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2007, 02-23 Permit App 07000375 Remove Add, Set MHProject Number: 07000375 Inv: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REMOVE ADDITION AND SET MOBILE HOME Contact: BREZA, ZAN Address: 8709 E VALLEYWAY C - S Z: SPOKANE VALLEY, WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509) 891-2680 Group Name: Site Information: _ Project Name: 1970 24 X 40 MANUFACTURED HOME Plat Key: 002144 Name: REMINGTON PARK, AMENDED MAP District: Sout ,ate: 02/23/2007 Page 1 of 2 Parcel Number: 35241.3324 SiteAddress: 422 S PARK RD Location:: CSV Block: Lot: Zoning: UR-7 Urban Residential-7 Water District: 020 EAST SPOKANE Area: 1,045.00 Acres Width: 67 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: BREZA, ZAN Address: 8709 E VALLEYWAY SPOKANE VALLEY, WA 99212 Hold: ❑ Depth: 135 Right Of Way (ft): 60 Review Building Plan Review Released By: Special Inspections Released By: Septic Sys Review Released By: SEWER CONNECTION REQUIRED - CURRENT SHARED SEPTIC SYSTEM NOT APPROVED PER JIM - SRHD Potable Water Review Released By: WATER SERVICE AVAILABLE TO SHE - CURRENTLY DISCONNECTED DUE TO NON- PAYMENT OF BILL - PER PATSY Operator: jmm Printed By: MT Print Date: 02/23/2007 Project Number: 07000375 Inv: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Landuse/Zoning/RE Conditions Jate: 02/23/2007 Page 2 of 2 Released By: Sewer Review Originally Released: 02/15/2007 By: CJJANSSE Released By: NO LIVE CONNECTION PERMIT ISSUED - PER B.URHAUSEN - SCUD Permits: --. Contractor: OWNER Item Description INSPECTION FEE Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc Fee Amount 1 # SECTIONS $50.00 Permit Total Fees: $50.00 MR BREZA CALLED ON 8/7/06 ASKED ABOUT A MOBILE HOME PERMIT APPLICATION, LET HIM KNOW THAT WE HAVE A PACKET HERE AT THE OFFICE THAT WILL HELP HIM WITH THAT PROCESS. HE CAME AND GOT THE PACKET AND TOOK IT HOME TO COMPLETE THE SITE PLAN AND APPLICATION-JM Payment Summary:., Permit Type Fee Amount Invoice Amount Manufactured Home $50.00 $50.00 Amount Paid $0.00 Amount Owing $50.00 $50.00 $50.00 $0.00 $50.00 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: jmm Printed By: MT Print Date: 02/23/2007 Spokane Community Development Permit Center 11707 E Sprague Ave, Suite 106 ; �1 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037'i www.spokanevallev.org Manufactured Home Permit Application IDJA lJ [ OTHER PERMIT NUMBER:7'd 3 % PERMIT FEE: SITE ADDRESS: L Z j PAR, R 1J ASSESSORS PARCEL NO: Building Owner: Name: .Z A 0 agETZ-A Address: g 7©1 E imL.l tirvAl City: s t.k._ State: j 10,Zip: 1 i 212 Phone: 8, r Z 6 so Fax: Contact Person Name: Z A 43 B 7 A Phone: t 1 6 CO Describe the scope of work in detail: KE JY1U :J LEGAL DESCRIPTION: Contractor: i-i C O C_II1v+2-- i'l'1 Name: /' Address: / City: Al State:------- Zip: Phone: /FaxA Contractor Lic›..------`' Exp Date: City Business Lic. No: IzEUJarJ j/V1c704: -r o Ftecj c—ne S G-r (3L CiK Re PA) i . k-tSAik MANUFACTURED HOME Width: 20 Length: 4/0 Year: '' -70 Pit Set: SepticSewer Manufacture: Previous Address: Proposed Use: Iv � iZE.s , 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 Date % / 3 i' >/(3 —7 ❑ Mastercard ❑ VISA Expires: VIN#: A LL E-Li «Lx ZOO C-xrCr) 1:14 33 / CU�EKE D STa izxZ�{' (E crt ( ) M d ;•0 p o :me- Z4iKz40 (Ex Sri wc., 442.2. 922O Fv f r0 eZ doVC Jo- X'iO- vv 1 ?7' PARK RD Sr✓zEtc /2k3o 7 ZZ, S P A kI , Q Permit Center Sp °Fkane .0,•*Valley 11707 E Sprague Ave, Spokane Valley, WA 9 (509)688-0036 FAX: ( Community Development www.spokanevalley.or . Safety Inspection Permit Application OCEOVE D fl 106 °V 1 :i 2IDAn ID $881-0017 lJ bkri PERMIT NUMBER: PERMIT FEE: Adult Family Home-WABO Fire/Water/Vehicle Damage g.Other: SITE ADDRESS 7 7 Z , f. R ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: Z .4 /0 -/` &Bilk 6(2:6 4 Name: Address: 76) g Vi4 LG &i 4-(1,4y City: �0,3,4._ State: Zip: Phone: O 7 1— Q 6 Fax: Contact Person Name: 7,4 AJ r✓ ZA Phone: 87 2e_oa --' 3 y- Zoc Describe the scope of work in detail: Contractor: Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Cost of Project: $ 6(.3 D T Tiu .'51 CT/6JU xXx xXxXxxxX c The following MUST be complete: (write N/A if not annlicablelxxxxxxxxxxX' *xxxxxx HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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 8/25/2005 ❑ Check Date /' i 3/01� ❑ Mastercard ❑ VISA Expires: VIN#: