1998, 05-29 Permit App: 98004147 MHPROJECT NUMBER= 98004147
PROJECT NUMBER= 98004147
******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
APPLICATION DATE= 05/29/98
APPLICATION , DATE= 05/29/98
THIS IS NOT A PERMIT ******
PAGE= 01
PAGE= 01
SITE STREET= 11804 E SINTO AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 005899
BLOCK= 34
AREA= 00000000
# OF BLDGS= 1
PLAT NAME=
LOT=
F/A=
DWELLINGS=
PARCEL#= 45161.0645
SP -1135-97
ZONE= UR -3.5 DIST#= F
F WIDTH= 77 DEPTH= 291 R/W= 50
WATER DIST =
OWNER= COPPERSMITH, PAUL & VIRGINIA
STREET= 601 HUMMINGBIRD LN
ADDRESS= NEWPORT WA 99156
CONTACT NAME= PAUL COPPERSMITH
BUILDING SETBACKS: FRONT= 45 LEFT= 10
PHONE= 509 447 2575
PHONE NUMBER= 509 447 2575
RIGHT= 23 REAR= 40+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER
ENGINEER APPROACH/ DRAINAGE/ FLOOD
APPROVAL: A ROTH
HEALTHDIST
NEW OR ADDITIONAL WASTE WATER
APPROVAL: JIM SACKVILLE-WEST
DATE: 05/15/98
DATE: 05/21/98
DATE: 05/29/98
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
PHONE=
YR/MAKE= 1998 MARLETTE MODEL=
SERIAL#= WIDTH= 26 LENGTH= 44 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
QUANTITY
Y
Y
2
FEE AMOUNT
100.00
22.00
4.50
PROJECT NUMBER= 98004147 APPLICATION DATE= 05/29/98 PAGE= 02
***************************** MISC FEES DUE
CONTRACTOR= OWNER
ITEM DESCRIPTION
APPROACH INSPECTION
APPROACH PERMIT
******************************
PHONE=
QUANTITY FEE AMOUNT
1
1
20.00
10.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM
MISC FEES DUE
126.50
30.00
156.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: JOHN LARSON
.00
.00
126.50
30.00
.00 156.50
******************************** THANK YOU ************************************
-
Y i
.OJECT NUMBER= 98004147 APPLICATION
ROJECT NUMBER= 98004147 APPLICATION
DATE= 05/15/98
DATE= 05/15/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11804 E SINTO AVE PARCEL#= 45161.0645
ADDRESS= SPOKANE WA 99216
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 005899 PLAT NAME= SP -1135-97
BLOCK= 34 LOT= ZONE= UR -3.5 DIST44= F
AREA= 00000000 F/A= F WIDTH= 77 DEPTI= 291 R/W= 50
# OF BLDGS= 1 # DWELLINGS= WATER DIST =
OWNER= COPPERSMITH, PAUL & VIRGINIA
STREET= 601 HUMMINGBIRD LN
ADDRESS= NEWPORT WA 99156
PHONE= 509 447 2575
CONTACT NAME= PAUL COPPERSMITH PHONE
JILDING SETBACKS: FRONT= 45 LEFT= 10 RIGHT= 23
***************************** REVIEW INFORMATION ****
EPARTMENT REVIEW REQUIREMENT
NUMBER= 509 447 2575
REAR= 40+
*************************
JILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER
VGI EE
C.54571
O ENTS:
EALTHDIST
i
COMMENTS:
APPROACH/ DRAINAGE/ FLOOD
DATE: 05/15/98
kr54
-
5 -?j
45:70P7-210
NEW OR ADDITIONAL WASTE WATER
k**************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
PHONE=
(R/MAKE= 1998 MARLETTE MODEL=
SERIAL#= WIDTH= 26 LENGTH= 44 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
2
PERMIT TYPE FEE AMOUNT AMOUNT PAID
100.00
22.00
4.50
AMOUNT OWING
y
iy
PROJECT NUMBER= 98004147 APPLICATION DATE= 05/15/98 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 126.50
******************************** THANK YOU ************************************
1
y
4a-,
APPLICATION INFORMATION
What is the JOB SITE address? - ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
O 5
(Das
OWNERor/OCC C %�
OCCUPANT
1
,5 -4017 ,1-7
Phone 1�
?F/5
Mailing address
City, a e
Zip
Who should we contact regarding this project?
Phone
What work is being done under this permit?
Inspector district;
Water district
Buildin
'contractor
Building height
-Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Mailing address
Main floor area
Unfinished basement area
Architect/Engineer
and -floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length: //''
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
a 7--i (__
Contractor
Wa Sdate Contractor license #
Wa State Contractor license #
Mailing addreee
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
WA State Contractor license #
Contractor
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground
Underground
Contents of tank(s)
Contractor
Size / gallons
Size / gallons
Private
Public/semi-private
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 programa or activities.
d
C.
Site Plan
8
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
O Septic tanks & wells
i
•
AVE.
►m
ry
•ument
rd ► Aebor.8
Fd: Bolt -
Q.38 Watt.
Tract NAn
1' Strip.
Co
.h ,l
0- u id ng Dcic
(0 "Er-,
vim.
77.50
38.00.
x
�Cu1desac
71
1
y 31,43 JFd. 3/4., Pipe.
Fd: TA on fence post-
0.38 Wast.
23'}
214
sq.
11804 E
Sinto A�
ADDRESS:
ZONE.
ROAD WIDTH:
FRONT 95 FLANKING-
COMMENTS
EANKING COMMENTS
pFIliFuvF.D By
cn
�'t •
77.50
0
Tract "A"
I. Strip
So /g,
•O
O
t
u)
0
N