2001, 05-23 Permit App: 01003921 MHProject Number: 01003921 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/23/01 Page 1 of 2
Proiect Information:
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Permit Use: DOUBLE WIDE MOBILE HOME
Setbacks: Front 30 Left: 10 Right: 20 Rear: 30+
Site Information:
Plat Key: 002677 Name: TRENTWOOD ORCHARDS District: H
Contact: JEFF CLACY/ALL SEASON'S EXC
Address: PO BOX 14978
C - S - Z: SPOKANE, WA 99214
Phone: (509) 991-5441
Group Name:
Project Name:
Parcel Number: 45031.1603 Block: 46 Lot:
SiteAddress: 13315 E RICH AVE Owner: Name: OLSON, LUCILLE
SPOKANE, WA USA 00000 Address: 13315 E RICH AVE
Location:: SPO SPOKANE, WA 99217
Zoning: UR -3.5
Water District:
Area: 43,330 Sq Ft
Urban Residential 3.5
Hold: ❑
Width: 70 Depth: 620 Right Of Way (ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information: rr�azu u . ,,, r ✓ rp»�
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Plan Review
HEALTHDISTRICT Septic System Review
Hold Reasons: Suio--syr-t ,�
Permit Conditions: for Z bedrooms only,
BUILDING Special Reviews L
Hold Reasons: �r A "f o!i 1
Permits:
Permit Conditions:
Project Number: 01003921 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/23/01 Page 2 of 2
Manufactured Home
Contractor: ALL SEASONS EXCAVATION Firm: JEFF CLACY/ALL SEASONS EXC
Address: PO BOX 14978
SPOKANE, WA 99214
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Payment Summary:
Operator: CKF
Permit Type
Manufactured Home
Notes:
Phone: (509) 922-4135
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Printed By: CKF
Permit Total Fees:
Fee Amount
$100.00
$22.00
$122.00
Print Date: 5/23/01
Fee Amount Invoice Amount Amount Paid Amount Owing
$122.00 $122.00
$0.00 $122.00
$122.00
$122.00
$0.00
$122.00
Project Number: 01003920 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/23/01 Page 1 of 1
Proiect Information:
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Permit Use: CHANGE OF USE: RESIDENCE TO STORAGE Contact: JEFF CLACY/ALL SEASON'S EXC
BUILDING
Address: PO BOX 14978
C - S - Z: SPOKANE, WA 99214
Setbacks: Front Left: Right: Rear: Phone: (509) 991-5441
Group Name:
Site Information: Project Name:
Plat Key: 002677 Name: TRENTWOOD ORCHARDS
District: H
Parcel Number: 45031.1603
Block: 46 Lot:
SiteAddress: 13315 E RICH AVE Owner: Name: OLSON, LUCILLE
SPOKANE, WA USA 00000 Address: 13315 E RICH AVE
Location:: SPO SPOKANE, WA 99217
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 43,330 Sq Ft Width: 70 Depth: 620 Right Of Way (ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Permits:
Contractor: ALL SEASONS EXCAVATION
Address: PO BOX 14978
SPOKANE, WA 99214
Building Permit
Firm: JEFF CLACY/ALL SEASONS EXC
Phone: (509) 922-4135
Building Characteristics
Const Category: Change Of Use Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
Item Description Units Unit Desc
CHANGE OF USE/SAFETY INSP 1 Y OR BLANK
STATE SURCHARGE 1 Y OR BLANK
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Printed By: CKF
Permit Total Fees:
Print Date:
Stories:
Fee Amount
$50.00
$4.50
$54.50
5/23/01
Fee Amount Invoice Amount Amount Paid Amount Owing
$54.50 $54.50
$54.50
Notes: compwrytteismonsommossammitinsrsen_,.e <$ twgp
ALL COOKING FACILITIES MUST BE REMOVED
$54.50
$0.00 $54.50
$0.00
$54.50
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PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
/6'
Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
Project Description: �.��•�%c� /4.‘-"7 �—
❑ Building Permit
O Change in Use
O Grading
Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
0 Other
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding thispr
Owner: j Phone: 7 - c
Z:./-- C C , C -f-- /JG 4-7 Fax:
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❑Applicant
Phone:
Fax:
/
Mailing Address: /
S/9 rz.7ers--rte
Mailing Address:
City, State, Zip
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City, Stale, Zip
❑ Contractor
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Phontj�� _c
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❑ Architect/Engineer
Phone
Fax
/4-Fax
Maility; address
AC /C77t
Mailing address
City$tate Z-
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7
City, State Zip
St to Contractor license #
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Contact name:
Building height to peak
11 of stories
PROJECT INFORMATION
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2" floor sq. ft.
Finished basement sq. h.
Occupancy group
Construction type
Garage sq. ft_
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Width:
27
Year:
Length:
e -/z
Make: /e
What is the square footage of the sign
face?
# of signs
How high is the sign?
Area of existing signs
Previous address
Proposed use
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
ADDITI
Are there structures on the property? 2Yes 0 No
If yes, identib, on site plan
What is the current property size? Z
(square feet or acres) c� rte%
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes A -No
What is the current use of this property?
/2 ef,
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes FXNo
Will the site be served by a septic system?,Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes fig No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes /Ocr\To
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identib, on site plan 0 Yes (No
Is there evidence of fill or excavation on the property?
0 Yes , No
Are there slopes greater than 30% on the properly? (30 ft rise in 100 ft)
( / %) 0 Yes , No
Are critical or hazardous materials used or stored on site?
0 Yes JrNo
DEPARTMENT USE ONLY
Date Received:
Staff Representative:
METHOD OF PAYMENT
VIS(
❑ CASH ❑ CHECK ❑ ❑
` fC VE:
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER_
AUTHORIZED SIGNATURE:
SUBTOTAL
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This site plan is being submitted for the purpo
obtaining a building permit and is a true and co
reprBientation ofthe prop sal. All known prop
lines/dimensions, curb lines. structures and ea
have been iden/ified. Also indicated are wetlan
bodies of w. • ry p s • er critical a
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Signed: / // L
Date: 40'
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Al Seasons
P.0. Box 14978
Spokane, WA 99214
Jeffery D. Clacy
PO Box 14978
Spokane, WA 99214