1997, 03-12 Permit App: 97001329 MH PROJECT NUMBER= 97001329 APPLICATION DATE= 03/12/97 PAGE= 01
PROJECT NUMBER= 97001329 APPLICATION DATE= 03/12/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7404 E 2ND AVE PARCEL#= 35241. 0505PTN
ADDRESS= SPOKANE WA 99212
PERMIT USE= SINGLE WIDE MOBILE HOME PLACEMENT
PLAT#= 001630 PLAT NAME= MIDWAY ADD
BLOCK= 5 LOT= 5 ZONE= UR-7 DIST#= D
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= SMITH, JAMES PHONE= 509 536 9531
STREET= 502 S CARNAHAN RD
ADDRESS= SPOKANE WA 99212
CONTACT NAME= JAMES SMITH PHONE NUMBER= 509 536 9531
BUILDING SETBACKS: FRONT= 25 LEFT= 10 RIGHT= 36 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING L & I SAFETY INSPECTION .lj 10
(len(
COMMENTS:
L' aff- Poslof Ate(-5
BUILDING SEWER PERMIT PENDING 1
COMMENTS: 3.1 2-C11 CI -4*(fib. df
BUILDING SETBACK REVIEW REQUIRED O' - - c2,-0\--*-
---
COMMENTS: C . �C _& ``Z•(=t `
ENGINEER APPROACH/ DRAINAGE/ FLOOD - e -/7 NA /r42
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY 114.7Z / y
COMMENTS: C-y ,�4_Q_O
A review is required by Labor and industries for
Ice ioiio'„'1i;3 !n relation to a manufactured home:
Date
l fes`„ r ___. — --.�—
4
L 4
PROJECT NUMBER= 97001329 APPLICATION DATE= 03/12/97 PAGE= 02
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 71 CAMELOT MODEL=
SERIAL#= WIDTH= 14 LENGTH= 70 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 1 50. 00
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 11. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 65.50 .00 65.50
65.50 .00 65.50
PROCESSED BY: CHRISTY HARGRAVE
PRINTED BY: CHRISTY HARGRAVE
******************************** THANK YOU ************************************
APPLICATION INFORMATION
/" What is the JOB SITE address? ASSESSOR'S tax parcel number?
732o G=. a&� 6-�a/�yl4/
Legal description as it appears on the property deed
"?._ OWNER or OCCUPANT Phone
.7.1/27 k- .'mi 7- ��Dfl fv�,- 5-3/ 6J( 9-'�i�i2-
Mailing address City,state Zip
Who should we contact regarding this project? Phone
What w rk is being done under this permit?
Lone Inspector district Property size Night of way width
y H
Water district
O d
Building Building height #of stories
' in
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Sign;
Width: , Length: / What is the square footage of How high is the sign?
/ 7 7/� the sign face?
Year: Make: v
/ ? / A/71c-.2_d7-
Installer Contractor
S6-L F
Wa State Contractor license# Wa State Contractor license#
Mailing address ep Mailing address
,5-a 2 - L'A,PN/7MMAf g i l Z
Relocation : Fire Safety #
Previous address - Fire Sprinkler _ • Tent _
Paint booth_ Fire Alarm _ ''**Fireworks display _
•
VALUE �,
Contractor Contractor .0
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel Storage Tanks Swimming Pool'
(Circle one) Above-ground Underground Size-/gallons Private .
Contents of tank(s) Size/gallons
r Public/serrprivate : _
Contractor • Contractor-7
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
G . At0 / U
I
i
` �
('Ii
Ii
i
1111 i. I
,. ....,
IIIIiiiIiWAIiiIiiliIiiIIIU.UUVA /0/
I % II
l!
i
,1
I)
7 .1.. s..
4 . i ,, . •
rimmulum..m.
• • . 141)7 r.,,,,,
F n NT I!!!!!
II , r. ", illiiMilli
W
I I 1 1 I 1 1 1 1 1 1 I -
6 6 ( _____----------,'
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
O All existing & proposed buildings
Department of Labor&Industries i t r I!--PI i i c it > 1 ` ' ^' 7 a r�
Factory Assembled Structures S i n L� 1 3 ::.: IALTERATION PERMIT
- �� L.L. Do not complete shaded areas
'
INSTRUCTIONS: /Permit N 70957 try '7
1. Complete all spaces,including the signature box(marked with an X). Imoicc##
2. Draw a map on reverse side of WHITE copy only.
3. Forward completed permit and fee to the nearest L&I office. See list on reverse. _T.
4. Contact and schedule the inspection with the same L&I office within 15 days. Insignia#
Owner last name first name Day time phone ... r '�s Date
Address / City State ZIP
Installer/Contractor/Dealer Phone I Contractor's registration number
( ) JI
Address City State ZIP+4
Check the appropriate boxes in section A and section B. FEES
A B ❑ Alteration Inspection(check appropriate boxes below) $75,00
Li Commercial Coach Air Conditioning/Heat Pump
Sepal No. Electrical 't a QJ
Electrical Appliances D[PAt TiLFINT OF LABOR & INDUSTRIES
LIMobile Home Fire Safety
Serial No. Gas Furnace MAR 12 1997
Gas Piping
HUD No. : . Plumbing
StructuralJ(: WA
Lil Recreational Vehicle or ❑ Park Trailer
Wood/Pellet Stove— — settatNb � <'I(�r
SesiatNv. 1' Plan Review $70.00
RV Inspection Ongtnal Permit
$70.00
Model No.or Plan Approval No. Reinspection No $50.00
Technical Inspection $50.00/hr
Signature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries
. _. . FEES DUE $
De artment use only
Request approved or Request denied because of specific violations of\Vashington rules and regulations. Violations
must be corrected and reinspection requested within 10 days for recreational vehicles and 20days for mobile homes and
commercial coaches of the notice of violation date. (This does not apply to technical inspections). It is unlawful to offer for sale,
rent,or lease any non-complying mobile home,commercial coach or recreational vehicle.
LiIncluded are forms required which must be completed and fees submitted before reinspection.
Date Arca office Inspector )(Total pages
F622-012-000 alteration permit 4-96 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser