1996, 05-30 Permit App: 96003918 MHPROJECT NUMBER= 96003918 APPLICATION DATE= 05/30/96 PAGE= 01
******
THIS IS NOT A PERMIT
******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2914 N RIVISTA DR PARCEL#= 55071.0410
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT USE= NEW SINGLE WIDE MANUFACTURED HOME (REPLACEMENT)
PLATO= 002265 PLAT NAME= RIVERVIEW MOBILE HOME SUB.
BLOCK= 2 LOT= 10 ZONE= UR -7 DISTO= G
AREA= 00000000 F/A= F WIDTH= 72 DEPTH= 120 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= WILHELM, MIKE
STREET= 2914 N RIVISTA DR
ADDRESS= OTIS ORCHARDS WA 99027
PHONE= 509 533 9911
CONTACT NAME= MIKE WILHELM PHONE NUMBER= 509 533 9911
BUILDING SETBACKS: FRONT= 30 LEFT= NA RIGHT= 10 REAR= 24
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
eir
HEALTHDIST NEW OR ADDITIONAL WASTE WATER (9- kp CDr4bri - /e4n.L'
COMMENTS: & rte rYt s ✓J1O-)C jrs a rYl Ju.)
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1996 MARLETTE MODEL=
SERIAL#= WIDTH= 14 LENGTH= 66 HEIGHT= 00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 1 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 11.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM
65.50 .00 65.50
65.50 .00 ( 65.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
PROJECT NUMBER= 96003918 APPLICATION DATE= 05/30/96 PAGE= 02
******************************** THANK YOU ************************************
APPLICATION INFORMATION
ASSESSOR'S tax parcel number?
if \y‘
What is the JOB SITE address?
A) aC\lU R►v►5 C)N c � r� o4cJLvaS gg0Z7
-5 5 0 1 j. D 6
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
A% k i v v 0 kis 04c C•euC05 ePk10,11s?
Mailing address Cry, state
Q.Z.
Zip
Who should we contact regarding this project?
LtA
Phone
33
7hat work is being done under this permit?
>0 tv,eII 1!� 00e.t.a 1(1)-00),U
Loner i;::: Inspectordlstnct> Propc ty sIze
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Architect/Engineer
Garage area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactu
red Home
Sign
Width:
f q
Lengt�h:n
l..l' L,
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Mite C
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation•
Fire..Safety
m
y
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
O.
m
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
............................................................
Swimming' Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE a. — '
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be 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 OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
Whichare enforceable thr ugh civil action. County Officials can not bring action to enforce covenants or dedications.
O' -.- APPLICANT FILL IN BELOW THIS LINE
Name of Owner i ' t r `�- R't _?�� d O �`� Address N �� d i U ; S a Y- Phone Ci.:) y '9,1i)7
Architect Address Phone
Engineer Address Phone
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
boy/o
Phone
,C. 'O,?
i'J e r w. e. w Ph,
N 0'777 9
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot _2_0 X. / 2
Stories Dimensions 1:2%C Gc
Rooms Z Baths
Heat. System
Use of Bldg.
Moving } Bldg. Zone — Fire Zone At.",
Sewage System C-.15 IV
(Fr., (ong etc. /I/
Total Sq Ft 7a a Valuation
Basement d inundation Const Chimney Fireplace
�11, part, none .��in
.sZtCae.,T pe of Roofing Ext. Finish �-�' .-�. oInt. Wall Finish
/9-7 ) r1"1-} !'Z.1 /71.oep� & No. of Units 1 -Bedrooms a
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.
DDrkc
ONE
---2D NORTH
FRONT LAN
COMMENTS'. C COMMENTS'
OU TH
L
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submittedt is correct and there are no other structures located on is property except
�
as shown. ,�� A.t. Tl�7/.
Owner or Agent Date (/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PEIE<MIT.
( / - }, , J 7` DO NOT WRITE BELOW THIS LINE
,►ad 9/X. 92
Tour street address w 11 be 4,7
Sewage Permit Number Issue
Remarks
Building Permit'
The zone 1
Receipt el/