2000, 11-09 Permit App: 00010315 MH Project Number: 00010315 Inv: 1 Application Date: 11/9/00 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT OF SINGLE WIDE MOBILE HOME Contact: FATHER DAVID LOGAN
AS PARSONAGE Address: 4315 N EVERGREEN
C-S-Z: SPOKANE,WA 99216
Setbacks: Front 35 Left: 25 Right: 10 Rear: 20 Phone: (509)922-4527
Group Name:
Site Information: Project Name:
Plat Key: 002677 Name: TRENTWOOD ORCHARDS District: H
Parcel Number: 45031.0106 Block: Lot:
SiteAddress: 13808 E RICH AVE Owner:Name: BYZN BISHOP VAN NUYS,INC
SPOKANE,WA USA 00000 Address: 8131 N 16TH ST
Location::SPO PHOENIX,AZ 85020-3901
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 7,500 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: , . -,,
Department Review —
•
BUILDING Site Plan Review Relea d By: A°" 4 4 J 1 ( a/1
Hold Reasons:
- ,..,>c,
Permit Conditions:
BUILDING Plan Review Releas.0 By: L, /1/ '.4 C-- _ `
Hold Reasons: r
Permit Conditions: 6 g ! .( ..S1,/ _/ _-_ �� C
HEALTHDISTRICT Septic System Review 1eleas B
Hold Reasons: NL 4 _1 - t` `-J
Permit Conditions:
VMr
.
ENGINEER Approach/Drainage Released By: Uv ! -1,0 e _
Hold Reasons:
Permit Conditions: pej FAi A '7 q
PLANNING Landuse/ZoningA-L79/er //1C/TI By: - - /1
" '"
Hold Reasons: r
Permit Conditions:
Permits: !T f { i f
v ., m e_m
Project Number: 00010315 Inv: 1 Application Date: 11/9/00 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 1 SECTIONS $50.00
COUNTY SURCHARGE 1 Y OR BLANK $11.00
Permit Total Fees: $61.00
Payment Summary:
Operator: DMD Printed By: DMD Print Date: 11/9/00
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $61.00 $61.00 $0.00 $61.00
$61.00 $61.00 $0.00 $61.00
Notes:
Project Number: 00010315 Inv: 1 Application Date: 11/9/00 Page 1 of 2
TH , I' NOT A PERMIT
Penalties will die assess:\s fo commencing work without a permit
Project Information:
Permit Use: PLACEMENT OF SINGLE WIDE ML HOME Contact: FATHER DAVID LOGAN
AS PARSONAGE Address: 4315 N EVERGREEN
C-S-Z: SPOKANE,WA 99216
Setbacks: Front 35 Left: 25 Right: 10 Rear: 20 Phone: (509)922-4527
Group Name:
Project Name:
Site Information:
Plat Key: 002677 Name: TRENTWOOD ORCHARDS District: H
Parcel Number: 45031.0106 Block: Lot:
SiteAddress: 13808 E RICH AVE Owner:Name: BYZN BISHOP VAN NUYS,INC
SPOKANE,WA USA 00000 Address: 8131 N 16TH ST
Location::SPO PHOENIX,AZ 85020-3901
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 7,500 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: R ..:v r-,t ._ ,: -:• . . . . . . MOV4Z.vr; %Pg r ._: =
Department Review ,)
BUILDING Site Plan Review Relea--•'By: f �/
Hold Reasons:
Permit Conditions:
BUILDING Plan Review Re1ea By: 'A,:= /�
Hold Reasons: ,
Permit Conditions: u K. , fl 1itaf
HEALTHDISTRICT Septic System Review Released By: A __ 1 // , 0
Hold Reasons:
Permit Conditions- /e. r
ENGINEER Approach/Drainage Released By: Jh 7— 0 e j
Hold Reasons:
Permit Conditions: Qd j~AJ Q f__L-1-7- i
PLANNING Landuse/Zoning A-( /loQa// {e1ea By; gp-ot,
Hold Reasons:
Permit Conditions:
Permits: kYskr.: fi w f • u:' sn :p >, .
s i
I , 1 PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1 SPOKANE,WA 99260
SPOIL COUNU Y 509477-3675 eV ,,, /6 3 �j
Project Description: 4/1/0 /(_E- /l/lE p e'`' 'v7- Prsa
-
TYPE OF APPLICATION
0 Building Permit 0 Change in Use 0 Grading 0 anufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) Other
`SP CIFIC SITE INFORMATION
( O a 2t(
Street Address: _ , -.r .2
Assessor's Tax Parcel Number(s): q Sd 3/ , 0 / 0S— (f5Q3 l . `l /D
Legal Description: s/'V "WA „
144/1/Z/A'4C77012- 6 4I.,k1
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front: Rear:
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
Ei Indicate who should be contacted regarding this project
0 Owner: Phone:s--Cy 9224 - !�b ❑ Applicant: y���� /� Phone: �i(/j
ss G�fPyL i `v 0-407 /v s Ciflier Fax: C a/V74CT. P ?`TY/ 4-464'1/ Fax: S ' -
Mailing Address: Mailing Address:
4S /S 'V V -°�''? c-N 20 Serb'
City,State,Zip City,State,Zip
sPo.4-'(- -- 112J69 f69 3
0 Contractor Phone ❑ Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensi9ns ! Total habitable space 2°d floor sq.ft. Finished basement sq.ft.
/V x 70
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat sourc electri as,etc.)
Manufactured Home Sign
Width: r Length: , What is the square footage of the sign How high is the sign?
"76 face?
Year:z Make: � #of signs Area of existing signs
7 7 74,1411-€46<
Relocation ®Eire 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
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes ,l No What is the current property size?
If yes,identify on site plan (square feet or acres)
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 p( No f' sI 06-yr/ i/
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?A Yes O No
O Don't know O Yes O 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 —0 No
O Maybe O Don't know 0 Yes 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 -In' No
If yes,identify on site plan 0 Yes 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?
O Yes A No O Yes ..41 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
0Yes O No
Is the property inside the ASA? 1 Yes O No Is public water available to the site? O Yes 0 No
O Yes O No
Is the property inside the PSSA? O Yes 0 No Is the property located within 1000 feet of a Natural Resource
Area? O Yes O No
Date Received: Staff Representative:
I
. (.#1,1-°(),J
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NThis site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal.All known property
lines/dimensions,curb lines,structures and easement:
have been identified.Also indicated are wetlands,
. bodies of water,steep opes o,other critical areas.
r'' Signed: Ykr j 2.
Date: _ • 7'"4 ®0i
ADDRESS: ji MI F- �t�G ti
M ..)et, 0 k 3 -5
ROAD WIDTH: -----
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.z FRONT• ,_''' NG:-.......° COMMENTS:
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