1990, 10-30 Permit App: 90005762 MH SPOKANE Cr6UN If DEPAF(TMEtT OF BUILDINGS
W. 1303 BROADWAY AVENUE j
SPOKANE,WASHINGTON 99260 , 7 "�i f r
(509)456-3675 /
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type o,twork will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90005762 DATE= 10/30/90 PAGE= 01
APPLICATION
a •;1•*ae**a!a;••x* • • • • •*3* ***3***** APPLICATION **acs•ai** *•***** *************'**
SITE STREET= 12824 F SANEON LN PARC::ELS == 34643_-9014F'TN
ADDRESS,: GREENACR:l S WA 99016
PERMIT
USE IS►N !STALE.. DOUBLE WIDE MOBILE HOME.
PLATO= 004417 PLAT NAME:. EP-617 "
BLOCK= LOT= 4 ZONE= AGRI DISTt= F'
AREA=: 000/)0005 F/A== A WIDTH-: DEPTH= r ,W== ':icy
: OF BLDC;S= t DWELLINGS= 1
OWNER=: HENDRICKSON, CARE.. & DARL.ENE: PHONE== 509 92a 3280
STREET= 12111 F UPRIVER DR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DARLA HENDRICKSON PHONE NUMBER= 509 747 6111
BUILDING SETBACKS : FRONT 100+ LEFT- 100+ RIGHT= 100+ REAR= 100+
ii ii**********•***ir't **** * ******• REVIEW INFORMATION ***** *fit******** ; :** .•y+•*
DEPARTMENT REVIEW COMMENTS APPROVAL._ COMMENTS
----------
' BUILDING SETBACK REVIEW REQUIRED _.____...... _.. _.../_.._..�__w.._..._._...._w.___.._ .__....
1
ENGINEER NEW COUNTY ROAD APPROACF' G� � +�1t.I Y� __........_._... � __._. ._.__....__.....
,'."THD NEW WASTEF WATE_I:; CC'— �90 12'l�J
;FL/� 1zE� !g Cc -90
'�`5i k.
A,* MOBILE HOME PERMIT **********************77W**
SrR/MAKE:== 1985 GOLDE.NSTA'T'E
SERIAL.*:- WIDTH= 28 LENGTH= 70 HEIGHT~ 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100..00
STATE SURCHARGE T' 4.50
COUNTY SURCHARGE Y 16.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 120.50 .00 120.50
120.50 .00 120.550
. PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
•• •• • ••ri*•x**** • :•x•***************. * THANK YOU ******air•****a *******•a**** *******
f w ` y'
OW 'c
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING —when forms and reinforcement are in place and prior to placement of concrete.
NOTE:This inspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb.The
responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines.Please verify their location prior to locating your structure.Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING —after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION—prior to the installation of drywall.
5. PLUMBING —after rough-in, before covering, and final.
6. MECHANICAL—rough-in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL—when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically
depicted on the approved site plan)required by ordinance or as a condition of approval of this permit.Items such
as the installation of fire hydrants,fire department access,on-site drainage("208 swales"),road improvements,
parking,and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives,State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit.A permit may be renewed within one year of the date of expiration for one-half the
original fee,subject to certain limitations—please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit,please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery.All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
it
I
Spokane Coenty
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ` yV) 5/C 5/14 - 79/c' /V
STREET ADDRESS: ./„' ,61207,5e
CITY/STATE/ZIP: pokrf (A) 4 Rq->-0(o
SUBDIVISION: ,5
BLOCK: LOT: ,) _ ZONE: DISTRICT:
LOT AREA: � F/A: /f WIDTH: DEPTH: R/W: , ...5b
# OF BUILDINGS: # OF DWELLINGS: f WATER DISTRICT: T m O fo,)004
OWNER: Car/ /CrrI1t & 4r1ricbsoPHONE: — qc) - 3aao
MAILING ADDRESS: r /ol ( (( UP�' � V P t !J r ,
CITY/STATE/ZIP: Th pok r0 i LJ A-- cic,0 (,
5041
CONTACT: ! Joy r a 4.10 r�i� oy� PHONE: 7-0- 6 ( / I
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: /q�5 aZ-44/ ,'T" 7Y a2c'X 2 C,
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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This sketch is furnished as a courtesy only by first American Title Insurance Compa.r.y and it
is NOT a part of any title commitment or policy of title insurance. This sketch is furnished
solely for the purpose of assisting in locating the premises and does not purport to shot: all
highways, roads cr easements affecting the proper4Y. No reliance should be placed upon this
sketch for the location or dimensions of the property and no liability is assumed for the
correctness ',:hereof. •
.off tiw('(I t.'ttn First America!: nth-hi iircncc Coinper •
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SPECIFICATIONS __
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TYPE OF SEWAGE SYSTENI -- f q e
LINEAL OR SQUARE roomE,_ _ AliztoiL__, _
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TRENCH WIDTH:r. . __S":627/__
DEPTH FROM DR!-rTi Ti,i_ r:t.,.),._,I,L) .C.,_ TO IATTCM
OF SE.\NA'..,E SYS11:1%; __ay
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SIGNATUR 7 ,..__ dir DATE1_41-1119
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IF YOU C'fli:r;i 1%,71‘.1.l, MIS,SY STN., lDotEN!_
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M (50) 456.-60'40 1DRIOR TO INSTAL...A
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