2007, 07-25 Permit App: 07002890 MHProject Number: 07002890 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/25/2007 Page 1 of 2
Project Information:
Permit Use: PLACE 2007 26 X 56 VALLEY QUALITY
MANUFACTURED HOME
Setbacks: Front
Site Information:
Contact:
Address:
C - S - Z:
Left: Right: Rear: Phone:
Group Name:
Project Name: 2007 26 x 56 VALLEY QUALITY HOME
HENNESSEY CONSTRUCTION
P.O. BOX 1080
LOON LAKE, WA 99148
(598) 233-8004
Plat Key: 002265 Name: RIVERVIEW MOBILE HOME SUB
Parcel Number: 55071.0603G Block:
SiteAddress: 2913 N RIVISTA DR
Location:: CSV
Lot:
District:
Owner: Name: SHEILDS, CATHERINE R
Address: 2913 N RIVISTA DR
SPOKANE VALLEY, WA 99027
Zoning: UR -7 Urban Residential -7
Water District: 134 CONSOLIDATED ID #19
Area: 9,600 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information: ,..
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Review
Building Plan Review
Released By:
Landuse/Zoning/HE Conditions
Permits:
Contractor: JAMES HENNESSEY
Address: P.O. BOX 398
LOON LAKE, WA 99148
Item Description
INSPECTION FEE
Manufactured Home
Firm: JAMES HENNESSEY CONSTRUC
Phone: (509) 233-8004
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: jmm Print Date: 7/25/2007
Project Number: 07002890 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/25/2007 Page 2 of 2
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00
$0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds 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: jmm Printed By: jmm Print Date: 7/25/2007
SD(Wane`
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite; 1:(/'
Spokane Valley, WA 99206 j
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org --
i L_)) I�
Manufactured Home
Permit Application
Jul 2 5
OTHER
PERMIT NUMBER
PERMIT FEE:
SITE ADDRESS: N a-1/ 3 PV 679-
ASSESSORS PARCEL NO: 5516-7/06) 03 LEGAL DESC
Building Owner:/`
f� n n
Name: ee`l /L1' 4 t� ,...01 =eu,
-Pt
Address: N 2,i (_ R Cis Dr
City: ,s---44, State: wi— Zip:
Phone: QT( (V. -D--(0 Fax: Di 5 �-0 e
Contact Person
Name:
Phone:
ill 41-eAl,riesser'
Describe the scope of work in detail:
Contractor
Name: Q n M s
Address: P o d x /D -O
City: LoIill___, State: Wit_ Zip: 99
ytt
Phone: Sof >33ow5 6 r• a / Os --301, �Gt'�
Contractor Lic N t,;? /eeri
_�/ ,c�T
)4M c...sge C.
Lp
City Business Lic. No: D yy _ 3 __fs,1g_e
ace 18. sco I Ma. -v1 u f&cIe A G Oa
MANUFACTURED HOME
Width: l g
Length:
Year: G- 007
Pit Set:
Septic/Sewer:
Manufacture: Yl
Previous Address:
Proposed Use:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment
0 Cash
Bankcard #:
Authorized Signature:
REVISED 6!2312005
9( Check
b� Piteer Date a)
❑ Mastercard 0 VISA
Expires: VIN#:
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X47%2007 13:34 509-324-3603 SRHD ENVR HEALTH
� ALTH I )GPA.R�CMGNT'
'7 -SPOKANE COUNTY. t4.
R.O.PLOEOLR.M.D.,
M.P.K. , Health Offi' er
DiViSiOf of Sanitation
DATE
N. 810 Jefferson Street
Spokane, Washington 99201 HATE
PAGE 01101
PERMIT NO.
APDLICAT�•ON FOR PERMIT TO INSTALL OR'RECONSTRUCT SEWAIE DISPOSAL FACILITIES
� :. � one No«,i
fi r _` Addres Name L" //�`
Address of Proposed Sato
--�- Ie basement for bui/ ling' p1enned9
Type of Uel= � -�,mP Cal�aci�t � ther
Naber, of Bedrooms riding Capacity ----------Camp
(City, Well, Spring). Drywall •
Water Supply ••
ls. Style of tar
Septic tank capacity-- _._ i,each Berl
length of ciispvsa1 fielrLsorption ps.tR
No A05713
(1) Shea relative location of: Proposed howler septic tank.
diapoaal field. well. garage and other out buildings.
(2) Make note of any heavy slope or swampy area or any
other important topographic details.
a �� ON-SITE SEWAGE
1 THE EOCATION' OF THE
S fSTEM REPRESENTED OEC CONSTRUED AS AN
EXACTAWING
O OF THE SYSTEM4.
LOCATION
Instal le
1 °
N
Final Inspection pat
Remarks:
CONTRACTOR
LOAM 34C MtV.HSALIM
For Spok,Ene County health Department
P r
5fpoki.i..c
\-1
6507 /o( O3
PLANNING DEPT. APPROV
BY0)00A
DATE. 81 1 D
AUG 03 2007 14:09
PAGE.02