1991, 04-26 Permit App: 91002106 MH SPOKANE COUNTYt EPARTMENT„ C F BUILDINGS
W,1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct,and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work wilVbe complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91002106 APPLICATION DATE:::: 04/26/91 E='f"r. 1
•;i)r)(,.) )E THIS IS f;C:!i A PERMIT i':i k',11•*4
i-1::.NA1._ ! .lE.. ....Li.. ... BF ASSESSED FOR COMMENCING WORK WITHOJT ;_; i:.:ERir,i.
SITE 1.,E 1";"( r.:: 2511 i'`) OBERLIN RD p t-I 1!��{C'I �ii• • (.') ^a ! 1 •} >
ADDRESS= SPOKANE WA 99206
PERMIT USE= SINGLE(:,1..F LADE MOBILE HOME -•• REPLACEMENT
PLAT4;,, 000905 PLAT NAME= FRUITLAND ADD,
AREA'" 00000000 F/A= r:- WIDTH= :;7 0 c:ii t j : '°1 1 i.:: 7,0 I' i,,i:•::
.11, OE tit L T::G Si, 'S 4 DWELLINGS'., '; WATER DIST
1.
OWNER= lWl::.T'f INr: , f\1..1.'i::. 1:i1..1f1'3I 509
STREET= 9025 N DIVISION
T 44
ADDRESS= ..>I:.iiI<r'7Ni WA ''3'9 l.i`�.
CONTACT NrUll:'::.: ROSE r WE?.(''ii"i ,.'I-.1,..!r1F:' \jij 1 f.,r ,,' ,V,6 >_
BUILDING E r>::,;`r(I .`;' : FRONT—A-0— LEFT 5.:' RIGHT::, 5 i Er%
eD
**•'r:***)i n:•**•i;:•i(••hi•k••i;•** ?i It•: *i5 i ri REVIEW 1;..O Et 1 r t 7•I O N *:a*1> }7 4 4 t! rf- *,* : i+,•n•
DEPARTMENT ARIME:NT FEVTEul COMMENTS APPROVL COMMENT
BUILDING SETBACK REVIEW REQUIRED
HEALTHD ;' T INCREASE TN LOT € OVE, RAGE Q1.7.....
.
am. .i;. ,i
*)(-thb ±� � . .)F. c� , s �• rLEi )rt .r� arir: � tTa _ : 1i.tE. — : ii i <n)i irzih16^ y , f ; * v,
CONTRACTOR= OWNER I:,i,tl...ii``i
R/MAKE 1963 MODEL- INDA
,`:i::,RIAt..,.11,,,., WIDTH= 1 .. i...1::.N1.,.Ti,I.... 5 fi17:.G1..1T i .r
ITEM DESF.R:LI`'T:Lr,ON QUANTITY TvY I i::iE: AMOUNT
INSPECTION I' EE r:5-0 „0
STATE SURCHARGE 4, 50
COUNTY SURCHARGE 'i .7L00
PERMIT TYPE E:E::E: AMOUNT AMOUNT PAID AMOUNT OWING
•
MOBILE HOME r'I"t I 62 ,50 J+,j %l;1
62 ,50 00
PROCESSED BY : JULIE SHATTO
PRINTED :it'I` . ._sr,;L..]:F SHATTO
*il::h..**A•*)"t•P,){"i1':'4'.K•**h*4)i•R:h:•)4•)i'*Y*M4.5i•*7::4 THANK iC;.j } **X****'H:Xlk tai ;is;te; f•.ji•n:1Jr)FNA 3 ,4,1t.
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING—when forms and reinforcement are in place and prior to placement of concrete.
NOTE:This inspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb.The
responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane
County 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.
2. FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING—after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION—prior to the installation of drywall.
5. PLUMBING—after rough-in, before covering,and final.
6. MECHANICAL—rough-in of piping, before covering, metal chimneys before concealment,and final.
7. FINAL—when complete and prior to occupancy and/or use. Please provide 24 hours notice.
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 issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives,State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring,State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted,this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee,subject to certain limitations—please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit,please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery.All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
Spokane County
DEPARTMENT OF BUILDING 8E- SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 4 5 0`6 10135
STREET ADDRESS: N} a511 Ober( t1 tad
CITY/STATE/ZIP: Spokav-e .
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
RASA W 0.VNA
OWNER PHONE: - 4 p
MAILING ADDRESS: ck V\ SOP (J&ce. 4 -f
CITY/STATE/ZIP: )cy-I..oJfe_ �Q
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: (,L) Q /
***************************Z************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
(mum r surunn. worx on street right-oi-way may not De performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OE' BUILDINGS. A permitis required f'o-mave'in existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or Slide Highway Department.
.•.\ ACCESSORY BUILDINGS. Accessory build jogs (garages, sheds, etc.) require a separate permit.
\ RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easerents running with the land
wh:cit lire enforceable throng') .•ivil act ion. County Officials can not bring action to enfor', covenants or dedications.
' ( • PPLICANT FIL IN B LO THI AEI -
a,
Name of owneSEr �/i
% ddress �7/ �J ! �__� Phone i
i _ r
Architect__ PhoneEngineer
--- -- -- _ - ,----- - phone------
Contractor -di Address - Phone__
Legal Description t' P;operty (Give chomplete description from de d, tax receipt, etc.)„ �) ♦ .$ /.. — lJ/.3�5r
-y, , ��o �, /60 lam/ 70 „?1'�/..s`' .-�,—e. c-:—(-- _
DESCRIPTI¢i��WORK:New `"-------Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lo L _-,- i7
-/" Q D Sewage System _ Storie �
Con mad v • mensions 7 J �d /Total Sq.Ft. ��' Valuation ‘2Ott
(Fra concr te,brick,etc.)
Roos ' Baths. Basement Foundation Const. fit,, �.
(F 1, part, none) " ��r� Chimney (Kind) Firepla(Number)
Heat. System / ype of Roofing 7�� Ext. Finish Int. Wall Finish
Use of Bldg. _//_/-I, �L i No. of Units Bedrooms
Garage or Carport A shed Private Detetche•d
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
/l ( /
/ ' NORTH State Licxe No.
j C.‘ Ind. Ins. Acct. No.
`f/ 3et back— (4 (\ REQUIRED
Plumbing Permit
m
LA * �/'
Heating Permit
Sewage Permit
-';,),
IK/ • Plans Received
/ irj/ •\~lb Plans Checked
. _i Plans Returned
_ Plans Picked Up
.c/ Plans Mailed
SOUTH
I hereby ertify fo mat'o ubm'/ed is c. rect and there are no other structures located on this property except
as shown. f
Owns 4.7nt • Date
A LAND USE OR STRUC I', P RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
c _
AP 0 / I
Your street address will be __ / / 16. .e zone is ./ i
i
Sewage Permit Number Issued Building Pere-NEM, Receipt . '1,'-sued
Remarks
Form 523 Bldg. Code