2002, 12-05 Permit App: 02010826 Residence r ,
Project Number: 02010826 . Inv: 1 Application Date: 12/5/2002 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 ENTERPRISES
AIR GAS Address: 3327 W INDIAN TRAIL RD#232
C - S -Z: SPOKANE,WA 99208
Setbacks: Front 25 Left: 12 Right: 8 Rear: 37 Phone: (509)994-4691
Group Name:
Site Information: Project Name
Plat Key: 006266 Name: LONGVIEW PUD District: G
Parcel Number: 55192.2607 Block: 5 Lot: 7
SiteAddress: 17609 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: 6,619 Sq Ft Width: 60 Depth: 110 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Pla eview `iak '
eleased By. .r, ;r �►
Ir
Plan Review Released By: :T
Approach/Drainage Released By: 12,...s"D p
Sewer ' Relesed By: 1►:+ ,aO
Ira
Permits:
Operator: RMB Printed By: RMB Print Date: 12/5/2002
Project Number: 02010826 Inv: 1 Application Date: 12/5/2002 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 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: LI
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,020 $12,546.00 1,020 $12,546.00
DECK R-3 VN 64 $501.12 64 $501.12
GARAGE U-1 VN 400 $4,800.00 400 $4,800.00
RESIDENCE R-3 VN 1,020 $67,320.00 1,020 $67,320.00
Totals: 2,504 $85,167.12 2,504 $85,167.12
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $805.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $177.10
Permit Total Fees: $986.60
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
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: RMB Printed By: RMB Print Date: 12/5/2002
Project Number: 02010826 Inv: 1 Application Date: 12/5/2002 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 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
Permit Total Fees: $84.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $986.60 $986.60 $0.00 $986.60
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,144.60 $1,144.60 $0.00 $1,144.60
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: 12/5/2002
t
! l PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Agrilik
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKANE COUNTY
SPECIFIC SITE INFORMATION
Street Address: 1 7 6 0 61 I '^. r
Assessor's Tax Parcel Number(s): r vs(026?
Legal Description: A-
(310( XC 5 I—oA1vie. ) f kA0
Project Description: NoN.A) 1'A-0k"-5-e-
❑ Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor Sewer District/Purveyor Road width
Setbacks 2
aFront: 0 Rear.
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION 4: O K I 'v 6/6 ti
0 Indicate who,bould be millurleel renardznt ibisprojee!
❑ Owner: Phone: ❑ Applicant Phone:
1� �
C Ai- Fax: Pax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
CI Contractor l'h°ne ❑ Architect/Engineer Phone
Fax lax
Mailing address Mailing address
City,State Zip City,State tip
VV A State Contractor license'+[ Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/1-1 1 1020 1026
Dimensions Total habitable space 2"1 floor sq.ft. Finished basement sq.ft.
3cf, 5 >C LI(
Occupancy 4) Cons tits pe Garage sq. Deck sq.�ft.
Lf
aidA. U d
Cost of project I feat source(electric,gas,etc.)
\ \1.
19 1
O 60,5
Manufactured Home Sign
Width: ],ength: 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 Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 14 No What is the current property size? G 5-{
Ifyes,identify on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identify on site plan 0 Yes No V Cana'
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 rig, No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan Ifyes,identify on the site plan 0 Yes No
0 Maybe 0 Don't know 0 Yes SI,No
Are there any wetlands,streams or ponds within 20 feet of the property? Is there evidence of fill or excavation on the property?
Ifjter identify on site plan 0 Yes C No 0 Yes ' Vi No
Are there slopes greater than 30%on the property?(30 t rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) 0 Yes No O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 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
0 Yes 0 No
Is the property inside the PSSA? Cl 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
MUM 1-0110k SU BIOTA]VISA
❑ C:ASI I ❑ Cl ll VK ❑ ❑ ❑ --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D;A'1'I{: I?\1'IRILS: TOTAL FEE
BANKCARD NIiMIII.R: MINIMUM PERMIT FEE IS$35.00 PLEASE
MAKE CI IECKS PAYABLE?TO SPOKANE
AUL]IORIZED SIGNATURE: COUNTY PERMIT CENTER
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