2002, 06-26 Permit App: 02005229 Residence •
Project Number: 02005229 Inv: 1 Application Date: 6/26/02 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: 3327 W INDIAN TRAIL RD,PMB 232
C-S-Z: SPOKANE WA 99208
Setbacks:Front 22 Left: 10 Right: 10 Rear: Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: 006175 Name: LONGVIEW District: G
Parcel Number: 55192.2307 Block: 2 Lot: 7
SiteAddress: 17612 E 3RD LN Owner:Name: HAYDEN HOMES
GREENACRES,WA USA 9901 Address: 3327 W INDIAN TRAIL RD,PMB 23
Location::GRE SPOKANE WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: 008 CONSOLIDATED IRRG#1 Hold: ❑
Area: 1,136.00 Acres Width: 52 Depth: 118 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Relea
Plan Review
Released By: ,T �z (�
Approach
/Drainage Released By: i - D)
i Released
Sewer Review By: /► !(OD -S --36) gra71
�j!�
d ,
Permits: W
Operator: JAS Printed By: JAS Print Date: 6/26/02
•
Project Number: 02005229 Inv: 1 Application Date: 6/26/02 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:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 21 Stories: 1
Bldg W x D: 30 x 32 Building Sq Ft: 1368 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 408 $5,018.40 408 $5,018.40
DECK R-3 VN 90 $704.70 90 $704.70
GARAGE U-1 VN 440 $5,280.00 440 $5,280.00
RESIDENCE R-3 VN 960 $63,360.00 960 $63,360.00
Totals: 1,898 $74,363.10 1,898 $74,363.10
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $736.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $161.98
Permit Total Fees: $902.73
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 WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 2 NUMBER OF $20.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit'Total Fees: $105.00
Operator: JAS Printed By: JAS Print Date: 6/26/02
J L
Project Number: 02005229 Inv: 1 Application Date: 6/26/02 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 $600
FLOOR DRAINS 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $90.00
Payment Summary: ; . ... ..:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $902.73 $902.73 $0.00 $902.73
Mechanical Permit $105.00 $105.00 $0.00 $105.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,097.73 $1,097.73 $0.00 $1,097.73
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 contrued 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: 6/26/02
1
1 1 PROJECT APPLICATION WORK SHEET
ik SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Arriiii
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
n-
11509-477-3675
SpoicANE CoTN1Y
SPECIFIC SITE INFORMATION
Street Address: / i ,,/ E. 1r-of 4/1
Assessor's Tai: Parcel Number(s): � ( 9 a, ')''' ()?
Legal Description: Lc, 7 (..„7„,:.,, .
it ,-"
Project Description: �ter..?
❑ GradingCI Manufactured Home Permit
113."Building Permit 171 Change in Use
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
hepar ent Use Ox y,
a
1atei Dtnct/Puiroeyor; Sewer Distrct/Purveyor R°aWnd# '-'',.$0,3, bl.8
ff '
" ?xont ?f
k
School.putncr. Ful Gistricr ZoX>. i r x -'.a;'� , �r
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OWNER/APPLICANT INFORMATION
10 Indicate who should be contacted regarding this project
I Phone ❑ Applicant: Phone:
i_7 (teener: ` tr'
c:tyvil, , I ��J T as Fax
C�IJres: --_ ///" ^Mailing Address:
J
State,Yip City,State,Zip
1 -n
Phone
Cl Grntracr,r ❑ Architect/Engineer
Fax
Pax
cling address Mailing address
;it,.State Zip City,State Zip
NSA Stale Contractor license# Contact name:
PROJECT INFORMATION
$i1i4dtng In 'i;hat1 n
Main floor ft.!V Unfinished basement sq.ft.
Building height to peak #of stone, __ sq. p
7-1 t- '�
'Total habitabe spacel2'd floor sq.ft. Finished basement sq.ft.
i)iirur'nston'
(. . Decks ft.
Occupancy`group Construction type r Garage sq.ft. q
f',,<r of project I Teat source(electric,gas,etc.)
Manufactured Home , Sigh
What is the square footage of the sign I-low hig
Width: Length: is the sign?
face?
Year
Area of existing signs
Make: #of signs
Relocation Fire,=Safety
Prey ious address % Fire Sprinkler 'fent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special inspections Required? NonRedeantial nefgy Codi Eor; plance?
Firm Name Phone Plans Examiner Phone
lnspeeu>rs Address
Inspector Phone
O Concrete O Welding ❑ Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Ire there structures on the property? ❑ Yes ❑ No What is the current property size? %-
Y ) ,i---A-
If jyes,identify on site plan (square feet or acres)
Is any part of the property within 250 feet ofa shoreline? What is the current use of this property?
1 f yes,identify on site plan ❑ yes ❑ o ' r
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes E9`'‹Io
❑Don't know 0 Yes Cr�No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the proper,?
I f res,identify on site plata
Ilyes,identzify on the site plan 0 Yes No
CI Maybe ❑Don't know [I Yes Er No
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,ident of site plan ❑ Yes L9'�fo ❑ Yes No
Arc there slopes greater than 300/O on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
�) ❑ Yes 1-"-go
Yes 0 fro
DEPARTMENT USE ONLY
Is the property in a desr xaated Sloxtnvrater Control rya? j 15 publk Sewer ava fable to the s{tef E Y 0 No
,; C1Yes ``,ONcy
Ts the property inside the ASA? O Yes . ,,,,No, spublc wateracaxlable tbth> stte> ID Yes ,O No
O Yes D Nor a _ ', '"'
Is the p operty inside rhe^LSSA? ❑ Yes„.'",,,,'.5..,..s-6.5=.; _ Is the p±opelty located tvit iIn 10gO f ,of . I`atcc1 Resource Area?
CI-Yes; �'ID I ca 1,..:�
f)sty 1?ccuiccil. Staff Rcpresentatiw:
METIIOD OF PAYMENT
� t, w ,> SUBTOTAL,
MOWN VISA”
❑ CASll ❑ cl lh:cx El ❑ :_ _ A ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
U,\Fr. --- — ltXPI12l'.S:
,, TOTAL FEE
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\t rCl Ic_>RI7L:])SIGNATURE: COUNTYPEtt d'fCttstiER;'.
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