2003, 03-03 Permit App: 03001264 Residence Project Number: 0300126-I 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 2.1" Left: 5 Right: ZS Rear: 1't Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: Name: Lb/oat./itw vO District: G
Parcel Number: 55192.2601 Block: 5 Lot: 1
SiteAddress: 17626 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: Li
Area: 8,187 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: J
,i
Plan Review Released By. 1 }
Approach/Drainage PReleased$y: 2""—t9-5•
Sewer Review Released By.
Permits:
Operator: JEF Printed By. JEF Print Date: 3/3/2003
Project Number: 0300126-1 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: H
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,235 $15,190.50 1,235 $15,190.50
DECK R-3 VN 120 $939.60 120 $939.60
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: 3,070 $103,400.10 3,070 $103,400.10
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 2 #OF UNITS $2.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 3 NUMBER OF $30.00
HOOD -TYPE II 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $109.00
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001264 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 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
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $115.00
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 $109.00 $109.00 $0.00 $109.00
Plumbing Permit $115.00 $115.00 $0.00 $115.00
$1,344.80 $1,344.80 $0.00 $1,344.80
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 he 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
idc1 PROJECT APPLICATION WORK SHEET
SPOKANE,:OUNTY DIV1SICN OF BUILDING&CODE ENFORCEMENT
1026\\T;Sr BROADWAY AVENUE
al
=1111
SPOKANE,WA 99260
509-177-367
SPO 4. ,:Co .IT
SPEC FIC SITE INFORMATION
Street Address: I 7 Z& zoo LAME
Assessor's Tax Parcel Number(s):
Legal Description:
b0 - I (3100 CaN6-? V1 *vr>
Project Description: NOUS C
,Zr Building Pet-mit ❑ Change in Use ❑ Gra ling ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Ten r t(New/Cliange) ❑ Other
Department Use Only
water District/Purveyor: Sewer 01SIt1Cti Purveyor Road-evtdtii • - Setbacks
Prone Rear:
School District f-ire Disn:ict- Zoning.
Left: Right:
OWNER,/APPLICANT INF(tRMATION
El iviit-La(wbri thou/d be eniluarled:cgun Sv,this proictr
TA Owner Phone ❑ Applica it: Phone:
!4Ar067-1 2,e-t - I„r
Mailing.Address. Mailing Add css: -----
32q strArllrva
(.itc.Snnc-,tip (:ire,State,Sip
fee=El`(AC to rS _
❑ (:untrnctoe ,,,,,„:,• ❑ ;Archirecti �n recr Phone —
fN laiiing address Mailing alder.s
(:int,State Zip -� City,Sure/.ii--- --- RECEIVED
\\-\State Contractor:ICen.sc# ---- ac,,;t'ct r.C:`:c FEB 2
2003
PROJECT INFORMAT[ON
•
Br ilding Information
building height to peak #of stones Main floor sq ft. Unfinished basement sq. ft.
17' 1 _ Iz3S /235
Dimensions Total habit;tIsle c1,act: 2"d floor sq. f. finished basement.d.ti.
40 x 5 y i 2;35 ------- ----
Occupancy group Construction:circ Garage sa.ft. --- Deck sq.ft.
e6.5 017AL— sritnngR> -- - 0 z a
Cost of project 1 int source 0 iectric,gas.t tC.j
jManufactured Home —(--
wid e h: SI
1,,,nor
\lrhar is the s:yuare footage of the sign I.Iow high is the sign?
Year:
Mil, 1 Face=
Area of existing_aigns
]l
Relocation --
/Fire SafetyPrevious address
cr.
II .r Sprinkler
fent
Paint booth fire Alarm
Fireworks display -
Proposed use
Vaiuc —
Special Inspections Required? --' ---
fi Non Residential Energy Code Compliance?
Finn Name
Phone — II
11
Plans lisar.vier Phone
ILI n spc mss: ------
itAddress
ii
Inspector Phone
❑ Concrete 0 Welding 0 Bolting ❑ Rtinforcemen Add,css
_ ADDIT;ONAL SITE INFOP MATION
1rc there structures on the property? ❑ Yes N -
I err,a/eati/5,on Site ppian Whit is th current p of c n size?
f•7 (square fat t or acres) ���¢i
Is any part of the property within 250 feet of a shoreline? lasire �
p pWhat is th,current use of this property?
If yet,ideniti on site plan 0 Yes V No
Is your property in a designated wildlife habitat arca? VCA 1-2-1-r\X/Ill the sit be served by a septic system?0 Yes pf-No
0 Don't know 0 Yes 71 No
Is any part of the property within a 100 yr rood plains
//yes,idenU;r 1rc or will tacre be wells located on the property?
f7 ./ on sae p/sur
0 Maybe 0 Don't know 0 .1.c:; Zi No
0 1'cs I�o
Are there any wetlands,streams or ponds within 200 feet of the hropero-?
Is there eAir;cnet of till or excavation on the property?
es
1:f��PJ,rdPrrtz�,on site pian 0 Yes (�No
Are there slopes greater than 30N on the property?(3U ft rise in 700 ft) 0 Yes .'No
( ,/vo) Are critical.;r hazardous materials used or stored on site?
0 Yes )21 No
0 Yes c2r No
Is the property in a designated Stormwater Control Arca? DEPARTMENT USE OI`LY
Is public seiner available o the site?
❑ Yes ❑ I\o ❑ Yes 7 No
Is the property inside.the ASA? - _
Yes ❑ IN o Is public war,-rr available to the site?
❑ Yes ❑ o ❑ Yes ❑ No
Is the property inside the PSSA? -
❑ Yes ❑ 1,‘D Is the property located within 1000 feet of a Natural Resource Area?
._ ❑ Ycs 0No
,t,1 ft Ror,es�mrati e: ._
METHOD OF PAYMENT --
VISA
0 C:vSll ❑ crnb( < 0 : e ❑ 1] •.» tiunrol:Al,
III
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CRED.T CARD
1).1'1'I
BANKCARD NUMB!;R: TOTAL FEE
ALM IOKiGI(D ti1GN:1'11URI(: rrrrvatirr�NPERMiTFEE rs;3soopLE rsr_
-- MAK CHECKS PAYABLE TO SPOKANE.
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FRONT FLANKING
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A _. COMMENTS
REVIEWED BV "..-
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/ for:.•4 purpOSQ of
reprauar;s:;on of the proposal.All known property
lines/dimensions,curb lines,structures and easements
have been identified.Also indicated aro suet's as,
/—'1 bodies of wa�,er,steep scopes or other critics
8 , 187 S I— r ' �._____ ''eas.
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