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2003, 01-16 Permit App: 03000315 Residence Project Number: 03000315 Inv: 1 Application Date: 1/16/2003 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 ENTERPRISES Address: 324 S MANIFOLD C - S -Z: GREENACRES WA 99016 Setbacks: Front 25 Left: 17. Right: 6 Rear: 35 Phone: (509)362-3294 Group Name: Project Name: Site Information: Plat Key: Name: Vt5,,Ii iit0 p0 p District: G Parcel Number: 55192.2602 Block: 5 Lot: 2 SiteAddress: 17620 E 2ND LN Owner: Name: HAYDEN ENTERPRISES GREENACRES,WA USA 990 Address: 324 S MANIFOLD Location:: GRE GREENACRES WA 99016 Zoning: UR-3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID#19 Hold: ❑ Area: ',456.00 Acres Width: 63 Depth: 116 Right Of Way(ft): 28 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released : r. 4 - milk Plan Review Released By: `J /-" /-7. Approach/Drainage Released By: 1+ iCe•4 Sewer Review IV.)j ! ___�1 _Released By. CO — t-- ,,—) Permits: Operator: JAS Printed By: JAS Print Date: 1/16/2003 Project Number: 03000315 Inv: 1 Application , Date: 1/16/2003 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: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 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: 1,715 $87,270.00 1,715 $87,270.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $817.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $179.85 Permit Total Fees: $1,001.85 Mechanical Permit Contractor: COMFORT MECHANICAL Firm: COMFORT MECHANICAL CONT Address: PO BOX 758 Phone: (509)928-0207 GREENACRES,WA 99016 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $107.00 Operator: JAS Printed By: JAS Print Date: 1/16/2003 Project Number: 03000315 Inv: 1 Application Date: 1/16/2003 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 FLOOR DRAINS 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $90.00 Notes Payment Summary Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,001.85 $1,001.85 $0.00 $1,001.85 Mechanical Permit $107.00 $107.00 $0.00 $107.00 Plumbing Permit $90.00 $90.00 $0.00 $90.00 $1,198.85 $1,198.85 $0.00 $1,198.85 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: 1/16/2003 , x I < PROJECT APPLICATION WORK SHEET ii SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 144 SPOKANE,WA 99260 1 11 509-477-3675 SPOKE CO1KTY SPECIFIC SITE INFORMATION Street Address: 176,20 E. n 1`_� _ / Assessor's Tax Parcel Number(s): G SS-'' / ?D �,-[�Y�,o Legal Description: - tot 2 eIoL s t_atAziof PtAn Project Description: i\)e...\,_) 14 0%A 5-e O Building Permit 0 Change in Use 0 Grading O Manufactured Home Permit 0 Relocation O Sign O Tenant(New/Change) O Other Department Us OnI {,.,�,1� Water Disttictll'u yor et i t$tikt,tPtifaerr RtyaXtWixlt' Pt -: Frostot,krG. Meat' School:District., Ftie Dx4tr cC f OWNER/APPLICANT INFORMATION IZi Indicate who should be contacted regarding this project ❑ Cvner. Phone: 0 Applicant: Phone: 1-�o..A �Q/A r`/i,1 Fax: Fax: Mailing Address: Mailing Address: 3Z Y • k(an, a►c( lathe City,State,Zip City,State,Zip 6A.te4Ac -c5 W✓a ggoi Phone Phone El Contractor 0 Architect/Engineer Fax Fax Mailing address Mailing address City,State Zip City,State Zip \VA State Contractor license# Contact name: PROJECT INFORMATION 3''''Iiildirii Infoitriatio Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft 11 ) 1235 r.a - Dimensions Total habitable space 2"d floor s..ft. Finished basement sq.ft. 1235 .1r'4 iko Occupancy group Construction type Garage sq.ft' /.gO Deck sq.f Heat source(electric,gas,etc.) Cost of project 5 7 , Manufactured Home SSC" Width: Length: tat is the square footage of the sign Flow high is the sign? face? Year: Make: #of signs Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? Cl Yes No What is the current property size? Ifye ident61 on site plan ` (square feet or acres) 7 (d Is any part of the property within 250 feet of a shor line? What is the current use of this property? Ifyes,identify on site plan O Yes No v -C.aAit Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes of No O Don't know O Yes No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,ident,61 on site plan Ifyes,identify on the site plan O Yes gf No O Maybe O Don't know O Yes tikNo Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes identifi on site plan O Yes e;K No O Yes fill, 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? ( —a/0) O Yes k No O Yes Af No DEPARTMENT USE ONLY Is the property a designated Stormwatet control Area? Is public sewer available to the site Cl Yes Q No C , Yes O o lathep perty inside the ASA? !i Yes tD Nv Isa he water available to the site? P-12Yes Ci No QYes„,CiNo Is the property inside the PSSA., -Is the property located within 1000 feet o'a Na-lural iiespiiirceAtea? ©'=Yes =Ll No Date Received: Staff Representative: METHOD OF PAYMENT ❑ SUBTOTAL 0 CASH 0 CHECK ❑ . 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: _ EXPIRES: TOTAL FEE BANKCARD NUMBER: MtNIMUMPE/014/T E'AS AGPLEASE AUTHORIZED SIGNATURI?: MAKE CHECKS PAYABLE TO COUNTY?Ewan,cENTER omitted for thepurpose of fit, ., be nn su `f s a tr and correct - re 5 nlat an of the proposal.All know' property 0) easements ( re re,e r,o structures\ lines/dimensions,curb I as, f c`jed aro,,tic .ands, been Identified. �.�., ,7'l` 0� \` bodies of water,steep slop,,s or other crit;cal areas. \ have �� — < -----1 N i \\ Signed'.^ .14/1-- , 0 \ \ \ -----2, LP < FIN \ 1 1 3 . 9 4 , (.� cNA v a , , v \ � '_ 9i t ef? \\ 4116. /\ i . ui i . ri c\1 ii) y \ 1 . 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