2011, 10-12 Permit App: 11002949 MHProject Number: 11002949 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 10/12/2011 Page 1 of 2
Permit Use: 201127 X 44 MARLETTE PACIFIC Contact: LUMPER, LEANNE JOY
Address: 1411 S WINTER RD
C - S - Z: SPOKANE VALLEY, WA 99212-3025
Setbacks: Front Left: Right: Rear: Phone: (509) 928-1128
Group Name:
Site Information: Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA District: Sout
Parcel Number: 45193.0902 Block:
Lot:
SiteAddress: 1411 S WINTER RD Owner: Name: LUMPER, LEANNE JOY
Address: 1411 S WINTER RD
Location:: CSV SPOKANE VALLEY, WA 99212-302
Zoning: 14-4 SF Res Urban District
Water District: 020 EAST SPOKANE Hold: ❑
Area: 8,000 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Other Reviews
Released By:
NEED VERIFIED STATE & CITY CONTRACTOR'S LICENSE
Originally Released: 10/12/2011 By: jdavis
Landuse/Zoning/HE Conditions
Released By
Sewer Review
Originally Released: 9/19/2011 By: TSCHMIDT
Released By:
Permits:
Operator: JD Printed By: JD Print Date: 10/12/2011
Project Number: 11002949 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/12/2011 Page 2 of 2
Manufactured Home
Contractor: ACE MOBILE HOME SERVICE Firm: ACE MOBILE HOME SERVICE
Address: 369 Woodland Dr Phone: (360) 387-7477
Camano Island WA 98282
Item Description
SETTING PERMIT
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$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: 10/12/2011
Silame
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
MANUFACTURED HOME PERMIT APPLICATION
❑ OTHER
SITE ADDRESS: N
1t (..d 2
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: � (1 E � ) L v
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iy
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NAME:
ADDRESS:
CITY:
PHONE:
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FAX:
STATE: (API ZIP: ! 9z 1 z -
CONTACT NAME:
PHONE:
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FAX:
CELL: 1 - ' 1 Cj ` g“j!
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DELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
PHONE:
CONTRACTOR LICENSE No.:
i1111111=i�vdg P.0 ,
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STATE: �1 I` rIP: •
FAX:
EES:
CITY BUSINESS LIC NSE L
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
MANUFACTURED HOME WIDTH:
MANUFACTURED HOME LENGTH:
YEAR OF MANUFACTURED HOME:
o� 1
Aye
PIT SET: v SEPTIC SEWER:
incuai,u02_ 100.4-cf cr,
MANUFACTURER:
PREVIOUS ADDRESS: <� '_
PROPOSED USE:
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DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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 perml : • • represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley De elopme t code. Referenced odes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley pe mit is no a permit or appro for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may b require. to be submitted a . bsequently approved before this application can be processed.
Date:
7/f9 1
Updated 1-11-11 Page 1 of 1
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Oregon. City. OR 97045
503.722-450 )
503.722-98:'3 fax
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Fax
To: f4exerme
tiTeArina
503-722-9878
J&M HOMES
From: Jim Morgan
Fax: t1)9-921-1008 Pages:
Phone: Date: 10-11-11
Re: Lumper
cc;
0 Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle
Hello Aoxan 1e,
I am sendin.: you a print of the application for the Spokane Valley license that is required for Ace Mobile
Home service to be my set up crew and therefore release the permit for Arlene Lumper. If you could
please contact me and let me know what our next step is in order to get the pen -nit released I would
appreciate it.
My cell phone number is 503-268-9206.
Thank You
Jim Morgan
J&M HOMES
877-645-450D
p.1
1 11:41a
503-722-9878 p.2
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Stele of viashi-glon
,Business ,_tcensmg Service
[Department of Licersing
PO Box 5034
Olympia uVA 98507-9034
Business License Application
Receipt
Congratulations! The application has been submitted.
Filing Dale and Time:
UBllssued:
Application Transaction #:
Credit Card Ppproval #:
Last 4 digits or Credit Card #: 8459
Credit Card tyle: Visa
Total fees to I:e billed to your credit
card 523.00
Print Receipt
Oct 10 2011 4:25:05:000PM Pacific Time
20112835515
3182891050003322364281
Below are the licenses you are applying for.
Licenses with n.: additional requirements:
Tax Registration $0.00
These licenses must be approved before you start these business activities. If the regulatory agency
requires additional information they will contact you directly_
City of Spoke-eValley License $13.00
Processing Fee:
Total fees to be billed to your
credit card:
$15.00
9 20.00
Do you want to print or save your entire application? s Yes C No
Continue
SPOKANE COUNTY
SPCSKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 1411 5 WINTER RD
Parcel Number: 45193.0902
Subdivision: CONVERTED CNTY DATA
Block: Lot:
Zoning: UNK
Owner: YARROLL, HELEN
Address: 1411 S WINTER RD
SPOKANE, WA 99212
Building Inspector: MARK WALKER
Water Dist:
Project Number: 10004594 Inv:
Permit Use: SEWER CONNECTION
1 Issue Date: 8/31/2010
Applicant: LARRY MILLER EXCAVATING
7117 ERUTTER AVE
SPOKANE, WA 99212 Phone: (509) 218-3335
Contact: LARRY MILLER EXCAVATING
7117 E RUTTER AVE
SPOKANE, WA 99212 Phone: (509) 218-3335
Setbacks -Front: Left: . Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: LARRY MILLER EXCAVATING License #: LARRYME918DR
PROCESSING FEE I S15.00 SI SEWER CONNECTION
Total Permit Fee:
3125.00
5140.00
**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.
**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.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER 1S TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF TI -IE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT TI -IE 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.
Payment Summary
Total Fees AmmmtPnid AmountOwing
$140.00 5140.00 50.00
Tran Date Receipt # Payment Amt
8/31/2010
Processed By: DOM PIER, DAWN
Printed By: Force, Faith Page 1 of 1
3752 5140.00
PERMIT