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2003, 03-04 Permit App: 03001280 Residence Project Number: 03001280 Inv: 1 Application Date: 3/4/2003 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 CI) �"� C - S -Z: GREENACRES,WA 99016 Setbacks: Front Left:® Right:( 1 Re. Phone: (509)362-3294 �� Group Name: Site Information: Project Name: Plat Key: Name: Le,t4 GovEw ' ut 0 District: G Parcel Number: 55192.2503 Block: 4 Lot: 3 SiteAddress: 17615 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 111.Gt1-5 I N O t e-A-m.c0 O A6 S 1't6 PcJw ry 4.--ve-rzyry*-`21 Plan Review Released By: L - ` MOM. I Approach/Drainage Released By: y, • Sewer Review Released By. (53(,012`6 — - Permits: Operator: JEF Printed By: JEF Print Date: 3/4/2003 Project Number: 03001280 Inv: 1 Application Date: 3/4/2003 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: U Req Parking: Handicap Parking: Critical Materials: [11 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 968 $11,906.40 968 $11,906.40 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 968 $63,888.00 968 $63,888.00 Totals: 2,480 $82,055.52 2,480 $82,055.52 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: 3/4/2003 • Project Number: 03001280 Inv: 1 Application Date: 3/4/2003 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: HAYDEN ENTERPRISES INC Firm: HAYDEN ENTERPRISES INC Address: 17626 E 2ND Phone: (509)994-4691 GREENACRES WA 99016 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 2 NUMBER OF $12.00 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 WA I'LR USING DEVICES 3 NUMBER OF $18.00 PROCESSING FEE 1 Y OR BLANK $25.00 Permit Total Fees: $103.00 Notes . .... .. . Payment Summary: :;>... 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 $103.00 $103.00 $0.00 $103.00 $1,157.73 $1,157.73 $0.00 $1,157.73 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: 3/4/2003 1 i PRI)JECT APPIACATION WORK SHEET SPOKANE :OUNTY DIV'ISICN OF BUILDING& CODE ENFORCEMENT 1026\b T 5 BRO ADyV A" \VENUE, SPC);:LANE,WA )261) 111 SPO is;COL. 509-A77-3673 SPEC FIC SITE INFOR`14ATION Street Address: )7�I Sf Z oid 1 a4 G _ Assessor's Tax Parcel Number(s): Legal Description: 6-13L /3 1 oG Project Description: 13ew _140JS� XBuilding Permit ❑ Change in Use ❑ Gra,ling ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor: Sewer District/Punycyor - Road avidtlt Fssetbacics i Omni: Rear:. School District: Fire District: Zonurg. f eft: Right: OWNER/APPLICANT INFORMATION 0 Iodine°who should be ranlsrred re un'�r�lGe'pisier/ krOwner. Phone l en "/xi e-7 ❑ ;Applica.it Phone: *Ay4" � ier Prises Fax: Iblailmp Address. :Mailing i1dd csc: 2021, Sw 4/A ea, P/1/e? Citr,Stare,%ip Cin',Stare, Aelmovvi afgjoil --_ 4775To —— Contras Phone Aydei 11__l� 542_321y ❑ :\rchtect/I nonce; Phone Fax Mailing address Mailing adder:s �2y iV 4, /e/ HAG --- (:in,Scare Xip City,Starr Zit- IV ED \\r\St,to Contractor license# Contact name 2 3 Alija PROJECT INFORMAT[ON B ilding Information Building height to peak4/0til stow Main;toot sq ft. 9t ss Unfinished basement ♦ eQQ/ Dimensions Total habitablespace 2et'floor sy.f Finished basement sq.ft. _ occupancy group ReCnnstructwn;,f"� / Garage sq-it. q' 7 Deck sq.ft. O ><, Cost of,miser I Teat source(:I�retric,gst,�,c[c; 1I*/ 7S0 Manufactured Horne — width: Si ---- What is the sciu..rc (ootai;c of the sign I Tow high is the;tern fear: 'I N. c,: I Area of exrstmg signs il I Relocation -- /Fire Safety address -- P:r,,Spnnk er _— 'lent �� Paint booth--- l'ire'A'arm __ l'ircworks display Proposed use Value I Special Inspections Required? Non-Residential Energy Code Compliance? Finn Name ,Phone Plans Exan.:cer Phone Fi nsncctors; Acdress il inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Rt in foremen i Address --- ADDIT;ONAL SITE INFOA MATION Are there structures on the property? O }'es IR--NI( - 1 es.?ere on site laic 7� What tit current proper size? I,Y (square fee t or acres) property Ti any part of the aro within 250 t. or P feet of shoreline? }Maris the current use of this property? If yes,identify on rfte,pian 0 Yes KNo VGI «o1 l-- Is your property in a designated wildlife habitat arca Will the sit be served by a septic.ysrem?0 Yes No O Don't know 0 )cs I No Is any part of the property within a 100 yr flood plain? Are or will tore be ccrlle located on the property-? //yes.identiljt on sae plan 0 Maybe 0 Don't know 0 Ycs 1tier 1%)'e ei�i l on t -.ri-e pia,/ 0 '1"c, No Arc there any wetlands,streams or ponds within 200 feet of the I.roperty? Is there cvic nce of fill or excavation on the property? 1 f yes,tdeula(,on site pion 0 Yes pt No Arc there slopes greater than 30D on the property?(30 ft rise in 100 ft) Yes0 j No ( 0,;0 Are critical.:.r hazardous materials used or stored on SitC 0 Yes pl^No ( _ 0 Yes ..No Is the property in a designated Stormwater Control Area? DEPARTMENT USE OIC LY /� Is the property Is public sev cr available to the site? [J Yes © leo 0 yes (7 property inside.the ASA? D Yes 13 No Is public war err available to the site? 0 Yes 0 No - 0 Yes 0 N o Is the pi-Opel-1y inside the I'SSA? __ D 'Yes 0 NoIs the proper ry located within 1000 feet of a Natural Resource Area? 0Yes 0 N ® weft?,-? ,„tn.,- METHOD OF PAYMENT --_— 11111.1.1 ❑ p - .' ❑ 17 ,, - SUB-10"1.:\l, 11111 FAXED PERMITS WILL ONLY BE ACEPTF.D WITI-I PAYA4F-NTT OF A MAJOR CREDIT CARD D;VI'I f I:AP]RI:S: _________ H.ANht:.Ut1�NU IB1Sit: TOTAL FEE ALF{d)it1/I!D Si(;NA"1'L'ItA: COI NTS'PERMIT CENTER : SO CHECKS ar rznrrrxEr s 35.m1>t, S '/SE -- ,'u\h'CbiEiC i�SP41':1]3Il?TOSPC));;L\T_. 6O57 '7 ' . . , . 56 . 00 ' I N� ADDRESS 114(6-'t' . 2 ZONE ROAD WIDTzu °' FRONT FL. _.4: L_k:.b__ LO COMMENT (j) REVIEWED :-,: . 6 /1 /1 0 SE i(jc) z / CD CD 0 T - (_) o ' _, o C7 °' CP 0 ft Go,ro� e M , 0 o), D �- 4 0 cN 0 r�f:,A,5;o A D 0 flU-1 t Ni This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal.All known property Go (Mt L.. lines/dimensions,curb lines,structures and easements have been identified.Also indicated are wetlands, bodies of water,steep sic s or other critical areas. 9 10 JTI � . — —e Signed: b,,.4 , , <, S — Oats OA/4/3 N N Q r i V4.AA9 p4.1 5 6 . 0 0 ' 1 1 / 613 3 2 6