Loading...
2001, 07-31 Permit App: 01006309 MH -- W - Project Number: 01006309 Inv: 1 Application . Date: 7/31/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: SEDROC CONSTRUCTION Address: 810 KIDD ISLAND BAY C-S -Z: COEUR D'ALENE,ID 83814 Setbacks: Front 30 Left: 38. Right: 35 Rear: 38 Phone: (509)499-0383 Group Name: Site Information: Project Name: Plat Key: 000188 Name: BETTMAN'S ADD District: D Parcel Number: 35243.0870 Block: 4 Lot: 7/8 SiteAddress: 6122 E 11th AVE Owner:Name: VESTAL,VIVIAN B SPOKANE,WA USA 99212 Address: 6207 E 12TH AVE Location::SPO SPOKANE,WA 99212-0214 Zoning: UR-3.5 Urban Residential 3.5 Water District: 101 SPO CO WATER DIST#3B Hold: ❑ Area: 0 Sq Ft Width: 100 Depth: 135 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 n orm R eview I f Department Review BUILDING Site Plan Review Released By: ' ' Hold Reasons: Permit Conditions: BUILDING Plan Review LReleased By: f ''wall ®!_0 Hold Reasons: Permit Conditions: H ALTHDISTRICT Septic System Review Released.By: / '1 N f1 -LL� , ‘i'tirStli Hold Reasons: Se roar Brain **ma Permit Conditions: c Jy. f �i • ura ENGINEER Approach/Draina!!Vir Ver , - . °'"�1— — PP .', Ir. ased By: �:mw1a YaVetat.� ill assns r..•r-. i Permit Conditions: O j JA 111.lel e)t rAiii,511 / / PLANNING Landuse/Zoning •Messed y: if; .a _a_,, , s 4I Hold Reasons: CV, e_,Q A 4 l iViAk 4 4 0 ' C to ' / . i. e__ Permit Conditions: Project Number: 01006309 Inv: I App1ic itlOri Date: 7/31/2001 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Manufactured Home Contractor: SEDROC CONSTRUCTION LTD Finn: SEDROC CONSTRUCTION LTD Address: 810 KIDD ISLAND BAY Phone: (509) 747-1815 COEUR D ALENE ID 83814 Item Description Units Unit Desc Fee Amount INSPECTION FEE 2 SECTIONS $100.00 COUNTY SURCHARGE 1 Y OR BLANK $22.00 Permit Total Fees: $122.00 Payment Summary• <:: .... . Operator: MKC Printed By: MKC Print Date: 7/31/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Manufactured Home $122.00 $122.00 $0.00 $122.00 $122.00 $122.00 $0.00 $122.00 Ci - 6-5001 , .. .. . . . iocii PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 111 1 SPOKANE, WA 99260 509-4SPOKE CouNrY Street Address: /jc9 � J/ . ECIFIC SITE INFORMATION Assessor's Tax Parcel Number(s): 36. �( /'� /j F 2Z S`0 Q 7O Legal Description: [i Z J` V V Project Description: ❑ Building Permit ❑ Change in Use ❑ Grading ^\Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks C 3 bO ( Front Rear: Sctrict. vziik. Fire District Zoning. (` uL ...s.--- Left. Right OWNER/APPLICANT INFORMATION El Indiaale who should he eonladed n;ga dint Ihts prow ❑ OwnVre / / Phone: 5.35 r"23 CI Applicant: Phone. ji I/IQ/4 6s�q/ Fax: Fax: Mailing ss: Mailing:Address: &des 7 f i�� Cin',S 7,ip City,State,Zip 6). Qqd/02 ❑Co rnetor /` Phone g 9'- s'.2/974/ ❑ Architect l:ngnneer Phone 1 d6_ Or), I:ax pax Mailin��ess,4 1 1____ _2_, 4 am r�' Mailing address City, ate/.i (�J(�ff //////���,,, Cite.,State Zip WA Stat C.t ractor license# Concoct name: 5PPro CL, o(�� A/ PROJECT INFORMATION Building Information Building height to peak #of stones Main floor sg.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2nd floor sq. ft. Finished basement sg.ft. Occupancy group Construction type Garage sg.ft. Deck sg.ft. Cost of project I teat source(electric,gas,etc.) Manufactured Home Sign Width: // Length: t l/ What is the square footage of the sign flow high is the sign? 6, 6face? Year: Ma) // #of signs Area of existing signs cifq7 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 Examiner Phone Inspectors: Address Inspector Phone 0 Concrete D Welding 0 Bolting O Reinforcement Address ITIONAL SITE INFORMATION Are there structures on the property? 0 Yes No What is the current property size? Ifyes,ident f sia site plan (square feet or acres) ( 3 Is any part of the property within 250 feet of a shore'? What is the current use of this property? If yes,identifi on site plan 0 Yes0,01No Is your property in a designated wildlife habitat arca? Will the site be served by a septic system? Yes 0 No 0 Don't know 0 Yes �No Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property? Ifyes,identib,on site plan Ifyes,identz'on the site plan 0 Yes No 0 Maybe 0 Don't know 0 Yes No I Arc there any wetlands,streams or ponds within 200 f:_cet of the property? Is there evidence of fill or excavation on the property? Ifyes,identifj'on site plan D Yes No 0 Yes �No \re there slopes greater than 30%on the property?(30 ft se in 100 ft) Arc critical or hazardous materials used or stored on site? ( l°i) 0 Yes ( No O Ycs o DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No DYes DNo Is the property inside the ASA? 0 Yes D No Is public water available to the site? 0 Yes 0 No D Yes D No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? O Yes D No Date Recen ed: Staff Representative: METHOD OF PAYMENT MOM ;01.11- SUBTOTAL VISA 0 C:vSlI 0 Cll?CK ❑ ❑ 0 .- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD ll:\'17:: LXPIRl?S: TOTAL FEE B:ANKC:ARD NUMBER: MINIMUM PERMIT FEE IS$35.00P1 E tsl: 11,1,CHECKS P\Ya3LE TO SPOKANE \UDI l ORl/,I:D SIGN.ATURN: a uzrx PERMIT cINrr_R o0a f /7 SALE/DEVELOPMENT SEGREGATION PARCEL NUMBERS: X$ Z . O 2 This application to be completed in'entirety before we can process, including all _---_.__ v , 0676 documents passing properties into new *ownerships with their respective mailing addresses. Include new record of survey,if any (recorded copy). APPLICANT TAXPAYER /S Name ici .: .' _ TAX STATUS: Z),- ,7 ,? Address _(o.� A.-=/� 1ql/� Name 54-A'2----- All property-tax must be current City Address can be acceptedby state law, . application State 4 >)1- ZipQ9.,- /� . City Phone?i,7.5 ,S— 77 Iork .9)5 3c' </../ .5 State • Zip YOU WILL NEED TO SHOW BUILDING PHONE #'S LOCATIONS ON YOUR ASSESSOR MAP OWNER /S IF NOT APPLICANT F61 & INITIAL FOR TAX PURPOSES , . Name Name - -__ GYeGh`T' S Address Address i) R7Ti'-jmv5 .D 1--rG '7' City • City 3 Safe Zip . , State � Zip • - ) &Tr/A/A/U$ PHONE #'S APPLICANT IS: © C�RT)/Jc T D� 7JN�r77 )J �� NTT?' t31REL7 W��N T/3X 1��.1 Owner Name PAY&-/.5 ARE $4 1/)&-So:IFTEI) ❑ Purchaser Address USDA &- ''Wi4.p1, " Ec El Lessee . 0 Other * R ORbED/87'I City State Zip PLANNING DEP TM ENT REVIEW PHONE #'S Approved PLEASE READ BEFORE SIGNING: Division of land for the purposes ofsale or lease mustDenied . be dfvid?d fn / rccordance with applicable state and local laws governing such divisions. (Contact your local City or County Planning I OFFICIAL'S SIGNATUR ,lea" A"� Departmant for further information.) Complete this form and return with supporting documents, if any necessary for OP M ) / name changes, to the Spokane County Assessor's Office at 1116W Broadw-ay Ave, Spokane,WA 99250 "' Telephone: (509)477-3699 it *`this segregation Is for the division of property(same owner, sale or lease; or transfer of ownership (more than one Date received in owner), by recorded deed or contract. p ,y /4ppimv�`-5 A D7'" 7 8' 15 8- �} Assessor's office �� - .__3-:�� TJ5�15/C ZUJApA3Aj" 7 ,X p,9,gc --"L, • feelt Dy (signature) . // "' — -r,e.� "� --- _ DATE' 6 --.„75-----.d- �/-- . / OWN (Ir 4 r'r.NIM,C' fir/^,AT A rr+r, T s- \b �'� Blank Site Plan !1 — =--- ,/00 \ Ej e of On-Site Sewage Application \ / Elevations 1 I �6 h b Stubout 3� 'roperty Owner Name g wf �e+ Septic Tank \ S I �`'�'`,\y_._ I O � PropeR Owner Address Inlet p 0,0g)ZONE Vv\''-' t FkpNKIN Aipplica ame Outlet _ UQ //__r FRONT-- `I, '..,p0 ddress "D^Box ,v v 0 COMMENTS CO&, . `- Applica ignature Inlet RENi1EWED aY and Date Outlet /� \\ 6.Arliy 1Site Parcel Number \ J _ "` - f '� �co,e ;2 I ' Site address \ 1 tk00 Testhole Evaluator Legend / 3(�1 1 1� Testhole Evaluation Date Site Evaluator / / / 1/ / /� Site Evaluation Date x,...,11,--,.; aL/ / /_ J)(viA g /j Drinking Water Supply I (�lG �� ti 7 Parcel Size IvNIl/ System Type tr.2._________/1q Sewage Source[ ]residential [ 1 commercial Tank size / 6ec(-00In ' Drainfield size or,leach bed • SLR: l S5 1bj0 01 i �® P r✓ ei) 0 ,---- %d Reviewer Name 14,i , Reviewer Signature I l (Q —I _ Date of Design Review _ -- INSTALLATION NOTE: Modifications of this design during installation are — l not authorized without advance approval by the designer. Changes in installa- 1 I �o�9 0 (11 tion depth,system configuration,or substitution may render the installation ,�h unacceptable. CONTACT THE DESIGNER FIRST AND THEN THE DESIGN REVIEWER PRIOR TO CONTINUING CONSTRUCTION. `(� / �—— , l a , ,„„., Designer Name _ .. (print) Designer Signature 1\ 1' \ I . �_ — — — —1 55, _ Date of Final Design Submittal This site pisn is being submittedifonlissofillsee4dr exceeds all applicable State and local regulations for on-site 41 rill\. Obtaining a building pent*11111011+8il4✓RIPfndnforms to BEST PRACTICE as outlined in the applicable `� representation of the QrOpOli{ t l{�4 lt tee ocuments hnesldimensions,curb lines, res and . have been identified.Also indieattliid �urutnents/54A/designpage Revised 6-18-01 Spokane Regional Health Distnct- it bt�dles of water,steep a10rOr other. .. - C\ � �C72V afrl 0 4 J a f C „I- 1 t ,. `b4642 Blank Site Plan ///� RI 1i i 1°° /./La' m Date of On-Site Sewage Application 3 t 1-b) Elevations ` e 1 ( \`� k o a- Property Owner Name V t ti 144 Vt>T (�f al_ Stubout / 3 A Property Owner Address G Lal t, iZ� ut n Septic Tank 30 l inlet I Applicant Name S8--t_ Outlet - Applicant Address S,r►.-L -Cr Box :� alrg;t •Applicant Signature Inlet and Date _ Outlet i Site Parcel Number z ys_ (Wilke /, i f�a'se —� vSTa Site address rot it S. //at liv4-,l -,moi 1 J Testhole Evaluator It,,,a1 g-tlAs-per - Legend � 36 • - Testhole Evaluation Date 4' Z.(,-o/ Site Evaluator / / / // / Site Evaluation Date (9// 6.61 f 39 L// Drinking Haler Supply SP011.—e 1>,rf 03 Parcel Size I Si C-ru C w.i.........) 1 System Type Le4,.,,4.3,.1 6 C111^•1•7j Sewage Source[4residential ( )commercial a Tank size /ni - 1 I Of - Drainfield size or,leach bed 533-0” ` SLR (9 4Z /35 I�C 0� t ____.,.. _.__.... _..__. ....o... , (-Reviewer Name-Il,r.+� Reviewer Signature � � �� t Date of Design Review 7 )/-y/ r �Q _ 0II 1 _ _ _ �nf r 1 INSTALLATION NOTE: Modifications of this design during installation are \K c I I not authorized without advance approval by the designer. Changes in installs- 1 lion depth,system configuration,or substitution may render the installation Q �Z unacceptable. CONTACT THE DESIGNER FIRS'.F AND THEN THE ;)1;� DESIGN REVIEWER PRIOR TO CONTINUING CONSTRUCTION. 19 To up Designer Name ►G _ r \ � RI (print)En I Designer Signature 1 1 . i Date of Final Design Submittal 3t m<-1 This proposal meets or exceeds all applicable State and local regulations for on-site fi /IrUp' Ci sewage systems andconforms to BE'STPRACTICE a_,outlined in-the applicable y J 0 Standards and Guidance documents / (.... i . 1 ...—.) i D Pax anal ertpwells/homedocumaiu/S4A/dnivpage Revised 6-13-00 Spokane Regiorseltal Health Districts r /60- IV'' 6r 1