2010, 11-04 Permit App: 10003660 MH Project Number: 10003660 Inv: 1 Application Date: 11/4/2010 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 1984 14 X 70 MARLETTE MANUFACTURED Contact: CRONK,CINDY&RANDY L
HOME Address: 17304 E 4TH AVE
C-S-Z: SPOKANE VALLEY,WA 99016
Setbacks:Front Left: Right: Rear: Phone: (208)262-0500
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55192.1404 Block: 3 Lot: 4
SiteAddress: 17304 E 4TH AVE Owner:Name: CRONK,CINDY&RANDY L
Address: 17304 E 4TH AVE
Location::CSV SPOKANE VALLEY,WA 99016
Zoning: MF-1 MF MDR District
Water District: 134 CONSOLIDATED ID#19 Hold:
Area: 8,393 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:
CONTRACTOR LICENSE INFO
Septic Sys Review Released By:
Originally Released: 11/3/2010 By: LHALSEY
Landuse/Zoning/HE Conditions Released By:
Originally Released: 11/3/2010 By: cjjanssen
Permits:
Operator: JD Printed By: JD Print Date: 11/4/2010
. Project Number: 10003660 Inv: 1 Application Date: 11/4/2010 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
SETTING PERMIT 1 #SECTIONS $50.00
Permit Total Fees: $50.00
Notes:
Same location.2 bedrooms only.
Issued home occupation affidavit of exemption,Randy L Cronk, "Cronk's Reliable Tree Service",home
office for tree service business
Payment Summary• i e .�
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
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: 11/4/2010
• Permit Center
Spokane 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206 PERMIT FEE:
�f Valley6 (509)688-0036 FAX: (509)688-0037
wrww.spokanevalle y.org
Community Development
Manufactured Home
Permit Application OTHER
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SITE ADDRESS:
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner: Contractor: " ;p Y r.J_
Name: ? , r 3 .rr ,� Name: 1�- '�T
Address: + _ _; , Address: j 3 5a o .67._-1+1,1
City: `2� State: , Zip: ,,4 i A�+ , City: s p o� /1.)2_Phone �; , : State: lij A Zip:9 90/6
". ., -4 ,,`` Fax: ,,. j -, Phone: a��. � � � -17D � x:
Contractor Lic No: E,,16.7/ g
Contact Person City Business Lic.No: tll''
Name: 1 t
Phone:
Describe the scope of work in detail:
MANUFACTURED HOME
Width: /L/ Length:,7e)5 Year: a Pit Set: Septic/Sewer(
Manufacture: ll,/�a -/ell
Previous Address: IT G �, a `; -�j, ,
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Proposed Use:
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 applicationn be pr cessed
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Signature //,, (./ ie .� Date / /3/
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Method of Payment
9 Cash 9 Check ❑ Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
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For City Use Only
Spokane CITY PLUS Project Number
Project Address
alle ,z
y 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
{ Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time maybe requiredfor re-submittals as project application reviewers work on multiple applications and it
9 p I pP � p PP
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07