2002, 11-20 Permit App 02010431 MHProject Number: 02010431 Inv: 1
Site Information:
Plat Key: 005922 Name: SONRISE PLACE MANUFACTURED PARK District:
Application
THIS IS NOT A PERMIT
Date: 11/20/2002 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: ALL SEASON CONSTRUCTION
Address: 34292 HWY 41
C - S - Z: OLDTOWN, ID 83822
Setbacks: Front 5 Left: 5 Right: 5 Rear: 5 Phone: (208) 437-3837
Group Name:
Project Name:
Parcel Number: 45092.9014
Block: Lot:
SiteAddress: 11303 E JACKSON RD #057
SPOKANE, WA 99206
Location:: SPO
Zoning: UR-7
Water District:
Urban Residential-7
Area: .00 Acres
Owner: Name: PUTNEY, TERRY
Address: 11303 E JACKSON #57
SPOKANE, WA 99206
Hold: 0
Width: 70 Depth: 80 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Plan Review
Released:By:
Manufactured Home
Contractor: ALL SEASON CONSTRUCTION Firm: ALL SEASON CONSTRUCTION
Address: 34292 HWY 41 Phone: (208) 437-3837
OLD TOWN, ID 83822
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Operator: RMB Printed By: RMB Print Date: 11/20/2002
Project Number: 02010431 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/20/2002 Page 2 of 2
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
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: RMB Printed By: RMB Print Date: 11/20/2002
SPOKANE COUN Y
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: j/ e,;, (Ter C 1�f4/✓ v e
Assessor's Tax Parcel Number(s):
LIScet ci o uf
Legal Description:
Project Description:
ITZA
O Building Permit
O Change in Use
O Grading
Manufactured Home Permit
O Relocation
O Sign
D Tenant (New/Change)
0 Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear:
Left Right
School District
Fire District
Zoning
OWNER/APPLICANT INFORMATION
Ei Indict,* who should be Ionia* r� rl �urdin_ Ibis Arrriecl
0 Owner. Phony.
GZJy (�742aCa Fra:
J�JApplicant:�2
Phone: Te�7
y
/ /i4 !v f ra.:
laJmg Addre>:: /
S7 //303 E' c%oci�ex94.-e
Mailing Address:
3Y222 c 7 J /
Cite, State, Zip
:-6'r , 924(z"
City, State, %+ /���
D ��y d%
t� ontnetor Phone
y,. C
Phone
❑Architect/Iinsd Architect/Engineer
//I���Z 2� fay
�[�
.SLe� " 7//C�✓i- C7 Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
r,/���5 /Z.-2—�
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions-
Totalhbitable space
%S /)
2i1 floor sq. ft.
Finished basement sq. ft.
Occupancy group '
Construction type
Garage sq. ft.
1)eck sq. tr.
Cost of project
Beat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
1-Iow high is the sign?
Year: Male:-.
D / fr2
# of signs
Arca of existing signs
,eglied-
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks displav
_ _
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
./7 /
Address
/7--%4 7 'eV- f ADD4Ti0NAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No
If yes, identifj; 0/1 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, identifir 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?
Ifyes, ident6, on site plan
❑ Maybe ❑ Don't know ❑ Yes ❑ No
Are or will there be wells located on the property?
Ifyes, ident5' on the site plan ❑ Yes ❑ No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identifjr on site plan ❑ Yes ❑ 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)
( / °yo) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes ❑ No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Yes ❑ No
Is public water available to the site? 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?
❑ Yes ❑ No
Date Received:
Staff Representative:
METHOD OF PAYMENT
❑ CASE I
❑ CHECK ❑ .1E2MIN ❑
VISAZ.--
1IcwE';
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
I i\131 AES:
BANKCARI NUMBER:
AUTHORIZED SIGNATURE:
SUB'I'oTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $3S.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER