2003, 03-03 Permit App: 03001250 Residence •
Project Number: 03001250 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: IC Right: t t Rear: Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: Name: L 0/.46A) 'K/t,9 District: G
Parcel Number: 55192.2313 Block: 2 Lot: 13
SiteAddress: 17510 E 3RD 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: 6,136 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
Plan ReviewReleased By:
Approach/Drainage Released By: S76r 3..:;:
Sewer Review Released By.
02, Vtlf, :-a-
Permits: ..
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001250 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: ❑
Req Parking: Handicap Parking: Critical Materials: D
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,168 $14,366.40 1,168 $14,366.40
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 1,168 $77,088.00 1,168 $77,088.00
Totals: 2,880 $97,715.52 2,880 $97,715.52
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $193.60
RESIDENTIAL VALUATION 1 Y OR BLANK $880.00
Permit Total Fees: $1,078.10
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 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
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $122.00
Operator: JEF Printed By: JEF Print Date: 3/3/2003
Project Number: 03001250 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
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,078.10 $1,078.10 $0.00 $1,078.10
Mechanical Permit $122.00 $122.00 $0.00 $122.00
Plumbing Permit $109.00 $109.00 $0.00 $109.00
$1,309.10 $1,309.10 $0.00 $1,309.10
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 1PRIDJECT APPLICATION WORK SHEET
ti!'OK:\NE :OUNTY DI\'ISICN OF BUILI)TNG&CODE ENFORCEMENT
1 difik
1026 WES-t BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPO ' 1;COL
SPECI FIC SITE INFOR'4ATION
Street Address: 17570 . 2c—G( a�'
k
Assessor's Tax Parcel Number(s): 7 �
Legal Description:
lob C3 b`oce- Z Ionolv(4--) PU (.
Project Description:
41 Building Permit ❑ Change in Use ❑ Gra ling ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Ten lot(Neve/Change) ❑ Other
Department Use Only
\W'aterDistrict/Purveyor: Sewer District/ urveyor f Road-width - Seibacki. .• -
i'ront: . Rear:
School District Fire Uistrier -- Zoning,
i.e t: Right:
t
OWNER/APPLICANT INFORMATION
✓Z Icdicw'who thole&5e;ontaciedregnunNVtt6 frt:Wt _
❑ Owner- Pilo!, El ApplicIL rnr Phone:
trN
Fax:
Mailing Address. - Mailing!Add;,
Ciu.Slate,tip toy,state,2,I, -- --
C.:,ntractu,. yeA I'hnne 3(#z-324-y-_ ;Axititcctl' n, neer Phone
ye4en / S
Fax
lAlailmgaddress� S- aim i /� lei ��� Mailing address
Citi,State Zip t//'`7'] -- Cin.,State ZtF —._—...
7 ,odds 04 Wait/
\C-A State Contractor reuse# Coias[t nx"c
FEB Zk.► 1QO3
PROJECT INFORMAT iON
fit ilding Information -
Healdtnti height to peak#20 #of stones S Main floor sq It. // / v., Unfinished basement sq. ft.
//bar
Dimensions 5156030 Total hs the:Tract. 2nd floor sq. t Finished basement sq.ft.
Occupancy group/2es Construc t;yrs 0��� Garage H.Ir. gV Deck s9.ft. 6v,
fio
Cost of pr„ ..„,, ,cat source(::lcctnc,t,,t,;-etc.`
1?/? I 3'S
width:
512 —
Manufactured Home
—
Le.ngdr -------111X hit is the
,,o(.it;c of the sin 11ow high is the ---------
..-
Year:
Mak.:
fofsioTs —
Area of existing:Agmi
Relocation ---
!(Fire ,safety
Previous address
feint
1'aint booth__-_ 1._-c,Harm _
Fireworks display
Proposed use _
Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Finn Name —Phone --- - -� -. ---
Plans Exann
ner Phone
Inspectors:
Address
--- - Inspector — --
Phone
❑ Concrete 0 Welding 0 Bolting 0 Rtuiforceinen Address
ADDIT ONAL SITE INFOA MAT1ON
Are there structures on the property? 0 'Yes71...No
What is t
II per,vlentrfy on site plan
li_current Ittc pc r;size?
I;any part of the property within 250 (scluarc fcc t of acres) — CO I (O S'e
P P feet of a shoreline? What is th,.Curren[use of this property?
If yet,identify on site pian 0 Ycs No VA AO_
Is your property in a designated wildlife habita ;t.
t (;t --
Will the sir be served by a septic system?❑ Yes No
0 Don't know ❑ Yes ,j5it'No
Is any part of the property within a 700 yr flood plain?
Ire or will c re be wells located on the propproperty?Ijyes,identili,on.rile plan
❑ Don't know 0 l'cs Nc If ye 1 n rt on t r:e <u
0 mai bep 0 Yc., No
Arc there any wetlands,streams or ponds within 200 feu of the i•ropc'cti'? Is there cviiicnee 01 11i1 or exc,ivation on the property?
If yes,rdendpp on site plan ❑ Ye; CN o
Arc there slopes greater than 30 's on the propc'm'? (30 ft rise in 700 ft) 0 Yes ,�-Ncr
Are critical ;e hairirdous r: recrials u;cd or stored on site?
0 Yes X No
-- _. -_. 0 Yes No
DEIARTMENT USE OIC INIs the property in a designated Stormwatet Control Area?
b
Is public sever available to the Site? ❑ Yes ❑ No
❑ 1'cs ❑ I_o
Is the property inside.the 1Sr1? ❑ _-
Yes ❑ I`o Is public water available to the site?
Cl Yes CI No
CI Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ 1`: -' ---
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ do
r,t,tn;-rry enr.,i„�. -- - --
METHOD OF PAYMENT — —
illielli
cif`
❑ 5 !B'lO'1':U,
IIII
PANED PERMITS WILL ONLY BE ACEPTED WITH PAYME NTT OF A MAJOR CREDi T CARD
HAT!
- - I[lPIHI':S:
B;1N,S(.,ARll NUMI-31:1!: TOTAL FEE
.A�lI 1IORIXED SI( 'V�?�1'I'RI : -11INJMLIM PERMIT FEE IS$3e.00 PLF 9SP:
----- .�I:^.i: CHECKS CKS I AI'-ABLE.TO SPOKANE�__ COUNTS'PERMIT CENTER
. . .___ . .
i
I- S M T. / 'i/ 3 / 0 . . .
) X2 . 00
fl
N
--4--
A 17510 r 3r47:41 \(
Lot l3 Qtock 2
'''Q - 1-0A-1utse-...-J PtA 0
C\
Cr*X �e fi Cros.r'u..I �x CA 4)644
1 _
L
0
0A ----\ (
ADDRESS x,510 £• r2O
o
MM --� ZONE Lt R--3- .5
Lx) O IA ROAD WIDTH
`'`5 FRONT FLANKING__ ,_„
0 <,.. COMMENTS
0Cfl
O0 r. REVIEW131' - 4
c
* JO ..
I
`,,,_ This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
1 representation of the proposal.All known property
lines/dimensions,curb lines,structures and easement
- have been identified.Also indicated are wetlands.
illi
bodies of water.steep s or other critical areas.
/ _ Si /'tin ��
J D%__, 3/`f �+.�
0
6 , 1 J6 S1-
ND
57 .00 '
1