1990, 09-17 Permit App: 90004663 MH • - , "-
„.
NT
SPOKANE COUNTY DEE' .0OF-BUULDUNG AND SAFETY
W. 1303 BROADWAY AVENUE
S�K�KANE,WASH|N��TON 99260
. • (509)456-3675
/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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
• SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90004663 DATE= 09/17/9O PAGE= Oi
APPLICATION
****************************** APPLICATION ************************** ******
1. SITE STREET= 9921 E 9TH AVE PARCEL4= 207.544-(:)'7;71
t ADDRESS= SPOKANE WA -99206
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLATO= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= • LOT= ZONE= AG%UB DI%T#= E
AREA= F/A= F WIDTH= 100 DEPTH= 75 R/W= 60
4 OF BLDG%= 4 DWELLINGS= i
OWNER= BOGLE JOHN L PHONE= 509 535 2146
STREET= P O BOX 13551
ADDRESS= SPOKANE WA 99213
CONTACT NAME= JOHN BOGLE PHONE NUMBER= 509 535 2146
BUILDING SETBACKS : FRONT LEFT= NA RIGHT= NA REAR
********* ����� �,
**************** REVIEW INFORMATION **************************
DEPARTMENT REVIEW COMMENTS APPROVAL
--`-------- -------------------------_---
;_.a - ,
BUILDING SETBACK REVIEW REQUIRED �-
/� ,
(2�� �'�INEER NEW COUNTY ROAD APPROACH 4AO1/15/
NEW OR ADDITIONAL WASTE WATER SeaeR
COPij(�J�� ---------------p--�
���- Cp� - �� N
` ^ ^ ^ '****************** MOBI( E HOME F����ff �����**��***��*�, *��,'�°x
'
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1977 GOLDEN%TATE MODEL=
%ERIAL#= WIDTH= 28 LENGTH= 48 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
----------
INSPECTION FEE / 2 100.00
STATE SURCHARGE V 4.50
COUNTY SURCHARGE Y 16.80
1 PERMIT TYPE FEE AMOUNT AMOUNT PAIDAMOUNT OWING
--------------- ------------- ------------
.
MOBILE HOME PMT • 120.50 .00 ` 120 .50
------------- ------------ ----------'--
i2050 .00 i2O .50
*************************************************************************«**
* PROJECT NOTE : TOPIC = GENERAL DEPT = BUILDING *
***********************************************************«****************
PROPERTY HAS BEEN SUBDIVIDED
****************************************************************************
* PROJECT NOTE : TOPIC = LEGAL DEPT = BUILDING *
****************************************************************************
�' INCLUDES PARCEL NO^20544 O772
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
******************************** THANK YOU *********************************
, .
�~
NOTICE
It is the responsibility of the permitteenot 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.Failureto 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. Typiou||y, side and rear yard setbacks are measured from
property lines, hi| setbacks for yardsabuttin 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 im-
proved street/ curb. The responsibility to comply with applicable setback provisions lies solely with the
perm ittee— 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. (Block-
ing for a manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING — after all haming, bracing and blocking is in p|aoo, 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.
In addition to the above inopootiono, any plumbing or mechanical systems or materials which would be concealed by
framing, drywuU, 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 QRCUMSTANCES, 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 if 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 Building-and Safety at the address
•
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION W RKSHEET
5///t-t 7i qPARCEL NUMBER:- 337-
UMBER:_ j 3 6 r r
STREET ADDRESS: - 7,7)_/ % ,
/ �(
CITY/STATE/ZIP: �, / 1 ! 7r,„2-6o
.)
SUBDIVISION: //i". / 4'41 AL
BLOCK: 7 LOT: //f //--ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILD?
UILD NGS: F WELLINGS: WATER DISTRICT:
OWNER: ( _ / PHONE:,_,W °�/�
MAILING ADDRESS: e# 4117"Apr
CITY/STATE/ZIP: / / / 2 72.--/j
CONTACT: PHONE: - -
SETBACKS: - FRONT: 9"& LEFT: RIGHT: kr REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
;' `',THIS INSIGN MAINS' PROPERTY OF ,�a� `..r.o„`
/,'"
, STATE OF IN TON, DEPARTMENT OF c y
1 `LABOR ANDal USTI IES
F 22-830-OUB ",'';!'•': '�_ APPLICATION FOR REQUESTEDs. D REGULATIONS FPS IN01 IN COMPLIANCE WITH RULES y�/see\'''°. .
-71 'f aE HOMES. RCW 43.22.340. A l Al* DO NOT complete this block
HOME REANN•,AIME FITMENT INSIGNIA SHALLNOT HAVE ITS CONSTR C ;• INSPECTION � p..........,.,..._.........».,
TpN PLUMBING NEA ODU IMG OR ELECTRICAL EOUIPLAENTAND INSTAIIA NS' Col no.
OR.CORER D U !.ESS APPROVAL IS.FIRST OBTAINED FRO THE i
586-6085 "
ARTMENT OF A :INDUSTRIES. SELLER ) Fees recd plans
.* 7 9 4 5 2 A S E CERTIFIES Insignia
e wner
,
' .. ra.J. ;._ --c--1--the »...._......
nearest L&I Inspection office* to schedule 3 Inspection S v _
TIME& DAY for inspection. Offices listed below. ]toute to _
,/ ft.Ojflces are ONLY open between 8:00 am and 5:00 pm Monday through Friday. by v Q. �-1
,NO.' : Th "nsi nia fee is NON-REFUNDABLE. / -0 I
Date
Owner/ 7 �/ �►' Phone (between Sam to 5pm M-F) a „W Check no c3 - 0 `)
n - --'7) re - G' Insignla # i R Li 5a
ess �„ i I1;4 ;., , > Dealer Phone
SVS �! „`�ft.:.r,li...fa ;, :et, :',,-.,: :i,... »»» »» �..:_».».. 04/22/91 7159fz3 002#81f;0::, :,::
CI ,,State ZIP Address » » »». FAS $75.-00
' /3'.:.:..::23.c_./ :.. `3..:.. CHECK $75.00
stal er/Contractor Phone i City State ZIP
Z('-f/.---- -- r•-V-WZ.)
ddress k
Mobile HomeRecreational Vehicle - Commercial Coach
City State ZIP 3 Contractors registration number
i
Please send completed application & check to the nearest Make check payable to: Dept. of Labor & Industries
L&I location listed below.
Plans • Technical Inspection Alteration Wood Buming Fire Safety Insp.. Re-Inspection
$70.00' $50.00 $75.00 Appliance $75.00 $75.00 $50.00
Uesc�n of work . & r
7
17 g)(2-3 7 40 / X l'vl , i ,4 7
//. J. • i ailf-61-7L-.
/ i , cif �y�T' 7i
ll Call Readyfor inspection /`»
,q :P• Attach 'and drawn mai giving directions to location
Mobile Home/Recreational Vehicle/Commercial Coach
Serial No. Location of Vehicle
Manufac rer
•..Keei 1/ .ee./r,‘/116 •
P.
•' Date "si: am . appli o authorize. re'resentative •
Re-Inspection required /
•
...::_,..,. nspector � �%e' Phone #,...,.M..,». »,»...,..,...:....
Visual Inspection Completed Date / •
•
,.......,. ."---<..<,r,..',.::.,,.,,.....,,< •
•::- :.. ,.., :....:. aCo�,;i• • ..t.,:.,,.,,—. , .,..
ABERDEEN *Dept. of Labor R. Industries Mobile Home Inspection OfficesA
2700 Simpson Ave. `� P i3o5 Tacoma Ave s •3os
Aberdeen WA 98520-0013 EPHRATA MOUNT VERNON Tacoma WA 98402-1988
(206) 533-9300 (206) 593-2855
21 C Street SW 1220 Memorial Hwy
Ephrata WA 98823-1895 Mt Vernon WA 98273-1406 VANCOUVER
BELLEVUE (509) 754-4608
300 120th Ave NE (206) 428-1350 10401 NE 4th Plain
124 Vancouver WA 98662
Bldg 4
KELSO OKANOGAN (206) 696-6295
Bellevue WA 98005 711 Vine St. 1234 2nd Ave S
(206) 455-7048/7074 Kelso W A 98626-2621 Okanogan WA 98840-0632
6 WALLA WALLA
(206) 577-2200 (509) 422-2550 1815 Portland Ave
BREMERTON
Walla Walla WA 99362-2264
4841 Auto Center Way X201
KENNEWICK OLYMPIA (509) 527-4437
Bremerton WA 98312-3440 500 N. Morain #1110-A 805 Plum St SE, 2nd fir
(206) 478-4558 Kennewick WA 99336-2607
Olympia WA 98504 WENATCHEE
(509) 735-0100 (206) 586-6085 123 Ohme Gardens Rd
EVERETT
Evergreen Way Business Center Wenatchee, WA 98801-9620
KENT SPOKANE (509) 663-9713
8625 Evergreen Way *250 19435 W ValleyHwy Y E 3901 Main St
Everett WA 98208-1801 Bldg S #108 TAF C33
YAKIMA
(206) 356-2932
Kent WA 98032-2114 Spokane WA 99220-4033 1716 S 16th Ave
(206) 872-6343 (509) 456-2793 Yakima WA 98909-5713
F622-012-000 APP FOR INSP. 12-89 (509) 575-2667
its'