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2002, 09-18 Permit: 02005226 RefundProject Receipt Summary Wednesday, September 18, 2002 Page I of I Address 2511 S REES LN PROJECT#: 02005226 Owners Name: HAYDEN HOMES Phone: (509) 362-3294 Address: 3327W INDIAN TRAIL RD, PMB SPOKANE WA 99208 Occupant: Applicant: HAYDEN HOMES Phone: Phone: (509) 362-3294 Tender Type Amount Paid Payer Checkl $6,342.26 HAYDEN ENTERPRISES, INC Receipt Nbr: 7265 Use: RESIDENCE W/GARAGE -GAS "VOID" 9/18/2002 4:30:27 PM Acct Application Date: 6/26/2002 Transaction Permit Issue Date: 7/2/2002 Receipt Nbr: 4931 Transaction Date/Time: 7/2/2002 4:29:32 PM Total Due Acct Account Transaction R $0.00 ($535.59) Description MECHANICAL PMTS Total Due Amount Paid 00120 RESIDENTIAL PMTS P $669.49 $669.49 00610 PLUMBING PMTS P $84.00 $84.00 00150 STATE SURCHARGE P $4.50 $4.50 00410 MECHANICAL PMTS P $96.00 $96.00 P0120 RESIDENTIAL PMTS P $266.86 $266.86 Checkl $1,120.85 $1,120.85 Tender Type Amount Paid Payer Checkl $6,342.26 HAYDEN ENTERPRISES, INC Receipt Nbr: 7265 Transaction Date/Time: 9/18/2002 4:30:27 PM Acct Account Transaction Description Total Due Amount Paid 00120 RESIDENTIAL PMTS R $0.00 ($535.59) 00410 MECHANICAL PMTS R $0.00 ($76.80) P0120 RESIDENTIAL PMTS R $0.00 ($213.49) 00150 STATE SURCHARGE R $0.00 ($4.50) 00610 PLUMBING PMTS R $0.00 ($67.20) $0.00 ($897.58) Tender Type Amount Paid Payer Checkl ($897.58) AMOUNT REFUNDED W/PPS VOUCHER # 00155576. APPLICANT SOLD LOT WITH A DIFFERENT SET OF HOUSE PLANS. I SPOMNj CA VM SPOKANE COUNTY DIVISION OF BUILDING AND CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE- SPOKANE, WA 99260-0050 Site Information Site Address: 2 51 1 S REES LN SPOKANE, WA 99216 Parcel Number: 45263.5406 Subdivision: CRESTVIEW ADDITION Block: 1 Lot: 6 Zoning: UR -7 Urban Residential -7 Owner: HAYDEN HOWS Address: 3327 W INDIAN TRAIL RD, PMB 232 SPOKANE WA 99208 Building Inspector: DAN HOWARD Water Dist: VERA Project Information Project Number: 02005226 Inv: 1 Issue Date Permit Use: RESIDENCE W/GARAGE - GAS 7/2/02 Applicant: HAYDEN HOMES 3327 W INDIAN TRAIL RD, PMB 232 SPOKANE WA 99208 Phone: (509) 362-3294 Contact: HAYDEN HOMES 3327 W INDIAN TRAIL RD, PMB 232 SPOKANE WA 99208 Phone: (509) 362-3294 Setbacks - Front: 20 Left: 5 Right: 5 Rear: 22 Group Name: Project Name: I Permits I Building Perntlt Contractor. HAYDEN ENTERPRISES INC License #: HAYDEEI071 D6 New Building BASEMENT U R-3 VN 952 RESIDENTIAL VALUATION 5767.50 Dim: X I Store GARAGE U-1 VN 409 STATE SURCHARGE $4.50 Sq Ft: 1.904 RESIDENCE R-3 VN 952 RESIDENTIAL, SURCHARGE 5168.85 Grp: R-3 Type: VN Total Value: $79.449.60 Total Permit Fee: S940.8s FOR BUILDING INSPECTIONS CALL (509) 477-3675. Mechanical Permit Contractor: CONIFORT CENTRAL HEATING & AIR License #: COMFOCH990G DUCT SYSTENIS 1 $10.00 GAS WATER HEALER 1 $10.00 GAS APPLIANCE<=I00.000BT 1 512.00 GAS PIPING 2 $2.00 HEAT PUMP OR A C 0-3 TONS 1 $12.00 VENTILATING FANS 3 $30.00 CLOTHES DRYER I $10.00 HOOD -TYPE. 11 1 $10.00 Total Permit Fee: $96.00 FOR MECHANICAL INSPECTIONS CALL (509) 477-3675. Plumhing Permit Contractor: ALPHA PLUMBING & HEATING License #: ALPHAPH099KL. TOILETS/BIDETS 2 $12.00 SINKS 3 $18.00 TUBS 2 512.00 DISH WASHERS 1 56.00 GARBAGE DISPOSAL 1 $6.00 CLOTHES WASHER 1 $6.00 FLOOR DRAINS I 56.00 WATER USING DEVICES 3 $18.00 Total Permit Fee: 584.00 FOR PLUIvI13ING INSPECTIONS CALL (509) 477-3675. P�C(A, A,A�- Perri We - Processed e Processed Bv: SIIATTO_ JULIE Printed Bv: WENDEL. GLORIA Page 1 of 2 S(A T, - TlI�VJ� PERMIT Voucher ID 00155576 Vendor ID HAYDHOME Invoice # PRJ #02-5226 Dept ID VENDOR: Hayden Homes 3327 W Indian Trial Road PMB 232 Spokane WA 99208 Vendor Contact/Tel SPOKANE COUNTY PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR SHIP TO: BILL TO: PAGE 2 OF 2 Rel Vchr RC# ENTERED DATE: 09/18/2002 PO DATE: BUYER: ACCTG. PERIOD: 09/2002 ENTERED BY: Patty Eickstadt PURCHASING DIRECTOR: BELA G. KOVACS LINE NO, DISTRIB LINE ACCOUNT FUND I DEPTID I PROGRAM CLASS RPT CAT I BDPER PC UNIT PAY THIS AMOUNT PROJECT ACTIVITY I RES. TYPE I CATEGORY SUB CAT I AM UNIT I PROFILE I ASSET FLG I ASSET ID Comments: 80% REFUNDED = APPLICANT CHANGED HOUSE PLANS WITH SELLING OF LOT. PRJ # 02-5226 SITE LOCATION: 2511 REES LN.; SPOKANE WA 99216. RECEIVING CERTIFICATION Materials noted in quantity ` have been received in good condition or contracted for. SIGNED DATE 9/18/02 T CCT TEl SIGNED: PAYMENT CERTIFICATION 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this Iaim—, fhr materials have been furnished, services rendered or labor performed as described herein or'epnlracted for, thatIt1keclaim is a just, $re and unpaid obligation against Spokane County or indicated aboae- t 1 all rized to authenticate and certifyto said claim. SIGNED _ TE 9/18/02` TITLE ICE PtDMINISTRATOR _ - DATE : / DISCOUNT TOTAL: 0.00 FREIGHT TOTAL: 0.00 SALES TAX TOTAL: 0.00 SUBTOTAL: 897.58 USE TAX TOTAL: 0.00 GRAND TOTAL: 897.58 TOTAL TO VENDOR: 897.58 TRAVEL CERTIFICATION 1 hereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by me and that no payment has been received by me on account thereof. SIGNED DATE TITLE ' Voucher ID 00155576 Vendor ID HAYDHOME Invoice # PRJ #02-5226 Dept ID VENDOR: Hayden Homes 3327 W Indian Trial Road PMB 232 Spokane WA 99208 Vendor Contact/Tel SPOKANE COUNTY PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR SHIP TO: BILL TO: PAGE l OF 2 Rel Vchr RC# ENTERED DATE: 09/18/2002 PO DATE: BUYER: ACCTG. PERIOD: 09/2002 ENTERED BY: Patt Eickstadt PURCHASING DIRECTOR: BELA G. KOVACS LINE NO. DESCRIPTION ITEM IDUANTITY UNITUNIT PRICE EXTENDED AMOUNT PO# CHG ORD# PO LINE# PO SCHED# CONTRACT# 1 STATE SURCHAGE 0.0000 0.00 4.50 0 0 0 2 80%= BACE's portion of Bldg 0.0000 0.00 535.59 0 0 0 3 80% = Mech portion of Prmt 0.0000 0.00 76.80 0 0 0 4 80%-Crrnt Ping's portion 0.0000 0.00 280.69 0 0 0 LINE NO, I DISTRIB LINE ACCOUNT I FUND I DEPTID I PROGRAM CLASS RPT CAT I BDPER PC UNIT 7 PAY THIS AMOUNT PROJECT ACTIVITY RES. TYPE CATEGORY SUB CAT I AM UNIT I PROFILE I ASSET FLG I ASSET ID 1 1 23700 N20 4.50 N 2 1 221002 406 0300008 2002 PROJA 535.59 BACE 240 REFND N 3 1 221007 406 0300008 2002 PROM 76.80 BACE 240 REFND N 4 1 221002 417 4170000 2002 PROM 280.69 CPLAN 6030 REFND N