2011, 04-21 Permit App: 11000970 MHProject Number: 11000970 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/21/2011 Page 1 of 2
Project Information:
Permit Use: 1969 24 X 52 PARU (PERMITTED BUT NEVER Contact: MALLICOAT, BRIAN
FINALED 97002320) Address: 504 S FLORA RD
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-9365
Group Name:
Site Information: Project Name:
Plat Key: 000078 Name: APPLE VALLEY EST 2ND ADD District: East
Parcel Number: 55192.1803 Block:
Lot:
SiteAddress: 17410 E 5TH AVE Owner: Name: MALLICOAT, BRIAN
Address: 504 S FLORA RD
Location:: CSV GREENACRES, WA 99016
Zoning: MF -1 MF MDR District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 9,663 Sq Ft Width: 72 Depth: 131 Right Of Way (ft): 50
Nbr of:Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Septic Sys Review
Released By:
Originally Released: 4/21/2011 By: Lhalsey
Landuse/Zoning/HE Conditions
Permits:
Released By. •'_ Y -,,,""'y � >�
Originally Released: 4/18/2011 By: tschmidt
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
SETTING PERMIT
Units Unit Desc
2 # SECTIONS
Operator: JD Printed By: JD
Fee Amount
$100.00
Permit Total Fees: $100.00
Print Date: 4/21/2011
Project Number: 11000970 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/21/2011 Page 2 of 2
Notes:
Same Location. 3 bedrooms.
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $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. Subsequenfissuance 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: 4/21/2011
.w;
Spokane
��Valley�
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcentorPsnokanevaIlev.orq
(Staff Use Only)
PERMIT NUMBER: 1.--0970
j/
PERMIT FEE: KDC)
MANUFACTURED HOME PERMIT APPLICATION
2 OTHER
BITh•AISD}&SS: / 2 `/ In F .4"--r"
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME :71 rJc'p NQ'/// i'OQj_
/lora l'd
ADDRESS: c0 7 S
ciTY: SS nolic va
PHONE: Cog Z 3o ^3 E �O
STATE:
FAX:
611
ZIP:
CELL:
f9c/1
CONTACT NAME:
PHONE:
FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
clESCRIBE_-..HES1ZQPE OFWORK IN DETAIL AND INDICATE USE:
=MACS UE TURE EP-110101E3ALIDTH:- 2
cMnL JEAC.T.DRED:J3.O:MEtENGTH:-
rYEABtOT-MANUFACTURED-HOME:; _,... /76
.,
PIT SET: SEPTI SEWER: -Y
CMANUFACTURER: ray K .0 a. %/Par u
PREVIOUS ADDRESS: /
cRROPOSE Ey- -�-
eS;- 1-1o(CI \
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 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) The 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 application can be processed.
%
Signature,, , , 2 /Zt
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Manufactured_Home_Permit_1-11-11.doc
Si�1�C�
Site Address: 17410 E 5TH AVE
Parcel Number: 55192.1803
Zoning: MF -1
Fire District: FD 01
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
New project ❑
Previous pre -app meeting o
Plan revisions D
Transmittal Date:
Monday, April 18, 2011
Project Number: 11000970
Water District: CONSOLIDATED ID #19
Applicant: MALLICOAT, BRIAN
504 S FLORA RD
GREENACRES, WA 99016
(509) 924-9365
e-mail:
Contact: MALLICOAT, BRIAN
504 S FLORA RD
GREENACRES, WA 99016
(509) 924-9365
e-mail:
Contractor: OWNER
( ) - 0
Owner: MALLICOAT, BRIAN
504 S FLORA RD
GREENACRES, WA 99016
e-mail:
Occupant:
e-mail:
Arch / Engineer:
e-mail:
Project
Description: 1969 24 X 52 PARU (PERMITTED BUT NEVER FINALED 97002320)
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
APPLICATIO
1
SITE PLA
n
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Spokane
aofiUalley
Y
For City Use Qttly
PLUS Project Number ff I --0Ci T
Projmr5s
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 'commitinerit to customer service during the review process of year .projedt
application, we are providing you with a TARGET DATE for the initial technical applicalion'review. If for
any reason we cannot meet this date, we will contact you with a revisehd target date:
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application wilt have had its =initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review fr
➢ Submit complete, accurate plans anddocuments.
Extra time may be required for re -submittals as project application reviewers" work on multiple, applications and h
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 ifyou haven't heard from ps
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.
.t
2. Quality Check. The next step in the procesa.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 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 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 subsegiuent,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 REV9/07
PLANNING DEPT. APPROVED
3 e\-1"
N