2004, 02-02 Permit App: BLD-04-03488 MHcrrf• or V�
Spokane
.;oOValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
MANUFACTURED HOME
Job Address: 8408 E SINTO AVE
SPOKANE WA 99212
Description: PLACEMENT OF TRIPLEWIDE MANUFACTURED HOME
Subdivision:
BLD -04-03488
Owner:
DARLENE WILLMERING
Applicant:
HOMEBOYS
Address:
14525 N NEWPORT HWY
150.00
MEAD, WA 99021
Contractor:
HOMEBOYS
Address:
14525 N NEWPORT HWY
MEAD WA 99021
Lot: Blk:
Phone:
Phone:
Lic No:
Application #:
BLD -04-03488
Applied:
02/02/2004
Issued:
02/02/2004
Expires:
07/31/2004
Parcel No: 45181.0722 Zoning:
(509) 468-1750
HOMEB"033PC
General Information:
Fees:
SECTIONS
3w PER SECTION FEE
150.00
YEAR BUILT
2004 Total Calculated:
150.00
DIMENSIONS
40 X 56
Deposits/Receipts:
0.00
# OF STORIES
1
FRONT SETBACK
62 Total Due:
150.00
REAR SETBACK
40
LEFT SETBACK
30
RIGHT SETBACK
13
MANUFACTURER
CARSTEN
THIS IS NOT A RECEIPT
City of
SPOKANE VALLEY
PERMIT #
BUILDING PERMIT APPLICATION
Box I OWNER ►LE Wiu.Mk_k4 A,6 JOB LOCATION 6406
OWNER'S ADDRESS OZ t4. RAZ CITY Sibt PHONE RSi - -4-77a
DESCRIBE JOB NEW MAl b- J
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED X
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME {-�0
CONTRACTOR'S ADDRESS (4.14SZ<� I"�t Al W4 .
CONTRACTOR'S REG.#
-kp O'Le 16— ' O3!�>? C_
LAIE
----------------------
'ITY
6�_AE
---------(CARD MUST BE PRES -- Ed ND COPIED - R VERIFIED) ----
------------------------------------ ----- ---------------------------------------------
BOX 3 CONTACT PERSON OF PROJECTS►z.�c �ot.J ns�t ►-Gla PHONE `-i-" -1-1�
ADDRESS 4J 4S ZS 4(,.)Q % 3114 CITY ZIP CRO 7-(
-----------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------
BOX 4 SEWER AVAILABILITY WATER AVAILABILITY �S
-----------------------------------------------------------------------------------------
BOX 5 ESTIMATED PROJECT COST $ -40 K EXISTING BLDG. VALUATION $
-------------------------------------------------------
BOX 6 PROPERTY TAX ACCOUNT NUMBER 451:81-0-7 2-1-
LEGAL
.ZLEGAL DESCRIPTION
W/2- O F LD Z a t o C k- S
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER
LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR / OTHER /
BASEMENT UNFINISHED / DECK
1 ST FLOOR Z1-7 7/ 2ND FLOOR
BASEMENT FINISHED
GARAGE 6741 /
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING 1 FT.
------------------------------------
BOX 8 (X) SINGLE FAMILY
(x) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS ) ( ) EXISTING STRUCTURE
( )
COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY %9 463 SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACKFLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size (if known) fit Also see BOX 4
BOX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TOP RM THE WORK FOR WHICH THE APPLICATION IS MAD .
OWNER/ DATE -� (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit ca
-
Visa Master REDACTED Expiration Date _
Print the name of the Holder C.J►G_ Rivnatnra
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
-AA the Original document dro ed
*rsuant to SOS DAN G52014-030.
DO NOT PLACE ANYBUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
-------------------------------------
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
_________________________
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL
REMARKS
DATE
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY
BUILDING PERMIT NO.
PERMIT FEE
TOTALFEES
TYPE OF CONSTRUCTION
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT.
PLAN CHECK FEE RECD
TOTAL VALUATION
STORIES
RECEIPT NUMBER
PLAN CHECK FEE PLUMBING FEE MECH. FEE
WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES
BUILDING DEPARTMENT APPROVAL
ASSIGNED ADDRESS
Received
11-Y7
/_WLi1�P►ii lild
DATE
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
'"""1 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOIL COUIITY
Site Information
Site Address: 8408 E SINTO AVE
SPOKANE, WA 00000
Parcel Number: 45181.0722
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: WILLMERING, DARLEEN Y
Address: 920 N GERARD
SPOKANE, WA 99212
Building Inspector: BOBBY STONE
Water Dist:
Project Information
Project Number: 04000412 Inv: 1 Issue Date: 2/2/2004
Permit Use: SEWER CONNECTION - HUTCHINSON
Applicant: HOMEBOYS CONSTRUCTION
14525 N NEWPORT HWY
MEAD, WA. 99021
Contact: HOMEBOYS CONSTRUCTION
14525 N NEWPORT HWY
MEAD, WA. 99021
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 468-1750
Phone: (509) 468-1750
Rear:
Permits I
Sewer Connection Permit Contractor: HOMEBOYS License #: HOMEB**033PC
SEWER CONNECTION 1 $85.00 PROCESSINGFEE $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30'5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer.
Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)156-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)156-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
those related to trench safetv.
Payment Summary
Total Fees AmountPaid AmountOwine Tran Date Receipt # Payment Amt
$100.00 $100.00 $0.00 2/2/2004 334 $100.00
Processed By: SHATTO, JULIE PERMIT
Printed By: WENDEL, GLORIA Page 1 of 1
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.Use A
Minimum*.
®f. 1%Z"
Rebar For
Side Pads
24"
This Area Is
For Fill Dirt
Fill Dirt Must
Be Compacted
And Level
With Pads.
Note: Never
Incase Water
Line In
Concrete.
24"
13'_ 4.(-,,
t4l-* 011
w 1 L.L" aw-s 1A(a
And Level
kebI'0 %
With Pad&
Center*
Note- Water
Line Should Be
�,.'4:
Stubbed Rn
Line Should Be
Before Placing
...:IConcrete.
Stubbed In
Water Line
Before Placing
Should Be
4 to 5 Feet
Below Finished
Water Line
Grade.
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ROgIrTor
With Pads.
Note: Water
�,.'4:
Line Should Be
Stubbed In
Before Placing
Concrete'
Water Line
A
Should Be
4 to 5 Feel
Below Finished
G rade.
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