2003, 01-29 Permit App: 03000553 Residence •
Project Number: 03000553 Inv: 1 Application r e: 1/29/2003 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE-GAS Contact: HAYDEN HOMES
Address: 324 S MAINIFOLD LN
C- S -Z: GREENACRES,WA 99016
Setbacks: Front 22 Left: 6.5 Right: 6.5 Rear: 44. Phone: (509)362-3294
Group Name:
Site Information: Pro ect Name:
J
Plat Key: Name: LI 1"e.. A_) 1:32A.,,CDistrict: G
Parcel Number: 55192.2603 B ck: 5 Lot: 3
SiteAddress: 17614 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: 134 CONSOLIDATED ID#19 Hold: ❑
Area: .00 Acres Width: 55 Depth: 116 Right Of Way(ft): 28
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review 3 —6Site Plan Review Released
Plan Review I Released By: _ —1 C`i 7
jhApproach/Drainage Released By: � I f /.23
6
Sewer Review rt_�&) êjYLAaJ `� I pm
Released By: i'' .,fiiii lWO I II i
C.O 3 - 5 )
Permits: -
Operator: JAS Printed By: JAS Print Date: 1/29/2003
Project Number: 03000553 Inv: I Application Date: 1/29/2003 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: ❑
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Su Ft Valuation
GARAGE U-1 VN 400 $4,800.00 400 $4,800.00
RESIDENCE R-3 VN 1,235 $81,510.00 1,235 $81,510.00
Totals: 1,635 $86,310.00 1,635 $86,310.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $811.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $178.48
Permit Total Fees: $994.23
Mechanical Permit
Contractor: COMFORT CENTRAL HEATING Firm: COMFORT CENTRAL HEATING
Address: 7136 N FOTHERINGHAM Phone: (509) 216-1234
SPOKANE,WA 99208
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WAFER 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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $96.00
Operator: JAS Printed By: JAS Print Date: 1/29/2003
Project Number: 03000553 Inv: 1 Application Date: 1/29/2003 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 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
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
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $84.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $994.23 $994.23 $0.00 $994.23
Mechanical Permit $96.00 $96.00 $0.00 $96.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,174.23 $1,174.23 $0.00 $1,174.23
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: JAS Printed By: JAS Print Date: 1/29/2003
,J
lici PROJECT APPLICATION WORK SHEET
21111k SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
14
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
Srox<Cowry
SPECIFIC SITE INFORMATION
Street Address: hi (1 1{ 2 kk t a.k_
Assessor's Tax Parcel Number(s): ( q'. – 'D--4.01L73
Legal Description:
Project Description: 1 '005"e'—
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign El Tenant(New/Change) ❑ Other
Department Use Only
Fater District/Purveyor Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District Zoning
A- 7-3 Left: Right:
OWNER/APPLICANT INFORMATION
0 Indicate who.rbould he conic led regarding this pro/eel
Owner: c Phone: CI Applicant: Phone
f/ayeld.,. ,Enkrerrse,
Fax: Pax:
Mailing Address: Mailing Address:
2
eZ27 4 ktiu- Pf4� S"1 k 110
c,„,.tate,Zip (its,State,Zip
g_e.dtAtte,r Otie3 64% 17 3 S`
ptContractor , Phone 26,2-3z/L. ❑ Architect I.ngdnecr Phone
/WrAyU ` l 5 lax ✓ I'ax
Mailing address Mailing address
3y s '- (AI 4a<-
city,State Zip City,State Zip
'Wit a eel 5 LOA ef0/(
\\-A St.to Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak,e #of stones Main floor sq.ft. Unfinished basement sq.ft.
/1 3 C ..---
Dimensions 'Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
YO k.5-011275 ,.. --
Oceupanc Construction t�lj�e ��fi Garage sq.ft. yo Deck sq.ft.
Sll_.�t
Cost of project , I len •source(electric,gas,etc.)
1 5-, 6r-o-c' 4--5
Manufactured'Home Sign
Width: Length: What is the square footage of the sign I low high is the sign
face?
Year: Make: #of signs ;Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire;harm I'ireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Pirm Name Phone ' Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes l' No What is the current property size? Ya7
Ifyes,identify on sae plan (square feet or acres) �O
Is any part of the property within 250 feet of a shoreline? What is the current use of this property? v �
If yes,identify on site plan O Yes No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes ,SkNo
0 Don't know O Yes L No
Is any part of the property within a 100 yr flood plaid' Arc or will there be wells located on the property?
Ifyet,ident 'on site plan flys,identify on the site plan Yes No
O Maybe 0 Don't know a Yes r/kNo
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identij'on site plan 0 Yes CX44o 17I Yes ,No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
O Yes No O Yes ANo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
Ycs O No
Is the property inside the ASA? O Yes D No Is public water available to the site? O Yes O No
OYes 0 N
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
MEM
?C VE SUBTOTALVISA .
❑ C:ASII ❑ CHECK ❑ WIN ❑ ❑ __
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
FXPIRI:S: TOTAL FEE
BANKC:ARL)NUMBI?R: MINIMUM PERMIT FEE IS$35.6MPLEASE
MAKE Ct-IECKS PAYABLE TO SPOKANE
AU'I'I IORIZI:D SlGNXl'URI:: COUNTY PERMIT CENTER
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