2005, 08-03 Permit App 05002892 MH/SPOKANE COUNTY UTILITIES/SEWER & GFC
1026 W. BROADWAY, SPOKANE, WA 99260
(509) 477-3604
Received From
Site Address
Account Number
Dollars $ /G 00
HOW PAID
CASH
CHECK
MONEY
ORDER
RECEIPT No. 03656
S+�ocJ Date % 1 0.5
(viG ,f I.fG. 6 eicx-k P'7Aco�r�
!93a F. C'o/y4,e 551.,53, 9Go/�(7r_c/ine6e.e_ nem&
By
1
Spo"kane
.000Valley
"y `.\BU1Li7,ING PERMIT APPLICATION WORKSHEET
ity of Spokane.Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
a Spokane Valley, WA 99206
0 hone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: / ,6 ! f
Assessor's Tax Parcel Number(s):
Legal Description:
/
53.0 0, I O 1
%l2t 5"5ho m(X)
PERMIT DESCRIPTION: c �"k
❑ Building Permit
❑ Relocation
DS
i►,'
trd
(ooioc)
❑ Change in U ❑ Grading Manufactured Home
❑ Tenant Improvement ❑ Fire Safety E.Other
OWNER/APPLICANT INFORMATION
El Owner. A,ii v, TGlrrine. _}(e)Wer
Phone: 4z2. 73 05 Fax:
Address: l 9 Z/ � P i3airitA )4;1 Aka
s ,` ()'2 f f i.W A q90/ p
Ci State Zip Code
0 Contractor: 140vY� 6n
Phone: Fa
Address:
City
! i'.sLL C
❑ Applicant: kiS
Phone:753 32Z3 Fax: 2.7 4
Address: /c98
5 / Va bug `.
ity State
7637
Zip Code
❑ Architect:
Phone: Fax:
Address:
State Zip Code City
• WA State Contractor License #:
State Zip Code
Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: l /
lS
DIMENSIONS:
z& �gerx . //
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2'4° FLOOR SQ. FTG:
UNFIN BASE NT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: ZO(-8/r Length: ‘a Se (-sift
Manufacturer:
6<GrSAen
Year Zoos' Pit Set: Ves
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
P1 BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
Fax:
❑ WELDING
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name A Citp5Sln Signature %% �����t -7--1
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard n VISA ❑ Other
Bankcard #:
Expires: VIN#:
Authorized Signature:
,451 •
Lounag
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DATE:
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1 SHALL EE LOCATED AT A MAXIi424 OP 2 I-ttt FROM
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FIGURE 4.5
ZCD CNs..? LOcr>1T LAYOUT FOR ttLT(-.
23
KARSTEN HOMES BY 13OMEBOYS
Double Wide Pads For Karsten Homes, Pads Must Be Level And Smooth
NOTE: This is Not For Low Walls Or Basement Sets
UseA
Minimum
Of 2 Pieces
Of 112"
Rebar For
Side Pads
24" T
This Area Is
For Fill Dirt
Fill Dirt Must
Be Compacted
And Level
With Fads.
Note: Never
Incase Water'
Line in
2"
96"
Use A Minimum
Of 4 Pieces 1/2"
Rebar For
Center Pads
g4Q
24"I
This Area is
For Fill Dirt.
Fill Dirt Must
Be Compacted
And Level
With Pads.
Note: Water
Line Should Be
Stubbed In
Before Placing
Concrete.
Water Line
Should Be
4to5Feet
Below Finished
Grade.
24" s
48"
Use A
Minimum
Of 2 Pieces
Of 1/2"
Reber For
Side Pads
Tit Pads Together At Ends. Refer To Cheri For Exact Length. Always
Cheek With Your Local Building Department ariment For Exact Codes.
i Honr
28x40
28x44
28x48
28x50
128x52 j28x56
28x60
28x64
28x66 j
i Iriani
1
Pad
40'8"
44'8"
48'S"
54'8"
152'8"
156'8"
60'8"
64'8"-
66'8"
Size
3
1
t
1
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