2005, 04-22 Permit App 05001304 MHProject Number: 05001304 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DOUBLE WIDE MANUFACTURED HOME FOR
DEPENDENT RELATIVE
Setbacks: Front 61 Left: 100 Right: 115 Rear: 100
Site Information:
Plat Key:
Name: RANGE
Date: 04/22/2005 Page 1 of 2
Contact: BARNES ENTERPRISE
Address: PO BOX 141617
C - S - Z: SPOKANE WA 99214
Phone: (509) 921-9068
Group Name:
Project Name:
District: East
Parcel Number: 55182.2025 Block:
SiteAddress: 17521 E CATALDO AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: MONSON, SHELLY — C)
Address: 17505 E CATALDO AVE
SPOKANE VALLEY, WA 99016
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
(tb pS
I tI1►�l
i
Landuse/Zoning
Review
Site Plan Review
Released By:
,01,102
Plan Review
/1
Released By:
r (.� att-C*7 . 31.P C L
Septic System Review
Released By:
Released By:
Permits:
41/.414
g/J-%
Operator: K C Printed By: K C Print Date: 04/22/2005
Project Number: 05001304 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Date: 04/22/2005 Page 2 of 2
Contractor. BARNES ENTERPRISES INC Firm: BARNES ENTERPRISES INC
Address: PO BOX 141617 Phone: (509) 921-9068
SPOKANE WA 99214
Item Description
INSPECTION FEE
Notes:
Units Unit Desc
2 SECTIONS
Permit Total Fees:
Fee Amount
$100.00
$100.00
TEMPORARY USE PERMIT (FILE #TUDR-01-05) REQUIRED TO BE RENEWED YEAR AND
DOCTOR VERIFICATION SHALL BE SUBMITTED ANNUALLY.
OPERATION OF USE SHALL EXPIRE ON 4-18-06 UNLESS A RENEWAL HAS BEEN
SUBMITTED. RECEIVED APPROVAL FOR A TEMP USE/DEPENDENT RELATIVE
MANUFACTURED MOBLE HOME TO BE PLACED ON PARCEL 55182.2025 ON 4-18-05. (SEE
CONDITIONS OF APPROVAL) KK
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K C Print Date: 04/22/2005
04/29/2005 09:50 5093241567
RPR 22 2005 16I56.FR
1'7
SRHD EH5
TO 3241567
PAGE 02
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MAR 2 5 2005
SPOKANE VAU.EV
DEPARTMENT OF
COMMUNITY DEVELOPMENT
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RPR 29 2005 10:58
5093241567 PRGE.02
04/29/2005 09:50 5093241567
PPR 22 2005 16:56 FR
SRHD ENS
TO 3241567
PAGE 01
P.01/ed
Project Number. 000I304 Inv: 1
Application ':. Date: 04l22i1.005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
larolect lnfa►mq °II: yes;62 0,t1 1,: T.$:ullattr—Stimsran .rr.41;Pa :4Splr "a7A, 'w . s as-=i9c1=g.44; e-VrA' £ 3.1Lt:
Permit Use: DOUBLE WIDE MANUFACTURED HOME FOR wc41611
s BARNESA OX ENTERPRISE
DEPENDENT RELATIVE
C - S - Z: SPOKANE WA 99214
Setbacks: Front 61 Left 100 Right: 115 Rear: 100 Phone: (509) 921-9068
Group ame:
Project Name:
Ste information;
Plat Key: Name'. RANGIE
u.-zwastsrasasaM1ossuntst:rowst'azdts` •a'�w^ tzsg=afzr accermosst
_* �na7.:�:�reS:.L°csma�sauC9nprtl District: fin47'.
Parcel Number. 55182.202E Block; Lot:
SiteAddress: 17521 E CATALDO AVE Owner: Name: MONSON, SHELL4'
Addressl 17505 E tATALDO AVE
Location:: CSV I
SPOKANE VALLEY, WA 99016
Zoning: UR-3.5 Urban Residential3.5 I
Water District ! Hold: ❑�I
Area: 0 Sy Ft Width: 0 Depth: 0 I Rigiit Of Way (ft): 0
NM of Bldg: 0 Nbr of Dwellings: 0 ii
,e-evieW ,information mN A,.•'��,,•zer.:ti+.:Nar aaleat=r.'+ae.'..^—:^ +::cri1m r.�n '.ccall;a::xw?u:zara':r ;x
• �a�'uox.:!tsmo�acrrraern�ssa++
Review
Site Plan Review
Plan Review
Septic System Review
Landuse/Zoning
Rclea?edBp.",;; ; . ^ d -1 ti-
Permits:-e-rrcss ax os r
Operator. 1K_C Primed )3y: K C
4"Y.14");. /T ie, /it 1 .tt i (
eralr3X I=C;;22;109291:11
Print Dam: 64/22I2005
atkey
PPR 29 2005 10:58
5093241567 PAGE.01
siokane
�Ualley
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--� Ma 215
OLOO[I
ING PERMIT APPLICATION WORKSHEET
Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
one: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
e. 1) S Z 1 C AA -AL DO 5G'okikt, V l
Assessor's Tax Parcel Number(s): leg goo5
Legal Description:
APR 1 8 2005
PERMIT DESCRIPTION: f mac, ��.Q w-�. 0) A -cam,, .} ZG' '` X ?Q '
E Building Permit
❑ Relocation
❑ Change in Use E Grading % Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: 5A,ny vwynsc."
Phone: 9 zz --Z' 18 Fax:
Address: IF. /)Soy C)4Ai) o
S1cKi iriy
City
A-.
State
Zip Code
Contractor: .A-(2-L5 t44.
Phone: 9Z/- 906? Fax:
Address: Po3'X / f/ /1
City State
LT. ,t<.
9 i cr7y$-
? 92.y
Zip Code
Applicant:
Phone:
Address:
Fax:
City State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: BA « sPG Contact: Dc I-1 n1
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS: ��,� x yo
# OF STORIES: /
MAIN FLOOR TO SQ. FTG:
2N° FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
470
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
Ir`jtviAC1-viz-D No,.
HEAT SOURCE:
# OF BEDROOMS: Z
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
/I4-42
SEWER OR N-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: 2Gq" Length: 1101
Manufacturer: UA4ley q✓4-1;99
•
Year: O C Pit Set: l 5
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:
L
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
City
State
Zip
Zip
SPECIAL INSPECTIONS
7 BOLTING n CONCRETE
Firm Name:
REINFORCEMENT
Phone:
Inspector(s):
Fax:
P WELDING
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 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
;5.1f'() 6,07t-QSivvi-
fc0 v^ a i D 1-or
C AdAl➢o
?reP,r+y Llu
N
MAR 2 5 2005
SPOKANE VALLEY
DEPARTMENT OF
COMMUNITY DEVELOPMENT
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DATE:
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