1992, 05-06 Permit App: 92003134 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W►1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 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:::: 92003134
APPLICATION DATE= 05/06/92
PAGE. (a1
•»: •**:n* THIS IS NOT A PERMIT •y+9,: •**•*
PENALTIES W:I:i...I... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17210 E: 5TH AVE:: PARCE L.:a =:: 19552-1908
ADDRESS== GREENACitES WA 99016
PERMIT USE= DOUBLE WIDE MC1BTi...E HOME (REPLACEMENT OF SINGLE WIDE)
PLATO= 000078 PLAT NAME= APPLE: VALLEY ESTATES 2ND ADD..
BLOCK= 4 LOT= 8 ZONE= UR -7 I)TET4=:
AFiE:ti''- 0000000)0 F/A= F WIDTH== 8:3 DEPTH= 120 R/W= 5.
N'
OF FtLDGS=:: 1 :": DWELLINGS= i WATER DIST = CONSOLIDATED IRRG „i
OWNE:R::: HARTFORD( f i._C)UI SE
STREET= 17:.'.10 r' ':5TH AVEE
ADDRESS:::: GRE"ENAC:ld> WA 99016
CONTACT NAME= L_OUISE: HARTFORD
509 92 9519
PHONE NUMBER= 509 924 9519
BUILDING SETBACKS: FRONT== 25 LEFT= 48 RIGHT= 9 REAR 39
ir* ii**•N: {•** ****rt• .***)c•M:•ii*•it•****N: REVIEW INFORMATION .*.*' *••.**n*•*•;iat•x**•x•**n***:A .
DEPARTMENT REVIEW COMMENTS
BUILDING ;:E'rEtA(:;K: REVIEW REQUIRED
I••IE:.AI...THDIST 1:r1CISE." •t.'.'F
CONTRACTOR= OWNER
YR/MAKE= 1 992 NASHUA
SE.RTAL_:"==
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CC C I... ,., .nl I r F r
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ITEM DESCRIPTION
INSPECTION FEE
STATE. SURCHARGE
COUNTY SURCHARGE
PERMIT MIT TYPE
MOBILE HOME PMT
APPRI'i I
i' Ci E NTS
PHONE=
MODEL= VILLA
W:FI)TE•I- 26 LENGTH= 56 HEIGHT=: 10
QUANTITY FEE AMOUNT
4.50
Y -18.,00
IEE AMOUNT AMOUNT PATI) AMOUNT OWING
122.50
2? h [50 .00 122.50
.122.50 ., 00 122.50
F'R(.7CE:,SSE 0 BY: ,J(.1i...:EE: EHA TTo
PRINTED BY: JULIE SHA—(.TO
u****## •**•x•**-ri** ***a Mr•**#**•x•*at••x• THANK you ***xii *** :;exr:* :ri** .**. ***: ******
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 minimum, 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 inspection 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
lines, 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 place, 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,
concrete, 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 CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives, State 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
permit.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. .✓
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes.. Points of ingress4and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move' gh existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the Ceusty Engineer and%3r State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LIl�
Name of Owner
Architect
Engineer
Contractor
Address
Address
Address. �1 �
y✓IO4 44/2 -e-i-?1
4/7 -e -i -?1 . Address c., 5» 2— -e z ter"(!
Legal Descrfion of Property (Give complete description from deed, tax receipt, etc )
g t 12 -J e Ab, y a.i# et 2
AA -to P 44. /9 55 o _ /7,"
Phone
Phone
Phone 7 p
.2.6"//
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 8 1( )'1.17
Stories ..Dimensions /I/ A fntn
Rooms SL. Baths Basement '_mi —
(nFull, part. none
Heat. System jp?0... J-. Type of RoofingExt Finish
Use of Bldg. . 11-4_1.0Hp-sit t. alt .vte.
Moving Bldg. Zone / Fire Zone A
Sewage System `r -r. f'M4, Const.
Fr., Conc., Br., etc.) w
Total Sq Ft (; Valuation /0i WO'
Chimney r ind) Fireplace(Number
—0"
.l Int Wall Finish ✓uM 2A in
No of Unita—Bedrooms 2
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLAN
property lines; (2), street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH RESIDEN
AL - _ OMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I berrhy certify information submit te)i is correct and there are no other structures located on this property except
as show
-1e/e
Owner or Agent Date
A LANG USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be 5 / / c 7
Sewage Permit Number Issued
Remarks
Building Permit
The zone isRP0 2.77/-6
Receipt % 51 K Issued