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2003, 01-29 Permit App: 03000556 Residence Project Number: 03000556 Inv: 1 ,Application Da 1/29/2003 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 HOMES �� Address: 324 S MAINIFOLD LN 2 9.Q i C - S -Z: GREENACRES,WA 99016 Setbacks: Front X Left: X Right: X Rear: Phone: (509)362-3294 Group Name: Site Information: Project Name: Plat Key: Name: 410J (:) District: G Parcel Number: 55192.2606 B ,ck: 5 Lot: 6 SiteAddress: 17605 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: 134 CONSOLIDATED ID#19 Hold: ❑ Area: .00 Acres Width: 60 Depth: 110 Right Of Way(ft): 32 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review A,-----, Site Plan Review . Release .."-0 `� x - fiZ)t_ Plan Review Released By: -7 (:^ C�, ''`�--/ ) C / /0i Approach/Drainage Released By: ' Sewer Review ti_t_i_ " Released By. 1 i', (_ 0- - 4d11-14- II;\ Permits: Operator: JAS Printed By: JAS Print Date: 1/29/2003 Project Number: 03000556 Inv: I Application Date: 1/29/2003 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: ❑ 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 72 $563.76 72 $563.76 GARAGE U-1 VN 400 $4,800.00 400 $4,800.00 RESIDENCE R-3 VN 1,168 $77,088.00 1,168 $77,088.00 Totals: 2,808 $96,818.16 2,808 $96,818.16 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $873.75 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $192.23 Permit Total Fees: $1,070.48 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 DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WA I'ER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 HEAT P 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 GAS LOG OR GAS I SERT 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: 1/29/2003 Project Number: 03000556 Inv: 1 Application Date: 1/29/2003 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 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 I NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $102.00 Notes ._. Payment Summary: ; Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,070.48 $1,070.48 $0.00 $1,070.48 Mechanical Permit $107.00 $107.00 $0.00 $107.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,279.48 $1,279.48 $0.00 $1,279.48 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: 1/29/2003 idci PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE • = SPOKANE,WA 99260 509-477-3675 SpoicANE Cowry SPECIFIC SITE INFORMATION Street Address: `-1(0 O 5 r 3 rel Lan Assessor's Tax Parcel Number(s): -.- -3 Legal Description: L. 4 t i ,Joc.k- S.--- Project Project Description: Mes.,0 gtSE-- lK Building 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 Setbacks Front Rear School District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION 2 Ind/cute who slould be contacted n°tutdinx ihtsprlect ❑ Owner: , Phone: ❑ :Applicant: Phone: 4O%( to F kp11SC-S Fax: Fax: Mailing Address: Mailing Address: 2 Z 5(.0 4 IRc1P,r t(Ret. Sit l- //0 (itv,State,Zip Cin-,State,Zip greyr1 gtoftwemof Ore, q 77 5--p ❑ Contractor f Phone 3 /p z 30 — Phone LL�� ( �/ ❑ Architect/I�.nlnnccr /Aye'e 1l gc"44-c S fax Mailing address Mailing address 3ZY 5 MAnr /el City,State lip City,State Zip Iec'iumsf C , s NA- o/4 \\A;tate Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak.3-,s #of stories 1 . Slain floor sq.ft. Unfinished basement sq. ft. 1 - (J Dimensions x Total habitable space 2°a floor sq.ft....------• Finished basement q.ft. Occupancy groupConstruction t e Garage sq.ft. sq.Deck ft. p� IZeS 5 �0..oC r ou �Z kL Cost of project I teat source(electric,gas,etc.) tttil9go Q'S Manufactured Home ' • Sign Width: Length: What is the square footage of the sign I low 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 I samincr Phone Inspectors: Address Inspector Phone O Concrete O Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes No What is the current property size? I Ifyes,identfy on site plan (square feet or acres) `0 Is any part of the property within 250 feet of a shoreline? What is the current use of this property? V Ifyes,ident 'on site plan O Yes l o Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes No 0 Don't know 0 Yes No Is any part of the property within a 100 yr flood plain. Are or will there be wells located on the property? If identtly on site plan I fyes,identify on the site plan 0 Yes XcNo 0 Maybe 0 Don't know 0 Yes IprNo Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If yes,identify on site plan 0 Yes 115 "'No 0 Yes 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? ( 0/0 0 Yes No 0 Yes igkNo DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No OYes 0 N Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No OYes 0 N Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Received: Staff Representative: METHOD OF PAYMENT MEM 1C#lI SUB'1'O'1':11. VISA ❑ cAsl I Elca IFCK 1:1 NOM ❑ p -- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATI?: l:XFIRFS: TOTAL FEE BANKCARD NUNIB1'.R: MINIMUM PERMIT FEE IS$35.AOPLE SE :MAKE CHECKS PAYABLE TO SPOKANE A UTI IOR1/FD SIGNATURE:: COUNTY PERMIT CENTER 1 a e , �� mea ,, `5 ��5 :aa� ZpN - ___0_,_,---_----,-,_, -,_, t l \NG 1 h '� Co ��r `'�.4>vc, �_,- P,OPew �'�� VRC) 1,.cC ---A — *14.. UP VI>1 ,S ��r �r 110 0 C RE E° „`, Y _\oma \Z �eQ 'fir ` 6v .5 5� \ U (.� o�' co,6 SY 'N` �o" co oc" (n ) W (....0 11-) . A ia' )47 . 1- 00 i '4 /' hn ____C) 00 .g 3 I c-\ c---) ("0 d-- H C 9 kb .4.• 0 7L 0 . LCI . 1 ....---"' . N, 001«; cf-) ______-/ L-------4,„ 'Ckv \ 00 °05 ' 25 " W 1 0 / . 1 0 '