2002, 10-28 Permit App: 02009597 MHProject Number: 02009597 Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/28/2002 Page 1 of 2
Project Information:
Permit Use: PLACEMENT OF TRIPLE WIDE Contact: WALKER, FRANK
MANUFACTURED Address: 16521 E NIXON CT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 35 Left: 5 Right: 16 Rear: 50+ Phone: (509) 924-5597
Group Name:
Project Name:
Site Information:
Plat Key: 005236 Name: ARMSTRONG EST District: F
Parcel Number: 45134.2308 Block: 2
Lot: 8
SiteAddress: 16521 E NIXON CT Owner: Name: WALKER, FRANK
VERADALE, WA USA 99037 Address: 16521 E NIXON CT
Location:: VER VERADALE, WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Review
actipite PI
Hold: 0
Area: 10,935 Sq Ft Width: 80 Depth: 136 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
•••
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Plan Review
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- Approach / Drainage
OA FS 100/
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Released•
: 4110170... .
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Operator: DMD Printed By: DMD Print Date: 10/28/2002
Project Number: 02009597 Inv: 1
Application Date: 10/28/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: GARY'S BACKHOE SERVICE Firm: GARY'S BACKHOE SERVICE
Address: 17517 S MALLOY PRAIRIE RD Phone: (509) 239-4433
CHENEY, WA 99004
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Units Unit Desc
3 SECTIONS
1 Y OR BLANK
Fee Amount
$150.00
$33.00
Permit Total Fees: $183.00
BUILDINGS RESTRICTED TO 14 UNITS UNTIL PROPOSAL IS CONNECTED TO PUBLIC
SEWER. BUILDING SETBACKS SHALL BE MEASURED 25 FEET FROM THE EDGE OF THE
RESERVED FUTURE AQUISITION AREA.
Payment Summary::><;:::
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$183.00 $183.00 $0.00 $183.00
$183.00 $183.00 $0.00 $183.00
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: DMD Printed By: DMD Print Date: 10/28/2002
SPOM E Con ry
•
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260 j Z - 9 6'00
509-477-3675 /+ h 75-9 7
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
mAs
Project Description: ;; T�LLZt/L
❑ Building Permit
❑ Change in Use
❑ Grading
NI Manufactured Home Permit
❑ Relocation
❑ Sign
El Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear
Left Right:
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
Indnule who I,ould be urntueled rctardinx ibis projee!
.
❑ Owner. Phone: i/ 9, -5-6-9
�;C 9A) k 12 R. wi J< has: / 7�
❑ Applicant:
_5-7-9m6
Phone
Fax:
Marling Address:
Unfinished basement sq. ft.
Mailing Address
Total habitable space
Cin', State, Zip
/-6)a-it 99637
Finished basement sq. ft.
City, State, Zip
Construction type
PhonePhone
❑/f:ontntractor (� (�' / p 9,79_
a !R� /"7/\1 ►J Li Fax
i 9
El Architcct!Engincer
Ia.
Mailing addresC
125-1'7 S. !)) n 4- L- 6(g- Pry Rig
Mailing address
City, State Zip
6:Alesti)& 6,1 O,4 . q&o V
City, State Zip
R State Contractor literie #
ARO- 58c o j T
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main Floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2n 1 Floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I Icat source (electric, gas, etc.)
Manufactured Home
Sign • ,
Width: I
0
Length: /
J ds
What is the square footage of the sign
face?
I low high is the sign?
Year:
;.O 3
Make:
%%a/Liz;
# of signs
Area of existing signs
Fireworks display
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) O Ycs 14 No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
--
Previous address
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs RI No
Paint booth
Fire Sprinkler
'Tent
Fire Alarm
Fireworks display
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) O Ycs 14 No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
--
Phone
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs RI No
Plans Examiner
Phone
Inspectors
Are there any wetlands, streams or ponds within 200 feet of the properry?
If yes, identift on site plan O Ycs 9. No
Is there evidence of fill or excavation on the property?
O Yes §i No
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) O Ycs 14 No
Address
Inspector
Phone
O Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes No
Ifyes, identi on site plan
What is the current property size?
(square feet or acres) 8D I )( is 6, ,
Is any part of the property within 250 feet of a shoreline?
If yes, ident' on site plan O Ycs '74 No
What is the current use of this property?
--
(j
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs RI No
Will the site be served by a septic system? O Yes No
No
Is any part of the property within a 100 yr flood plain?
I_/yes, identift on site plan
O Maybe O Don't know O Ycs S7 No
Arc or will there be wells located on the property?
I/yes, identi on the site plan fl Ycs 14 No
Are there any wetlands, streams or ponds within 200 feet of the properry?
If yes, identift on site plan O Ycs 9. No
Is there evidence of fill or excavation on the property?
O Yes §i No
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) O Ycs 14 No
.Are critical or hazardous materials used or stored on site?
O Ycs J$ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca?
O Yes O No
Is public sewer available to the site? O Yes O No
Is the property inside the ASA? O Yes O No
OYes ONo
Is public water available to the site? O Yes 0 No
Is the property inside the PSSA? 0 Ycs 0 No
Is the property located within 1000 feet of a Natural Resource Area?
OYes ONo
Date Received:
Staff Representative
METHOD OF PAYMENT
VISA
❑C:ASII ❑CHECK 0 1111111011111 ❑.
O
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FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I{XPIRIfs:
BANKC:ARI) NUMBI:R:
ALM IORI/l.D SIGNATURI::
SU BTO l Al .
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
ARMSTRONG ESTATES
BLOCK 2, LOT 8
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208 SWALE SECTION W/0 DRYWELL
NOT TO SCALE
2025
25'x25' DRAINAGE SWALE
BTM ELEV. 2023.46
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5
ADDRESS I �)5::)1 IV IRON CT
ZONE 3,, S
ROAD WIDTHS°
FRONT e FLANKING
COM1MEN
REVIEWE_
INAGE
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80.00'
3'
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bodies of w ;ter, stet -p er o.th
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t1w Taylor Engineering, Inc.
Civil Design and Land Planning
(509) 328-3371
CURB 'INLET
STA
•I.E. 2023.79
1 ec:rTet.
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u,,J r .acmer�ts
1 a=Ida.
areas
27616
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10N -'dIremao�
EXPIRES 06/23/94