2003, 02-20 Permit App: 03001009 Residence •
Project Number: 03001009 Inv: 1 Application Date: 2/20/2003 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-NATURAL GAS Contact: HAYDEN HOMES
Address: 324 S MANIFOLD LN
C- S -Z: GREENACRES,WA 99016
Setbacks: Front 22 Left: 15 Right: 15 Rear: 28 Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: Name: L ,� > ? �)(�� District: G
Parcel Number: 55192.2610 Block: 5 Lot: 10
SiteAddress: 17623 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: 6,627 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 Released By: I ,...411409
Plan Review Released Bye�' t-
Approach/Drainage Released By: O^` ,
Sewer Review Released By.
Permits:
Operator: CKF Printed By: CKF Print Date: 2/20/2003
Project Number: 03001009 Inv: 1 Application Date: 2/20/2003 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: Li
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 64 $501.12 64 $501.12
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: 2,800 $96,755.52 2,800 $96,755.52
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
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $96.00
Operator: CKF Printed By: CKF Print Date: 2/20/2003
•
Project Number: 03001009 Inv: 1 Application Date: 2/20/2003 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 1 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 $96.00 $96.00 $0.00 $96.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,268.48 $1,268.48 $0.00 $1,268.48
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 he 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: CKF Printed By: CKF Print Date: 2/20/2003
liLI PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
, SPOKANE,WA 99260
509-477-3675
SPoi<Coni
SPECIFIC SITE INFORMATION
Street Address: l -I 6 23 E 3 r-A
Assessor's Tax Parcel Number(s): t-, 5/ Cy 2 ( ,t(7
t/ G
Legal Description: 1,0+ 10 G
le- 5— LetinkA LNKS .- "k0
Project Description: t kAA' l
pt Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water Distnct/Purveyor. Sewer District/ un-yor Road width Setbacks
Front Rear.
School District Fire District: Zoning i —)
Left:
OWNER/APPLICANT INFORMATION
El indicate Aho should be,imluded rn:r ardinA this project
la ()yner: Phone, 54i) qZ 3 to(. ø7 _ ❑ Applicant Phone:
142Ayelerr rn K1 prise 5 l AG Fax: l:ax:
Mailing \ddress: // Mailing Address:
2/11;1 ' t.,/ 4/Quer PI Au, 5111 4_ //d
City',State Zip Cr,i ,State,Zip
ikotmveld 4^ q? 35'4
Contractor Phone 3(,Z-3 Zq tf ❑ Architect,1intnneer Phone
/1"yeI l , A _t S l.ax Fax
Mailing address Mailing address
3z H 5. tits,, ra log/It-
-Cite,State Zip Cite,State Lip
0,--t2g-, a c'te 5 GvA'- 1.90/G
\CA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
o 1.5 ll cot //(e8'
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction
Construction type i Garage sq.ft. 4/° Deck sq.ft. Skg
Cost of project I kat source(electric,gas,etc.)
Manufactured Home Sign r
Width: Length: What is the square footage of the sign I low high is the sign?
facer
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler fent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone flans I:i,taminer Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes ox•No What is the current property size? / /_ z 7 0.7�.
If yes,identifj,on site plan (square feet or acres) (O(!
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 va Gam
Is your property in a designated wildlife habitat area? -Will the site be served by a septic system?0 Yes RoNo
O Don't know O Yes 5'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,ident(i on site plan If yes,identify on the site plan 0 Yes Pr No
0 Maybe O Don't know 0 Yes I No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifjes,identify on site plan 0 Yes pcNo 0 Yes 5k."-No
Arc there slopes greater than 30°o on the property?(30 ft rise in 100 ft) :Are critical or hazardous materials used or stored on site?
( %) 0 Yes No 0 Yes ki"No
DEPARTMENT USE ONLY
Is the property in a designated Stormwatcr Control Arca? 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
0 Yes 0 No
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
=NM #tc Ve-. SUBTOTAL
VISA
❑ CASI1 ❑ CI11iCK 0 0 0 •..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
TOTAL FEE
BANKC:ARD NUMBER: MINIMUM PERMIT FEE IS$35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
ALM TORI'/.I�.1�SICNA l URF: COUNTY PERMIT CENTER
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This site pian is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal.All known property ADDRESS ri (,,13 E, rd Lir)
lines/dimensions,curb lines,structures and easements ZONE
have been identified.Aiso indicated are wetlands,
bodies of water,steep slopes or other critical areas. ROAD WIDTH , -2..
Signed: )-1°-,�t�t,',�y/`�`— FRONT Z)- ._FLANKING
:�TKING
Date: .Z' 2 o . v 3 COMMENTS `
REVIEWED BY 6� G'z-uoLi