2002, 05-14 Permit App: 02003684 Residence Project Number: 02003684 Inv: 1 Application Date: 5/14/2002 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: 6 Right: 6 Rear: 20+ Phone: (509)994-4691
Group Name:
Site Information: Project Name:
Plat Key: 006175 Name: LONGVIEW District: G
Parcel Number: 55192.0000 Block: 2 Lot: 4
SiteAddress: 17624 E 3RD LN Owner: Name: HAYDEN ENTERPRISES
SPOKANE,WA USA 00000 Address: 3327 W INDIAN TRAIL#232
Location::SPO SPOKANE,WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,136 Sq Ft Width: 52 Depth: 118 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: I
Review Information:
Review
Site Plan Review Release. By Y/m i°�, fi!i: .A '!4
r A�t\ 1 i
fir. 111
Plan ReviewReleased By: < 'y
Approach/Drainage L Released By: 1 __
Sewer : , • . Released By:
• a(1 f C(� l=cPC-\! — C � S
Permits:
Operator: RMB Printed By: RMB Print Date: 5/14/2002
Project Number: 02003684 Inv: I Application Date: 5/14/2002 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: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 21 Stories: 1
Bldg W x D: 39 x 48 Building Sq Ft: 2120 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,060 $13,038.00 1,060 $13,038.00
DECK R-3 VN 64 $501.12 64 $501.12
GARAGE U-1 VN 800 $9,600.00 800 $9,600.00
RESIDENCE R-3 VN 1,060 $69,960.00 1,060 $69,960.00
Totals: 2,984 $93,099.12 2,984 $93,099.12
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $855.00
STA 1'E SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE l Y OR BLANK $188.10
Permit Total Fees: $1,047.60
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 I 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 I NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $97.00
Operator: RMB Printed By: RMB Print Date: 5/14/2002
Project Number: 02003684 Inv: 1 Application Date: 5/14/2002 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 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 $1,047.60 $1,047.60 $0.00 $1,047.60
Mechanical Permit $97.00 $97.00 $0.00 $97.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1.228.60 $1,228.60 $0.00 $1,228.60
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 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: RMB Printed By: RMB Print Date: 5/14/2002
i �
Ai PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMEI�`T
1026 WEST BROADWAY AVENUE
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SPO A E7 3 A 759260
509SPOT Com 1
SPECIFIC SITE INFORMATION '—,
tact ;\d �/c.ires :l 16'11 F ^ick \ 1A
<r5sor's Ta I'srceiNumber(s):
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1 ,;,a1 Descriptiotot
1 -- of Slot2 1-o1"1°ie") PAD
1 :o,cct Description: N Q__VJ 6R-_---
1—
iuilding Pcrn it ❑ Change•in Use ❑ Grading ❑ Manufactured Hpmc Permit
!—I Relocation ❑ Sign O Tenant(New/Change) ❑ Other 1
I)e artment Use Only
\CaasllistoctiPurveyor Sewer District/Purveyor Roadwidth ,)a, , , etbacls. ? r
te, " Reat
tick 1I Distract: ., Frm Dr tom Zoning { s
Lett. Ii ht
OWNER/APPLICANT INFORMATION
7/ /17 - � I � �
t q rE Inccate win should be contacted regarding this project L—
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^ Vlv>;u- `t" -rtayl" ❑ Applicant: Phone:
1 ,f- 1 /`� Ia,s et.5-0 et a 1 Fax:
Mailing Address:
City,State,Zip
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—s I'honc Phone �
�- �,r ❑ Architect/Engineer
pas Fax — —
,dJrr,.---L.
Mailing address
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!;,,`/!h City,State Zip
�" <'ontrictor license-- Contact name:
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PROJECT INFORMATION
Building Information{
,hoc hctght so peak #of stones Main floor sq.ft. Unfinished basement sq.it.
' to
6 1e tse
,. Total h.i! rabk ,pece 2"d floor sq.ft. Finished basement sq.ft.11
34SXti ( 2120
ir,.tn ;roup Constncction tspc Garage sq.ft. g D O Teck sq. q
pruj <i
I feat source f�lectric,gas,etc.)
\ 1k1440 — l/T�o•-$5
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Iulufactured Home Si,n '— —
• LenL I i. W %'
hat is the square footage of the sign How high is the sign
Caee?
lMake.
#oC signs Area of existing situs l
l;elocation Fire Safety
Fire Sprinkler I, ,• 1
I 1
Paint booth_ Fire Alarm _ PirJwvrk_,li i C:c
b. use
Value
—
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pccial Inspections Required? Non-Residential Energy Code;Complian:e?
I 1 ,,Nane Phone Plans Examiner Phone -- --
I
II
;Address
I I I
' Inspector Phone .. ------
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I
I �! ` oncrctc ❑ Welding ❑ Bolting O Reinforcement Address— — J
ADDITIONAL SITE INFORMATION
,:c,c stnicnires on the property? ❑ Yes No What is the current property size? _
deiti(y on site plan (square feet or acres) 6135
.,e. part o1 the property within 250 feet of a shoreline? What is the current use of this property? _ f— 1
1i .rdenti/ on site plan ❑ Yes No �(pJV
1 , air property in a designated wildlife habitat,trrtr
Will the site be served by a septic system?❑ Yes %No
_ ❑Don't know ❑ Yes ' No
I r part of the property within a 100 yr tlood plains41
Axe or will there be wells located on the property?
II ,iivi 7)on site plan Ifyes,identify so the.rite plan ❑ Yes 1 No
❑ 'st n be 0 Don't know ❑ Yes No
` c rc un wetlands,streams or ponds within 200 t of the property? Is there evidence of fill or excavation on the property?,,/
II
}r ;/ii (}on.wte plan 1'e 0 i
0 Yes �1 No
,ere slopes greater than 30°%on the property? 30 rise in 100 ft) Are critical or hazardous materials used or stored on site?
___ !�
-- "l ❑ Yes No 0 Yes 4 No
DEPARTMENT USE ONLY
Is the property in a designated Stonnwater Control Area? , Is public sewer available to the site? .,,,,,y,..9,-..v .$-,,e7 No
. Yes O Nn
1 _
t) property inside the ASA?" 0 Yes 0 No Is public eater available to`the site?-, ❑ Yes 0 zoo
❑ Yes O No
Is+'-c property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of aNatuial Resource Area?
❑ Yes ❑ Noy
ll..: Staff ittj,s cnritiac: 1---
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MI i HUD OF PAYMENT pp° Ti
t.. SUB I()t,
VISA
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D , ',II 0 (ill-FR 0 Vanan 0 0
v A FD PERMITS WILL ONLY BE ACEPTED WITI3 PAYMENT OF A MAJOR CREDIT CARD
D\I 1,;X1,11:1:S:
— TOTAL FI rt
B1'V: l-\RD \t 51B1.P: MINIMUMPERMiTj EJ$ 3,500stLE4*.
MAKE CHECKS PAS IILt3;TOSPOKANI-
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COUNTFRMit( ,tX€TER
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This site plan is being submitted for the purpose of
obtaining ;;b.1i'ding permit arid is a true and correct
representation of the proposal.All known property
lines/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands, —t7
bodies of water,steep slopes or other critical areas.
Signed: ���
Date: V.;1/ I"/?
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ADDRESS '
ZONE __ P ---- ,
ROAD WIDTH 73� 4
FRONT SIP LANKING
COMMEN
REVIEWED a��
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