2002, 01-18 Permit App 02000335 MH PlacementProject Number: 02000335 Inv: l
0
-Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT OF DOUBLEWIDE
MANUFACTURED HOME
Date: 1/18/2002 Page 1 of 2
Contact: TURNER, TORRI L
Address: 8111 E KNOX
C - S - Z: SPOKANE, WA 99212
Setbacks: Front 4 Left: 5 Right: 5 Rear: 5 Phone: (509) 927-8060
Group Name:
Site Information: Project Name:
:..:..........
Plat Key: 005922 Name: SONRISE PLACE MANUFACTURED PARK
District:
Parcel Number: 45092.9014 Block:
SiteAddress: 11303 E JACKSON RD #007
SPOKANE, WA 99206
Location:: SPO
Zoning: UR-7
Water District:
Urban Residential-7
Lot:
Owner: Name: TURNER, TORRI L
Address: 8111 E KNOX
SPOKANE, WA 99212
Hold: ❑
Area: .00 Acres Width: 53 Depth: 83 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Plan Review
Contractor: PANHANDLE MOBILE HOME
Address: PO BOX 486
SPIRIT LAKE, WA 83869
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Manufactured Hume
Finn: PANHANDLE MOBILE HOME SE
Phone: (208) 263-6360
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Operator: DMD Printed By: DMD
Print Date: 1/18/2002
Project Number: 02000335 Inv: 1
Notes:
Application Date: 1/18/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary::;: _.....
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$122.00 $122.00
$0.00 $122.00
$122.00 $122.00 $0.00 $122.00
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 contrued 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: DMD Printed By: DMD
Print Date: 1/18/2002
POMNN Cotner
PIrOJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
002- 3 5--
Street Address:
SPECIFIC SITE INFORMATION
1 13 3 E Jac ksor, 16tve_#7 1«3,v\.0
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: Y1101.)e__ r1Qi trcatnLr 'ac4-wirs� lorgi.9 c i 4 I o4
pl Building Permit
0 Relocation
O Change in Use
O Sign
O Grading
O Tenant (New/Change)
O Manufactured Home Permit
O Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear.
Left Right
School District:
I irc District:
Zoning
OWNER/APPLICANT INFORMATION
,v,uvnrri or wruru-rea rrgararng ruts prveit
/''folf Owner:
'&e1 I (.e11ER-
Mailing
Phone: SCPT- 90-1- SIN -pc,
Fax:
0 Applicant:
Phone:
Fax:
Address:
1 I 1 E I4 c-,y
Mailing Address:
City, State, Zip
,...) kk1.Y1.0 , lA •ca Q
City, State, Zip
❑ Contncnx
"^n, � IQ ' t `1
Matting
Phone
❑Architect/L-atgineer
Phone
Fax
address
Mailing address
t:ity, State`
AA\t'A, zd $38b1
WA
City, State 'Lip
State Contractor license #
ANHAM vloLIL1K4<
Contact name:
Building height to peak
I )imcnsions
Occupancy group
Cost of project
# of stories
Total habitable space
Constructitm type
PROJECT INFORMATION
Building Information
Main floor sq. ft.
2 .1 floor sq. ft.
Garage sq. ft.
1 teat source (electric, gas, etc.)
Unfinished basement sq. ft.
Finished basement sq. ft.
Deck sq. ft.
Manufactured Home 'Sin
Width:
IP a 3
length: What is the-sy:.are footage of the sign
4/10 face?
How high is the sign?
Year:
a)
Make: r1'le_r\ _ j\ic lc 1 YUZ
c,z►-tr-y xt--
# of signs
Area of existing signs
Relocation
Fire Safety
Previous address
Fire Spnnklcr
Tent
_
Paint booth _ Fire Alarm _
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phonc
flans Ixamincr
Phonc
Inspectors:
Address
Inspector
Phonc
❑ Concrete 0 Welding ❑ Bolting 0 Reinforcement
\,id"
ADDITIONAL SITE INFOKMAI.IUN
Are there structures on the property? ❑ Yes 0 No
1f identify on site plan
What is the current property size?
(square feet or acres)
yes,
Is any part of the property within 250 feet of a shoreline?
If identify on site plain 0 Yes ❑ No
What is the current use of this property?
yes,
Is your property in a designated wildlife habitat area?
0 Don't know ❑ Yes ID No
Will the site be served by a septic system? 0 Yes ❑ No
Is any part of the property within a 100 yr flood plain?
Ifyes, ident6, on site plan
0 Maybe 0 Don't know 0 Yes ❑ No
Are or will there be wells located on the property?
lfyes, identifi on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
If identify on site plan ❑ Yes 0 No
Is there evidence of fill or excavation on the property?
In Yes ❑ No
yes,
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( o/o) ID Yes 0 No
.\re critical or hazardous materials used or stored Ion site? es 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes ❑ No
Is public sewer available to the site?
❑Yes ❑No
Is the property inside the ASA?
❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No
I)ate Received:
Stall -Representative:
Is public water available to the site?
❑ Yes ❑ No
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
METHOD OF PAYMENT
VISA
❑CASII ❑cali:c:K ❑r ❑ Y 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
C•VER
DATE:
BANKC.\RD NUMBER:
EXPIRES:
AUI71OR1/i 1) SIGNATURE:
SUBTOTAL,
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PLF 1SE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CI?NTFR