2002, 06-10 Permit App: 02004641 Residence Project Number: 02004641 Inv: I Application Date: 6/10/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE Contact: HAYDEN HOMES
Address: 3327 N INDIAN TRAIL RD PMB#232
C-S-Z: SPOKANE,WA 99208
Setbacks: Front 22 Left: 6 Right: 6 Rear: 46 Phone: (509)000-0000
Group Name:
Site Information: Project Name:
Plat Key: 006266 Name: LONGVIEW PUD District: G
Parcel Number: 55192.2305 Block: 5 Lot: 2
SiteAddress: 17620 E 3RD LN Owner:Name: HAYDEN HOMES
GREENACRES,WA USA 9901 Address: 3327 N INDIAN TRAIL RD PMB#23
Location::GRE SPOKANE,WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: :,
Review g
0
Site Plan Review Released By: ‘o./IO/O'-?._-
Plan
Review Released By: _ /(---
Approach
(Approach/Drainage Released By:
Sewer R view Released By:
Permits:
Operator: JEF Printed By: JEF Print Date: 6/10/02
Project Number: 02004641 Inv: 1 Application Date: 6/10/02 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: 17 Stories: 1
Bldg W x D: 40 x 50 Building Sq Ft: 1235 Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
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: 1,635 $86,310.00 1,635 $86,310.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $811.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $178.48
Permit Total Fees: $994.23
Mechanical Permit
Contractor: HAYDEN ENTERPRISES INC Firm: HAYDEN ENTERPRISES INC
Address: 17626 E 2ND Phone: (509) 994-4691
GREENACRES WA 99016
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
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $132.00
Operator: JEF Printed By: JEF Print Date: 6/10/02
Project Number: 02004641 Inv: 1 Application Date: 6/10/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: HAYDEN ENTERPRISES INC Firm: HAYDEN ENTERPRISES INC
Address: 17626 E 2ND Phone: (509)994-4691
GREENACRES WA 99016
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
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $109.00
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $994.23 $994.23 $0.00 $994.23
Mechanical Permit $132.00 $132.00 $0.00 $132.00
Plumbing Permit $109.00 $109.00 $0.00 $109.00
$1,235.23 $1,235.23 $0.00 $1,235.23
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 he contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any of r state or local laws or ordinances.
Signature: at of tok i( �Gti`��� �/i o/o Z
Operator: JEF Printed By: JEF Print Date: 6/10/02
lPROJECT APPLICATION WORK SHEET it
lk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT'
1026 WEST BROADWAY AVENUE
��-r^ SPOKANE WA 99260
509-477-3675 ''
SPOK IN
SPECIFIC SITE INFORMATIONil
k.,,
Street Address: 17 frac, - 3re1 L►•-1 il
Assessor's Tax Parcel Number(s): �'.
Legal Description: Lo+ S 13L 0 L t< Z ,
(-o..3 v i ;it.) PV
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—.._ VIII` '
Project Description: IV e1,.) 14-01Ac-
1-
�3uildini Permit O Change in Use O Grading O Manufactured Hq nc permit
O Relocation O Sign O Tenant(New/Change) O Other
it
De tmeilt Use nl pv
s r r' a »x si 3 'a� r`r*P-�•" %, tgr aD '�! Sx4' 1.-„g . fiA d`y
Wags,Ditterct JPurt ey oe Sewer District/Purveyor 3 a>r r . p etas 't ' gt,, Rr
,'n 1 sk r * Sr 3 ;i
School D'}stnct pita District x *,:,,,b ,�rtp ° s s 6
- --VJ _`', Step y r �rs, �r7� 4tz rid,,, �I
s? fi
OWNER/APPLICANT INFORMATION
I'
Ei Indicate who should be contacted regarding this project
110 Oss rirr: Phone: ❑ Applicant: Phone: ',f':
µA Y g°�' S I
Gl e-n e rax: Fax
Mailing Address: „_,. kk Mailing Address: I�
33 2t&-)7 . /4c11,a4 (refi -
I 12,1 PMi3 23 2
Circ,Stats,Zip City,State,Zip {��—
I
SpolGGA G , WA- 1g20% 'i
Contractor Phone ❑Architect/Engineer Phone ii.^
•
Fax Fax II.
\'tailing address Mailing address
k
City,State Zip
R'A State Contractor license# Contact name:
irl
t
PROJECT INFORMATION '1t
n ,• &ll'1 1n �� 'cru s ,,! i # �y may '!s v4 N'
s s s j� sAt sc r ,f, h r ''g^*.'' r r 'ff.1'^K a$. Y 'P;
'� .. .,rt ? .. .,,w,ii,.,.,.u,Fi ,.?g , _ „ fr ,
Building height to pcskl 7 #of stories i Main floor sq ft. Unfinished basement sq.
Dimensionsyo t K co' Total habitable space /2 3S 2nd floor sq.ft. Finished basement sq.ft. Ij
J''
Occupancy group nneS Construction type ST71�1 pe LL� / r Garage sq.ft.
11°2 Saf.Cf. Deck sq.ft. �1
/
Cost of project Heat source(electric,gas,etc.)
//p, aOo 94-5
Ii 1,
Manufactured Horne Sign I
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs ,',
• 11,
I I:
Relocation' Fire Safety K r
Puviousaddress Fire Sprinkler Tent -_
!I,I
Paint booth_ Fire Alarm Firev �rl idisplay
Proposed use Value
II
Special Inspections,Required? Non-Reslclerttkalnexy C� ipmpli Pace?.
Finn Name Phone Plans Faaminer Phone
Inspecto s: Address
Inspector Phone
3 -
O Concrete O Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there stnactures on the property? 0 Yes CcrNo What is the current property size? ,
If yes,ident�'on site plan (square feet or acres) t 3 5.1- '"!I'
Is any part of the property within 250 feet of a shoreline? \X7hat is the current use of this property? v�G n I— 11
If yes,identify on site plan 0 Yes fl"-No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes
OrNo
0 Don't know 0 Yes 13'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,identif on rite plan Ifyes,ident on the site plan 0 Yes LY No
0 Maybe 0 Don't know 0 Yes 19/
No
Are there any wetlands,streams or ponds within 2000 ff et of the property? Is there evidence of fill or excavation on the property? ��
Tfyes,ident +on site plan 0 Yes LK No 0 Yes L�f'NIo
Arc there slopes greater than 30%on the properly?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( %) 0 Yes L9"No 0 Yes 0
DEPARTMENT USE ONLY I
I
Is theproperty in-a designated Stormwater Control Area? Is Subl; sewez a ai1ahle to the site? w " C]; Yes '- 1t to
0Yes ONv
1s the property inside the ASA?' O Yes C1 I`Io Is public water available to the stte� t'l Yes' "D leo
Os Yes ,O Ido ;fin 1:
Is the property inside the PS$A? Cl es .Cl No Is the proper 1�cat withuu1000 foot of a I4tural li-esoure'e a?
` ' CI'
Date Received: Staff Representative:
1,1
METHOD OF PAYMENT
1111111111111111
VISA 11"7"352? SL'BTOI\J,
❑ C.ASII ❑ CHECK 0 111111011.1 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'rE. -- EXPIRES: '� s-TOTAL E
B ANIS(:Alii)NE.M131 R: _—,-- tcge Ec r rssasc»PrF hx
A,ABLE T S3'9KA,1+.
l''1'I I()RIZI:D SIGN 1'fURE: COUN f1,PERMIl C$NTER
PLUMBING PERMIT APPLICATION ,
I
PROJECTPERMIT
ADDRESS: �02 0E 3C d 1,-1 ) USE: !
OWNER: PHONE (Daytime Contact): I
1-tAy41e n NrOMe 5
MAILING ADDRESS:332-1 � �n� �un Ira,111 flM� 23 2 ro l,Pt a r , D fcl Z og
(Street) (City/State) ck'P�';
CONTRACTOR: LICENSE:
Alp\ la. PIUMIOtNO
MAILING ADDRESS: PHONE: s'
(Street) (City/State) f_
PLUMBING FIXTURES I ''
#OF MULTI- COST/ i AMOUNT
DESCRIPTION DETAIL UNITS PBY UNIT EQUALS I
B02 TOILETS WATER CLOSETS,BIDETS 2- x $6 ( — /L'00
B03 URINALS x $6
B04 TUBS - Z x $6 —'/L• ao
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 z
B06 SINKS LAVS/BASINS,BAR,FLOOR, x $6 s g
KITCHEN,LAUNDRY,UTILITY, Z Y.DO
JANITOR,PHOTO,X-RAY,FOOD i
(PREP/CULINARY/MEAT
B07 DISHWASHER - I x $6 s y; L• oo
B08 CLOTHES WASHER - I x $6 = - 6. 00
B09 GARBAGE DISPOSAL/GRINDER - I x $6 = la•Do
B10 WATER SOFTENER x $6 r 1
Bl l ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6
mechanical) 1 -
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x $6 - i
CONDENSATE 1,.
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 a
I'
(Ca.)
B14 FOUNTAINS,DRINKING - x $6 - —
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6s I
VENT/PLUMBING REVERSALS REPAIR,REVERSALS
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 s '-
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 0 l$.c
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS _
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS li_,
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 m
CHEMICAL HOLDING TANK ;iF.::
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 m
B21 MISCELLANEOUS FIXTURES $6 -
METHOD OF PAYMENT SUBTOTALI'I g 1.00
V� I QEF PLUS PROCESSING FEEII $ 25.00
❑ CASH ❑ CHECK ❑ D ❑ ;_
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUEtt; 101.0 D
DATE: EXPIRES: MINIMUM PERMIT FEE IS$3f
00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CNTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050 j:
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
MECHANICAL PERMIT APPLICATION ,
PROJECT 1-7(0 2,0 3c L� PERMIT II
ADDRESS: USE: l;
OWNER: PHONE (Daytime Contact): I,
MAILING ADDRESS:33 2 7 W I til-01 f�rJ T �3Z 5 P 0 K/}+J E LA,
R 9 Z pg
T12-44/ Iz�1 PM13
(Street) (City/State) r''r(Zip)
CONTRACTOR: LICENSE: 1
Co M F-04- Ce rn{�c.1 C
MAILING ADDRESS: PHONE: ,fY
(Street) (City/State) ')
#OF MULTI COST/ ,l ANtOUNT
DESCRIPTION OF WORK UNITS PByD UNIT EQUALS 1'r,
B02 FUEL BURNING APPLIANCE =OR <100,.000 _ I X $12 S ,I Z•00
B03 FUEL BURNING APPLIANCE >100,000 X $15 = d$
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) =OR<400,.000 X $50 =
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 = $
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =OR <400,.000 X $50 II$
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 = g
B08 BOILER/REFRIGERATION 1-IOOM BTU X $12 = IS
B09 BOILER/REFRIGERATION 101-500M BTU X $20 = I I$
,—
BIO BOILER/REFRIGERATION 501-1,000M BTU X $25 1$
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 s !,
B12 BOILER/REFRIGERATION +1,750MBTU X $60 = ,L$
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - I X $10 = kk($ 0
{a• 0
B14 RANGE - I X $10 = 9$ 10.00
B15 DRYER - 1 X $10 = 1 I,0•'00
B16 FUEL BURNING WATER HEATER - I X $10 = Irk 10•DO
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 n �^
B18 GAS PIPING(ea.Outlet) - 3 X $1 = S 3.bo
B19 DUCT SYSTEMS - X $10 = IS
B20 VENTILATING FANS - 3 X $10 = $—i 3a-oo
B21 AIR IANDLER(DOES NOT include duct systems) =OR <10,000 CFM X $12 = i$
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 =
B23 EVAPORATIVE COOLERS - X $10 = $
B24 TYPE I HOOD - X $50 = iy
B25 TYPE II HOOD - 1 X S10 = I'S 10.00
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS I X $12 = 1$ /2.00
B27 AIR CONDITIONER 3-15 TONS X $20 = IS
B28 AIR CONDITIONER 15-30 TONS X $25 = I'
B29 AIR CONDITIONER 30-50 TONS X $35 =
B30 AIR CONDITIONER +50 TONS X $60 =
B31 LPG STORAGE TANK - X $10 s 'i____;
B32 WOOD OR PELLET STOVE/INSERT - X $25 = $ '
METHOD OF PAYMENT SUBTOTAL I /0 7.DD
IMIMI �
!IC 4'E
VISA PLUS PROCESSING FEE i $ 25.00
0 CASH ❑ CHECK 0 1 n ;a"< 0 . 0 ._
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE 3 Z - bo
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.04
PLEASE MAKE CHECKS PAYABLE'�'O
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CEN E'ER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue'r Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198"TDD No. (509)477-7133
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This site piar is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal,All known property
6-a(' ! Q, lbws/dimensions,curb lines.structures and easements
have been identified.Aso indi ted are wetlandr;,
p bodies of water,steep slppes r other critical anus.
lf? Signed: lit o, kr..4A/7f'--
• Date:
/
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OUST-
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6 , 136 SH
52 . 00 '