2001, 05-31 Permit App: 01004107 MH Project Number: 01004107 Inv: 1 fir_�.u�lOri Date: 5/31/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DOUBLE-WIDE MANUFACTURED HOME Contact: BLUE CRICK HOMES
PLACEMENT Address: PO BOX 306
C-S-Z: AIRWAY HEIGHTS,WA 99001
Setbacks: Front 36 Left: 20 Right: 32 Rear: 56 Phone: (509)244-1808
Group Name:
Site In formation: Project Name:
Plat Key: 005998 Name: VALLEYWAY ADDITION District: F
Parcel Number: 45133.2801 Block: 1 Lot: 1
SiteAddress: 521 N SONORA ST Owner: Name: KEENER,MARY
VERADALE,WA USA 99037 Address: 521 N SONORA ST
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 14,847 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 38
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Department Review
BUILDING Site Plan Review Released By: VA,VV1k,
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Released By: _ � `
Hold Reasons: )2l Cp- c' 1'� fpty
Permit Conditions:
ENGINEER Approach/Drainage Released By: 53/ ""0i /
Hold Reasons:
Permit Conditions: 6/ NA-3/l
BUILDING Special views Released By.
Hold Reasons: (i LZ Cti:44 / j l _�/ 01Q,
// !
Permit Conditions: � _
UTILITIES Sewer Review Released By:
<17-1old,yeasons: l ) 'L CILi11l
Permit Conditions: ((('
Permits:
Project Number: 01004107 Inv: 1 kation Date: 5/31/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 2 SECTIONS $100.00
COUNTY SURCHARGE 1 Y OR BLANK $22.00
Permit Total Fees: $122.00
Operator: MKC Printed By: MKC Print Date: 5/31/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $122.00 $122.00 $0.00 $122.00
$122.00 $122.00 $0.00 $122.00
rr....r.
ICI - LiI07
1 __ I PROJECT APPLICATION WORK SHEET i 1 1O
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
_ 1026 WEST BROADWAY AVENUE
lin SPOKANE, WA 99260
SPOKE COUNTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 52 / 30 N r, tea`
Assessor's Tax Parcel Number(s): `Y/533 a �,,,pQ/
Legal Description:A 1tEyLob, adA ►mor) L I_ , Eve, t
Project Description: ' . P locce1\[\0.,,( 0--V-AC--s-,-k-e•--AW---)H z- 4 &%(c-L-c 6-
O Building Permit O Change in Use El Grading Manufactured Home Permit
O Relocation O Sign El Tenant (New/Change) O Other
cam' C � .n-. ce '' . .�- -,.,'......--..-.4,-,_ -;, ," ari+ F s." �
'C ` 3 - 5, ,. � { s e` " > -7 RQfiY1CFa, �f} � � -' "`s- " a-�af 9 ,17**' � " 5 _ ea .T--: t 4 ` -� ' `r - -
Scftbo t ..c .. ti, 4,ir lls;• 4 x- a a
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'"� z +mat C - - -- ; 9 �Atib 'mss, a "fY- f i;- = 'i ce
.,:.�. _. ".�„ +�`r: --.. -mea..
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
Owner: Phone: 70 i _3�5 l l Applicant:
A 1 [310E_ ClACK,HOMES Phone:
t � K OBJ Fax: LI IS W\ k S Oi\ Fax: 2(-1'-) - -7°'-f�
Mailing Ad rest Mailing Address:
I N Sc�tJC7lZcL 115)5- U6, SJ�S`:` kw'-/
S�
City,State,Zip City,State,Zip
7o (lot N.)E , 1-JA 9 90 3"/ apo _ I LU • 99 aay
0 Contractor Phone ��11Phone
,...-71.,,, -"1� 0 Architect/Engineer
e a R - 1�y�Ka�t
/a c -c,, .S G -(p Fax D:7(0' a 3' ,.-1
Fax
Mailing address Mailing address
City, sate Zip City,State Zip
e P12 , w& (: ,00c6
WA State Contractor license 8 Contact name:
(1D P.,l‘(lS o,a.a-9
PROJECT INFORMATION
�C A - -- ass '§ , `S+ 2' } S .k -_c __,v,- S- `r=-' '� 74, - "� r.moi
>, 3�.r .; ias�� �-� 'a B t �®k rma Q ' +.esu. s� 'rY$',_, �..+.x f.' ._
X
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.h.
Dimensions Total habitable space 2°d floor sq.ft. Finished basement sq.h_
.fig- x LA
Occupancy group Construction type Garage sq.h_ Deck sq.ft.
---t-)C-K 5 -7 Co
Cost of project Heat source(electric,gas,etc.)
SOI ooc) - 6-"z-& -7 /e
- :ate-+m..:r� T�, a '°; ; "^� n'e= J313�., . -o- . '$ .; t ham- ._
Width: �l} n. Length: Li) Y What is the square footage of the sign How high is the sign?
TJ�� t face?
Year: i l L Make: Laiatykok k of si nsg Area of existing signs
Y� t . tom' 2�5� 'r $-•9f -szs" " r ` 7- ` 'S.f:-, ti> ]1 a �„ r r �yr.: 1 Ys ` F _ « x <Ten§ ,-: --,W::- .,-."
f, sFire Sprinkler �=fi, ,, r
Previous address
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
} 7--�s.1,-----.'"-z-77)5==',. .37=-, irvr6„
?..-..- -'1
}Wi $ 7,-„_,7;117;;N171.
� s ' ' � s4c1. m ,oijµ,_ -- "� r-,�3' e. � f ::-- s'eX '-$ �, .,� ` ir s J } ` �.. ����� PoncKr� Zear�_� , mPansEinerN- . z- . a. . men;Name
Inspectors: Address
Inspector Phone
O Concrete Cl Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
If yes,identifyon site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identify on site plan 0 Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes O No
O Don't know 0 Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes 0 No
Cl Maybe O Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes O No
If yes,identify on site plan O Yes O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( l%) O Yes O No O Yes Cl No
DEPA
._'R.. T_"�ME N. T USE
ON
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Date Received: Staff Representative:
METHOD OF PAYMENT
earlt3CVC SUBTOTAL
IllCASH 111CHECK ❑ =ERR ti
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD .-
DATE: EXPIRES:
BANK CARD NUMBER: __-- — — aaAlt MI7i,. ....4, ffil- FtiRPI1tB
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AUTI�ORI"LED SIGNATURE _ €�uKITPkFdviTrcG R4 M-
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