2001, 04-26 Permit App: 01002933 MH • • •
Project Number: 01002933 Inv: 1 Application Date: 4/26/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation: .. .,
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: HOMEBOYS CONSTRUCTION
Address: 14525 N NEWPORT HWY
C-S-Z: MEAD,WA.99021
Setbacks:Front 36 Left: 6 Right: 25 Rear: 72 Phone: (509)468-1750
Group Name:
Project Name:
Site Information
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Plat Key: 005998 Name: VALLEYWAY ADDITION District: F
Parcel Number: 45133.2903 Block: 2 Lot: 3
SiteAddress: 510 N SONORA ST Owner:Name: CAMPBELL,BRIAN
VERADALE,WA USA 99037 Address: 27200 N HWY 41
Location::VER SPIRIT LAKE,ID
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 13,451 Sq Ft Width: 99 Depth: 135 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review
BUILDING Si Plan Review
Released By: ♦ . ►! f' f
Hold ' easons:
Permit Conditions:
BUILDING Plan Review Released By: '1►/ A 'at
Hold Reasons: --- - 1` /
Permit Conditions: —
AIIIIMP
Approach/Drainage
''
g � Released By:
ENGINEER
' Hold Reas ►-ta"`irr 1
Permit Conditions: -ext
UTILITIES Sewer Review Released By:
r
Hold Reasons: takVr C
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% •6/�c� c 11✓ _ J/l
Permit Conditions: 44
Permits: .M.. ,u a
Project Number: 01002933 Inv: 1 Application Date: 4/26/01 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: 4/26/01
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
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1 PRO ECT APPLICATION Ci 3
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SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
jiit
titi 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOKE Cowry 509-477-3675
Project Description: At irt.r �CiKJ ce.... Cf)t'S A 4,1- 1-1 ,(Liud-,,e-A_
TYPE OF APPLICATION
O Building Permit O Change in Use O Grading , Manufactured Home Permit
O Relocation 0 Sign O Tenant (New/Change) 0 Other
SPECIFIC SITE INFORMATIONs7(.._
/
Street Address: 510
I1. dieh„LIL, k I ` ,f /�Assessor's Tax Parcel Number(s):
Legal Description: , ` J 'r
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
1y Front: Rear:
School-t)istnct: Fire District: Zonintt
f 0 K.? Left: Right-.
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
Phone a•41 Q 1 DQ Applican Phone: a•/M/
❑ Owner: r
6:m4, ��1 //Als � X Fax: c1 4, ))0104)/11)OA Fax: 444 2-'''. 72 ‘
Mailing Address: e Mailing Address: K+ aoY° •
City,State,ZZip ,r �(( City State,Zi efieb24
411
O Architect/Engineer Phone
Fax
MZa<Idr �_ J x ^ . Mailing address
1oV( /
Cit}',Stat _ Q9°^ , City,State Zip
WA State Contract clicense# n e Contact name:
PROJECT INFORMATION
Building Information
Building height to peak N of stories . Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2nd 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:c726 / // Length: 68 1 1,4 hat is the square footage of the sign How high is the sign?
face?
Year: ad 0O Make v��d 0 M of signs Area of existing signs
041
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
0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 'No What is the current property size? / j
If yes,identify on site plan (square feet or acres) . 7"
Is any part of the property within 250 feet of a shore •ne? What is the current use of this property? 'PIS VAC'
If yes,identify on site plan 0 Yes No V
Is your property in a designated wildlife habitat ar a? Will the site be served by a septic system?0 Yes No
0 Don't know 0 Yes- j:15 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 Ifyes,identify on the site plan 0 Yes Io
0 Maybe 0 Don't know 0 Yes No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the propert
property? O Yes o
If yes,identify on site plan 0 Yes X\No
Are there slopes greater than 30%on the property?(3 ft rise in 100 ft) Are critical or hazardous materials used or stored on sit ?
0 Yes No 0 Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes O No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
OYes ONo
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource
Area? O Yes O No
Date Received: Staff Representative:
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0' GISTE � �w JANUARY 21,1999 J
5'ONAL ' NORTH LOT 3, BLOCK 2
EXPIRES: AUG. 1, 2000 SCALE 1" = 20' VALLEYWAY ADDITION