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2002, 06-26 Permit App: 02005226 ResidenceProject Number: 02005226 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/26/02 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 20 Left: 5 Right: 5 Rear: 22 Site Information: 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: T: .... - gra,,, Plat Key: 006135 Name: CRESTVIEW ADDITION Parcel Number: 45263.5406 Block: 1 Lot: 6 SiteAddress: 2511 S REES LN SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -7 Urban Residential -7 Water District: 010 VERA Area: 4,500 Sq Ft Width: 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review District: F Owner: Name: HAYDEN HOMES Address: 3327 W INDIAN TRAIL RD, PMB 23 SPOKANE WA 99208 Hold: ❑ Depth: 90 Right Of Way (ft): 30 Site Plan Review Plan Review Approach / Drainage Released By: Operator: JAS Printed By: JAS Print Date: 6/26/02 Project Number: 02005226 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/26/02 Page 2 of 3 Contractor: HAYDEN ENTERPRISES INC Address: 17626 E 2ND Phone: (509) 994-4691 GREENACRES WA 99016 Building Characteristics Group: R-3 Type: VN Building Permit Firm: HAYDEN ENTERPRISES INC Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description BASEMENT U GARAGE RESIDENCE 1 Occupant Load: Building Sq Ft: Handicap Parking: Grp R-3 U-1 R-3 Type Notes VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: Address: Building Height: 20 Stories: 1 1904 Sprinklers: ❑ Critical Materials: This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 952 $11,709.60 952 $11,709.60 409 $4,908.00 409 $4,908.00 952 $62,832.00 952 $62,832.00 Totals: 2,313 $79,449.60 2,313 $79,449.60 Units Unit Desc Fee Amount $767.50 $4.50 $168.85 COMFORT CENTRAL HEATING 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 HOOD -TYPE I1 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: $940.85 Mechanical Permit Firm: COMFORT CENTRAL HEATING Phone: (509) 216-1234 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: JAS Printed By: JAS Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $2.00 $12.00 $30.00 $10.00 $10.00 $96.00 Print Date: 6/26/02 Project Number: 02005226 Contractor: Address: Inv: 1 ' Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/26/02 Page 3 of 3 ALPHA PLUMBING & HEATING 13615 E. TRENT AVE SPOKANE, WA 99216 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Plumbing Permit Firm: ALPHA PLUMBING & HEATING Phone: (509) 535-0727 Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 $84.00 Notes. Payment Summary: MAINOWNWAINOMMAMSEIRWAIPFAMVANWoat, 1,V1W,;,P,. "ACIAQMP.5,4;,-4.1.40,VANIMERNIIMMIWANOWNWS.ZAIPMeilkagn Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $940.85 $96.00 $84.00 $1,120.85 Invoice Amount $940.85 $96.00 $84.00 $1,120.85 Amount Paid $0.00 $0.00 $0.00 Amount Owing $940.85 $96.00 $84.00 $0.00 $1,120.85 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 Aitii 4t5L.,t 7 - SPOKANT COUNFY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEM 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 \IT IFIC SITE INFORMATION Street Address: 0.5--/ i f2/ -E 5 ' 0 Applicant: i. sa cling Permit 0 Change in Use \ ssessor's Tax Parcel Number(s): 0 Manufactured I- nue Peril in a s9 -L,- 3 . < 4-o - .. 11 , legal Description: L-27-- 6,, /3 I.- 0 c...k.— I Setback „ "?‘•,','-'''''• -'''''' ., ' .. ,,,,, ' - ''''' Project Description: ' 0 Applicant: i. sa cling Permit 0 Change in Use 0 Grading 0 Manufactured I- nue Peril in 0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other -- ' • • • n.eprt .t'-S e'-1, Y -''''''' ' 0 Applicant: i. sa r l ItIttig Address, 352,1 (A) ' />i 4J 771411-- lip f'/V/3 Z 52— Mailing Address: r 1 -.'\Vatrtitr6t/Puryryitc-'„-U -•e -.- „•,' . , . ,. . -- ' • • •- • • „„ , ,.. -,---, ida..,. ,, .,„ ....,,„„ - . . Setback „ "?‘•,','-'''''• -'''''' ., ' .. ,,,,, ' - ''''' ' - ' ft.,er:.• .,.. . schobl,biiict: ''' - ,. ,,,, • . . .. „. . :',,-., ' .,' -'' • • •• - , , ' •,. ' '''.2-, .. , • •,‘'',.'.:',,.1'.'‘',',,',•.•, •'•,-:',,':'',;.,'"' '''','• OWNER/APPLICANT INFORMATION El Indicate who should be contacted re ardin this ro/ecI Phont ifAYPO/i /CID' /4 /5 5, lax: 0 Applicant: Phone: Fax: l ItIttig Address, 352,1 (A) ' />i 4J 771411-- lip f'/V/3 Z 52— Mailing Address: , 1 , State, 7lp 5?0,1C--4e–i 1 wA- / ,e z or City, State, Zip 1:71 ContractorPhone Fax 0 Architect/Engineer Phone Fax . Mailing address Mailing address Citi , State Zip City, State Zip VC \ :mate Contractor license # Contact name: PROJECT INFORMATION Building height to peak a # of static's Main floor sq. ft - Unfinished basement11 I . Dimensions k - 'Total habitable space 79V 7nd floor sq. ft. Finished basement sq. ft. Ocr Taney group Cost project Construction type 5.7.7 Garage sq. ft. 47 0.7 Deck sq. ft. feat. source (electric, gas, etc.) Afr5 Manufactured Home CSign , , - Width: Length: `What is the square footage of the sign How high is the sign? face% Year: Make: #of signs Area of existing signs I V____„ Relocation 'Fire Safety ', Li Previous address Fire Sprinkler 'Tent Paint booth_ Fire Alam Fire t>rks li,display I Proposed use Value i Special Inspections Required? Non-2esidential Energy Cod Cornpli '':ice? Firm Name - Phony I Ives fisaminer .. %Phone II_ Inspector:~: . Address Inspector Phone l, ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address —'1, 1 r _ADDITIONAL SITE INFORMATION il' Are there structures on the property? ❑ Yes No What is the current property size?tl Ifyes,identfr on site plan (square feet or acres) L/Sw 5i' Is any part of the property within 250 feet of a shorelin What is the current use of this property? Ifyes,ident6,on site plan ❑ Yes o LI VN f Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes EKTo i ❑Don't know ❑ Yes R"'No tt Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If res.ident fy on site plan Ifyes,ident!ft on the site plan ❑ Yes a-1< 1 ❑Maybe ❑Don't know ❑ Yes C? No { 1. Are there any wetlands,streams or ponds within 200 f sof the property? Is there evidence of fill or excavation on the property? If yes,identify on site plan ❑ Yes LK No ❑ Yes 9'\0 Arc there slopes greater than 30%on the property?(30 ft - 'n 100 ft) Are critical or hazardous materials used or stored on site?— � ( /°/s) ❑ Yes No ❑ Yes �Nh~ DEPARTMENT USE ONLY Is the property in a'dcsitgrriated StormwaterControl Area? is public sewer available to the$ite i ❑ `I'es a, roto ❑ Yes ❑,No 'Isy sproperty inside the ASAP 0 Yes Q.No Is public water availab'e to the situ t ',0r.)(4.,.„,,.., 1T10 .. ti en v t .❑ Yes }.=,NQ -xf ''''''',';:.,,,Cr, T :i < < > ., lr.: Is'ib'e property inside thePSSA? ❑ Yes 0 No 'Is the property located within 1001/feet of as iW'Iiesour lcscs r�r la? l� =❑ Yes���❑ N " .' :::,..,,,';::.;,,,,:-.13:::,'-:,,I,,,,,,,,,.,,::,..,,'' P Date Received: Staff Representative: 9 —. MET ,' HOD OF PAYMENT VISA feastff4:: 0 cASl1 0 CHECK ❑ 1111111111111111 ❑ ' _ __ it , ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITI I PAYMENT OF A MAJOR CREDIT CARD DATE: ° EXP IRF:S: __ TOTAL F BAN KC:1RD NUMBER: MiNi ,.4t P.47*.ri: zEE:rss:4 o.RLE i 1t MAIC.eEC FiI(S PA.AbLE TO SpOKAN I Alin IOIa'LFdT)SJGNA'1'URE: CoLtNTY!P RkuTcE I Ex' I I, I 0 23' -()1L REES 1' 14 0 tAS N 50 00' 4 0 0