2005, 05-26 Permit App 05001820 MHProject Number: 05001820 Inv: 1
Area: 1,400.00 Acres Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 05/26/2005 Page 1 of 2
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: JOHNSON, J J & H
Address: 4212 S HATHERLY CIR
C - S - Z: SPOKANE VALLEY, WA 99206-9491
Setbacks: Front. ) Lef ) Right Rea f ' Phone: (509) 924-5942
Group Name:
Site Information:
Project Name:
Plat Key: MH002 Name: HATHERLY TRAILER PARK
District: Sout
Parcel Number: 45334.0408
Block: Lot:
SiteAddress: 4212 S HATHERLY CIR
Location:: CSV
Owner: Name: JOHNSON, J J & H
Address: 4212 S HATHERLY CIR
SPOKANE VALLEY, WA 99206-949
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:
Flood plain
Permits:
C(
Contractor: OWNER
rr1C
Flood Plain
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
FLOOD PLAIN PERMIT 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Operator: K C Printed By: K_C Print Date: 05/26/2005
Project Number: 05001820 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Date: 05/26/2005 Page 2 of 2
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
INSPECTION FEE
Notes:
Payment Summary:
Permit Type
Flood Plain
Manufactured Home
Units Unit Desc
2 SECTIONS
Fee Amount
$100.00
Permit Total Fees: S100.00
Fee Amount Invoice Amount Amount Paid Amount Owina
$50.00 $50.00 $0.00 $50.00
$100.00 $100.00 $0.00 $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 of work 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: K C Printed By: K_C Print Date: 05/26/2005
BUILDING PERMIT APPLICATION WORKSHEET
ne City of Spokane Valley Community Development Department
Building Division
*Sre...-t6-4(:( ,06� 11707 E. Sprague Avenue, Suite 106
V Spokane Valley, WA 99206
41jValley p y
Phone: (509) 688-0036; Fax: (509)688-0037
77-0(�D� -
c5eA
REQUIRED SITE INFORMATION U fvt
• Street Address: (",it)
z LA Assessor's Tax Parcel Number(s): ,j
Legal Description: &o-},4lari.,&
PERMIT DESCRIPTION:
❑ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading a Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner. A./..4, - Q 7,
Phone y '/-_-y57 Fax:
Address:
Citf C State Zip Code
❑ Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Contractor. ❑ Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City State Zip Code
• WA State Contractor License #:
City
Contact:
State Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
21"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK1COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY: -
I
SEWER OR ON -SITE SEPTIC
SYSTE-Mr .
MANUFACTURED HOME
ffr
Width: „n4 b
Manufacturer:
Length: (� Year: DZ�--5 Pit Set:
U4-1�-
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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 /T a ;^ r L� �� .3;4Signature
72 7�
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check El Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
ADDRESS
ZONE
ROAD WJDT
FRONT
COMMENTS
REVIEWED SY
fr i7 C/i7e
C.�
e.
;lie plan is being submitted for the purpose oif
Haig a building permit and is a true and correct ;
• .,r€sentation o1 the proposal. All known propert
..s/dimensions, curb lines, structures and easement
Piave been identified. Also indicated are wetland
bodies of wa)er, steep scopes or other critical area
Signed' . >.
Date•
U/7 V G/
Spokane
.1•00°Valley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 1 cityhall®spokanevalley.org
Address: Gtht!
Hatherly Circle, Spokane Valley, Washington.
This is acknowledgement of information received concerning the floodplain and
the installation of a manufactured home in the Hatherly Circle Manufactured
Home Subdivision.
Spokane Valley Municipal Code Article VI. Floodplain Hazard Areas allows the
installation of a manufactured home in an existing approved manufactured
home park or subdivision located within a floodplain by elevating the home 36"
above surrounding grade on reinforced concrete piers or the equivalent of
those piers.
This installation procedure does not provide the same level of safety from
floods in these areas as elevating the structure above the base flood elevation
of 2009 ft.
Signing this form indicates that the owner is aware of this condition and
recognizes that flood insurance, if desired by the property owner or
required by a lender, may be unavailable or extremely expensive.
Furthermore, the property owner recognizes that they are fully aware of
the base floodplain elevation and that this home is being installed below
that elevation.
By signing this form the property owner(s) acknowledge that the City has
supplied the owner(s) with the information concerning the flood hazard in
this location and the financial implications concerning floodplain insurance
when one does not raise the elevation of the structure above the base
floodplain elevation.
PROPERTY OWNERS:
nq-: / ._)r;�ni
Print Name Signature
Date
rc 4H56`t P�i.�-cam �/> /}�i Z?/cam ins'
Print Name Signature Date
1/
Page 1 of 1
Kathy Cummings
From: Tom Scholtens
Sent: Tuesday, May 24, 2005 4:28 PM
To: Dawn Dompier, Kathy Cummings; Mike Turbak
Subject: Hatherley Circle Floodplain Requirements for Manufactured Homes.
Following are the requirements for installation of a manufactured home in an already established
manufactured home park or manufactured home subdivision that is located in a floodplain:
A Floodplain Development Application is required.
The manufactured home chassis is required to be supported by reinforced piers or other foundation
elements of at least equivalent strength that are no less than 36 inches in height above grade and be
securely anchored to an adequately anchored foundation system to resist flotation, collapse, and lateral
movement.
The skirting needs to meet these requirements:
A minimum of two openings having a total net area of not less than one square inch for every square
foot of enclosed area subject to flooding shall be provided. The bottom of all openings shall be no
higher than one foot above grade. Openings may be equipped with screens, louvers, or other coverings
or devices provided that they permit the automatic entry and exit of floodwaters.
Please include these requirements on all permits for these types of locations. In addition, if it is
possible to flag the other lots in Hatherly Circle with this language, it may prove to be prudent.
Thanks.
Tom Scholtens
Spokane Valley Building Official
5/26/2005