2015, 04-29 Permit: BLD-2015-0005 Inspect SCITY OF
11MANUFACTURED
ED HOME INSPECTION RECORD CARD
#: % /
4000110
Valley OWNER:PERMIT i„_O6`
ADDRESS:, ,5/lo N 11�/O Spit /,�A W,4 9
MANUFACTURER 0-34/-- MANUF DATE:
1911
MODEL: � S'�aSERIAL NUMBER: pOyC /
"HUD" LABEL/STATE LABEL NUMBER: J ocp/ DATA PLATE: / 9
DEALER: Pe 7 / 'S 01,41-z DEALER#:
ELECTRICAL-L& I FINAL APPROVAL: L ,, l,5 3/A47 '79.
INSTALLER: y
e% C h � I JI o WAYNES#: me 6-,,.,�. p,,
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: R Vh n - �4
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEER DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: � r
SIZE: 10(
I j
PIERS: MATERIAL � K
SPACING: <-
SHIMS: YeS
LOT/SOIL CONDITIONS:
ANCHORS: - SPACING: 6 le--e7'
EQUIPMENT USED: lakt- 5
EQUIPMENT APPROVED: yes
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE: irldit
ATTACHMENT TO HOME: KS
POLY ON GRADE: yes
ACCESS PANEL: Ye S
COMMENTS ;Perm/' 16 r /�., //._ S� 0/1 /)/
*FINAL APPROVAL MEETS .E REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: 7 ( DATE/TIME:
ORIGINAL COPY:CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER