2011, 07-11 Permit App: 11002017 MH ProjectNumber: 11002017 Inv: l Application Date: 7/11/2011 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 14 x 70 1977 BUDDY MANUFACTURED HOME Contact: LEFEBVRE,SALLY A
Address: 4211 E NANCY AVE
C- S-Z: MEAD,WA 99021
Setbacks: Front Left: Right: Rear: Phone: (509)000-0000
Group Name:
Site Information: Project Name:
Plat Key: Name: APPLE VALLEY EST 2ND ADD District: East
Parcel Number: 55192.1808 Block: Lot:
SiteAddress: 17307 E 6TH AVE Owner: Name: LEFEBVRE,SALLY A
Address: 4211 E NANCY AVE
Location::CSV MEAD,WA 99021
Zoning: R-3 SF Res District
Water District: Hold: ❑
Area: 9,585 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Septic Sys Review Released By:
Originally Released: 7/11/2011 By: LHALSEY
Landuse/Zoning/HE Conditions Released By:
Originally Released: 7/8/2011 By: MPALANIU
Permits:
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
Operator: JD Printed By: JD Print Date: 7/11/2011
Project.Number: 11002017 Inv: 1 Application Date: 7/11/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Same location. 2 bedrooms.
Payment Summary:
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: 7/11/2011
:.: . Community Development Department (Staff Use Only)
Permit Center
SSiTyc�H 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
pokane Spokane Valley, WA 99206
Valley Tel: (509) 688-0036 PERMIT FEE:
'� Fax: (509) 688-0037
oermitcenter@spokanevallev.orq
MANUFACTURED HOME PERMIT APPLICATION
0 OTHER
SITE ADDRESS: LI 30-7 L i0' 1 U e t '1� tVA,1ii � c G\C13k,7
ASSESSORS PARCEL NO.:A s ,--\C\Ud. LEGAL DESCRIPTION: L,04 14 F14.)\oc,\Ig,
BUILDING OWNER NAME: Sr,, . l --e_,` V V
NAME: &\ \J Ve Fr x>\)
•
ADDRESS: L" '9... 1 E . N c c A vc_ f e,a (,_,A.)0,
CITY: /We CN. STATE:STATE: .d�/C\ - ZIP: ""L
PHONE: .-5-0—1 - H to
fj - G9'S LC ,� AX: CELL: 5 0 ` S 3-t'30.58
� 1V
9TAGT NAME: � �^�,
C� V`-� Os, e
PHONE: FAX: CELL: 7::;09 2:1
�� o'? `r
z-A'1
CONTRACTOR NAME: '`------_,.?{)-C., iii._ -?;$79 VC-- C li1/4'"-
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE S OPE OF WORK IN DETAIL AND INDICATE U E:
/'`- \,.a. rc.c.-No v \e,.,\.o",,, e, - �. r., ', \'C rs—k. F' tri A- 1,"'((} lel. Q :.i i ,Y�c F,�7,
I
T
MANUFACTURED HOME WIDTH: I I-I ,
MANUFACTURED HOME LENGTH: C)
YEAR OF MANUFACTURED HOME: A7 c.)\--...4, C P to tie,e
PIT SET: SEPTIC SEWER:
MANUFACTURER: 13(.0.4 c...\\/
PREVIOUS ADDRESS:
PROPOSED USE: •
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 v'olation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequen y approved before this application can be processed.
Signature 1 p"\A-N\,.,,T--. t CA-^ -
i c s'ie
e ..
i
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestoraget1.44qp/40/948/ 49 Manufactured Homef Permit_1-11-11.doc
,Heather Morris
From: Halsey, Lance [LHalsey@spokanecounty.org]
Sent: Monday, July 11, 2011 10:45 AM
To: Permit Center
Subject: RE: 17307 E 6TH - 11002017- MANUFACTURED HOME APPLICATION
Taken care of- PLUS signed off. Thanks, Lance.
From: Jenna Davis Lmailto:jdavis@spokanevalley„prg] On Behalf Of Permit Center
Sent: Friday, July 08, 2011 2:16 PM
To: Meyer, Eric; Halsey, Lance; Warne, Patty
Subject: 17307 E 6TH - 11002017 - MANUFACTURED HOME APPLICATION
Please review the attached permit application and notify the permit center once completed. Thanks!
Jenna Uavis„
permit Specialist
City of Spokane Valley
11/C3 U Sprague Ave SI U--3
SPokane Valley, Wa WCC
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PLANNING DEPT. APPROVED
/ v1' M . iUfaC,TtUP,E() Home t S M Exi5�u.v,
BY: <�,
SI U C1 Ue-c Ari 1) WAS PLACR se c-12AL
DATE: 7/Y1zoll yeArzs przioR Tb THIS E-AuJ
• Target Date sheet
For City Use Only
PLUS Project `)0
SCITY
Project Address
1-7 > t CQ A)
Valle
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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
-' 1t
The TARGET DATE is the date we estimate your project application w 11 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 may be required for re-submittals as project application reviewers work on multiple applications and it 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.
CD-003 V-7/06-21-11 Page 1 of 1