2002, 06-26 Permit App: 02005220 ResidenceProject Number: 02005220 Inv: 1
Application
Date: 6/26/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 20 Left: 5 Right: 5 Rear: 20
Site Information:
Plat Key: 006135 Name: CRESTVIEW ADDITION
Parcel Number: 45263.5401 Block: 1
Contact: HAYDEN HOMES
Address: 3327 W INDIAN TRAIL RD, PMB 232
C - S - Z: SPOKANE WA 99208
Phone: (509) 362-3294
Group Name:
Project Name:
Lot: 1
District: F
SiteAddress: 2403 S REES LN Owner: Name: HAYDEN HOMES
SPOKANE, WA USA 99216 Address: 3327 W INDIAN TRAIL RD, PMB 23
Location:: SPO SPOKANE WA 99208
Zoning: UR -7 Urban Residential -7
Water District: 010 VERA
Area: 4,418 Sq Ft
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Hold: ❑
Width: 50 Depth: 90 Right Of Way (ft): 34
Review
Site Plan Review
Plan Review
Approach / Drainage
Sewer Review
Permits:
Operator: JAS Printed By: JAS
Released By:
Released By
Released By:
Print Date: 6/26/02
62—
Project Number: 02005220 Inv: 1
s '
Application
Date: 6/26/02
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: HAYDEN ENTERPRISES INC Firm: HAYDEN ENTERPRISES INC
Address: 17626 E 2ND Phone: (509) 994-4691
GREENACRES WA 99016
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 17 Stories: 1
Bldg W x D: x Building Sq Ft: 1235 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Notes Su Ft Valuation Sq Ft Valuation
400 $4,800.00 400 $4,800.00
1,235 $81,510.00 1,235 $81,510.00
Description Grp jam
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 1,635 $86,310.00 1,635 $86,310.00
Units
1
1
1
Contractor: COMFORT CENTRAL HEATING
Address: 7136 N FOTHERINGHAM
SPOKANE, WA 99208
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$811.25
$4.50
$178.48
$994.23
Firm: COMFORT CENTRAL HEATING
Phone: (509) 216-1234
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$30.00
$10.00
$10.00
$97.00
6/26/02
Page 2 of 3
Project Number: 02005220
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/26/02
Contractor: ALPHA PLUMBING & HEATING
Address: 13615 E. TRENT AVE
SPOKANE, WA 99216
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Notes:
Payment Summary: ormtews,t,tew, ..
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: ALPHA PLUMBING & HEATING
Phone: (509) 535-0727
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$994.23
$97.00
$84.00
$994.23
$97.00
$84.00
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$18.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$994.23
$97.00
$84.00
$1,175.23 $1,175.23 $0.00 $1,175.23
Page 3 of 3
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: JAS Printed By: JAS
Print Date: 6/26/02
SPOKANE COUN Y
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODF. ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFOR
Street Address: zYo3
2c=,�
5 Gni-
Ly' l -wilding Permit
\ssessor's Tax Parcel Number(s):4"/
O Grading
s
� 3. Sq -10
O Relocation
1 .eiral Description: 4_0
o
/
/3 L o c. t– (
j
Project Description: r'('`, `I S !_
Ly' l -wilding Permit
O Change in -Use
O Grading
O Manufactured I-
Erne Pet mit
O Relocation
O Sign
O Tenant (New/Change)
O Other
j
Department Use. Only
Water Distract/Purveyor'
Sewer District/Purveyor
Fire District:
A� f,cr
/-1-D/y ES
Phonc
OWNER/APPLICANT INFORMATION
Q Indicate who should be contacted regarding this pr jest
O Applicant
vdd,ess:
33 Zi t,2 /ND//fir-i 7-29' /LO /311//3 Z3Z—
.�•i, late, Zap
Phone
Fax
Mailing Address:
SPo/camE G✓A 99zog
City, State, Zip
n onrractor
Mndinc address
Cin, State Zip
Phnne
OArchitect/Engineer
Phone
Mailing address
Fax
\VA State Contractor license 9:
City, State Zip
Contact name:
Building height to peek _ /
Dtlncnsirn�s
# of stories
PROJECT INFORMATION
Building Information:'
Main floor sq. ft.
35
Unfinished basement sq. f.
(ke::panty group �r 5.
('ov r.Cproject
Total habitable space
2nd floor sq. ft.
Finished basement sq. f
Construction npc
Garage sq. ft.
ybv
Deck sq. ft.
T Icat source (electric, gas, etc.)
Manufactured Home Sign
Wtdih: Length: What is the square footage of the sign How high is the sign? i
face?
Year. Make #of signs Arca of existing signs
I
Relocation' Fire Safety„. :-j
Pre ions address Fire Sprinkler i lent
Paint booth_ Fire Alarm Firev.+orks Aiepla`
iI' I
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Cornplia.tacie?
Firm Name Phonr_ Plans Iixaminer Phone
nspert its- Address
1i
Inspector Phone
O Concrete O Welding O Bolting 0 Reinforcement Address
I
_ADDITIONAL SITE INFORMATION
Are there structures on the property? O YesTW No What is the current property size? / 1
Ifyes,ident�'onsite plan (square feet or acres) 11, !
Is any part of the property within 250 feet of a shorrel e? What is the current use of this property?
If yes,identis on site plan O Yes ET No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes LY No 4!,.
O Don't know O Yes CJ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yet,ide»t61 on site plan Ifyes,identify on the site plan O Yes E3 No
Maybe O Don't know 71 Yes IR No
Are there any wetlands,streams or ponds within 2005,t of the property? Is there evidence of fill or excavation on the property? ,I
ff .—{
If yes,nlentify on site plan 0 Yes a'No O Yes OWN
Are there slopes greater than 30%on the property?(30�ft- in 100 ft) Are critical or hazardous materials used or stored on site?
O Yes LTJ No O YesN>
DEPARTMENT USE ONLY I'
Is the property in a,designated Stormwater Control Area? Is public sewer available to the site? C) Yes d I`10
C) Yes 0:No
y�Ins the property tnsrde the A A7 O Yes O No Is public water available to the situ CI Yes 1 Io
pp.t • C 3.,es l�tiNQ } d 1 n
�lAs the rte e inside the PSSA? '' i
p P �y O I'es CI No ' ' 'Is the property located within 1000 deer 67;xia�rAl}7esourc6�Art'a?
C7.;Yes 7,.No I IL
I7ufr Rcccicc]: Staff Repress ntatice- 1'—
METHOD OF PAYMENT
COV: SUBTOTAI
VISA
❑ C\5l I ❑ CHECK ❑ 11111.11111; ❑
I-'AXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
11,
EXPI12.ES:
TOTAL F
BANKC:ARll NUMBER: �IwlxfUMP nM F IS$35.�cerLfi F.
MAKE CFIEC K$PAY 3LE TO SPO K AN 11
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