2005, 11-03 Permit App: 05004104 MHProject Number: 05004104 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/03/2005 Page 1 of 2
Project Information:
Permit Use: MANUFACTURED HOME SET
Setbacks: Front 35 Left: 32 Right: 56 Rear: 32
Site Information:
Plat Key: 005807 Name: SP -1054-96
Contact: HOME BOYS CONST.
Address: 14525 N NEWPORT HWY
C - S - Z: MEAD, WA. 99021
Phone: (509) 468-1750
Group Name:
Project Name:
District:
G
Parcel Number: 55191.0401
Block:
SiteAddress: 18214 E SPRAGUE AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: ;,822.00 Acres
Urban Residential 3.5
Lot:
Owner: Name: PRICE, DOROTHY
Address: 18214 E SPRAGUE AVE
SPOKANE VALLEY, WA 99016
Hold: ❑
Width: 115 Depth: 115 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:,
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 10/31/2005 By: CJJANSSE
Released
N/A -PER MANUFACTURES SPECS
Septic System Review
Permits:
Originally Released: 10/31/2005 By: CJJANSSE
Released By:
PER LANCE @ COUNTY HEALTH
Originally Released: 11/03/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ Print Date: 11/03/2005
Project Number: 05004104 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/03/2005 Page 2 of 2
Manufactured Home
Contractor: HOMEBOYS Finn: HOMEBOYS
Address: 14525 N NEWPORT HWY Phone: (509) 468-1750
MEAD, WA 99021
Item Description
INSPECTION FEE
Notes:
Units Unit Desc
2 SECTIONS
Permit Total Fees:
Fee Amount
$100.00
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount
$100.00 $100.00
$100.00
Amount Paid Amount Owing
$0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 11/03/2005
11/01/2005 15:38 5093241567
NOU 01 2025 09:06 FR
Project Number: 05004104 Inv: 1
5K1-11) tn=
Application
TO 324156?
Date: 1013112005
P.01/02
Page 1 of 2
TIIIIS IS NOT A PERMIT a without permit
Penalties will be assessed for commencing workP
Prniert 1'rdformUt(gns
Permit Use: MANUFACTURED HOME SET Contact: HOME BOYS CONST.
14525 N NEWPORT HW`
C - S - Z: MEAD, WA. 99021
Right: 56 Rear: 32 Phone: (509) 468-1750
Setbacks: Front 35 Left: 32 Rib Group Name:
Project Name: V211Sf1e Information: ,...r...—r��+VU�'� District. G
Plat Key: 005807 Name: SP -1054-96
--Parcel Number: 55191.0401
Block: Lot:
Owner: Name: PRICE, DOROTHY
SiteAddress: 18214 E SPRAGUE AVE
Addres3: 18214 E SPRAGUE AVE
GREENACRES, WA 99016
Location:: GRE
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: :0322.00 Aero+ Width: 115 Depth: 115 Riiht Of Way (ft): 60
Nbr of Bldgs: 3 Nbr of Dwellings: 1
gafew Thfor,n UiOn,; .........._-
kicvi e,v
Sits 1'13n Raview
Originally Released:
Plan Review
10/31/2005 By: CJJANSSE
N/A. -PER MANUFACTURES SPECS
Orig3.naily Released: 10131/2005 By: CJJANSSE
Septic System Review
54,
- 1'I'f!il($;, lnrtranoraust awsragrrm...saw.r...�■�arserY[aaara
Operator: G13 Printed By: CT.) Print Date: 10/31/2005
tiinii rni of -22
5093241567 PAGE.01
11/01/2005 15:38 5093241567
NOL' 01 2.005 09:07 FR
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Sijokan' e
40.0Valley
STREET ADDRESS:
,RED SITE INFORMATION
\, Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
PERMIT APPLICATION WORK SHEET
SIa LONE VALLEY COMMUNITY DEVELOPMENT
BUILD/NG DMS/ON
11707 East Sprague Ave Ste 906
(8214 s-7szpt‘t,
ASSESSOR'S TAX PARCEL NUMBER(S): SS 1 Q 11 U LPZ2
LEGALDISCRIPTION: COS'P11 L
Ss " 61' OF
5? Q6 -1o54- Ao 402-o298 arc G 27
PERMIT DESCRIPTION: � 1(��` �� ;�`t- `: \ � i ( ( <\.
Q� BUILDING PERMIT CI CHANGE IN USE CI GRADINGUFACTURED HOME
RELOCATION t� SIGN EI TENANT Q THER
OWNER / APPLICANT INFORMATION
0 OWNER:^ - X APPLICANT -4 Ci (C___ _ (f k) 1„) l !•)
FAX: P ONE: T1 '2(h FAX: -<2C
ADDRESS: kVA CC • `c}'T 6(.'E
CITY,STATE, ZIP CITY, STATE, ZIP
°CONTRA//CTTORQR: •-F&N�' 0 ARCHITECT:
PHONE: 4�O - C(1 -b FAX: T�'U��+ 0 PHONE: FAX:
ADDRESS: 1 LIS 4.46.4?-4.4Qc 4 t /" I0Z1
� //��1 CITY, STATE, ZIP
`T
WA ST CONTRACTOR LICENSE # COW' 60 �j3 (G CONTACT:
PHONE: c::3o -53-133
ADDR
ADDRESS:
CITY, STATE, ZIP
PERMIT/BUILDING INFORMATION
COST OF PROJECT: -g/ C K 30% SLOPES ON PROPERTY: /j MAIN FLOOR SQ FT: /Z -/i`
BUILDING HEIGHT TO PEAKS// - L OCCUPANCY GROUP: TLF$- 2ND FLOOR SQ FT:
BUILDING DIMENSIONSJ7 48 CONSTRUCTION TYPE: UNFIN BASEMENT:
NUMBER OF STORIES: / STRUCTURES ON PROPERTY: 7 FINISHED BASEMENT:
NUMBER of BEDROOMS: 3 CRITICAL AREAS: GARAGE: , S'/ Sr—J
FLANKING SETBACK: CURRENT PROPERTY SIZE: 43,4A?S 41 COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: 7e1S--" DECK:
REAR SETBACK: CURRENT SEPTIC•USE: /
LEFT SETBACK: >28 CURRENT WELL USE: J4O 3
RIGHT SETBACK: -7 IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME SIGN
WIDTH: 027 LENGTH: 443.
YEAR: p?�� PIT SET: /
MANUFACTURER: ‘704-1A6
1 -----RELOCATION
SQ FT OF SIGN: HEIGHT OF SIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER:
ADDRESS:
PHONE: FAX:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
® BOLTING
FIRM NAME:
INSPECTOR(S):
® CONCRETE
® REINFORCEMENT
„PHONE:
® WELDING
FAX:
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: CI YES ® NO
IS PUBLIC WATER AVAILABLE: YES NO
IF YES: COUNTY ® CITY
IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: 0 YES 0 NO
1
DATE:
1
STAFF:
METHOD OF PAYMENT::
CASH CHECK
VISA
BANKCARD #; EXPIRES: VIN#
AUTHOR/ZED SIGNATURE.
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
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