2001, 07-12 Permit App: 01005654 MH Project Number: 01005654 Inv: 1 Application Date: 7/12/01 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: WELCH,MARTIN&MARY R
Address: PO BOX 429
C-S-Z: VERADALE WA 99037
Setbacks:Front 36 Left: Right: 5+ Rear: Phone: (509)928-5469
Group Name:
Site Information: Project Name
Plat Key: 005998 Name: VALLEYWAY ADDITION District: F
Parcel Number: 45133.2805 Block: 1 Lot: 5
SiteAddress: 423 N SONORA ST Owner:Name: WELCH,MARTIN&MARY R
VERADALE,WA USA 99037 Address: PO BOX 429
Location::VER VERADALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 12,717 Sq Ft Width: 82 Depth: 153 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review CC�J
BUILDING Site Plan Review Released ... �
Hold Reasons:
w
Permit Conditions: 14%44;x.4IPITOw'
BUILDING Plan Review Released By:
Hold Reasons: � 141.
Permit Conditions: 2
ENGINEER Approach/Drainage [Released By:
Hold Reasons:
Permit Conditions:
i
UTILITIES Sewer Review/ •
i Released By: % s' Dit
Hold Reasons:
Permit Conditions:
•
Project Number: 01005654 Inv: 1 Application Date: 7/12/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: YUKON TRANSPORT Firm: YUKON TRANSPORT
Address: PO BOX 586 Phone: (208)623-4092
RATHDRUM ID 83858
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: 4a 7 Nom, � s
Operator: JAS Printed By: JAS Print Date: 7/12/01
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
7
i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
: I 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPox Com
SPECIFIC SITE INFORMATION
Street Address:
-1, 3 71. , 1/2� -ee�7 w mi9D.6 '7
Assessor's Tax Parcel Number(s):
Legal Description:
Project�� je� Description:
[a'Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign El Tenant(New/Change) El Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be conlaaed retarding!hi.;project
❑ Owner: Phone: f/ 177 f_si-96 CIApplicant: Phone:
D ddeL
Matltn i Address: Mailing Address:A`, a 9
City,State,Yip City,State,Zip
V.)2Alt , ! JA 99o3 '7
❑Contractor Phone ❑ nPhone
Architect,I:n nccr
Fax fax
Maili address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
yOkOW 7 0I/1 6 > /
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main Floor sq.ft. Unfinished basemet .ft.
J '
Dimensis---—/�t '' ' -able s acc 2"1 floor sq.ft. tnished basement sq.tt.
Occupancy group Construction type Gari' s-.,r. Deck sq.ft.
Cost of project I cat source(electric,gas,etc.)
Manufactured Home ` Sign
Width: / Length: i What is the square footage of the sign How high is the sign?
7 face?
Year: A #of signs Area of existing signs
l 9`I 7 rt./ GJ.�.
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?
I:irm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 171,1<r) What is the current property size?
If}ec,ident 'on site plan (square feet or acres) / „s x (57J , 7
Is any part of the property within 250 feet of a shorreh9e? What is the current use of this property?
If yes,identi/t on site plan 0 Yes Ca'No
Is your property in a designated wildlife habitat area?� Will the site be served by a septic system?O Yes CIYINo
0 Don't know O Yes C9"No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identi/,on site plan �//� Ifyes,identz on the site plan O Yes IIallo
O Maybe 0 Don't know O Yes L1"iV o
Are there any wetlands,streams or ponds within 200 fee of the property? Is there evidence of fill or excavation on the property? ��
I fyer,identi,on site plan 0 Yes CYN o 0 Yes IPt No
Are there slopes greater than 30°0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
0 Yes 0 No 0 Yes G3-I<
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? Yes 0 No
0 Yes No
Is the property inside the ASA? Yes 0 No Is public water available to the site? Yes 0 No
Yes 0 No
Is the property inside the PSSA? Yes 0 No Is the pro e located within 1000 feet of a Natural Resource Area?
0 Yes No
Date Rea,ed. Staff Repre mCttic�
to O?
METHOD OF PAYMENT
MOMMEi
VISA
iC+l�l" SUH'1'O"1'.U.
❑ C:\SI I ❑ toll:ch 0 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I APIRI:S: TOTAL FEE
B:ANKC.ARl)NUN131?R: MINIMUM PERMIT FEE IS$35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
\tyri R)R1/11)SIGN:ATURN: COUNTY PERMIT CENTER
82.765 .r `�
I
j
- - - - - - - - - - -
20' BUILDING SETBACK — — - - - -
—
This site plan is bang submitted for thepurpose of
obtaining, a buiiding permit and is a true and correct ADDRESS
representation of tie proposal.All known property ZONE
lines/dimensions,curb lines.structures and easements ROAD WIDTH 3
have been identified.Also indicated are wetlands FRONT FLANKI
bodies of -ep sig, or r criti I a s COMMENT I -. . (j"
Signed: ' /4e4.' ' / REVIEWED B 'S
lig
Date: 7- - v
1 - I
_ I w�
co
v
N
S f . _ s
fleOFOS k.e..14 . –'----
I1 12+90.0, 35.0' LT.
CONC. INLET W/
1– 4e7:�, TYPE 2 GRATE
1 EL=2027.50
,
-I–
AL
IE=2025.50
--- --
DRAINAGE 28.0'
EASEMENT�_ 7 BOTTOM
4' TYP. EL=2027.00
I BERM
U LITY :ASEMENT ''n • EL=2028.20
�
1b• It30' a� l 1I
O
1 Bs "DER EASEMENT
1 ■
• 1111 82.79'
- - - /111r7 — —
AWL
I tce , 1 AKIN O R A S �. 4' CURBODROP 12+90.
�F us .. -.•�. IE=2027.99 TYPE "B" DW 5' LT.
'VA/ 0114 r'' SIDEWALK INLET W/ TYPE 4 SOLID
�`r 'i'" i . 'y IE=2027.80 COVER.
). ip> IE=2025.05
re
'
A.
O 4.L., urn � /41 JANUARY 21,1999
SSIONAL E -
NORTH LOT 5, BLOCK 1
EXPIRES: AUG. t 2000 SCALE 1" = 20' VALLEYWAY ADDITION