2000, 05-12 Permit App 00003782 MHProject Number: 00003782 Inv: 1 Ap? lication Date: 05/12/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: CARE TAKERS MANUFACTURED HOME Contact: MCELFISH, BRANDEN J
REPLACEMENT Address: 324 S DISHMAN RD
C - S - Z: SPOKANE, WA 99206-3120
Setbacks: Front 56 Left: 15 Right: 117 Rear: 25 Phone: (509) 922-0557
Group Name:
Site Information: Project Name:
Plat Key: 005063 Name: BEN PETERS ADDITION District: F
Parcel Number: 45202.1803 Block: Lot:
SiteAddress: 324 S DISHMAN RD Owner: Name: MCELFISH, BRANDEN J
SPOKANE, WA USA 99206 Address: 324 S DISHMAN RD
Location:: SPO SPOKANE, WA 99206-3120
Zoning: B-3 Regional Business
Water District: Hold: ❑
Area: 19,903 Sq Ft Width: 109 Depth: 172 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
BUILDING Special Inspections P P (., � Z . By:
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review ��By: Q r
Hold Reasons:
Permit Conditions:
Permits:
Project Number: 00003782
Inv: I Appllgation- Date: 05/12/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: OWNER
Firm: OWNER
Address: 0
Phone: (000) 000-0000
000000, 00 000000
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: DMD
Printed By: DMD Print Date: 05/12/2000
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
Notes
Project Number: 00003782 Inv: I Ap15lication Date: 05/12/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: CARE TAKERS MANUFACTURED HOME Contact: MCELFISH, BRANDEN J
REPLACEMENT Address: 324 S DISHMAN RD
C - S - Z: SPOKANE, WA 99206-3120
Setbacks: Front 56 Left: 15 Right: 117 Rear: 25 Phone: (509) 922-0557
Group Name:
Site Information: Project Name:
i wi�wr�nn
Plat Key: 005063 Name: BEN PETERS ADDITION District: F
Parcel Number: 45202.1803 Block: Lot:
SiteAddress: 324 S DISHMAN RD Owner: Name: MCELFISH, BRANDEN J
SPOKANE, WA USA 99206 Address: 324 S DISHMAN RD
Location:: SPO SPOKANE, WA 99206-3120
Zoning: B-3 Regional Business
Water District: Hold: ❑
Area: 19,903 Sq Ft Width: 109 Depth: 172 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Devartment Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits:
Plan Review
c
Special Inspections (� tG T , By:
--
Septic System ReviewR �M By.
M
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
gPnKAM:P Cnr IAT F -V 509-477-3675
Project Description:
TYPE OF APPLICATION
O Building Permit
O
Change in Use
O
Grading
Manufactured Home Permit
O Relocation
O
Sign
O
Tenant (New/Change)
I O Other
SPECIFIC SITE INFORMATION
Street Address: a 4 f
N ,
�v
Assessor's Tax Parcel Number(s):
0 Applicant. � Phone:
--,> Fax:
Legal Description:
Dimensions
Depart' -ent Use 0 l
Mailing Address:
Water District/Purveyor:
Sewer District/Purveyor -
S9,�C
Road width
Setbacks
'Front Rea
Left: Right-.
School District: -
Fire District:
❑ Architect/Engineer Phone
Fax
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
El Owner:
l�, ���
Mt!/�' `
Phone:
Fax:
g�aa-Qs
0 Applicant. � Phone:
--,> Fax:
Mailing Address:
a
Dimensions
Total habitable space
Mailing Address:
City, St e, 1-apL
X20
S9,�C
City, State, Zip
❑ Contractor
Phone
Fax
Heat source (electric, gas, etc.)
❑ Architect/Engineer Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license N
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
k of stories
Main floor sq. ft. 1q
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
n
Cost of project �%, J t 'a (lO
Heat source (electric, gas, etc.)
Manufactured Home Sign
Width:
Length: What is the square footage of the sign
1/0 face?
How high is the sign?
Year: 93
Make: N of signs
Area of existing signs
Relocation Fire Safety
Previous address
Fire Sprinkler Tent
i� P -
n f II 1
Paint booth _ Fire Alarm Fireworks display _
Proposed use
Special Inspections Required?
Non -Residential Energy Code Compliance?`
Firm Name Phone
Plans Examiner Phone
Inspectors:
Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes 0What
is the current property size?
I es, identify on site plan!�opj
(square feet or acres
Is any part of the property within 250 feet of a shfie?
ore
What is the current use of this property?
Isn�
es, identify on siteplan 0 Yes No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? Q Yes 8 No
O Don't know O Yes 4EYNo
Is public water available to the site? 0 Yes O" No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
If yes, identify on site plan -
If yes, identify on the site plan 0 Yes
O Maybe O Don't know O Yes �M - No
Is the property inside the PSSA? 0
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property? ,
property? /
0 Yes f�No
I es, identi on site plan 13 Yes No
Are there slopes greater than 30% on the p F;rty? (30 ft rise in 100 ft)
Are critical or hazardous materials used or stored on site?
L�7 Yes O No
O Yes o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? O Yes 0; No
0
Yes
0
No
Is the property inside the ASA? 0
Yes
O
No
Is public water available to the site? 0 Yes O" No
0
Yes
0
No
Is the property inside the PSSA? 0
Yes
0
No
Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 0 No
Dale Received: Staff Representative:
ZONES -
--'�—
gOAD WIDTH. FI.pNKING:
FRONTa'�Dft
�Z�
OMiy1ENTS
This site p'an is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easement:
have been identified. Also indicated are wetlands,
bodies of wat r, steep lopes of r cri ical areas.
Signed:
Date:
t!
C
Ise J'L Il
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