT FEE: t (509)688-0036 FAX: (509)688-0037 eleZ4Community Development amm,,g )o-2=NJ1a.= Manufactured Home Permit Applicaticti1 ❑OTHER SITE ADDRESS: A cgF.sS01Z4 PARCEL N0: 5 / 60 BuMug Owner: Address: C i1y �r"C State: Zip: Phone:Fax: �-0 � - `? q /-9 Coui:,ct 1'er5ou . N„nic: f'z, rN ; (C r Phone: J ©/ 9 ,91 - % 3 Describe the scope of work io detail: .. Previous Address: Proposed Use: /' e S i 'f c %h4 % q - J Thu p©rniitoa vorNios, aoknowled0ea and ogroros by thvlr 910naturo that: 1) If this permit Is for canawction of or on a dwelling• u,o dwelling is/Hilt be served by po(-able water, 2) Ciwnarship of this City of Spokane Valley Permit /aura to ttie property owner. 3) The siynaiory is ?ho property owner or has permission to roprasont the property owner In NS transaction. 4) All construction is to bo Bono u, full cornput,nCC with the City of Spok3no Valley Development Code. Referenced codes are available for review at the C1Ci of Spokane Vailuy Permit Cente,• 5) This City of Spokane Valley Parmif is not a permit or approval for may vblejNon of fedomt, state or ioc,+l IL,ws. codes or ordinances. 8) plans or additional information maybe requlrud to bo euGmitted, and subsequently approved beloje this application can be ptGGewid. p Signature Date Mett,od of P'aymonC ❑ Cash ❑Check ❑ Mastvrcard ❑VISA t T:fl-e r Tli; r^T?T TiC1N•/ SEP 25 2007 14:21 Contractor: Name: Address: City: State: Zip: Phone: Fax: Clorarector Lic No: Exp Date: City Business Lie. No: \\ iVLA.i�LTFACTYJRLD 170AS ,� 4 Length: G, Pit Set: Fse ©ankcard A; ExPlr®s: VINM: Auiliarizud SIgoAturo: ReWlEo n"nnorA tidSewer: Manuf:.icT;ure: -5/Q y / f' n c 509324156'7 PGE.01 A Permit Center ir �jO�alle 11707 E Sprague Ave, Suite 106 „�•� Valley (509) Spokane Valley, WA .7 (509)688-0036 FAX: (509)688-0037 Community Development-� �ti.suokanevalley.or7 PERMIT NUMBER: PERMIT FEE: ' Manufactured Home Permit Application DOTHER SITE ADDRESS: ASSESSORS PARCEL NO: Building Owner: Name: T ar n 'e Address: - 1 S / /1) V a OfC FP / State: Zip: 99 : Fax: Contact Per on Name: b — L r Phone: j — _ Describe the scope of work in detail: d/71ier 'ea rleer 0(�� Iq LEGAL DESCRIPTION: Contractor: Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: MANUFACTURED HOME Width: Length--S-6Year: 7 Pit Set:Z 5P Septic/Sewer: Manufacture: r51c-.,y Previous Address: Proposed Use: /^ e S Jet A- 4 t c, 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. Signature Date Method of Payment. ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 6/23/2005 i � c j 50 JVF PLANNING DEPT. APPROVED Project Transmittal City of Spokane Valley Community Development Department 11703 E. Sprague Ave, Suite B3 Spokane Valley, WA 99206 Phone: 509.688.0036 New project Previous pre -app meeting Plan revisions Transmittal Date: Friday, September 21, 2007 Site Address: 19119 E MONTGOMERY DR Project Number: 07003767 Parcel Number: 55082.1216 Zoning: UR -7 Water District: CONSOLIDATED ID #19 Fire District: FD 01 Applicant: SUER, T H & M A 19119 E MONTGOMERY DR OTIS ORCHARDS, WA 99027-9564 (509) 226-1301 e-mail: Contact: SUER, T H & M A 19119 E MONTGOMERY DR OTIS ORCHARDS, WA 99027-9564 (509) 226-1301 e-mail: Contractor: OWNER ( ) - 0 Project 1997 SKYLINE 27 X 56 Description: Owner. SIJER, T H & M A 19119 E MONTGOMERY DR OTIS ORCHARDS, WA 99027-9564 e-mail: Occupant: e-mail: Arch / Engineer: e-mail: Please send all plan review and project comments via a -m ' t ° !D highlighted individuals. Permit Center r— j%O�e 11707 E Sprague Ave, Suite 106 , .- Talle Spokane Valley, WA 99206 (509) Y (509)688-0036 FAX: (509)688-0037 Community Development www.sRokanevalley.org Manufactured Home PERMIT NUMBER: / - PERMIT FEE: Permit Application E]OTHER SITE ADDRESS: ASSESSORS PARCEL NO: Building Owner: Name: a r )VI n - e Address: — 1 4 s l 61f S a /l - City: OrC, / State:,IA Zip: Phone: Fax: Contact Per on Name: /'0 L r Phone: j e Describe the scope of work in detail: In P r 16a rle? r /0(-� /71 LEGAL DE CRIPTIONJ Ste' 'L �► B Contractor: Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: e MANUFACTURED HOME Width: Length:s / Year: ,7 Pit Set: Septic/Sewer: —7 1 Manufacture: _51,& i Previous Address: Proposed Use: r e S Jet 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: ❑ Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 Date �a -a 7 ❑ Check ❑ Mastercard ❑ VISA Expires: VIN#: /�i 1AAA a Ll SCF NG