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2002, 12-05 Permit App: 02010824 Residence Project Number: 02010824 , 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: 10 Right: 10 Rear: 35 Phone: (509) 994-4691 Group Name: Site Information: Project Name: Plat Key: 006266 Name: LONGVIEW PUD District: G Parcel Number: 55192.2608 Block: 5 Lot: 8 SiteAddress: 17615 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 Plan Review B r ' m �L�� Released By: - ;. .r..� .. .A._d _A Plan Review Released By: P %� Z• Approach/Drainage Released By: to"" C droSewe ® E 10.90)J Permits: Operator: RMB Printed By: RMB Print Date: 12/5/2002 Project Number: 02010824 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: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation DECK R-3 VN 102 $798.66 102 $798.66 GARAGE U-1 VN 480 $5,760.00 480 $5,760.00 RESIDENCE R-3 VN 1,235 $81,510.00 1,235 $81,510.00 Totals: 1,817 $88,068.66 1,817 $88,068.66 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $823.75 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $181.23 Permit Total Fees: $1,009.48 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 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 , T Project Number: 02010824 , 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 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 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 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 $1,009.48 $1,009.48 $0.00 $1,009.48 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1,167.48 $1,167.48 $0.00 $1,167.48 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 he 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 1i01 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE I SPOKANE,WA 99260 509-477-3675 SPokANT Cows, SPECIFIC SITE INFORMATION Street Address: ` 7 /u 1 s �`� Assessor's Tax Parcel Nlumbeer(s): 55)10 . , �/„ .••III ---. Legal Description: �J��.�� L o-I 5s 6t oc,1C S L o,ny 0 i,es...) P u 0 Project Description: 2v..) \-\ U v..5c- ❑ 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 widthSetbacks Front3 a� Rear. School District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION `''b )(P v - (0,10 1, 0 Indisa/c who should be wn/as/ed nnardint lhirprojes! ❑(honer: A Phone: 'Z 1 C. -17 OV• CI Applicant: Phone: V. Oxi.,1 .'r^\ -A\ Fax: l:ax: Mailing Address: J Mailing Address: City,State,Zip City,Stare,Zip ❑ Contractor Phone ❑ Architect/Engineer Phone Fax lax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. Vi 1 12 3 Dimensions Total habitable space 2s/floor sq.ft. finished basement sq.ft. S4X1-1 \Z3s Oeeupanc'group Constre ctton hype Garage sq.ft. Deck sq.ft. �e5 �� t-Iid 0 ► d2 5vrt Cost of project Heat source(electric,gas,etc.) Manufactured Home Sign Width: Length: What is the square footage of the sign I low high is the sign? face? Year: Make: 4 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 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes No What is the current property size? a Ifjtes,ident on site plain (square feet or acres) G G 16l Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,identO,on site plan O Yes No V o`c&Ai Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes '121 No O 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 yes,identify on site plan I f yes,identi on the site plan 0 Yes X No 0 Maybe 0 Don't know 0 Yes No Are there any wetlands,streams or ponds within 200 eet of the property? Is there evidence of fill or excavation on the property? Ifj�es,identify on site plan 0 Yes 0 'o 0 Yes No Are there slopes greater than 30°?on the property? 30 f rise in 100 ft) Are critical or hazardous materials used or stored on site? 0 Yes No 0 Yes rA No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes )3 No El Yes El No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes T" No CI Yes CI No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? DYes CI No Date Received: Staff Representative. METHOD OF PAYMENT #ICiVE: SUBTOTAL VISA , ❑ CASlI 0 CiI?CK ❑ ❑ 0 -I FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.1'1'li: I?SPIRT?S: TOTAL FEE BANkC.ARI)NUMBER: MINIMUM PERMIT FEE IS$35.00PLEASE MAKE CHECKS PAYABLE TO SPOKANE AUI11ORI%I?D SIGN.ATURIL: COUNTY PERMIT CENTER , . S89M ' 28 " F 60 . 1 / ' rd ADD;EE 1`l�► 53 ,..mZONE ( -3r I ROAD V,, 3 ,3 ' ERON i.OM ME . 7. ^ RE.VlEWL �A ��- t L I) ��t/1 S ' 1 ".tMA.�� n tom' ri-0c pros � n a it m ;;` i0 .; 1Lll •.r-- CIO , nk, dent J :2s of w titer - ? r:as. I ,:,,ned:_,,,g,,/,,a4/.. -77 7 iWerl 12-/7--,,--, .,(7/ 0 r i to, ►a 1,-6,\S-e- 0 n CD t e CINIn /t C nN - .... ui .... 1 Go.co.g.L a 10 to et yei .. 4.' '\ 0- 4 514. . / .veo 60 . 17 ' 1 /613 Lot g 13 �ocks