2003, 03-03 Permit App: 03001256 Residence Project Number: 03001256 Inv: I 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: Front 22 Left: 11 Right: 15 Rear: 33 Phone: (509) 362-3294
Group Name:
Site Information: Project Name:
Plat Key: Name: LONGSV '7(4.0 District: G
Parcel Number: 55192.2501 Block: 4 Lot: 1
SiteAddress: 17603 E 2ND 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: ❑
Area: 6,440 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: In A
.�_ ► tin c0_1A <���J
v U
Plan Review -
R zj
Released By: /
Approach/Drainage Released By: 3-41-03
Sewer Review Released By.
Permits:
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001256 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: x Building Sq Ft: Sprinklers: Li
Req Parking: Handicap Parking: Critical Materials: Ill
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,240 $15,252.00 1,240 $15,252.00
DECK R-3 VN 64 $501.12 64 $501.12
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 1,240 $81,840.00 1,240 $81,840.00
Totals: 3,024 $103,353.12 3,024 $103,353.12
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $201.30
RESIDENTIAL VALUATION 1 Y OR BLANK $915.00
Permit Total Fees: $1,120.80
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 1 #OF UNITS $1.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD -TYPE 11 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $120.00
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001256 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
TOILETS/BIDETS 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 I NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
PROCESSING FEE I Y OR BLANK $25.00
Permit Total Fees: $127.00
Notes
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,120.80 $1,120.80 $0.00 $1,120.80
Mechanical Permit $120.00 $120.00 $0.00 $120.00
Plumbing Permit $127.00 $127.00 $0.00 $127.00
$1,367.80 $1.367.80 $0.00 $1,367.80
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
i' , i PROJECT APPLICATION WORK SHEET
ilk
SPOKANI:COUNTY DIVISION OF BUILDING& CODE ENFORCEMENT
]026 WES'C BROADWAY AVENUE
-��I SPOKANE,WA 99260
SSO�W;CQt1I�TI' 509-477-3675
SPECIFIC SITE INFORV4ATION
Street Address:
I7(003 e, ?" t
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
71 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sipa ❑ Ten Ent(New/Ch ❑ Other
(New/Change)
Department Use Only
Water District/Purveyor: Sewer Distnct/Purxevcr Road width
Setbacks
Front: Rear..
School District: Fire Distract: Zonmg - -
Left Right
OWNER/APPLICANT INFC'RMATION
Q Indicalc who should be eontaded rzEan z.,this projei!
❑ Applica It Phone
Fax:
Mailing Add rss:
(:in',State, II,
erde-e
❑ Connactr,r P6n��, '`
❑ Architect;'tngincer Phone
Jo',
\asilmq eddc o -" Fax
Mailing addre:s
Cite, :are Zip City,State Zir
Vi'\State Lon tractor lions# Contact name
RECEIVED
PROJECT INFORMAT ON FEB 2 8 2003
Building Information
Building lieighr to cak
' �: "°t'ro'es Main floor sy Ft. . Unfinished basement sq.ft:
2-3 I 124v (2
)imensions // Total habitable Tau. 2nd floor sq.f.
3 0 X b v 6 2 4 Finished basement,y.fr.
Oc upancvoup Coorncri
group r,,�, - ��
CJ 106tH l L Garage sy.fr. Deck sg fit.
co,,of pruj`ct 1 Teat source(electric,gas,etc.)
GJA5
------
--
,
Manufactured Home
Si.
Wha.t istile square footage of the sign I low high is the sign?
face?1111111111 #of sig 1.,-
Area of existing signs
IIIIIIIIIIIIIIIIIIIIIIIIIII
;- IIIIIIIIIIIIII
Relocation
Fire Safe
Previous address
I _
Fire Sprinkler
Tent
I
Paint booth Fire Alarm
Fireworks display
iNiaiue -
Special Inspections Required? Non-keSidential Energy Code Compliance?
H,,,-,N,-,,7---, -----------------
Plans fxan'iner
Phone
Address
Inspectors:
inspector
Phone
I Address
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
ADDITIONAL SITE INFO P MATION
_
Arc there structures on the property? 0 YesV71 No ihat is th current property size?
II yes,identi y on site Alan
(s Imre feeLor acres) ._,.....,.....m.' /
0
Is any part of the property within 250 feet of a shoreline? What is th,!current use of this property?
If yes,nienti y 0/1 site /an 0 Yes V No
Is your property in a designated wildlife habitat area? Will the sit be sen,ed by a septic system?0 Yes Prd NO
0 Don't know 0 Yes P No
IfyesIs am part of the property within a 100 yr flood plain? Ire or will t7iere be wells located on the property?
.rdept(ly On site p/all
Ifyesnitwit on the site plan 0 Yes 71 No
n Maybe 0 Don't know 0 Yes No
If:1 re there any wetlands,streams or ponds within 200 feet of the property? Ts there evil knee of fill or excavation on the property?
yes,irleini,on site van n Yes 4 No
0 Yes 6 No
Are there slopes greater than 305 on the property? :31)ft rise in 100 ft) .1re critical Jr hazardous materials used or stored on site?
(--_ _('(,)
0 Yes '4 No
0 Yes ri No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sel,ier available to the site? CI Yes 0 No
Cl Yes 0 No
Is the property inside the ASA? 11 Yes 11 NO Is public water available to the site? 0 Yes 0 No
0 Yes 0 No
_
Is the property inside the PSSA? o ‘,,, n No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
_
Dare Recei\eel:
Stafilienresentan,
IMETHOD OF PAYMENT
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FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CRED T CARD
TOTAL FEE
hAP112PS:
I)Vii' _
MINIMUM PERMIT FEE IS$35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
BANKCARD NUMBIR:
COUNTY PERMIT CENTER
WTI iORIZID SIGNATURF:
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6 9 " I I C s F. DDRESS 11(ob3 E-"Z""�
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This site plan is being submitted for the purpose of
O A obtaining a building permit and is a true and correct
representation of the proposal.All known property
lines/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands,
Or i1/4)t.A...J te.ki bodies of water steep slopys r other critical areas.
1 t4 Signed:/114-'-",-4--- ---------
Date: 47//1",
. .
56 . 0C '
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