2000, 12-12 Permit App: 00011141 MH Project Number: 00011141 Inv: 1 Application Date: 12/12/00 Page 1 of 2
THIS IS NOVA PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: BUFFIN,NIC
Address: S.2811 FISKE#32
C-S-Z: SPOKANE,WA 99223
Setbacks: Front 38 Left: 22 Right: 11 Rear: 70 Phone: (509)000-0000
Group Name:
Site Information: Project Name:
Plat Key: 005998 Name: VALLEYWAY ADDITION District: F
Parcel Number: 45133.2904 Block: 2 Lot: 4
SiteAddress: 502 N SONORA ST Owner:Name: BUFFIN,NIC
VERADALE,WA USA 9903 Address: S.2811 FISKE#32
Location::VER SPOKANE,WA 99223
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,451 Sq Ft Width: 99 Depth: 135 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: , . � E'
Department Review 0 -
BUILDING Site Plan Rev'•w f o.,n !` Fi/-
Released B +/jam-ori
G., _ •x
Permit Conditions: �% � , "� r
BUILDING Plan Review -
Hold Reasons: C4 &
Permit Conditions:
ENGINEER Approach/Drainage Released By: 1 -`°
Hold Reasons:
Permit Conditions: os FA/A ri 71'
UTILITIE Sewer Review Release ,2_ '•I_5- q9
-old lea, urC t-t' €'5 P heC+Nct,1 bb— t c oxJ Zr
Permit 74r, di •ons: ► , ,�r iurdAt yL U/'! Grp �O124n 5l&Ne..p V y
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Permits:
Project Number: 00011141 Inv: 1 Application Date: 12/12/00 Page 2 of 2
THIS IS NOT 2V 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
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 12/12/00
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: .
- ..
1 1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNT'DIVItION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1111 SPOKANE, WA 99260
SPOKAIV COURTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: N Sc? aAneaSli St_A)E2R 1 {I QnRQALt , WA
°Ff03)
Assessor's Tax Parcel Number(s): 46
Legal Description:
Project Description:
.1,1 Building Permit O Change in Use O Grading Manufactured Home Permit
O 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
pi Owner: Phone: 0 Applicant: Phone:
Mi tJ F�j nj Fax: Fax:
Mailing Address: Mailing Address:
S ag11r;sg )d3.
City,State,Zip City,State,Zip
G'OKa/0 . w��. 95 3
0 Contractor Phone O Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
}t -*- ,� `x a.
Building height to peak #of stories Main floor sq.ft. �gp Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
(.0(x)
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
�_.. . «�' :<-� „ -,� „a _��� ,�„' sr,. �`,�.. � w� p�- fit ' � •- 4:,V<;:•:.'",='`
.:r� . �37Width: Length:0 l/� Wtat is the square footage of the sign How high is the sign?
\ 2 7 1 l ( f' face
,\ Year: Make: #of signs Area of existing signs
9000 i'hA 2LE+tE
T t
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
- , a :* fish
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 JNo What is the current property size? 1
Ifyes,identify071 siteplan
(square feet or acres) P<QE...
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
...,./
Ifyes,identify on site plan O Yes @ No11;c4./4--
c
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 0 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?
Ifyes,identifyon site plan Ifyes,identify on the site plan O Yes ZI No
O Maybe O Don't know O Yes '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 JO No
Ifyes,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?
( /%) O Yes ,O No O Yes O No
DEPARTMENT USE ONLY
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$ a a ii,e k�" -s .y � °'' IS th ®. a a : � a s ®P� ® .s�' ' «�
Date Received: Staff Representative:
METHOD OF PAYMENT
..................... ..
mimil
1IC Vl: SUBTOTAL
VISA
❑ CASH ❑ CHECK 171 swam 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
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BANK CA RD NUMBER:
4tr!`PERMii`tiiS 64.1£A
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AUTHORIZED SIGNATURE: _ 1,--CfJo rn PC*MtE kri
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. NOV813S ONI011118 .0Z This site plan is being drn,tted for the purpose of
1 , obtaining a building nbrnit and is a true and cormot
representation of the dr:nasal All known property
I
ines/dimensions.curo has structures and easements
have been identified Alto indicated are wetlands.
ADDRESS
bodies of water,steep s Lp 1 ottiur ontical aroas.
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1 ZONE ,_3s. 41/41 Signed: '1,t,- r --------------
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l ROAD WIDTH 00 Date: 1)
FRONTFLA KING
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