2007, 07-20 Permit App: 07002621 MHProject Number: 07002621 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/20/2007 Page 1 of 2
Project Information:
Permit Use: PLACE 1996 FLEETWOOD MH 27 X 44 Contact: CAPAUL, CARSON
Address: 1406 S WINTER RD
C - S - Z: SPOKANE VALLEY WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 993-1309
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45193.0903 Block:
SiteAddress: 1405 S WINTER RD
Location:: CSV
Lot:
Owner: Name: CAPAUL, CARSON
Address: 1406 S WINTER RD
SPOKANE VALLEY WA 99212
Zoning: UR -7 Urban Residential -7
Water District: 020 EAST SPOKANE Hold:, ❑
Area: 9,925 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Originally Released: 7/20/2007 By: JLMain
Landuse/Zoning/HE Conditions l ,
S � F
Permits:
Originally Released: 7/10/2007 By: tschntidt
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
INSPECTION FEE
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: jmm Print Date: 7/20/2007
Project Number: 07002621 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/20/2007 Page 2 of 2
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
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: jmm Printed By: jmm Print Date: 7/20/2007
Project Number: 07002621 Inv:,1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/9/2007 Page 1 of 2
Project Information:
Permit Use: PLACE 1996 FLEETWOOD MH 27 X 44 Contact: CAPAUL, CARSON
Address: 1406 S WINTER RD
C - S - Z: SPOKANE VALLEY WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 993-1309
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45193.0903 Block:
Lot:
SiteAddress: 1405 S WINTER RD Owner: Name: CAPAUL, CARSON
Address: 1406 S WINTER RD
Location:: CSV SPOKANE VALLEY WA 99212
Zoning: UR -7 Urban Residential -7
Water District: 020 EAST SPOKANE Hold: ❑
Area: 9,925 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Landuse/Zoning/HE Conditions
Permits:
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Contractor: OWNER
Item Description
INSPECTION FEE
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: jmm Print Date: 7/9/2007
Project Number: 07002621 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/9/2007 Page 1 of 2
Project Information:
Permit Use: PLACE 1996 FLEETWOOD MH 27 X 44 Contact: CAPAtJL, CARSON
Address: 1406 S WINTER RD
C - S - Z: SPOKANE VALLEY WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 993-1309
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45193.0903 Block:
SiteAddress: 1405 S WINTER RD
Location:: CSV
Lot:
Owner: Name: CAPAUL, CARSON
Address: 1406 S WINTER RD
SPOKANE VALLEY WA 99212
Zoning: UR -7 Urban Residential -7
Water District: 020 EAST SPOKANE Hold: ❑
Area: 9,925 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
By:
Landuse/Zoning/HE Conditions
•
edgy.
Permits:
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
INSPECTION FEE
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: jmm Print Date: 7/9/2007
Project Number: 07002621
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/9/2007 Page 2 of 2
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type Fee Amount Invoice Amount
Manufactured Home $100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $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 fords 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: jmm Printed By: jmm
Print Date: 7/9/2007
S" " °`kane
4„,jAo Valle
y
Community Development
Permit Center
11703 E Sprague Ave, S 'te B -
Spokane Valley, WACEME
(509)688-0036 FAX:
www.s . okanevalle .o
Manufactured Home
Permit Application
6
-0037
JUL 0
0 Lin
OTHER
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: / _5, Win +fir t ,
ASSESSORS PARCEL NO: - LEGAL DESCRIPTION:
Building Owner:
Name: 7
%
G�fSDY► { s�p®t 1
IA 1
Address: Moe, S/, /i
S. \l r' R€4 .
City: ;r46..," State: (, /A Zipeig2t2
Phone: 53 r /1,01 Fax:
Contact Person
Name:, r� Ori G—ice �/
Phone: TT3- Sv l
Describe the scope of work in detail:
O/974-- /C
Contractor: /f/,A
�/
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
71-4,-91 /(47' c"if ,%2‘7
MANUFACTURED HOME
Width: .2 7
Length: /II
Manufacture: nee.fw�1/4„,
Previous Address: C'
r74
Proposed Use:
Year:
Pit Set: A
Septic/Sewer:
—4144/e", -n -s
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City 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 additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
IX Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Check
7
Date r7/640 k /a F2
❑ Mastercard 0 VISA
Expires: VIN#:
1oof+
North
1
Sat
< old mobile pad
•
•
10x20 shed
200 sq. ft.
OME
1
66ft
• -
• new mobile
•
•
•
•
•
property square footage = 9925
17ft
Winter Rd. r.
existing driveway
1405 S. Winter Rd. parcel # 45193.0903
$071'
North
1
i
< old mobile pad
•
•
10x20 shed
200 sq. ft.
A
am -
10 x 20
~
3
6ft
t
• new mobile
•
•
•
•
property square footage = 9925
nos 17 ft
gaol
Winter Rd. r~
existing driveway
1405 S. Winter Rd. parcel # 45193.0903
North
< old mobile pad
•
•
10 x 20 shecl
200 sqft.
Gft
• new mobile
•
..
r
•
•
i
property square footage = 9925
PLANNING DEPT. PPROVED
BY.
DATE: -7/10/0-7
17ft
jos-
500
Winter Rd. .•F
existing drivevy•ay
1405 S. Winter Rd. parcel # 45193.0903
1
•
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
1
Site Address: 1405 S WINTER RD
Parcel Number: 45193.0903
Subdivision: CURTIS PARK CLUB TRACTS
Block: 1 Lot: 3
Zoning: UNK Unknown
Owner: CAPAUL, CARSON
Address: 1405 5 WINTER RD
SPOKANE VALLEY, WA 99212
Building Inspector:
Water Dist:
Project Number: 07004564 Inv: 1 Issue Date: 7/10/2007
Permit Use: SEWER CONNECTION - BEVERLY HILLS/CURTIS
PARK
Applicant: CAPAUL, CARSON
1405 S WINTER RD
SPOKANE VALLEY, WA
99212
CAPAUL, CARSON
1405 S WINTER RD
SPOKANE VALLEY, WA
99212
Setbacks - Front: Left:
Contact:
Group Name:
Project Name:
Phone: (509) 993-1309
Phone: (509) 993-1309
Right: Rear:
1
Permits
1
Sewer Connection Permit
Contractor: OWNER
License #i OWNER
SEWER CONNECTION
1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
1
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
7/10/2007
Receipt # Payment Amt
3813
$100.00
1
Notes / Conditions of Approval
POSSIBLE ERODIBLE SOILS ON SITE. EROSION AND SEDIMENT CONTROL MEASURES REQUIRED IF PRESENT
Processed By: DOMPIER, DAWN
Printed By: Lemley, Linda
Page 1 of 1
PERMIT