1998, 07-21 Permit App: 98006652 MHPROJECT NUMBER= 98006652
PROJECT NUMBER= 98006652
APPLICArIOE ;i
APPLICATION,.
DATE= 07/21/98
DATE= 07/21/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 720 N SHAMROCK LN
ADDRESS= VERADALE WA 99037
PARCEL#= 45134.2701
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
005891
1
00017688
1 #
PLAT NAME=
LOT=
F/A=
DWELLINGS=
LENNOX SUBDIVISION
1 ZONE= UR -3.5 DIST#= F
F WIDTH= 105 DEPTH= 138 R/W= 29
1 WATER DIST = VERA
OWNER= BOYD REAL ESTATE INVESTMENTS
STREET= 3645 N WALLINFORD AVE
ADDRESS= SEATTLE WA 98103
PHONE=
CONTACT NAME= JOE LONG - LONG LINE CONSTR PHONE NUMBER= 509 299 7232
BUILDING SETBACKS: FRONT= 60 LEFT= 30 RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO
ENGINEER
DATE: 07/21/98
Compliance with 7 --4311� U drainage
APPROACH/ D NAGE/ FLOOD Q conditions filed under
COMMENTS: NA
K CIL Separate covenant r ireds
r
HEAT 41N W OR ADDI IONAL WASTE
COMMENTS:
ATER
"11,6J., igigg
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= JOSEPH LONG
STREET= 13928 W MEDICAL LAKE RD
ADDRESS= CHENEY WA 99004
YR/MAKE= 199Y REDMOND
SERIAL#=
ITEM DESCRIPTION
PHONE= 509 299 7232
MODEL=
WIDTH= 28 LENGTH= 48 HEIGHT= 00
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
2
100.00
22.00
4.50
PROJECT NUMBER= 98006652 APPLICATION DATE= 07/21/98 PAGE= 02
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
07/21/98 00007872 126.50
TOTAL DUE= .00 TOTAL PAID= 126.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50
126.50
126.50 .00
126.50 .00
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
INSTALLER'S # WAINS1118
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
*
JUL-30-1998 07:33 P.01
PROJECT NUMBER= 98006652 APPLI&1'IOIa. DATE= 07/21/98 PAGE= 01
PROJECT !UMBER= 98006652 APPLICATION. DATE 07/21/98 PAGE= 01
******
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
******
SITE STREET= 720 N SHAMROCK LN PARCEL#= 45134.2701
ADDRESS= VERADALE WA 99037
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HONE
PLAT#= 005891 PLAT NAME= LENNOX SUBDIVISION
BLOCK= 1 LOT= 1 ZONE= UR -3.5 DIST#=
AREA= 00017688 F/A= F WIDTH= 105 DEPTH= 138 R/W= 29
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= BOYD REAL ESTATE INVESTMENTS PHONE=
STREET= 3645 N WALLINFORD AVE
ADDRESS= SEATTLE WA 98103
CONTACT NAME= JOE LONG - LONG LINE CONSTR PHONE NUMBER= 509 299 7232
BUILDING SETBACKS: FRONT= 60 LEFT= 30 RIGHT= NA REAR= NA
REVIEW INFORMATION ****************++****
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SBATTO C��X►yy. +ci DATE:
li21e /98�
eD GE/ c -separate cov, t required_
ENGINEER APPROACH/ �COMMENTS :
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
. .
ext._ 7/2 -6790 -
MOBILE HOME PERMIT **************************i**
CONTRACTOR' JOSEPH LONG
STREET= 13928 W MEDICAL LAKE RD
ADDRESS= CHENEY WA 99004
PHONE= 509 299 7232
YR/MAKE= 199Y REDMOND MODEL=
SERIAL#= WIDTH= 28 LENGTH= 48 HEIGHT= 00
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
QUANTITY FEE AMOUNT
2
100.00
22.00
4.50
Site ,Placa
103
f
30�
10
a
Pry
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of
ed
Pe oar
fie"
?Gyve �5
RGgj,
R �vDts • '
s„
&41V10
��.J 38 0(5'
INCLUDE THE FOLLOWING:
❑ AH roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
q /09,c 72
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells
601/
i r
APPLICATIGN1NFORMATION
What is the JOB SITE address?
ASSESSORS tax parcel number?
Shdr-aocx i 3Y -
Legal description as it appears on the property deed
(3
OWNER or OCCUPANT
Phone
C_S�C e s
Mailing address City, state
5ei,l�c X14
3(0t-J.S"- A1/4.v<
ho should we contact regarding this project?
LoN l L'fin.� !gipW*5 f-,
Phone
211132.
Zip
98lo?-rayl
What work is being done under this permit?
MO -Vo J t [-I a/v. -Q
Vic,,wo_51.aj-��.i4
Building
Contractor
A State Contractor license #
Mailing address
Architect/Engineer
What is the heat source?
AAafluf
idth:
attired Home
ft'A
rze
Length:
y,
Building height
Dim sions
7o
Main flr - ea
2nd floor are
Garage area7e
What is the cost o your project?
Sign'
What is the square footage of
the sign face?
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Size of decks, etc.
How high is the sign?
ear:
Iz
Make:
Installer
U'ic.5 ^a‘j,. - 47,-{ Sdk L?. S
Contractor
Wa State Contractor license #
a State Contractor license #
Mailing address
Mailing address
R atop
Fire Safety
Previous address
Fire Sprinkler _
Paint booth Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Po:art.
(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.
z0 ' d 11:1101
Please make sure that the following Items ere shown on
the proposed plot plan:
a 1, Direction NORTtri
O 2. General topography (slope) and drainage
characteristics
P 3. Roads and driveways
u 4. All surface water
O 5. Cuts and banks
o - 6. Property lines and boundaries
O 7. Existing and proposed buildings
a 8. Easements (utility, drainage, etc.)
n 9. Wells and water lines (existing and
proposed)
O 10. Any neighboring wells closer than 100 feet
to your property line
O 11. Proposed and existing septic system and
100% replacement area.
O 12. Oimensionsllocations of all items
a 13. Location of approved testholes
•
ITEMS TO CONSIDER::
1. . Disposal system needs to be located with easy access for
pumping the tank and maintaining the dralnfield.
2. Perforated drainfletd pipe shall be at least:
a. 6 Net from property lines and easements
b. 10 feet from buildings and water lines
c. 100 feet from any:sowce of water which includes
wells, springs, ponds. streams.
3. Oraintield shall consist of al least two laterals or runs of
perforated pipe.
4. There must not be more than 100 feat of drainfieid pipe per
lateral or iun.
5.. Alt perforated drainfleld pipe shall be installed level, or drop
no more than one inch per 100 feet. Ends must be
connected 11 possible.
6. Da not place dralnlield pipe wider area where vehicles pass
or large animals stay.
7. Watertight pipe shall extend at least 4 test from the septic
tank to the edge of the deainttdd trench or leachbed.
B. The perfoeated dralnfield pipe must be at least 4 inches lower
than the watertight pipe leading out of the septic tank.
9. The septic tank shall he et least 5 feat from any structure or
property line.
10. 11 you ere Installing your own system, please pick up a copy
of the RIFLES AND REGULATIONS FOR ON-SiTE SEWAGE
DISPOSAL SYSTEMS FOR SPOKANE COUNTY.
ofil Le1Wd'k ti A .04
DIRECTIONS TO SITE:
Spokane Regional Health District •
Environmental Health Division
1101 West College Avenue,.Sulte 402
Spokane, WA 99201 324-1560
- I `f
4 P.1..147.31i -� q. •
L Is do property slap she same as dhows Q i the Mamas
mop or plat map? Eyes Ono
2 (f rot, what land ass action has or win take plane?
3. Has this hind we action (oertif cyte of mempdon,
aggregatiee, 'weeniest arc.) bees filed with the
Asaraeors office? Oyu IJNo
t`b. o .431N- Dere? r •tJ
1
Sigasqlge
Deals=
LW APPL.#: 98-oo8os" •
SITE ADDRESS: N. -no Ska+1a ocKLrrua,
APPROVALS by Spokane
Regional Health District:
11("Drah;fleld or? feet
D Leachbed sq.feet
rends width inches
mimrm herr depth
Inbnum trench depth
Wp fit inches of cover
Q Total gravel required under the
perforated pipe: inches
O Five gallons of water are
required for 'D' Box
inspection
Comments:
A�w
sr �8 F+&r•-
Na tl, r A Awri UliG�j
dcrt5r��.
C0111509) 324-1560 for
inspection before covering.
H you cannot fnatall this
system according to this
approval plan, you must call
the office at (509) 324-1560
to discuss BEFORE THE
INSTALLATION.
Signature f./:;", -"-
Date
CONVENTIONAL THENCE( CR0...S SECTION
T I'SOIL 12-24'
GROUND SURFACE D
ares zo a rdocrtes,�, Y4 INCH PBIFpIATID
TRENCH BOTTOM aPGRAVL • • • •116A111 MAIN r • ' ' FACED DOWNWARD. ON
/_ iu�_ • . • • • ca+tER
of ORA1r[3/ tj • • •
GMmum
cM MOTH
esk• 00.1
•For leachbed see map' view -for piping detail.
NOTE: All gravel must be 1% to 216 [itch diameter or washed gravel.
866T -02-11-1r