2003, 03-03 Permit App: 03001253 Residence Project Number: 03001253 Inv: 1 Application Date: 3/3/2003 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE Contact: HAYDEN HOMES
Address: 324 S MANIFOLD LN
C -S-Z: GREENACRES,WA 99016
Setbacks: Front22 Left: $ Right:2:, Rear: kl Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: Name: (_�rl4\1 k w District: G
Parcel Number: 55192.2605 Block: 5 Lot: 5
SiteAddress: 1760f,E 3RD LN Owner: Name: HAYDEN ENTERPRISES INC
GREENACRES,WA USA 990 Address: 2622 SW GLACIER RD#110
Location:: GRE REDMOND,OR 97756
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: Li
Area: 6,516 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Site Plan Review Released By-
i._
btu crc 'rte. Iry
Plan Review -Released By:
< �
Approach/Drainage [Released By: M
Sewer Review [-Released By:
b3 0€5 12 S5
Permits:
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001253 Inv: 1 Application Date: 3/3/2003 Page 2 of 3
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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: Y Building Sq Ft: Sprinklers: U
Req Parking: Handicap Parking: Critical Materials: H
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,235 $15,190.50 1,235 $15,190.50
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 1,235 $81,510.00 1,235 $81,510.00
Totals: 2,950 $102,460.50 2,950 $102,460.50
Item Description Units Unit Desc Fee Amount
STA 1'E SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $200.20
RESIDENTIAL VALUATION 1 Y OR BLANK $910.00
Permit Total Fees: $1,114.70
Mechanical Permit
Contractor: COMFORT CENTRAL HEATING Firm: COMFORT CENTRAL HEATING
Address: PO BOX 28924 Phone: (509)216-1223
SPOKANE WA 99228
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $139.00
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001253 Inv: 1 Application Date: 3/3/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit -
Contractor: ALPHA PLUMBING& HEATING Firm: ALPHA PLUMBING& HEATING
Address: 13615 E. TRENT AVE Phone: (509)535-0727
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $109.00
Notes .... ... ..
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1.114.70 $1.114.70 $0.00 $1,114.70
Mechanical Permit $139.00 $139.00 $0.00 $139.00
Plumbing Permit $109.00 $109.00 $0.00 $109.00
$1,362.70 $1,362.70 $0.00 $1,362.70
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: JEF Printed By: JEF Print Date: 3/3/2003
10;1 PROJECT APPLICATION WORK SHEET
SPOKANE1:ouNTy DivisicNi OF BUILDING & CODE ENFORCEMENT
1026 WES.r BRa-ww. y AVENUE
spoK-ANE,wA 99260
509477-3675
SPO CO
SPEC]FIC SITE INFORMATION
Street Address:
2 pin
Lr
Assessor's Tax Parcel Numbers):
Legal Description:
1,0k-- 5-- 61 .,(G.-
Project Descriptioi0k6)00(.1 56:
/d- Building Permit CI Change in Use 0 Gra ling 0 Manufactured Home Permit
0 Relocation 0 Sign Ten Lnt (New(Change) 0 Other
Department Use Only
Sgater District/Purveyor: Sewer Disco:a/Purveyor : Road vicitin [ Seibacka • i •
loom, Rear:
School District Hre Distnct7 - Zoning
OWNER/APPLICANT INFORMATION
EtJstthtsu 4,,b ,hom/d Ps con!acted proica
Om nel. Appl:ca:it: Ithone,
P•61,6> rt-fT6elle t56- Fax:
Mailing Address. MaIhng
State,1.1p Cit,State,
(,,,ntracr.,* t -
3b ›c7r0 ic Isioccr Phone
5 • !.,, Fax
Mailing aLichic:s
Cite,Mare Zip Go',Mate/elp
•
. •
\X A Stalc,C.,ntractur iicense A Lon Le, r.rne
FEB 2 8 2003
PROJECT INFORMAT[ON
B1 ilding Information
Building height Co peak 14 of stones again floor scl I t. fltrinished basement s(1.ft.
/ 7 ' 3
Dimensions ToMI habit:MAL.s :tcc 2nd floor sq. t finished basement sq.ft.
0,h-upancy group ConFtiticNon type Garage so.Ii, Deck sq.ft.
e6511>e7—triilu
of project lint source 0 Ictric,gas:.etc
r
kcl
anufactured Home — . —_
tilxiidth _ S1
(M
Lungtlr �What-
rhe sruarc rocoage or the sign I low high is the sign?
'race-,
Year: ::\Jake ---
1#of sigr:
Area of existing„gts
Ii
Relocation —
ll Fires fete
Previous address _
nnklc
— Tent
Paint bootie_ 14rc Alarm Fireworks display
Proposed use
Value
Special Inspections Required? �JJ� Non-Residential Energy Code Compliance? 1
Pins Name Phone ----II -.---- _
Plans P"san Dinar Phone —
Inspectors:
IfHddrecii --_
---
inspector ..-- Phone —
O Concrete 0 Welding 0 Bolting, 0 R,intorcemen Address —_ —
ADDITi ONAL SITE INFORMATION
Arc there structures on the property? ❑ }y, No —
What is th_t current t>rcoi t y size? a Z
If her Hlentii5,on site plan n itc Ice i or acres) 5/
Is anyparr of tic P p cocity°within Z 50 (=p
feet of a shoreline? Whir is Hatt,current use of this property?
If yet,ideirtifyat_rite/Van 0 Yes rNo
]s your property in a designated wildlife habitat its i? Irhserved by a septic system?0 Yes 7 No
0 Don't know 0 Yes fZJ No
Is any part of the property within a 100 yr flood plain? .Are or will mere be weIla located on the property?
Ifye.r,idenii/;,51/.rite plan
If yes,idei'l OHthe sire l,,,,, ❑ Ycs Ci No
0 Maybe 0 Don't know 0 Yes 7I"No
Arc there any wetlands,streams or ponds within 2�00,/feet of the 1 ropers;,? Is there evidence of fill or excavation on the property?
I f yes,rdriitifj�on site plan 0 Yes- is/No
Arc there slopes greater than 30 'a on the 1 aro c0 Yes ErNo
p m?(30 ft rise in 100 ft) 1rc critical.;r hazardous materials used or stored on site?
N)
0 Yes ptNo
0 Yes l' No
Is the property in a designated Stormwater Control Area; DEPARTMENT USE OI\AY
is the property insideIs public soy er available too the site? 0 Yes 0 No
CI Yes O -1,0 the ASA? e` ❑ iso Is public wa1 err available to the site? Yes
�I Yes 0 i,o 0 0 No
Is the property inside the PSSA? 0 Yes O h.a Is the propel tyv located within 1000 feet of a Natural Resource Area?
__ ❑ Yes ❑ No
Date ieee,,t i ,Soft lS-p eont:un c. _.._
METHOD OF PAYMENT
MINN
❑ CAS" ❑ ton:ch 0 ::, ❑ C7 SUBTQTI'AI,
1111
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYME NT OF A MAJOR CREDI^,f CARD
DSIIB ;
ANKC ARD NUMB1:R: TOTAL FEE
CHECKS PAYABLE TO sr,oicAr:i
1U'1'I1ORI/,1(ll 5l( N:1'1'L'121:: -5'N'01-wart.xnrir,�EEtss$3,aai,.>s,�sE
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COMMENTS r-- n
REVIEWED BYZy/M-D _ N--) cY
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This site plan is being submitted for the aurpose ofO /" Dobtaining a building permit and is a true and coct `
representation of the proposal.All know,property
lines/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands, / 6`
bodies of water,steep slop or other critical areas.
Signed: c,e,r,,,,,e-, 4 --
Dat '/ - //c — '
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