2000, 06-16 Permit App: 00005061 MFH Project Number: 00005061 Inv: 1 Application Date: 06/16/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RELOCATION OF DOUBLE WIDE Contact: MARLIN YODER
MANUFACTURED HOME Address: 20814 W MCFARLANE RD
C-S-Z: MEDICAL LAKE,WA 99022
Setbacks:Front 35 Left: 50+ Right: 10 Rear: 102 Phone: (509)299-4144
Group Name:
Project Name:
Site Information:
Plat Key: 001853 Name: OPPORTUNITY PLAT#2 District: F
Parcel Number: 45201.1051 Block: 229 Lot:
SiteAddress: 527 S OBERLIN RD Owner:Name: TYSON,STEVE&SHANNON
SPOKANE,WA USA 00000 Address: 527 S OBERLIN RD
Location::SPO SPOKANE,WA 99206-8602
Zoning: UR-22 Urban Residential-22
Water District: Hold: ❑
Area: 11,620 Sq Ft Width: 120 Depth: 130 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation: _
Department Review
BUILDING Site Plan Review • ,� £ let
Hold Reasons: CTEV (ta/
Permit Conditions:
BUILDING Plan Review v
Hold Reasons: �-�,�„ �•
Permit Conditions:
ENGINEER Approach/Drainage By: Cif ,14) b-1 0
Hold Reasons:
Permit Conditions: 00 ) 3
441,0 BUILDING Special Reviews QC, By:
Hold Reasons:
Permit Conditions:
UTILITIES Sewer Review By: CD SOC9 3 l/077-
Hold Reaso i •
Permit Conditions: C • l
Project Number: 00005061 Inv: 1 Application Date: 06/16/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: L&M ENTERPRISES Firm: L&M ENTERPRISES
Address: 29714 W MCFARLANE RD Phone: (509)299-4144
MEDICAL LAKE,WA 99022
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 2 SECTIONS $100.00
COUNTY SURCHARGE 1 Y OR BLANK $22.00
Permit Total Fees: $122.00
.l-av,Zent Summary: m,mr .z ,�M s
Operator: RMB Printed By: RMB Print Date: 06/16/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $122.00 $122.00 $0.00 $122.00
$122.00 $122.00 $0.00 $122.00
Notes: - x.. ,,MP.:kOO, IN .eg&MPURRMWOUA444
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60I
1 1 PROJECT APPLICATION —So@
R � SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
N, 1026 WEST BROADWAY AVENUE
i- SPOKANE,WA 99260
SPOK{ COUI\UY 509-477-3675
Project Description: S �f A o r^ b 1,R 'It.,:,-(•e ( er,t 5v_-/-)
TYPE OF APPLICATION
,$ Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
SPECIFIC SITE INFORMATION
Street Address: ` 5 21 06eeliA,4 ez
Assessor's Tax Parcel Number(s): L} , O 1- 105-I
Legal Description:
g 1 2 2 9 P,9 F- G Sq-7. c( 5 0 . Ig.-. 'rare - -ry w 327. z
Department Use Only' '� ` ' T 2e,2.i
Water District/Purveyor: Sewer District/Purveyor Road width( l Setbacks
(` Front: Rear:
School District: Fire District: Zoning
l `—"'5 Left: Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
❑ Owner: G Phone: tjO' s") s Q 3$L ..
p�Applicant: Phone: 50 Z"PI e/,/t/c/
5.4420e- -r /g."t^'.i'L..---t-y�-.Fax: 1 lc r / ,"\ Yoder ode.r Fax:
Mailing Address: Mailing Address:
5z-7 5 O 6 ) ,ti` 2(-3e t L/ t.,) e I=-,r 1—, a2,c1
City,State,Zip City,State,Zip
S4ok—e liq 990 - e,..4:`n_l L K Coil-c- .4?6 Z2
❑ Contractor Phone 43 el a -1-7-2V ❑ Architect/Engineer Phone
0,.K - occi (1/e–' 25 Fax Fax
Mailing address Mailing address
/'7Z/5 Fro ,,r
City,State Zip / City,State Zip
C.1 r-�C2.-,., ��� w 9/0/4,
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
i 2' /2 g4, .-�
Dimensions Total habitable space 2d floor sq.ft. Finished basement sq.ft.
2'''7 Y g / 21(i)
Occupancy y g p Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
z_Te ` t ct..e
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
7 F face?
Year: Make: #of signs Area of existing signs
/73 ocLK L-J00
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
0 Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes c51.No What is the current property size?
If yes,identify on site plan (square feet or acres) / 2 0 X (7a
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identify on site plan O Yes stNo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 5,13 No
O Don't know O Yes ,Q' No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes , No
O Maybe ) l Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes [&No
If yes,identify on site plan El Yes ,1 No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) 0 Yes ,' No O Yes );b No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ,® Yes El No
CI Yes ElNo
Is the property inside the ASA? O Yes O No Is public water available to the site? f;1 Yes El No
O Yes O No
Is the property inside the PSSA? El Yes O No Is the property located within 1000 feet of a Natural Resource
Area? El Yes El No
Date Received: Staff Representative.
tae/ If
zi5-701• to 5/
ADDRESS �J .5� t N _..l 3o X 2
ZONE LAY---3,5 00.1
ROAD WIDTH bo
FRONT 3 S FLANKING
COMMEN .
REVIE "D D �:..
( 2o`
1
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the propcsal.All known property
lines/dimensions,curb line;,structures and easements
have been identified.Also indicated are wetlands,
bodies of water,steep slopes or other critical areas.
Signed: �`"---k- c
Date:
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