2007, 02-05 Permit 07000375 Transmittal, App, Site Plan00-"t
S4idkan' j.Va11ey
Site Address: 422 S PARK RD
Parcel Number: 35241.3324
Zoning: UR-7
Fire District: FD 01
Project
Transmittal
City of Spokane Valley
Community Development
Depatauent
11707 E Sprague Suite 106
Spokane Valley, WA 99206
Phone: 509.688.0036
New projecj4a
Previous pre-app meeting
Plan revisions
Transmittal Date:
Thursday, February 08, 2007
Project Number: 07000375
Water District: EAST SPOKANE
Applicant: BREZA, ZAN Owner: BREZA, ZAN
8709 E VALLEYWAY 8709 E VALLEYWAY
SPOKANE VALLEY, WA 99212 SPOKANE VALLEY, WA 99212
(509) 891-2680
e-mail: e-mail:
Contact: BREZA, ZAN Occupant:
8709E VALLEYWAY
SPOKANE VALLEY, WA 99212 e-mail:
(509) 891-2680
e-mail:
Contractor: OWNER
( ) - 0
Arch / Engineer:
e-mail:
Project Description: REMOVE ADDITION AND SET MOBILE HOME
SITE PLA
N
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
&rifisrk,
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Sikikane
,�,i0Valley
Permit Center
11707 E Sprague Ave, Suite 106 ri-7-7,)
Spokane Valley, WA 99206
(509)688-0036 FAX:(509)688-0037',j
Community Development n'w.spokanevallev.org
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER:7-03%r
' PERMIT FEE:
SITE ADDRESS: 4 L Z S P4 R. t R J
ASSESSORS PARCEL NO:
Building Owner:`
Name-
L:-Z-A
A
Z fJ
Address: S701
E V4i_t_eimi41
City: S i` k_
State: Z» A Zip:
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Phone: 3 q 1 _ - Za .so
Fax:
Contact Person
Name: 2. AO t� e-cz-A
Phone: ct x 2 6 SO
Describe the scope of work in detail:
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-r o vres;Pcf..
LEGAL DESCRIPTION:
Contractor: j oone
Oc.Urari
Name:
....-------'
Address:
-
City:
/
i
State.
Zip:
Phone:
Fax
Contractor Li.-'Exp
Date:
City Business Lic No-
1 � A 14.-Ema A )a —)
Sci -• t3CC/K
Zt P A 2 i c is i Sr,r S
MANUFACTURED HOME
Width:
20,
Length:
/
Year: ,-• -70 -•
Pit Set:
Septi Sewer
Manufacture:
Previous Address:
Proposed Use:
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Check
f
Date i/?17/0�
❑ Mastercard ❑ VISA
Expires: VIN#:
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Edit Confirmation
Page 1 of 2
PAIRS Version 1.1.50.0 Logged into Production as HALPAIN, KAY
Confirmation
Permit FP1375056 Manufactured/Mobile Home
NSF L... CRS I. CET CET ':... CMP ._... RC
Purchaser
Contractor ID
Company Name
Last Name
First
Address
City
Phone
Site
Information
Site Owner
Last Name
BREZA
ZAN
8607 E VALLEY WAY
SPOKANE
(509)891-2680
M
\'OE13
Print
Request
StatusActive
Applied 1/31/2007
Expiration 11/31/2008
StaterwA Zip
BREZA
First jZAN M
Address 422 S PARK RD
City'Spokane State
Location
Phone
Description
Notes
Directions
Power Company
SPOKANE
(509) 891-2680
Not In The City
99212i
# Reqs
# Insps
Created ha1y235
1/31/2007 i
10:38AM
Updated jha1y235
1/31/2007
REPLACE OLD DOOR WITH NEW ONE
EAST ON 5TH TO PARK GO NORTH TO #422
Services
Description
Structural* - OTHER STRUCTURAL CHANGES
Quantity Amount
1 $74.30
Total Cost
Total Paid
Total Due
$74.30!
$74.30
$0.00
New Permit :''
Edit Permit
http://scsd.apps-inside.lni.wa. gov/pairspermit/frmEditConfirmation. aspx?Smsgld=541557&SmsgS ender=... 1/31 /200 ;
Page 1 of 2
POST ON JOBSITE PRIOR TO BEGINNING OF WORK
Contractor Name License Number
Purchaser's mailing address
8607 E VALLEY WAY
SPOKANE WA 99212
Telephone number FAX Number
(509) 891-2680 () -
Premises owners name
BREZA, ZAN
Address of inspection
422 S PARK RD
Spokane
FAS ALTERATION PERMIT #FP1375056
Installation Description:
REPLACE OLD DOOR WITH NEW ONE
Services to inspect:
Description
Structural - OTHER
STRUCTURAL CHANGES
Inspection fee: $74.30
This permit expires in one (1) year from date of last activity.
Applied: 1/31/2007 Expiration: 1/31/2008
Quantity Amount
$74.30 1
Date Approved By Date Approved By
MECHANICAL PLUMBING
Type Type
ELECTRICAL STRUCTURAL
Type Type
OTHER OTHER
Type Type
Inspection Date Area, Building or Equipment Inspected Action Taken Inspector
Property Owner: This is your permanent record of inspection
http://scsd.apps-inside.lni.wa.gov/pairspemut/rptFASPemut.aspx?AppID=102 1 /31 /2007
Page 1 of
Receipt
Washington State Department of Labor and Industries
Customer: ZAN BREZA
Address: 8607 E VALLEY WAY
City: SPOKANE State: WA Zip: 99212
-- Fiscal Transaction Receipt --
Fiscal Transaction: 101553462
Created: 1/31/2007
Payments: $74.30
-- Payments --
Type Amount Payer Reference
Check $74.30 ZAN BREZA 7233
-- Services --
FP1375056
Description
Structural* - OTHER STRUCTURA
Reference
FP1375056
Quantity Price
1 $74.30
Fans
NOTE: All refund requests must be made in writing. Refunds may require processing
through central office and we cannot guarantee immediate refunding of services.
http://field-services.apps-inside.lni.wa.gov/FrontCounter/FCRevRecWeb/PConfirmpage.Aspx?AppID=2... 1/31/2007
CITY COPY
SPOKED FOR CODEC COMPLIANCE
DIVISION E