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2008, 12-01 Permit App 08001898 Set MH in FPProject Number: 08001898 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Date: 12/1/2008 Page 1 of 3 Permit Use: SET NEW 2008 40 X 60 MARLETTE HOME IN FLOOD PLAIN Setbacks: Front Site Information: Contact: J. A. SWIFT ENTERPRISES Address: 13005 N PITTSBURG C - S - Z: SPOKANE, WA 99208 Left: Right: Rear: Phone: (509) 939-1908 Group Name: Project Name: Plat Key: 003208 Name: SP-0421-86 District: Sout Parcel Number: 45294.9088 Block: SiteAddress: 2610 S DISHMAN-MICA RD Location:: CSV Lot: Owner: Name: MORRISON, JAMES A & LOIS A Address: 2610 S DISHMAN MICA RD SPOKANE, WA 99206-3334 Zoning: R-2 SF Res Suburban District Water District: 101 SPO CO WATER DIST#3B Area: 1.57 Acres Width: 0 Depth: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information • Hold: ❑ Right Of Way (ft): 70 Review Flood Plain Released By: OK PER DEANNA GRIFFITHS Originally Released: 12/1/2008 By: JLMain Building Plan Review Released By: PER MANUFACTURED SPECS Other Reviews Originally Released: 5/21/2008 By: JLMain Released By: Originally Released: 12/1/2008 By: JLMain Operator: jmm Printed By: jmm Print Date: 12/1/2008 Project Number: 08001898 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Landuse/Zoning/IIE Conditions Date: 12/1/2008 Page 2 of 3 Released By: Sewer Review Permits: Originally Released: 5/27/2008 By: kkendall Released By: NEED SEWER PERMIT Originally Released: 12/1/2008 By: JLMain Contractor: J A SWIFT ENTERPRISES Address: 13005 N PITTSBURG SPOKANE, WA 99208 Item Description Flood Plain Firm: DALE SWIFF/J A SWIFT ENTERP Phone: (509) 468-5975 Units Unit Desc FLOOD PLAIN PERMIT 1 NUMBER OF Permit Total Fees: Manufactured Home Fee Amount $50.00 $50.00 Contractor: J A SWIFT ENTERPRISES Firm: DALE SWIFT/J A SWIFT ENTERP Address: 13005 N PITTSBURG Phone: (509) 468-5975 SPOKANE, WA 99208 Item Description INSPECTION FEE Units Unit Desc 2 # SECTIONS Fee Amount $100.00 Permit Total Fees: $100.00 Operator: jmm Printed By: jmm Print Date: 12/1/2008 Project Number: 08001898 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/1/2008 Page 3 of 3 Notes* Existing manufactured residence shall be removed from site prior to placement of 40' x 60' new manunufactured residence. must abide by the conditions in 21.30.090-C-3 for manufactured home in a flood plain. WILL NEED SEWER CONNECTION PERMIT FROM COUNTY BEFORE ISSUANCE OF MANUFACTURED HOME PERMIT Conditions of approval exist for lots served by Ponderosa Ln. A habitat management plan is on file. See file for Ponderosa Ln. - jforry Payment Summary: Permit Type Fee Amount Invoice Amount Flood Plain $50.00 $50.00 Manufactured Home $100.00 $100.00 Amount Paid $0.00 $0.00 Amount Owing $50.00 $100.00 $150.00 $150.00. $0.00 $150.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type ofwork will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 12/1/2008 Spokane �Valley� Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 - ~ (509)688-0036 FAX: (509)688-0037 ww w.spokanevallev.org, Manufactured Home Permit Application Y r_~. r) BALLEY MAY 21 NOB IVIIT CENTER -RR OTHER PERMIT NUMBER: � / PERMIT FEE: SITE ADDRESS: 2.6/O S 01s ✓t0444,1in cA ASSESSORS PARCEL NO:'-, S"L 1 , q� g LEGAL DESC Building Owner: Name: --- Address: & / (..) S Dd sh G i' i .Ylic City: i (A(, State: tjj G, Zip: Phone: �r1G v� — 92 6 _ / 6 r /Fax. �P I Contact Person vv3t Name: �� cc ti-C_ Phone: 9 9- (q Q F) Describe the scope of work in detail: Contractor: Name: SV� . StA),C ' 1 rs " s Q Address: 13 Do5 /lJ ' ' `� Itv: City: cson {� `� State: Oa Zip: 117(� +9_, Phone: 6 q,) G Fax: 4 z _��L,( •7 I Contractor Lic No: Exp Date: GO1 r)-() 7L% . ni- CSQ—gin City Business Lic. 1tr',Sz 5 �+- kf�ct4 C c &c7c /Io(41-e MANUFACTURED HOME Width: 40 Manufacture: Length: (O Previous Address: 5c4,/I' Proposed Use: Year:2 00 8 Pit Set: y �S /Sewer: 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. 6) PI_ s • additional information may be required to be submitted, and subsequently approved before this application can be procesd. Signature Method of Payment: El Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 ❑ Check Date DQ ❑ Mastercard ❑ VISA Expires: VIN#: 35Z' b L Rd Spokane FValley® For City Use Only PLUS Project Number 7-1 g 9 Project Address 02(0 / 0 5 L: 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org As part of our on -going commitment to customer service during the review process of your project application, we are providing you with a TARGET DATE for the initial technical application review. If for any reason we cannot meet this date, we will contact you with a revised target date. Your application review TARGET DATE is 5-I2e (n-) The TARGET DATE is the date we estimate your project application will have had its initial technical review. It is not the date for approval or permit issuance. Tips for a Smoother Project Application Review Submit complete, accurate plans and documents. Extra time may be required for re -submittals as project application reviewers work on multiple applications and it may be several days before they can look at your new or revised information. Designate a specific contact person to communicate with the City. While the person designated as the applicant's contact person with the City can be changed, one individual with the expertise for dealing with reviewer comments would be the best choice for the entire review process. Call staff regarding the status of your project only after the target date shown at the top of the page. Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us by your target date. Staff may contact you before the target date if the initial review is complete. By following this procedure, you will save time and allow the reviewers to complete the work more expeditiously. Steps in the Permit Process 1. Counter Complete. Your application has been accepted as counter complete. This means all of the required documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred submittal. This does not prevent technical staff from requesting additional information as a result of their technical review. 2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free from substantive flaws that would prevent technical staff from completing the technical review once it is started. When this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it comes up for review. 3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete. 4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re - submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections of the application are received, a Permit Specialist will process the application and contact the person specified on your application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by the Permit Specialist at that time. WHITE - APPLICANT PINK - BUILDING FILE REV 9/07 gooksen �, they CITY OF SPOKANE VALLEY Community Development Department Current Planning Division 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 9920E Tel: (509) 921-1000 Fax: (509) 921-1008 planning sDokanevallev.orq (For Staff Use Only) DATE SUBMITTED: RECEIVED BY: FILE NO./NAME: CURRENT PLANNING FEE: ENGINEERING FEE: FLOODPLAIN DEVELOPMENT APPLICATION APPLICANT INFORMATION APPLICANT. PART I — APPLICATION INFORMATION J4. s4;Pc .E-„4-�-c ovr`S MAILING ADDRESS: 13 00 S /3 Pi 4s bu DDv 3 CITY: v,g0 (' pep GG C /� // / QSTAAT/E�:7 C(L JCS G G Q PHONE: (HOME/WORK) 4 8-J / / 5 (FAX) 'i 6 p ^ l L ! 4 (CELL) 9� /'- / ! O �J Please Circle zip: ?FLU 8 NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW: OWNER INFORM LEGAL OWNER: MAILING ADDRESS: o-P PHONE: (HOME/WORK) Please Circle ATION: J I v i I140v/( I S0171 2 Co7O S Q isLza44.71 U(ccr O0-1 (cy STATE: / ')Ct 92 Co:-.44 E FAX) (CELL) ZIP: PART II — SUBMITTAL REQUIREMENTS All Floodplain Permit Applications shall contain the following required information. If required and not submitted, the application will be returned to the applicant as incomplete: ❑ Three (3) to -scale (minimum scale is 1 inch = 20 feet) site plans showing the nature, location, dimensions and elevation of the property and identifying the portion of the property4pned within the designated floodplain, existing or proposed structures, location of proposed fill,;locat on; of storage of materials, and the location of drainage facilities. ❑ Proposedelevation in relation to mean sea level of the lowest floor including basement of all structures Proposed elevation in relation to mean sea level for any structure that has been flood -proofed. ❑ For non-residential construction only, certification by a registered professional engineer or architect that flood -proofing methods for any non-residential structures meet the flood -proofing criteria of Section 5.06.08.2 of the City's Floodplain Ordinance. ❑ Written description if applicable describing the extent to which a watercourse will be altered or relocated as a result of the proposed development. No Rise Certification. Version 2 04-05 1 PARCEL NUMBER(S) OF SITE: PART III - PROJECT INFORMATION 45294 7088 STREET ADDRESS OF SITE (if any): 2 (P 10 5 j) i s woo i Cat SIZE OF SUBJECT PROPERTY (square feet): & P3 00 i, l Z ct z EXISTING ZONE CLASSIFICATION(S): R -Z LIST PREVIOUS LAND USE ACTIONS INVOLVING THIS PROPERTY: �P 8S- 4z( Areas of Special Concern: Pursuant to Section 5.06.13 of the Spokane Valley Floodplain Ordinance, the following areas shall not be covered by impervious surfaces or fill unless an engineering study prepared by a professional engineering licensed in the State of Washington is completed that shows no impact to the ability of the floodplain to infiltrate, store and release floodwaters. Please check the box if your property is located in one of these areas: ❑ Chester Creek (downstream of Mohawk Road) ❑ Saltese Creek (all areas of ponding and infiltration) ❑ Forker (south of the intersection of Forker Road and Progress Road) ❑ Central Park (west of Park Road) ❑ Glenrose (west of Carnahan Road and south of 8th Avenue) DESCRIPTION OF WORK: 1. Proposed Development Descriptions (check boxes that apply): ❑ New Construction ❑ Alteration & Repair ❑ Stream Alteration Ly' Manufactured/Modular Housing ❑ Road, Culvert, Utilities ❑ Other - Describe: 2. Types of Construction (check boxes that apply): ❑ New or Existing Residential: Re p(ctc__e ❑ x' / 5 1-i 4J q /tow1 G square feet ❑ Addition: I I square feet 2 Accessory Structure: 4-4+QCLtA 64tia5Y square feet 0 Renovation: ❑ Interior ❑ Exterior ❑ Temporary ❑ New Non -Residential ❑ Repair ❑ Utility Installation ❑ Other - Describe: For Alterations, Additions or Improvements to an Existing Structure: If the cost of the proposed construction equals or exceeds 50 percent of the market value substantial improvement requirements shall apply. Please answer the following questions: a. What is the estimated market value of the existing structure?: $ b. What is the estimated cost of the proposed construction?: $ Version 2 04-05 2 3. Filling & Grading (check boxes that apply): ❑ Filling , ❑ Grading " 0 Cubic Yards to be Removed: cubic yards ❑ Cubic Yards to be Placed: cubic yards ASSOCIATED APPLICATIONS: This permit is being applied for in conjunction with one or more of the following (check boxes): Residential/Commercial Building Permit ❑ Grading Permit 0 Land Division Application ❑ Critical Areas Permit 0 Shoreline Substantial Development Permit 0 Other - Describe: r PART IV - LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) 62 �../ (print name) SWEAR OR AFFIRM THAT THE E RESPO ES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. It is hereby agreed that the City of Spokane Valley, its boards, officers, employees and agents shall be saved, indemnified and held harmless from all liabilities imposed by law by reason of injury to or death of any person(s) or damage to any property, including without limitation, liability for trespass, nuisuance or inverse condemnation, which may arise out of the work covered by this permit, and does agree to defend the City, its officers, employees and agents against any claim or action asserting such liability. Accepting this permit or starting any work hereunder shall constitute acceptance and agreement to all conditions and requirements of this permit and the ordinance and specifications authorizing issuance of such permit; 0 (Signature) NOTARY (For Part IV above) STATE OF WASHINGTON ) ss: COUNTY OF SPOKANE ) /9/M OB (Date) SUBSCRIBED AND SWORN to before me this /0 day of /%%qr, 20 oR NOTARY SEAL NOTARY SIGNATURE Notary Public in and for the State of Washington Residing at: okArJF My appointment expires: IZ ( S 1 ( ZO (1 Version 2 04-05 3 PART V CONDITIONS OF APPROVAL FOR INTERNAL USE ONLY - TO BE COMPLETED BY THE CITY OF SPOKANE VALLEY Community Number. 530-342 Panel Number. Flood Zone: Flood Zone Depth No.: Base Flood Elevation at Site: Required Top of the Bottom Floor Elevation: Required Top of the Next Higher Floor Elevation: If the structure is to be floodproofed, the required floodproofing elevation or method is: Elevation to which all attendant utilities including heating, ductwork, plumbing ventilation, electrical equipment and other service facilities will be installed or waterproofed: Elevation Certificate Required: ❑ Yes ❑ No Conditions of Approval: In addition to those listed above and below, please refer to attached conditions of approval if applicable. 1. Required Elevation of the "top of the next higher floor" shall be (AE) feet M.S.L. 2. Required Elevation of the "top of the next higher floor" shall be (AO) feet M.S.L 3. Required elevation of flood resistant materials, utilities, etc. or floodproofing construction for non- resdtential structures (the flood protected elevation) shall be feet M.S.L. 4. A "Building Under Construction" elevation certificate ❑ shall ❑ shall not be completed and submitted to the City for review and approval prior to any vertical construction. A "Finished Construction' elevation certificate ❑ shall ❑ shall not be completed and submitted to the City for review and approval prior to human occupancy or final inspection of on -site building(s), whichever comes first. NO HUMAN OCCUPANCY OR FINAL INSPECTION SHALL BE GRANTED PRIOR TO THE SUBMITTAL AND APPROVAL OF THE "FINISHED CONSTRUCTION" CERTIFICATION. Version 2 04-05 PART VI — DEPARTMENT SIGN -OFF & APPROVAL The following City Departments have Teviewed and approved the floodplain permit application and have determined that conformance to applicable conditions of approval have occurred as required through the issuance of the permit: City of Spokane Valley Community Development Department: As the Floodplain Administrator or designee for the City of Spokane Valley, I certify the following has been reviewed and approved by me: ❑ The "No Rise" Certificate submitted to support the proposed floodplain development is approved. The "Building Under Construction' elevation certificate has been reviewed and approved: ❑ Structure elevated BFE + 1 foot ❑ Structure built with waterproofed materials to the flood protected elevation or more Floodplain Administrator or Designee Date The "Finished Construction" elevation certificate dated: 20 . It has been reviewed and: ❑ Returned for more information on 20• ❑ Approved on , 20J Floodplain Administrator or Designee Date ❑ For unnumbered A Zones the Spokane Valley Building Inspector will verify that the first floor and all related mechanical and electrical equipment is two feet above adjoining flood area. Floodplain Administrator or Designee Date PLEASE NOTE: THIS PERMIT SHALL EXPIRE WITH THE ISSUED BUILDING PERMIT OR IF THERE IS NO BUILDING PERMIT WITHIN TWELVE MONTHS OF THE DATE OF ISSUANCE IF ACTIONS AUTHORIZED UNDER THE PERMIT ARE NOT SUBSTANTIALLY IN -PROGRESS. EXTENSIONS OF APPROVAL MAY BE SOUGHT IF SUBSTANTIAL PROGESS HAS TAKEN PLACE. Version 2 04-05 -r- unless (Jr SUCCeSS IS ILL 111LCL cDL cL LCe LLJ hilli sit n iiy torrnwater Management Program and to pay such rates s as may be fixed through public hearings for benefit obtained by the planning, design, ng, maintaining or operation of control facilit ie,. Dishman-Mica Road wi 1 1 he one approach per 71/ 'S ''D otb %lu D I r S r► �L � AfjC�S•F� �C'$4r�p, Q'BO-�-A�IJ �FG OU.D '�L � 0' (41 I.