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Home My WebLink About2002, 10-28 Permit App: 02009574 MHProject Number: 02009574 Inv: 1 ) Applicaiioli Date: 10/28/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW TRIPLE WIDE MANUFACTURED HOME Contact: CASEY, CAROL Address: 22811 E CLEARWATER LN C - S - Z: LIBERTY LAKE, WA 99019 Setbacks: Front 30 Left: 6 Right: 6 Rear: 20+ Phone: (509) 993-3801 Group Name: Site Information: Project Name: Plat Key: 005236 Name: ARMSTRONG EST District: F Parcel Number: 45134.2309 Block: 2 Lot: 9 SiteAddress: 16603 E NIXON CT VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,935 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: CASEY, CAROL Address: 22811 E CLEARWATER LN LIBERTY LAKE, WA 99019 Hold: El Depth: 0 Right Of Way (ft) Review Site Plan Review s\-ke. Pt-Pto Released By 0 10/2Z101. 442,/ atiotite 8. Plan Review •Rcleascdrr Approach / Drainage Acke. CAN bad 0(aNCGC1r1 Released B6LLP.) Far, SbWk Operator: RMB Printed By: RMB Print Date: 10/28/2002 Project Number: 02009574 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 Finn: OWNER Phone: Contractor: OWNER Item Description INSPECTION FEE COUNTY SURCHARGE Units Unit Desc 3 SECTIONS 1 Y OR BLANK Permit Total Fees: Fee Amount $150.00 $33.00 $183.00 BUILDINGS RESTRICTED TO 14 UNITS UNTIL PROPOSAL IS CONNECTED TO PUBLIC SEWER. B 1 DING SETBACKS SHALL BE 1 ET FROM THE EDGE OF THE RESERVED FUTURE AQUISITION AREA. f7mE ve. P1 1 2 S W -' b‘v‘ t Payment Summary: V 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 aW so ieS91t-k- Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: RMB Printed By: RMB Print Date: 10/28/2002 Alitmlik 1.11 SPOIL COUNJY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 1 03 /.. A///►0 / Ca�c�e Assessor's Tax Parcel Number(s): LIS t3(4‘ 3r t‘ Legal Description: 4r y i3 Z K 2- Gt /-/o4.54-s49 E7 s el /46.01,e 12 pa., es 4-s--- u/or s Project Description:Sere u/ar M /the_ c- eZ Building Permit 0 Change in Use ft Grading 'it Manufactured Home Permit In Relocation O Sign l Tenant (New/Change) 0 Other Department Use Only CIApplicant: # of stones Water District/Purveyor. Sewer District/Pun-eyor Road width `� /vj Setbacks Front Left Rear. Right School District Fire District: Zoning ( Deck sq. ft. OWNER/APPLICANT INFORMATION El Indilaic who should be , ontaded neurdin_� ihi pvniee! yi (Tyner: Phone 5 9— 79, 3 '`?KO / C /LOQ CQ se7 �/ Fax: CIApplicant: # of stones Phone: Fax: Mailing Address: Z2-71/�y 7// E E. C..: le.t.n Cmc Irl L 4/ Dimensions Mailing Address: 2"a door sq. ft. Finished basement sq. ft. City State, Zip 2/ ,h ert. / -ke /l/�- 990/ Construction type Cin-, State, Zip Deck sq. ft. Cost of project ❑ Contractor / Phone 933 ../4' /1 771 44- 0.5".ea.v4e Fax q 9-1, - 1941- Q,e_- ❑ Architect /I(ngnncer Y d/ev Ae.�f,� 1 1 hone�ap 75/ T Fax \tailing address / Mailing add Cin', State Zip (:its-, State Zip VV'A State Contractor license # Contact name PROTECT INFORMATION Building Information Building height to peak # of stones Main door sq. ft. Unfinished basement sq. ft. Dimensions 'Total habitable space 2"a door sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project I !eat source (electric, gas, etc.) Manufactured Home ., nSign \Width:Length: �o 6 What is the square footage of the sign face? 1 low high is the sign? Year: eRe02 Nlake: 14//ey /ilie # of signs Arca of existing signs Fireworks display Are critical or hazardous materials used or stored on site? O Yes ® No Address Proposed use Relocation Fire Safety Firm Name What is the current use of this property? Previous address Will the site be served by a septic system? O Yes p No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? O Yes ® No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? ('hone Will the site be served by a septic system? O Yes p No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? O Ycs r No Are there slopes greater than 30°yo on the property? (30 ft rise in 100 ft) ( °yo) O Ycs r No Are critical or hazardous materials used or stored on site? O Yes ® No Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes 1119 No Ifyes, identffi on site plan \W/hat is the current property size? (square feet or acres) VD K 13 S Is any part of the property within 250 feet of a shoreline? If yes, identifj, on site plan ❑ Ycs in No What is the current use of this property? Is your property in a designated wildlife habitat arca? 0 Don't know O Yes p No Will the site be served by a septic system? O Yes p No Is any part of the property within a 100 yr flood plain? 1_ f yen, identtlj, on site plan O Maybe O Don't know O Ycs ill No Arc or will there be wells located on the property? Ifyes, ideate on the site plat O Yes SI No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identi on site plan O Ycs Ip No Is there evidence of fill or excavation on the property? O Ycs r No Are there slopes greater than 30°yo on the property? (30 ft rise in 100 ft) ( °yo) O Ycs r No Are critical or hazardous materials used or stored on site? O Yes ® No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Ycs O No OYes 0 N Is public water available to the site? 0 Yes O No Is the property inside the PSSA? O Yes D No Is the property located within 1000 feet of a Natural Resource Area? O Yes D No Date Received: Staff Representativc: METHOD OF PAYMENT VISA ❑ C.ASIl ❑ CI Il::CK ❑1111111111111111❑ . FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.111:: FXP112FS: B:ANKC:ARI) NUNIB1{R: AU1l 10121/J:1) SIGN:ATURI{: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER 7 J ,_ 1 .4. • 0 O ADDrFES;'S Ei .. ZONE • ROAD ',V)DTH 90 FRONT__ S FLANKING COM? 1 REVIEV;FD BY 01 4 • 11c0 cr 4v7 — z This ese of obtain l , a i correct representr,n of the pro. X31 All ko;:.r Y cperty lines/dirreoFAns. curb structum ra r.aernent have beeo=ntr ad ot �d.,3 c 1 bodies of viiia`. steep" S or other ! ereas. c!9ned: i obis t p / G b o,3 Ni