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2000, 10-19 Permit App 00009569 MHProject Number: 00009569 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME (REPLACEMENT) Setbacks: Front 25 Left: Right: 7 Rear: Site Information: Plat Key: 001407 Name: LABERRY MOBILE PARK ADD District: G Date: 10/19/2000 Page 1 of 2 Parcel Number: 55173.2542 Contact: MIKE HURRY/ALLSEASON CONSTR Address: 34292 HWY 41 C - S - Z: OLDTOWN ID 83822 Phone: (208) 437-3837 Group Name: Project Name: Block: 6 Lot: 42 SiteAddress: 19322 E DOVE CIR GREENACRES, WA USA 99 Location:: GRE Zoning: UR-7 Water District: Area: 7,475 Sq Ft Nbr of Bldgs: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Urban Residential-7 Owner: Name: PUTNAM, STEPHEN L & KAT Address: 19322 E DOVE CIR GREENACRES, WA 99016-9689 Hold: ❑ Width: 68 Depth: 115 Right Of Way (ft): 50 Nbr of Dwellings: 1 Review Site Plan Review Plan Review HEALTHDISTRICT Septic System Review Hold Reasons: Permit Conditions: Jor 3 bedrooms only, Permits: Released By: Released By: Manufactured Home Contractor: ALL SEASON CONSTRUCTION Firm: ALL SEASON CONSTRUCTION Address: 34292 HWY 41 OLDTOWN, ID 83822 Phone: (208) 437-3837 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 Project Number: 00009569 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Operator: JAS Permit Type Manufactured Home Notes: Printed By: JAS Date: 10/19/2000 Page 2 of 2 Print Date: 10/19/2000 Fee Amount Invoice Amount Amount Paid Amount Owing $122.00 $122.00 $122.00 $122.00 $0.00 $122.00 $0.00 $122.00 IAI AiiiMlik SPOKANE COMTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: tee_ C�/ U Assessor's Tax Parcel Number(s): Legal Description: Project Description: i.. ❑ 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' Front: Rear. Left. Right: SchoolDistrtct Fire District: Zoning OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project ❑ Owner: ie 1./ (r' ?} l) 4 Phone: Fax: ❑ Applicant: Phone: Fax: Mailing Address: -? ' T. t.). ./...: (_ ‘ j? \ / Mailing Address: City, State, Zip �/ � � City, State, Zip ID Contractor %�� �) Az 15 —a c) /-) `-t�NS Phone �0.-) Fax "�� '' '� ,: t `f % 7 c t, t_ .) -17 ❑ Architect/Engineer Phone Fax Fax Mailing address / Mailing address City, State Zip/� J Q<X�C�N/?/J City, State Zip WA State Contractor license # - Contact name: PROJECT INFORMATION t»dng Information Building height to peak # of stories Main floor sq. ft. 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. Cost of project Heat source (electric, gas, etc.) Manufactured Home Sign Width: i Length: C (] What is the square footage of the sign face? How high is the sign? Year: Make: # 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 Examiner Phone Inspectors: Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 1:1- Yes ❑ No If yes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan ❑ Yes ❑ No What is the current use of this property? Is your property in a designated wildlife habitat area? ❑ Don't know ❑ Yes ❑ No Will the site be served by a septic system? ❑ Yes ❑ No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan ❑ Maybe ❑ Don't know tEl Yes ❑ No Are or will there be wells located on the property? If yes, identify on the site plan ❑ Yes ❑ No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan 0 Yes 0 No Is there evidence of fill or excavation on the property? ❑ Yes ❑ No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes ❑ No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? ❑ Yes CI No Is public sewer available to the site? ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes 0 Yes 0 No ❑ No Is public water available to the site? 10 Yes 0 No Is the property inside the PSSA? ❑, Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes ❑ No Date Received: Staff Represetativ METHOD OF PAYMENT VISA ❑ CASH ❑ CHECK ❑ ❑ ' ❑ k€ICWD FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL TOTAL FEE MINIMUM PIJwIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE. TO SPOKANE COUNTY PERMIT CENTER • ri Plet.se make sure that the following -.items are shown on the proposed plot plan: a 0 0 0 0 0 0 3. - 4. 5. 6. 7. 8. 9. 1. Direction NORTH 2. General topography (slope) and drainage characteristics Roads and driveways All surface water - Cuts and banks Property lines and boundaries Existing and proposed buildings Easements (utility, drainage, etc.) Wells and water lines (existing and proposed) ❑ 10. Any neighboring Wells closer than 100 feeP to your property lime_ ❑ 11. Proposed and existing septic system .and 100% replacement area. ❑ 12. Dimensions/locations of all items ❑ 13. Location of approved testholes ITEMS TO CONSIDER: 1. Disposal system needs to be located with easy access for pumping the tank and maintaining the drainfietd. 2. Perforated drainfield pipe shall be at least: a. 5 feet from property lines and easements b. 10 feet from buildings and water lines c. 100 feet from any source of water which includes wells, springs, ponds, streams. 3. Drainfield shall consist of at least two laterals or runs of perforated pipe. 4. There must not be more than 100 feet of drainfield pipe per lateral or run. -- 5. All perforated drainfield pipe shall be installed level, or drop no more than one inch per 100 feet. Ends must be connected if possible. 6. Do not place drainfield pipe under area where vehicles pass or large animals stay. 7. Watertight pipe ';hall extend at least 4 feet from the septic tank to the edge of the drainfield trench or leachbed. 8. The perforated drainfield pipe mustbe at least 4 inches lower than the watertight pipe leading out of the septic tank. 9. The septic tank shall be at least 5 feet from any structure or property line. 10. If you are installing your own system, please pick up a copy of the RULES AND REGULATIONS FOR ON -SITE SEWAGE DISPOSAL SYSTEMS FOR SPOKANE COUNTY. Spokane Regional Health District Environmental Health Division 1101 West College Avenue, Suite 402 Spokane, WA 99201 324-1560 DIRECTIONS TO SITE: o, •Y. • O� I. Is the property size the -same as shown on ther map cc plat map? Oycs Ono 2. If not, what land use action has or will take place 3. Has this land use action (certificate. of exemption, aggregation, segregation, etc.) been filed with the Assessors office? -Oyes ❑No %?://, Signature of owner _ Designer Date c) LW APPL.#: S 0 SITE ADDRESS: Is a 'b. ,. its .gesilt:Nov, APPROVALSy Spokane = Regional -Health District`: ❑ Drainfield - feet O Leachbed sq.feet O Trench width inches ❑ Maximum trench depth O Minimum trench depth O Cap fill inches of cover O Total gravel required under the perforated pipe: inches ❑ Five gallons of water are required for "D" Box inspection Comments: Call (509) 324-1560 for inspection before covering. If you cannot install this system according to this approved plan, you must call the office at (509) 324-1560 to discuss BEFORE THE INSTALLATION. Signature Date CONVENTIONAL TRENCH CROSS SECTION GROUND SURFACE T T S PSOIL 12-24' INCHES TO 6 INCHES.. • • TRENCH BOTTOM OF GRAVEL i •• • • • • ••• INCHES„-? • • • • - OF GRAVEL • INCHES TRENCH WIDTH • Ste/ 4-INCH PERFORATED DRAIN PIPE, DRAIN HOLES FACE DOWNWARD. ON CENTER 'For Ieachbed see map' view for piping detail. �. NOTE: All gravel must be 1 Y2 to 2Y2 inch diameter or washed gravel.