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2002, 06-18 Permit App: 02004900 Residence S y� Project Number: 02004900 Inv: 1 Application Date: 6/18/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: HAYDEN HOMES/MICHAEL ALLBAUG Address: 3327 W INDIAN TRAIL RD C -S -Z: SPOKNAE,WA 99208 Setbacks: Front 21 Left: 7 Right: 15 Rear: 37 Phone: (509)362-3294 Group Name: Site Information: Project Name: Plat Key: 006175 Name: LONGVIEW District: G Parcel Number: 55192.2310 Block: 2 Lot: 10 SiteAddress: 17522 E 3RD LN Owner: Name: HAYDEN HOMES GREENACRES,WA USA 990 Address: 3327 W INDIAN TRAIL RD Location:: GRE SPOKNAE,WA 99208 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 52 Depth: 118 Right Of Way(ft): 32 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Site Plan ReviewReleased B': ;� j�, / ,f Li" sitarsior Plan Review Released By: ice . r :�i Approach/DrainageReleased By: )10 , Sewer Review Released By: ZLe — l -2 Permits: Operator: DMD Printed By: DMD Print Date: 6/18/2002 A Project Number: 02004900 Inv: I Application Date: 6/18/2002 Page 2 of 3 f 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: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 20 Stories: 1 Bldg W x D: 30 x 60 Building Sq Ft: 2480 Sprinklers: Req Parking: Handicap Parking: Critical Materials: I] This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 1,240 $15,252.00 1,240 $15,252.00 COV DECK R-3 VN 60 $604.20 60 $604.20 GARAGE U-1 VN 400 $4,800.00 400 $4,800.00 RESIDENCE R-3 VN 1,240 $81,840.00 1,240 $81,840.00 Totals: 2,940 $102,496.20 2,940 $102,496.20 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $910.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $200.20 Permit Total Fees: $1,114.70 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 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 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD -TYPE I1 1 NUMBER OF $10.00 Permit Total Fees: $96.00 Operator: DMD Printed By: DMD Print Date: 6/18/2002 Project Number: 02004900 Inv: 1 Application Date: 6/18/2002 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 3 NUMBER OF $18.00 SINKS 4 NUMBER OF $24.00 TUBS 3 NUMBER OF $18.00 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 l'ER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $102.00 Notes: . Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,114.70 $1,114.70 $0.00 $1,114.70 Mechanical Permit $96.00 $96.00 $0.00 $96.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,312.70 $1.312.70 $0.00 $1,312.70 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will he complied with. Subsequent issuance of a permit shall nut be cuntrued to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 6/18/2002 iiic1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMEN*�,' Aiiiiliii, 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 O SPOKAI ,CouNTYli 1,1 01, SPECIFIC SITE INFORMATION Street Address: / 7 5-.2,2_ ,G 33 f [ Gii i Assessor's Tax Parcel Number(s): ��� j�° Legal Description: 4..o+ i0 b,x>v h i' 1 0 ow /-F00Sl? Project Description: L • N uilding Permit 0 Change in Use 0 Grading 0 Manufactured Hone I B 'ertiiit 0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other Id- Department U e Only r,!.-1,-,.=..„„:,,,,,;,,,..z.,,. , 1 i�� Water District/Pus'SQyor ',Sewer'Distr7ct/Purveyor Roadwidth S,,, '',s t i �� l tit !tear I 4chool i7ustricr. Fite Distdcr 2pntng 11' » TSG ti he 1. OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted re,gardinp this project f L"J Ch�ner. Ha Phone: 0 Applicant: Phone: /7 ay/en /74704 GS Fax: '.!.ing Address: Mailing Address: il', 3321 lAl -74c/wr /ra r s/ lee✓ "'MO Z3 Z Ca s,State,Zip City,State,Zip III SPO, elG., co 4 99Laer ❑ l'nnrrtctor hhO°c ❑ Architect/Engineer Phone Fax Fax '. ',.. Mailing address Mailing address iI Citt,State Zip City,State Zip lij I V state Contractor license# Contact name: I,' f 1LI 11 PROJECT INFORMATION , Bt iJt ing Infou at o {, { Building height to peak 1 #of stones Main floor sq.ft. Unfinished basement sq.lfl 1° / /2 R? /L 1 Dimensions Total habitable space 2„d floor sq.ft. Finished basement sq.ft:!' 30)r G. 47 Z`1$v Occupancy group itC$ Construction tape Sex.,0/ / Garage sq.ft. 4/00 Deck sq.ft. Gr Cost of project Heat source(electric,gas,etc.) y C'' j Manufactured Home • �Sin Width: Length: 'What is the square footage of the sign How high is the sign? 'face? 11 Year: Make: #of signs Area of existing signs 11 IIS_ Relocation • Fire Safety;a Previous address Fire Sprinkler `fent Paint booth_ Fire Alarm FireW.)rks(display Proposed use Value pl.. Special;Inspections Required? Noxi Resxelentia• l Eceg Co `" ci�rnpllce?: Firm Name Phone Plans Examiner Phone I n+pec tors: Address it Inspector Phone ❑ Concrete O WeldingD Bolting ❑ Reinforcement Address I; ;ADDITIONAL SITE INFORMATION Arc there structures on the property? D Yes 0'No What is the current property size? `r / 3 L 5, If yes,identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shore..4.w? What is the current use of this property? VA-Z- GA4--3 7-11 If yes,identift on site plan 0 Yes giNo Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes Er No kp� ❑Don't know D Yes C1 No 1' Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?�� If les,identify on site plan �� Ifyes,identifyon the site plan O Yes Cf No 0 Maybe ID Don't know D Yes Cf No Are there any wetlands,streams or ponds within 200j,ext of the property? Is there evidence of fill or excavation on the property? If,les,identif},on site plan 0 Yes 'LT No D Yes c� Arc there slopes greater than 30%on the property?(30 ft rile in 100 ft) Are critical or hazardous materials used or stored on site? ( %) D Yes 0'No 0 YesIN,(r DEPARTMENT USE ONLY 1 Is the property in(a designzated-Stornawarezr Control%Area? Ts publ c ewer vaa(gi�Ie tea the situ O �'es No IDYes„ . � Is the praperty sn'stde the ASAI ❑ Yes D No Is puBJ c water affable id the te> © Y`es ' No i 0 Yesr. :D Na r � • Is thg ptflpertq Insid e the'1'SSAD Yes D No Is tE�e prQpert lgcarecNtstllut 100 f etrof Tatf tai Resour r rea? ID Yes D�No sr Dare Received: Staff Representative: METHOD OF PAYMENT SIJBTOT1AI ayi VISA tz u ❑ cnsx 0 CI-IECK ❑ 11111111111MIN 0 e ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1 DA71's I NI Ilt h:5 __. NOTAL k E 1 Ise l3\NkCARI)NIJMBt It: _-- MnvIMcS�P>Ewst 'MARS COECES o$yaBe, a spo cn P , Al ll'FIORI'LI D SIGNATURE: Gt]UN? P LtrcENT>R :.a • L PLUMBING PERMIT IT APPLIC AT ION PROJECT • PERMIT J,_ , ADDRESS: `7 ci 30` LQ q Ci ' USE: OWNER: 4/t ype.� � PHONE (Daytime Contact): t {7Tr /� r7 t..— MAILIN I D ESSJ /n al/kr� `�72-A/L /?p �'iyi3 2,z 6-,0 -,4.0,e /c.JA- 770& 7 ��LL (Street) (City/State) t(' r CONTRACTOR: /t/p CiA /7j(//14 br.i' LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) 1 PLUMBING FIXTURES I i #OF MULTI- COST/ PI';I AMOUNT PLIED DESCRIPTION DETAIL UNITS BY UNIT EQUALS I ;I , B02 1 TOILETS WATER CLOSETS,BIDETS x $6 7_'; St' B03 URINALS x $6 – B04 TUBS - 3 x $6 /Fr B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 B06 SINKS LAVS/BASINS,BAR,FLOOR, x $6 KITCHEN,LAUNDRY,UTILITY, 1.1Z Lf JANITOR,PHOTO,X-RAY,FOOD (PREP/CULINARY/MEAT B07 DISHWASHER - I x $6 – 4. B08 CLOTHES WASHER - ( x $6 L B09 GARBAGE DISPOSAL/GRINDER - f x $6 B10 WATER SOFTENER - x $6 1 B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 mechanical) B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, ( x $6 s L CONDENSATE B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 – �_ I � (ea.) B14 FOUNTAINS,DRINKING - x $6 – B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 = VENT/PLUMBING REVERSALS REPAIR,REVERSALS :_ B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 – 1117 WATER USING DEVICES ICE AND/OR COFFEE MAKER, 2 x $6 HOSE BIB,STEAMER,PROOFER, CARBONATOR,SWAMP COOLERS B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 m VALVE,AND R.P.B.P.D.FOR: VATS,SUMPS,TANKS,BOILERS,& SPRINKLER SYSTEMS B9 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 e ll, CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 1121 MISCELLANEOUS FIXTURES $6 METHOD OF PAYMENT SUBTOTA I'',: f OZ. , '.4""1fl Vie. �VISA ,I1 k{ - PLUS PROCESSING FE $ 25.00 ❑ CASH ❑ CHECK Ela , C ❑ .,,C,“ ❑ ,– FAXED PERMITS WILL ONLY BF ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DU4 (2 7 p;. DATE: EXPIRES: MINIMUM PERMIT FEE IS$..3:00 PLEASE MAKE CHECKS PAYABI',,.E TO BANKCARD NUMBER: SPOKANE COUNTY PERMIT CANTER AUTHORIZED SIGNATURE: sill' Spokane County Division of Building&Code Enforcement 1026 West Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133 MECHANICAL PERMIT APPLICATION Pr PROJECT i 7 c-Z Z E 3r_,01 � PERMIT ADDRESS: USE: OWNER: /1/1 Ypo kfoi,4Ir s PHONE (Daytime Contact): MAILING ADDRESS• 332.1 W' /N1P/A-n-3 7 4/1- Hp ,PM/3 ?3F sfote-A-' /l....Jf1- V9 c,7Sr (Street) (City/State) /ti CONTRACTOR: o M F o 12.-i G E'N X61-` LICENSE: III MAILING ADDRESS: PHONE: LJ I' (Street) (City/State) Lip) #OF MULTI- COST/ 'IF AMOUNT DESCRIPTION OF WORK UNITS PBYD UNIT EQUALS B02 FUEL BURNING APPLIANCE =OR <100,.000 I X $12 = i l Z B03 FUEL BURNING APPLIANCE >100,000 X $15 = B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) -OR <400,.000 X $50 = B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 = B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =OR <400,.000 X $50 = B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 = 1-- B08 BOILER/REFRIGERATION 1-100M BTU X $12 = B09 BOILER/REFRIGERATION 101-500M BTU X $20 = — B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 = B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 = 1_-_- 1312 —Bi2 BOILER/REFRIGERATION +1,750MBTU X $60 = B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - X $10 = B14 RANGE I X $ = _(� $10 I v B15 DRYER B16 FUEL BURNING WATER HEATER - I X $10 = .!_ B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 = B18 GAS PIPING(ea.Outlet) - X $1 = B19 DUCT SYSTEMS - X $10 = II B20 VENTILATING FANS - y X $10 = B21 AIR HANDLER(DOES NOT include duct systems) =OR <10,000 CFM X $12 = B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 = B23 EVAPORATIVE COOLERS - X S10 = B24 TYPE I HOOD - X $50 = B25 TYPE II HOOD - I X $10 = 7.5.. B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS I X $12 = /Z B27 AIR CONDITIONER 3-15 TONS X $20 = B28 AIR CONDITIONER 15-30 TONS X $25 = B29 AIR CONDITIONER 30-50 TONS X $35 = f B30 AIR CONDITIONER +50 TONS X $60 - S, B31 LPG STORAGE TANK - X $10 = , B32 WOOD OR PELLET STOVE/INSERT - X $25 = I;;---' METHOD OF PAYMENT SUBTOTAL /0y 00 l 1! VISA .-- .. PLUS PROCESSING FEE S 25.00 ❑ CASH ❑ CHECK ❑ ❑ � 0 FAXED PERMITS WILL ONLY RE ACCEPTED WITH PAYMENT E� OF A MAJOR CREDrr CARD TOTAL PERMIT FEE DUE /if 00 I' DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.0 PLEASE MAKE CHECKS PAYABLE 'O BANKCARD NUMBER: SPOKANE COUNTY PERMIT CEN 'ER i AUTHORIZED SIGNATURE: Spokane County Division of Building&Code Enforcement 1026 West Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133 s 7 / 2 r_,) z 1, .. 5 2 ,, 0 (----- I�, ' Cror thepurpnsl of te,plan is being sutr ., ,.. This obtaining e m,,,_:;rci r�a true and Cgrrect a building p'ro proposal Ali known pf0 Oerty obtaining e sements representation of the p nes.structures and nsions,curb lines me i are wetly ..� linesldime nd��� t ill. i have been identified.A.Iso�eS%r o her cnUcai lareas. 9 —�_,_ 1 bodies of water,steep / ,� Signed: �` Date: ii 0 a I' i CAACI ,591 E. 3! -^ ADDRESS ZONE H 3 IDT � R©ADW F ,;�i,,� FRONT _ I - _ PC 7 D _ COMMENTS4.,► /,'iti�1 . �EV�EWED B �� ----. . --) c j iTh, . a ,1 ,1 1 1111P' I 1 ° ___JSE- ,....._ 36' lip. T 1 111 , i. -'I 7---) L 1' _ 1 1 1 1,1 6 , ' 6 S1 1152 . 00 '0 1 1