2000, 05-30 Permit App: 00004316 MH Project Number: 00004316 Inv: 1 Application Date: 05/30/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: COURT ROSKAMP/ACC CONSTR
Address: PO BOX 1350
C-S-Z: VERADALE WA 99037
Setbacks: Front 45 Left: 22 Right: 10 Rear: 63 Phone: (509)924-5300
Group Name:
Site Information• Project Name:
Plat Key: 005998 Name: VALLEYWAY ADDITION District: F
Parcel Number: 45133.2902 Block: 2 Lot: 2
SiteAddress: 514 N SONORA ST Owner:Name: COOK,LAWRENCE
VERADALE,WA USA 9903 Address: 514 N SONORA ST
Location::VER VERADALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 13,451 Sq Ft Width: 98 Depth: 126 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review / j ,)
BUILDING
Site Plan Review C'- ` ,A1),
Hold Reasons: t\-)( Q (D-1.1"
Peuitit Conditions:
A
BUILDING Plan Review By: f 7/ VLit ( l �J
Hold Reasons: i
Permit Conditions:
ENGINEER Approach/Drainage By:
Hold Reasons:
Permit Conditions: C T I (p
--� �
UTILITIES Sewer Review By:
Hold Reasons: k)(1--1. -) 1=- ( C
Permit Conditions:
Project Number: 00004316 Inv: 1 Application Date: 05/30/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: ACC CONSTRUCTION Finn: ACC CONSTRUCTION
Address: PO BOX 141212 Phone: (509)924-5300
SPOKANE,WA 99214-1212
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: JAS Printed By: JAS Print Date: 05/30/2000
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
Notes: Iwai to t , 3k aA N. F s_ av ,
► , I PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
fug SPOKANE,WA 99260
SPOI<Coul"{r, 509-477-3675
Project Description:
TYPE OF APPLICATION
(a Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
SPECIFIC SITE INFORMATION
Street Address: N 5 I G� S o n&/,o, R�1 C'// > ��e t' /J.-)1 lG , 9 c770
Assessor's Tax Parcel Number(s): l�
Legal Description: 1 1 1 I
1-.6 + #,2 v \joy Ie d►Cifi bar)
Department Use Only
Water District/Purveyor: Sewer District/Purveyar Road width Setbacks
Front: ` Rear:
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
❑ Owner: Oa>kj"ce c) i'I t z 'T'S Phone: ❑Applicant: Phone:
W efertC'\ Cfacl Fax: Fax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
El Contractor Phone ,j.69 6/ y,Si? D❑ Architect/Engineer Phone
ACc cc„5.4,0c-1 /Del Fax Fax
Mailing address rMailing address
ry
Pi O 1 (3c>X ! J S O
City,State ZipCity,State Zip
e rpt dc,/t LA.Ju, `i l a 3 7
WA State Contractor license# Contact name:
n c ic-0._ Oo j)hJ
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
Manufactured Home Sign
Width: / Length: / What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
02000 (f_2')/cCA/0t4C.I
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes m No What is the current property size? /
If yes,identify on site plan (square feet or acres) 9 X , ( c
Is any part of the property within 250 feet of a shoreline? What is the current use of this property? ` / L
If yes,identi on site plan O Yes 17(No Vv1 C,c„4 +
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes ,11"No
O Don't know O Yes X 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,ident f on site plan If yes,identify on the site plan O Yes X No
O Maybe O Don't know O Yes J'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 1S1 No
If yes,identify on site plan O Yes ,$l 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?
( ....„----0/0) O Yes 0 No O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Ar ? Is public sewer available to'the site? Yes 0 No
O Yes No
Is the property inside the ASA? Yes O No Is public water available to the site? ' Yes O No
CI Yes CI No
Is the property inside the PSSA? "Yes O No Is the property located within 1000 feet of a NaturResource
Area? O Yes No'
Date Received: Staff Represen tive:
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14+33.03 14+45.03
4' CURB E228 DROP
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1 DRAINAGE 99.64'
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l 0 10' UTILITY EASEMENT
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EL=2029.1
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14.0'
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84271 �� JANUARY 21.1999
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SSIDNAL NORTH LOT 2, BLOCK 2
EXPIRES: AUG. 1, 2000 SCALE 1" = 20' C VALLEYWAY ADDITION
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