2001, 05-08 Permit App: 01003352 MH j f 1
Project Number: 01003352 Inv: 1 Application Date: 5/8/01 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 MOBILE HOME Contact: STEWART,DONNA
Address: PO BOX 155
C-S-Z: LIBERTY LAKE,WA 99019-0155
Setbacks:Front 53 Left: 5 Right: 12 Rear: 72 Phone: (509)926-9195
Group Name:
Site Information: Project Name:
Plat Key: 005998 Name: VALLEYWAY ADDITION District: F
Parcel Number: 45133.2804 Block: 1 Lot: 4
SiteAddress: 503 N SONORA ST Owner:Name: STEWART,DONNA
VERADALE,WA USA 99037 Address: PO BOX 155
Location::VER LIBERTY LAKE,WA 99019-015
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,707 Sq Ft Width: 83 Depth: 153 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: = NnilP4 i w
Department Review
BUILDING Site Plan ReviewReleased By: ' ,: - --
Ho easol1s -5c t."-PermitConditions:Conditions:
BUILDING Plan ReviewReleased By:
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage Released By: j'_ID
s
Hakl-Reastiff; i Amur ;d
Permit Conditions: m( —� -3
4-1
LA~UTILITIES Sewer Review Releasstl 9 ° i OI,j
1,)efr Hol asons: Gr- 1-0 14" j v _SIJ�-' / 4U
Permit nditions:
Permits: .y
Project Number: 01003352 Inv: 1 Application Date: 5/8/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
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: CKF Printed By: CKF Print Date: 5/8/01
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 $122.00
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PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING Sc CODE ENFORCEMENT
DI 1026 WEST BROADWAY AVENUE
HHit SPOKANE, WA 99260
Spot COW-A' 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 6?)3 A./ S O>0U,4Fa- &.4o,9-t e (,(>4 7 9 O a 7
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: N-(,+ Yr H*J c /1- -)27
0 Building Permit 0 Change in Use O Grading Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
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OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
O _(wner: /� Phone: 9—9p2�p--5/ S— 0 Applicant: Phone:
T
LJ a 0/J A- S�E(tA2-i Fax: Fax:
Mails Address: MaiingAddress.
V O Bos--
City,State,Zip City,State,Zip
L1�e27'1y' l/A-lee (A)fi 990 i9 -0/
❑ Contractor Phone Cl Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license N Contact name
PROJECT INFORMATION •
az s -$ t %¢sad*II �'� ,� _ ,e,:
Building height to peak +Y of stones Main floor sq-ft. Unfinished basement sq ft.
Dimensions Total habitable space 2°d floor sq.ft. Finished basement sq.ft.
Dccupancy group Construction type Garage sq_h_ Deck sq.h.
Aost of project Heat source(electric,gas,etc.)
sa �.1,-'�'�-s� -'"t.r' ��.tzs s -"� '"'3' -`,.. ---,1=,--,,,•_.: • •,-,,,,---4,--. .,- -.Z: 2,-9,1;,..,
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Width: �j / Length: / What is the square footage of the sign How high is the sign?�
cg c> face?
Year: Make: #of sins
G 0 nR� � g Area of eacistingsigns
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d
Previous address .. . �
Tent
Fire Sprinkler
Paint booth_ Fire Alarm Fireworks display
Proposed useValue
"*��.-� �?-i----7.---- ----7—�y 'w- _-w° .�'""�Si ?,2„,-,7Y Tom-" ""„�"`�_^ ^-2 .— 5 -a- '.- '-'7'''' ''''' .. -,----, ,,,,:,-,:,',-P.
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Firm Namc � Phone _ a . �_,. a . . _. $_-----
..r.,
KPlans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes qNo What is the current property size?
If yes,identify on site plan (square feet or acres) /P.,w"7 F j
Is any part of the property within 250 feet of a sh eline? What is the current use of this property??If yes,idem on site plan O Yes No f proIv
Is your property in a designated wildlife habitat ar ? Will the site be served by a septic system?O Yes fX,No
0 Don't know 0 Yes W 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 siteplan If yes,identify on the site plan O Yes at/Noy?
O Maybe 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 f No
If yes,identify on site plan O Yes I No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored onsite,,?
( /%) O YesNo O Yes o
xx x DEPARTMENT USE ONLY ////����
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'i'' ' s a yr bat <-� a� $ $ r ''' t ar $ A y i F a
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Date Received: Staff Representative
METHOD OF PAYMENT
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; ifCOdF' SUBTOTAL MINI❑ CASH ❑ CHECK ❑ - ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
� - q•oT F ,�v ,DATEEXPIRES:
rs ",n�ttr rP trF _V-°BANK CARD NUMBER �M-''.* 'univAy»stEtcsolApir
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AUTHORIZED SIGNATURE: cfltnrEttNurcErrtcst
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82.76' I
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20' BUILDING SETBACK
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' 4.--.P:4.--.P: ac\
��' // G, � , This site plan is being submitted for t'.e purpose Of
obtaining a building permit and is a true and correct
j --4 .z r representation of the proposal.All known property
. 10
lines/dimensions,curb lines,structures and easement
t �V q have been identified.Also indicated are wetlands,
�` ,SIGISTE ti�� bodies of water;stee si pes or other critical areas.
ONAL ''- Signed: I , �GV�
pate: =/D D /
EXPIRES: AUG. 1, 2000 I
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SCALE 1" = 20' ' I , C bb' —
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1I.7a sf
12+90.0, 35.0' L f
CONC. INLET W/ 5 E'
TYPE 2 GRATE / 1 velW llv
EL=2027.50 I I I
IE=2025.50 j_ BUILDIN_ ETBAC 1 __ _ _ -I-- _ _
-.
10.0'
r BO' OM
4'—_- EL 2027. 0 id
TRP. O BE'M �. 7
•,n' !M EL 2028.20 UTILITY EASEMENT
.30' .I 1,-- ' NAGE o o
S MENTBORDER EASEMENT '-
■ I b o
_____L__ t -...e.11. — — U_ U
82.79'
12+75.00
4' CURB DROP 12+90.0, 13.5' LT. S O N O R A ST.
IE=2027.99 TYPE "B" DW
SIDEWALK INLET W/ TYPE 4 SOLID
IE=2027.80 COVER.
t4 r - IE=2025.05
ADDRESS-5
ZO E LAJ24. ,`7
ROAD WIDTH3€ JANUARY 21,1999 J
FRONT_3____FLANKING LOT 4, BLOCK 1
COMMENTS
RF VFWED BY CAA.r..t J VALLEYWAY ADDITION