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2011, 04-28 Permit App: 11001068 MH Project Number: 11001068 Inv: 1 Application Date: 4/28/2011 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 1991 27 X 66 FLEETWOOD Contact: MARCELL LUJAN Address: 15216 E 8TH AVE C- S-Z: SPOKANE WA 99037 Setbacks:Front Left: Right: Rear: Phone: (509)768-8955 Group Name: Site Information: Project Name: Plat Key: 002442 Name: SOUTHERNS MOBILE PK ADD District: East Parcel Number: 55173.2806 Block: Lot: SiteAddress: 18726 E VALLEYWAY CT Owner:Name: SOUTHERN,VERONA Address: PO BOX 205 Location::CSV GREENACRES,WA 99016 Zoning: MF-1 MF MDR District Water District: 134 CONSOLIDATED ID#19 Hold: ❑ Area: 8,890 Sq Ft Width: 70 Depth: 131 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Septic Sys Review Released By: Originally Released: 4/28/2011 By: LHALSEY Landuse/Zoning/HE Conditions Released By: Originally Released: 4/27/2011 By: tschmidt Permits: Manufactured Home — —Contractor: A & R MFD HOME SETUP INC Firm: A &R MFD HOME SETUP INC Address: 26620 N HARDESTY RD Phone: (509)939-0855 CHATTAROY WA 99003 Item Description Units Unit Desc Fee Amount SETTING PERMIT 2 #SECTIONS $100.00 Permit Total Fees: $100.00 Operator: JD Printed By: JD Print Date: 4/28/2011 , Project Number: 11001068 Inv: 1 Application Date: 4/28/2011 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Same location. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Manufactured Home $100.00 $100.00 $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: JD Printed By: JD Print Date: 4/28/2011 =� Community Development Department (Staff Use Only) Permit Center (�( c( SC'lypokane 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: V(Q Spokane Valley, WA 99206 00Valley Tel: (509) 688-0036 PERMIT FEE: Fax: (509) 688-0037 Dermitcenter@spokanevallev.orq MANUFACTURED HOME PERMIT APPLICATION 0 OTHER vat i 1 SITE ADDRESS: Ai /cog lP G VQ f 1 '_()I (,cxi C+ ASSESSORS PARCEL NO.: LEGAL-DESCRIPTION: BUILDING OWNER NAME: �' ^_ NAME: r arCk.nL I Lu, VV Y ' ADDRESS: i c s t ALJ E CITY: C( ` ,W CCY S/- STATE: l ZIP: 9Q 0 3 7 PHONE: ' 7 q7 Si — S�S, FAX: CELL: CONTACT NAME: S61./YY-7e S ('], ) /7,0_,K" PHONE: FAX: CELL: CONTRACTOR NAME: /4. e - ki., ///Y-7 MAILING ADDRESS: � 4/1-66,2-0 41440, V "CO K/11 '4I CITY: G0r STATE: w ZIP: gyepoi PHONE: 939 r0 O ,s"-- FAX: CELL: CONTRACTOR LICENSE No.: K°f cokik'yyjg -T-gy itEXPIRES: 3 , p/ _CITY BUSINESS LICENSE NO.: 4o 2-9-1C-- /-7 Ly DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: / \ MANUFACTURED HOME WIDTH: X71/611 / , �,, i\Uy• ,` MANUFACTURED HOME LENGTH: fc YEAR OF MANUFACTURED HOME: 9 / %' , ' �' PIT SET: IV SEPTIC/SEWER: MANUFACTURER: � -w(�(2d ��" �� , :'" �; PREVIOUS ADDRESS: ;' r•N % , > / PROPOSED USE: �ek�D ,,, ,� ` �' ,- ,3,,,,5 / DISCLAIMER -. ,:, �� ; ._,� /' The permitted verifies,acknowledges and agrees by their signature that: 1) if this permit is for construction or on dwelling,the dv+.eilirig �IYI; be served by potable water. 2)Ownership of this City of Spokane Valley permit inure to the property owner. 3) T signatoryis!j#ie;ps6p@rty' owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full cogipliance with tfle,Cip(of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit tsnter. 5) The Qty of Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6),Plans or dditional information may be required to be submitted and subsequently approved before this application can be processed. Signature renckQQAn, Date: q -_(,„ i Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Manufactured_Home_Permit_1-11-11.doc Heather Morris From: Halsey, Lance [LHalsey@spokanecounty.org] Sent: Thursday, April 28, 2011 3:41 PM To: Permit Center Subject: RE: 18726 E VALLEYWAY CT- 11001068 - MANUFACTURED HOME PERMIT Signed off in PLUS,Thanks, L. From: Jenna Davis f mailto:jdavis©spokanevallev.orgl On Behalf Of Permit Center Sent: Thursday, April 28, 2011 2:44 PM To: Halsey, Lance; Meyer, Eric; Warne, Patty Cc: Permit Center Subject: 18726 E VALLEYWAY CT- 11001068 - MANUFACTURED HOME PERMIT Please let us know when you have signed it off,thanks O Jenna Davis, CDT !Permit Specialist City of Spokane Valley 11703 E Spraoue Ave ST C-3 Spokane valley, Wa 112CC (50))720-53CJ idavis@spokanevalley.crQ For City Use Only CITY OF PLUS Project Number polane Project Address 41000 a Q ° 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org As part of our on-going commitment to customer service during the review process of your project application, we are providing you with a TARGET DATE for the initial technical application review. If for any reason we cannot meet this date, we will contact you with a revised target date. Your application review TARGET DATE is The TARGET DATE is the date we estimate your project application will have had its initial technical review. It is not the date for approval or permit issuance. Tips for a Smoother Project Application Review ➢ Submit complete, accurate plans and documents. Extra time may be required for re-submittals as project application reviewers work on multiple applications and it may be several days before they can look at your new or revised information. ➢ Designate a specific contact person to communicate with the City. While the person designated as the applicant's contact person with the City can be changed, one individual with the expertise for dealing with reviewer comments would be the best choice for the entire review process. ➢ Call staff regarding the status of your project only after the target date shown at the top of the page. Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us by your target date. Staff may contact you before the target date if the initial review is complete. By following this procedure,you will save time and allow the reviewers to complete the work more expeditiously. Steps in the Permit Process 1. Counter Complete. Your application has been accepted as counter complete. This means all of the required documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred submittal. This does not prevent technical staff from requesting additional information as a result of their technical review. 2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free from substantive flaws that would prevent technical staff from completing the technical review once it is started. When this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it comes up for review. 3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by phone,fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete. 4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re- submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections of the application are received, a Permit Specialist will process the application and contact the person specified on your application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by the Permit Specialist at that time. WHITE-APPLICANT PINK-BUILDING FILE REV 9/07 S f i (oCi 1 -75 -c4- 1 136 , 1 A-------# 0 , ID' . I 1 4----, 7 , ..• i q iii 0 I I I q_ I' . 1 , t , i I . ,-- *-----7-9 i -4,- ......., DO 1 k ta 7 . ...... t iig 4Z} 1 1 ••• i i! ) DC) & -75 1i 1 CN(') i ! I .-.... t! ; . i a -----V 1, i . , . • , .,, PLANNING DEPT. APPROVED By /---. ,..i. •el 4.,1 DATE. /,77/1 0 i , P-- vwxotor P(3.5* I 1 47:, to E , Val itLivickj c+-, , ,,.., -se0\C4OsNV W- Wolfer 5, \fr N