2000, 05-31 Permit App: 00004389 MHProject Number. 00004389 Inv: I, Application Date: 05/31/2000 Page 1 of
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Pemut Use: PLACEMENT OF 14 X 70 MOBILE HOME i Contact: GOODNER, THOMAS L
Address: 11020 E 10TH AVE
C - S - Z: SPOKANE, WA 99206
Setbacks: Front 40 Left: 16 Right: 8 Rear: 91 Phone: (509)924-9094
Group Name:
Site Information: Project Name:
Plat Key: 001998 Name: PIERCE ADD District: F
Parcel Number 45213.9234 Block: Lot:
SiteAddress: 11020E 10TH AVE Owner: Name: GOODNER, THOMAS L
SPOKANE, WA 99206 Address: 11020 E IOTH AVE
Location:: SPO SPOKANE, WA 99206
Zoning: UR -5.3
Water Dist.a:
Area: 0 Sq Ft Width: 98
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Review
Site Plan Review
Hold: ❑
Depth: 145 Right Of Way (ft): 40
5.3t'OC7
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
i/QM
Hold Reasons:
Pemut Conditions:
ENGINEER Approach/Drainage gy S-00 aK
Hold Reasons:
Permit Condition
BUILDING r Special) Reviews By/—
Hold Reasons:
Pemut Conditions:
�0 //////
PLANNING Landuse/Zoning g. ��� (�(J s1 -31L0_.
Hold Reasons:
Permit Conditions: U _
Permits:
Project Number. 00004389 Inv: 7 , AppllcAtion Date: 05/312000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000,00 000000
Item Description
INSPECTION FEE
COUNTYSURCHARGE
Pavment Summa
Manufactured Home - -
Firm: OWNER
Phone: (000)000-0000
Units
Unit Desc
Fee Amount
I
SECTIONS
$50.00
1
YORBLANK
$11.00
Pernit Total Fees:
$61.00
Operator: DMD Printed By: DMD Print Date: 05/31/2000
Pemut Twe Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $61.00 $61.00 $0.00 $61.00
$61.00 $61.00 $0.00 $61.00
Notes:
COOKING FACILITIES MUST BE REMOVED FROM STORAGE
BUILDING PRIOR TO OCCUPANCY OF MOBILE HOME
Project Description:
a9- 438`1
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
TYPE OF APPLICATION
O
Building Permit
O
Change in Use
❑
Grading
Manufacmred Home Permit
❑
Relocation
O
Sign
❑Tenant
(New/Change)
OOther
SPECIFIC SITE INFORMATION
Street Address: I I O Q s I D-rR_
S S poKAjw A" 9
Assessor's Tax Parcel Number(s):
lea D E2
Legal Description:
Fax:
Department Use 0 l
zy.h.
Wnee Dmmt/l„,x.yor:
s..wuDmdr,rn„Neyor
Conam"o. type
R -d widm
Se,bnk,
Fmoi. Rear.
Idc RigLc
SA -1 D-1.1
F.—Diana,
WR
]Doing
OWNER/APPLICANT INFORMATION
0 lndimre wbo sbou[d be romuaed xegmCivg ebuprojett
PROJECT INFORMATION
Building Information
Ph— 92,L-_go1jlf-
OAPPlicam: Ph—,
lea D E2
+a+rRK %._
Fax:
M1as ng Add—
zy.h.
MailingAdd—
Ifo E. t
Conam"o. type
Gangesµ A.
Q, S,,,,, Z,
Caa of project
1,.s -,Zip
WR
9 6
CAnvIIml
Phone
O Archaec,/Fagi„ur Phone
/t IE ry I
Fax
I'ax
Mailing address
MdGng address
��<(
N . �Y
C"y Su¢ ZIP
Cry. s'— Zip
Oil O N S
R�02 t
WASu,eca,nee,ne 1,1 111
51
PROJECT INFORMATION
Building Information
Building hesph,, peak
Nn(s,rics
Mnln floorsq.@-
Unfinished b.—,e,sq-h.
Dimensions
1 I i
Tonl hah�tnblespare3""door
zy.h.
Finished buemen, zy.&.
Ou,,, n,y group
Conam"o. type
Gangesµ A.
Deck xy. h.
Caa of project
11", sw—, (elecrr,q gu, e¢.)
ELEG G
Manufactured Home
Sign
Width: 141
IYngh: I
?0
What is the square footage of the sign
face. a
How high is the sign?
Year:
(98
Make
T RRA
is of signs
Area of existing signs
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
paint booth_ Fire Alarm Fireworks display
proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Ex.—, Phnne
Inapeamas:
Address
I s, ideoti onsite plait ❑ Yes No
Inspector ph—
[I Concrete ❑ Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes O No
What is the current pm(perty sv I
I es, identify onsite plait
(square feet or acres I X (5
Is any part of the properly within 250 feet of a shoreline?
What is the current use of this property?
I s, ideoti onsite plait ❑ Yes No
P,651 64-�`R
Is your property in a designated wildlife habitat area?
Will the site be served by aseptic system? O Yes No
❑ Dont know ❑YestKNO
No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Ifyes, identify em sirupsbm
Ifyes, identib on the siteplan O Yes *No
O Maybe ❑ Don't know ❑ Yes
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
Property?
O Yes XN.
ify, Alemofy onsite tior O Yes No
Are there slopes greater than 30% on the property? (30 it rise in too h)
Are critical or hazardous materials used or stored on site?
O Yes No
❑ Yes No
DEPARTMENT USE ONLY
Is the property
in a designated Stormwater Control Area?
Is public sewer available to the site? es O No
O Yes
O
No
Is the property
inside the ASA? (-Yes
O
No
Is public water available to the site? "es O No
❑ Yes
O
No
Is the property
inside the PSSA? 9'Yes
O
No
Is the property located within 3000 feet of a Natural Resoy�ce
Area? O Yeso
UmeNe¢ived. Salt Heprtsenrmivv.
�rpav�n[ of Labor & Industria - Qs AL
Faumry Assembled Snucnues Section
INSTRUCTIONS: -
1. Complete A spaces, including the signature box (marked with an X). %a
2. Draw a map on reverse side of WHITE copy only.
J. Forward completed permit and fee to the nearest L&I office. See list on reverse.
4. Contact and schedule the Inspection with the same L&I office within 15 days.
Check the appropriate boxes In section A and sectio
A Commercial Coach
'- Serial No.;.
Cyt gar .❑ Mobile Home
I r)a4
Recreational Vehicle or ❑ Park Trailer
Fs a. -1N- .
�J
5�7zy
i ii Dae
-300 ��-�-OC)
,C ,- u> u� 990 s 7
- Requestapprovcd or Request denied heaause of spacinc violationsof Washington rules and regulations. Violations
must be corrected and reinspection requested within 10 days for recreational vehicles and 20 days for mobile homes and
commercial macho of the notice ofviolation date. (This does not apply to technical Inspections). It Is unlawful to offer for sale,
rent, or lease any non -complying mobile home, commercial coach or recreational vehicle.
la I dad arm [oma l d rtich ust G-�romp1 ¢d and fees suhm�tted before Ieins}techon �'�� �. Fo �.
Dat_ Area oEtie Insp�tor / 1 'Dotal pages
F622-012-000! alteration permit 4-96 Whim-0lympia Gnzn-Cnntmctm,' Csnary-hispcctor pink-Pmdraser Goldcruod-Pun'haw
EEM
B ❑Alteration
Inspection (check appropriate boxes below)
$75.00
Air Conditioning/Heat Pump
Electrical Trans L : 99119697
Electrical Appliances .,
tie Safety 02/02/2040 10:18
Cres Furnace Cufrea., : fE4.25.
Gds Piping
Plumbing
Structural
Serial No.
Wood/Pellet Stove — —
Plan Review _ _ — — —
$70.00
Rei Inspection—
�
$70.00
Reinspection _ _
& t
N _
$50.00
Technical Inspection
—
Y -
$50.00/hr
// Make check payable m: Dept. of Labor & Industria
aj
<`2 FEES DUES
S s/
- Requestapprovcd or Request denied heaause of spacinc violationsof Washington rules and regulations. Violations
must be corrected and reinspection requested within 10 days for recreational vehicles and 20 days for mobile homes and
commercial macho of the notice ofviolation date. (This does not apply to technical Inspections). It Is unlawful to offer for sale,
rent, or lease any non -complying mobile home, commercial coach or recreational vehicle.
la I dad arm [oma l d rtich ust G-�romp1 ¢d and fees suhm�tted before Ieins}techon �'�� �. Fo �.
Dat_ Area oEtie Insp�tor / 1 'Dotal pages
F622-012-000! alteration permit 4-96 Whim-0lympia Gnzn-Cnntmctm,' Csnary-hispcctor pink-Pmdraser Goldcruod-Pun'haw
1�t+US u,)kLL- b15ASj;t'
klT-r—HLA 4 r15F r'c'm
ti�Bt3 i l �'aervlGt ? 25-q' y ��
!(��D Ior'k AVL t
�II�+ti
I 1 ._ _.—''Y- �4 I-.' J OSB 01
1 This site Pla.' is
being submitteandds a rue a ao s". t
obtaining 8'o0i10in9 P seI. PAI own prop
t �! repseq
resentation of the pro op structur s and easemablc
I line sldimansions, curb Ilnes,
f have been Identified. Also indicatot er cescaaarreas. f {
bodies of w or, steep sl e
Signed:
1 Deter -� I
I Ck�l� r,IaK
? 0 I
ADDR S: f�
i N ZONE: 3 6
ICY ROAD IDTH:
4! x 4 ON - INKING:
I 3' COMM N
I� i fb� upd16 E.9Y
18 rl¢ A-ve 10
gis-rloG- 1 s1, M.
yviz5�- 11 ""15'RE c
f
t
!C!}ftlt� LICK �FSc�
This site plan is being submlCed for 'he purpose of
obtaining a tuilding permit and is a true and correct
representation of the proposal.structures and easement;
lines/dimenssons. curb lines,
have been identified. Also indicatedareother critical bodies of wal� steep, s cp=_/-_� o -
Date: --
ADDRESS: IL 2C E- I / " Z l t
ZONE: LA f-5 3 . s
ROAD WIDTH: 4(i N bg I
FRONT 4461 FLANKING:
COMMENTS: l
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ADDRESS: IL 2C E- I / " Z l t
ZONE: LA f-5 3 . s
ROAD WIDTH: 4(i N bg I
FRONT 4461 FLANKING:
COMMENTS: l
REVIEWED NFL
I
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