2003, 03-03 Permit App: 03001261 Residence Project Number: 03001261 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: Front 22 Left: 8 Right: 8 Rear: 41 Phone: (509)362-3294
Group Name:
Site Information:
Project Name:
Plat Key: Name: L bNG u yaw Q District: G
Parcel Number: 55192.2502 Block: 4 Lot: 2
SiteAddress: 17609 E 2ND LN Owner: Name: HAYDEN ENTERPRISES INC
GREENACRES,WA USA 990 Address: 2622 SW GLACIER RD#110
Location:: GRE REDMOND,OR 97756
Zoning: B-2 Community Business
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
414e-C3---raret----"Trtrcr'bZn7C'e (d pd(Hg,
Plan Reviewr
Released Byi••
; P
Approach/Drainage Released By: 3 "' -6B
Sewer Review Released By.
o2 bC'1242 — —
Permits: .. .
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001261 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: 1-1
Req Parking: Handicap Parking: Critical Materials: II
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 980 $12,054.00 980 $12,054.00
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 980 $64,680.00 980 $64,680.00
Totals: 2,504 $82,995.12 2,504 $82,995.12
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $172.98
RESIDENTIAL VALUATION 1 Y OR BLANK $786.25
Permit Total Fees: $963.73
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
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 2 NUMBER OF $20.00
HOOD -TYPE II 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $91.00
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001261 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 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
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
WATER USING DEVICES 3 NUMBER OF $18.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $109.00
Notes
PaymentSummary:
::.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $963.73 $963.73 $0.00 $963.73
Mechanical Permit $91.00 $91.00 $0.00 $91.00
Plumbing Permit $109.00 $109.00 $0.00 $109.00
$1,163.73 $1,163.73 $0.00 $1,163.73
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
1 t PR.DDJECT APPLICATION WORK SHEET
SPOKANE :OUNTY DIVISICN OF BUILDING& CODE ENFORCEMENT
1026 WES'1 BROADWAY AVENUE
i.111 SPOKANE,\\t\ 99260
509477-3675
SPO ii,:CO
SPEC FIC SITE INFORMATION
Street Address: (7toO et rr '2- lA1•R--
Assessor's Tax Parcel Number(s):
Legal Description: ' 1 •'
L- Z- � Is,LIG- `-L
Project Description: 002-400Me---
A-Building Permit ❑ Change in Use ❑ Gra ling ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tensor(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road-t.dui Setback.s
Prow: Rear:
School District Fire District Zoning_
[el'', Right:
OWNER/APPLICANT INFORMATION
} El hrdri_u,subs rami:"b cor!acied mgur, s!Zvi piro/,us
t�. Orr net: ��
gypl ��MIMIC: ❑ rApplica.ie Phone.
WayClt„ i
Maihne Address. s ._ :Mailing Add :.
Z22 So C (4tcr' 51i-- //o
(rue.Sias,%ip Cirr,Starr,P q;
PebnAlel 0A. 975,5- . _
•..: (.ontrncrm. `� I'l::,:: 3�2�3�/1 J . gme Phone
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Mnilmg address ... Mailing addre-s
;PI S. NI, 4,13/I /aAd
ttiCin,State:ic RECEIVE '
,te acis W/4" 9 /�
lX-\stair Cuntrutur liccnx.# Contact Hume 11 I.
PR(ojECT INFORMAT ION
Btilding Information
Building height to peak; / #of stones Main floor sy it. crV o UnFV
nished base c�ysy.ft.
o
Dimensions lbh.tl hsprt.il:rlc shad._�� 2nd floor sy.t Finished`basement sq.it.
9 --
OcarPanc\group :oast:.lcri,n rr T A
> Ga,:Bc s9-a. /f 0 Deck sq.ft. 6 v
5
rtia
Cost of project ;kat source(,jectric,gra;_etc)
/17, z qc - di-s
Manufactured Home — — — ______ .__
Width: L.en,;th Si—i — —
�
What the
`� tr r[ >>c of ncc :inn I Tow high is the:,go?
Tracer
nomimmom
of sig 1, _
Area of exis hng signs
I
Relocation - ---
ilFire ;>afety
Previous address
11 Ftce Sprinkler
'Fent
Paint booth__ Ir:re;Alarm
— f'ircyvorks display _
Proposed use
Value
Special Inspections Required? N — —
on :ecidenti Il Energy Code Compliance?
Finn Name
Phone ---
i. Plans Iisan mer --
Phone
Inspectors: ------- _ _
fi
Address ------_—_ —'
Inspector -
Phone
(71 Concrete O Welding O Bolting O Reinforcemen ! ddre: 111111
A
ADDIT;ONAL SITE INFOF MATION
\re there structures on the property? 0 Y es No
1 es,ideat, on,ritepinn What is tlr current Irroper}-size?
(square
Is any parr of the property'within 250 feet of a shoreline? fee t or renes)
I yes,ideirtzf:on site pian 0 Yes Ntl What is th� current use of this property? ���
If
Is your property in a designated wildlife habitat arestr
Will the sir•be screed hy a septic system?0 Yes No
0 Don't know 0 )es CO"No
Is any part of the property within a 100 yr tlood plait IS Are or will t
/Off,ideeri(;roitRippiau �ttr.;be wellur_a,�d on the property?
0\lar be Don't kra�",, It .1 uta/ on Me rite Alan �y,�
0 Yes Nt- Yes t ' "
:Are there am'wetlnds,streams or ponds within 201?Fe! of rht o�ews'!
Dyes,rdenri; on siteplan 0 Yes 1 r 1 Is there evidence of Pill or c�cahauon on the plopcls
\re there slopes greater than 30°%on the prt'pt m ft rise in 100 ft -- 0 Yes No
(____ _%) ) Are critical�;r hazardous materials used or stored on site
0 Yes :"' No
0 Yes ! No
Is the property in a designated Stormwater Control Arca?
DEE'AR"TMENT USE 01A lLY
Is public sever available to the site?
D Yes 1] No
0 Yes O 1\o
Is the property inside the ASA? _-
0 Yes 0 No Is public wat 2r available to nc�site?
0 Yes 0 No O Yes O No
Is the property inside the I'SSA?
O Yes 0 No Is the p opts c y located within hin 1000 feet of a Natural Resource Area?
D Yes 0 No
:raft Reprc,enr,iisL.:
METFIOD OF PAYMENT
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FAXED PERMITS WILL ONLY BE ACEPTFD WI'n l PAYMF NTT OF A MAJOR CREDI;r CARD
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NUMB R.
— — —--- TOTAL FEE
1U'1'I I(IR1"/,l?D FIGN: 'l'pgj : __ wvlyrvNrRERNiTF Ers$3s.00l>r-EASE.
—._.-..-.__.. - .tin.'�.r CHECKS PAYABLE To SPOKANE.
COUNTY rER rr CENTER
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AThis site plan is being submitted for the purpose of
i obtaining a building permit and is a true and correct
4 $ I representation of the proposal.All known property
NI �y-��, lines/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands,
bodies of waxer,steep slo a or other critical areas.
Signed:�`'�_-� �
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