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2002, 10-01 Permit App: 02008552 Residence Project Number: 02008552 Inv: l Application Date: 10/1/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: HAYDEN HOMES AIR GAS Address: 324 S MAINIFOLD LN C - S -Z: GREENACRES,WA 99016 Setbacks:Front 22 Left: 6 Right: 6 Rear: 47 Phone: (509)362-3294 Group Name: Site Information: Project Name: Plat Key: 006266 Name: LONGVIEW PUD District: G Parcel Number: 55192.2309 Block: 2 Lot: 9 SiteAddress: 17604 E 3RD LN Owner: Name: HAYDEN HOMES GREENACRES,WA USA 990 Address: 324 S MANIFOLD LN Location:: GRE GREENACRES,WA 99016 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 6,136 Sq Ft Width: 52 Depth: 118 Right Of Way(ft): 32 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review / Released By: (J tr, ., I( -I C C Plan Review Released By: 4-< 6 " Approach/Drainage Released By: tr _ to , « 04)."- Sewer l)."- Sewer Review---- Released" vl C L- ., .-. j� i1ii : - r ` _�� ` . i ( I i�.:_ � fcr'�; C J! .. FcP. Operator: RMB Printed By: RMB Print Date: 10/1/2002 Project Number: 02008552 Inv: 1 Application Date: 10/1/2002 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 Finn: 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: 0 This Application: Total Project: Description Grp Type Notes Sq F1 Valuation Sq Ft Valuation COV DECK R-3 VN 100 $1,007.00 100 $1,007.00 GARAGE U-1 VN 400 $4,800.00 400 $4,800.00 RESIDENCE R-3 VN 1,235 $81,510.00 1,235 $81,510.00 Totals: 1,735 $87,317.00 1,735 $87,317.00 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 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 3 #OF UNITS $3.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 Permit Total Fees: $87.00 Operator: RMB Printed By: RMB Print Date: 10/1/2002 Project Number: 02008552 Inv: 1 Application Date: 10/1/2002 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 TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $78.00 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 $87.00 $87.00 $0.00 $87.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $1,166.85 $1,166.85 $0.00 $1.166.85 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: RMB Printed By: RMB Print Date: 10/1/2002 iPROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE A SPOKANE,WA 99260 509-477-3675 SPOKA1\E COUNTY SPECIFIC SITE INFORMATION Street Address: /7400 ,/ fi 3(0( Assessor's Tax Parcel Number(s): c3C• i9 �1 ', , l /tom/ r D Legal Description: /b r al4/0,,k, Z Gr Project Description: 1 v('✓ /1044 t.e DBu ' ilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width 3a Setbacks / Front. 1 Rear: School District Fire District: Zoning Left: Right OWNER/APPLICANT INFORMATION 5 & X 112 - c'( 1- cc, ,�., 0 Indieale ubo rbonld be eontaded n;,ardinp,Itis projel 131'Chcnm /� j�/�/J (' Phone)6 1 -.32,f y ❑ Applicant: Phone h'! /1'" '�J Tac Fax: Mailing A ress: Mailing Address: 3LLf S. M441 fsqd 14^.(-- Citr,State,Zip4)4 ��o�� Cin,State,Zip 4. C70. .e/t 4 C444.-.5- ❑ Contractor Phone ❑ Architect/Engineer Phone lax Fax Mailing address Mailing address Co State Zip Cite,State Zip WA State Contractor license 4 Contact name: RECEIVED SEP 3 0 2002 PROJECT INFORMATION Building Information Building height to peak d #of stories / fain floor sq. ft. i 7 3 Unfinished basement sq.ft. Dimensions k Total habitable space ��._ 2' l floor sq. ft. Finished basement sq.ft. 'Ci Occupancy group iis, Construction rypors,0( ( Garage sq. ft. fO, Deck sq.ft.( ', Cost of project �(� I lest source(electric,gas,etc.) �/ Manufactured Home Sign Width: Length: 11What is the square footage of the sign I 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? O Yesir No What is the current property size? Ifyes,identify on site plan (square feet or acres) / / 5-1 Is any part of the property within 250 feet of a shoreli ? What is the current use of this property? 1/�� (.. Ifyes,ident on site plan O Yes No V � Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes `elNo O Don't know O Yes OW-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 on site plan Ifyes,ideut'on the site plan O Yes CYN o O Maybe O Don't know O Yes LTJ�/No Are there any wetlands,streams or ponds within 200S,c,terof the property? Is there evidence of fill or excavation on the property? Ifyes,identi on site plan O Yes CY N o Q Yes In- Are there slopes greater than 30%on the property?(30 ft ri :in 100 ft) Arc critical or hazardous materials used or stored on site? ( /%) O Yes E3 No O Yes DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No O Yes O No Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No O Yes O No Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area? OYes 0N Date Received: Staff Representative: METHOD OF PAYMENT MEM lC Vf, SUBTO'1':V. WSA ❑ CASH 0 Cln:CK 0 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DAT I APIRI5: TOTAL FEE BANKCARI NUMBI'.It: MINIMUM PERMIT FEE IS$35.(X9 PLEASE MAKE.CHECKS PAYABLE TO SPOKANE AUFI IORI"/.ED SIGNATURE: COUNTYPERMITCENTER 00 . z � This site !-:n is being submitted for the purpose of obtaainin . ' parr:-f and is a tc and correct representation of the proposal. All known property lines/dimensions. curb lines, structures and easements have beer; identified. Also indicated are wetlands, bodies of water,steep slopes or other critical areas. S 9 L Signed: /�i� °`' (y ` 9 Date 3a- 6 1 O 0 0 00 �i 9 ►-� ►� I. 00 0 t CD ADDRESSAq(C,C0 " ZONE ( ` -3 V10,9 ROAD WIDT ;3. COMMENTS REVIEWED BY ' �-- J IS ((WIM1-0.1q • / L rl ` 00 5 fr09 / L