1992, 06-02 Permit App: 92003914 MH SPOKANE COUNTY pEPARTMENT OF BUILDINGS
W. 1303 BROADWAY ",VENUE
SPOKANE;WASF4INGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92003914 APPLICATION DACE06/02/92. F AI F i
• *3M*ii* THI,�:'. ISNOT A PERMIT •*��*• **
PENALTIES WILL BEr=r':°;�'ESSE FOR COMMENCING WORK WITHOUT A PERMIT
T
SITE STREET= 1015 S WOODRUFF RD F'AR:C:I:"k.."» 20!:. 44-1 r;7
ADDRESS= SPOKANE. WA 99206
PERMIT USE REPLACE DOUBLE WIDE MOBILE HOME
PLAT„::::: 00 704 FIAT NAME= UNIVERSITY PLACE
15 LOT= 708 WIDTH='ZOZONE= UR-3.5 p;..:
AREA= 4 0000 , /f•t- I~ •1 I•{: 50 DEPTH= .150 k;"i>a:::: 60
OF BLDG E:::: j0 DWELLINGS= j WATER DIST
OWNER= L.ANC;AGE R, BERNARD PHONE:::: 509 926 0951
STREET= 1015 5 ; WOODRUFF RD
ADDRESS= SPOKANE WA 9 206
CONTACT NAME= BERNARD LANGAGER PHONE NUMBER= 509 92 ,...,...
BUILDING SETBACKS : FRON'T'::: 50 LEFT:::: 504. RIGHT= 30 REAR,,, 42
}i ::n;X•*:i**. •M•3*ni•}* :•3*• *ri•r**•*•* •9*)***# • REVIEW INFORMATION •N.•**** :,****.x ,**jt.:p•..H:J::*yt:u;*.,;;,,;. .*
DEPARTMENT REVIEW COMMENTS AF:PROVAI.. COMMENTS
----------
BUILDING SETBACK REVIEW RE::QUIF EI° .._._ . q, ....0 '' ._.... �....
HEAL.I.UiDIST NEW OR r-tD'D:I:'TIONAI... WAST WATE::F}° i .
*:*************y:*************** MOB.I:I...E. HOME I::*I..:F�'m:I. #» ,:, ;,;
CONTRACTOR= OWNER PHONE=
YR/'MAKE:.:: 1 985 S 1.L.VERCREST MODEL=
SERIAL: ::_: WIDTH= 28 LENGTH- 48 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
INSPECTION FE E. 2 100,00
STATE SURCHARGE ARCYE Y 4 .50
0
COUNTY SURCHARGE `r' 18.60
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME..PMT t 2.2 .,r?0 .,00 1 '22.50
PROCESSED BY : .JOHN I...ARSON
F:1:NTED BY : JOHN I...*.,R SON
bi 3*•* *t*iii*H:*3*•**i*i*•i*§*K•i*.y**.j* ;..}*3*,**i*3*•*3*•i*•i*• THANK y 17 4 J ****************************K****
/ . .
`
NOTICE
It is the responsibility of the permittee, not Spokane County to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimvm, the following
inspections ARE REQUIRED by County Code
1. FOOTING —when forms and reinforcement are in place and prior to placement of concrete.
NOTE:This nspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
|ineo, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The
responsibility to comply with applicable setback provisions lies solely with the permittee neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines.Please verify their location prior to locating your structure.Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING after all framing, bracing and blocking is in p|aco, and prior to concealing
4. INSULATION prior to the installation of drywall,
5. PLUMBING after rough-in, before covering, and final
6. MECHANICAL— rough-in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL—when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically
depicted on the approved site plan)required by ordinance oras a condition of approval of this permit.Items such
as the installation of fire hydrants,fire department access,on-site drainage("208 swales"),road improvements,
parking,and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
cono,ote, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE,
YOUR INSPECTOR IS
UNDER CERTAIN C|RCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drivesState or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations—please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit,please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery All such requests should be directed to the Department of Buildings at the address found on the face of this
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
. PARCEL NUMBER: 41/522c, ce / (c' �� )..
(\
STREET ADDRESS: jU, /e' / 5"-
CITY/STATE!ZIP: �.-. ./4 ate' . ?q ,-'
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: ` ^ L A A. C p = - p PHONE: (5-6 ? — p,e(,— O 9 c17
MAILING ADDRESS: S, / G / .5- 1'i' - 2 A V }-=
. CITY/STATE/ZIP: SPG fit A- 11( 2 14/A cS N ! �1« �►
CONTACT• PHONE: 1c - 9./G - n 9 J^I
SETBACKS: - FRONT: O LEFT: RIGHT: tic) REAR:
r
PERMIT USE: a ? r v7 / ;,f_% <c, er./ 'L' ;7-
*******************,k,k,k*******************is**********************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: .
CONTRACTOR: PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
• •
• T
Please provide the following information for Energy Code compliance:
•
Space heating type(check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area 0/0:
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
Please indicate on your plans:The location of the radon vent,and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement— Finished:
Unfinished:
Garage:
Carport:
Decks:
Additional Areas:
•
•
•
LENDER/BOND HOLDER:
ADDRESS:
CONTACT: PHONE:
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REMARKS (continued) :