2002, 01-14 Permit App: 02000195 Residence Project Number: 02000195 Inv: 1 Application Date: 1/14/2002 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 27 Left: 5 Right: 8 Rear: 40 Phone: (509)994-4691
Group Name:
Site Information: Project Name:
Plat Key: 006175 Name: LONGVIEW District: G
Parcel Number: 55192.0000 Block: 2 Lot: 3
SiteAddress: 17628 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: 6,039 Sq Ft Width: 53 Depth: 105 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Rev' Released By:
Plan Review
Released By: 1. --� ;.�^ �..
Sped• ••ws A�w i,{,�'
Approach/Drainage Released By --'
0
17
Sewer R•
Released
:
Operator: RMB Printed By: RMB Print Date: 1/14/2002
t
Project Number: 02000195 Inv: I Application Date: 1/14/2002 Page'2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
le"
Building Permit
Contactor: 4 NKNOWN t D 11/4� Firm: UNKNOWN
Ad,1ress: U KNOWN `' ' Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Building Chara •ristics
Co• t Category: New sup: R-3 Type: VN
Nbr Of Dw- _-- a _ ..• t Load: 0 Building Height: 18 Stories: 1
Bldg W x D: 40 x 40 Building Sq Ft: 1864 Sprinklers: 0
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 962 $11,120.72 962 $11,120.72
DECK R-3 VN 64 $471.04 64 $471.04
GARAGE U-1 VN 400 $4,800.00 400 $4,800.00
RESIDENCE R-3 VN 962 $59,644.00 962 $59,644.00
Totals: 2,388 $76,035.76 2,388 $76,035.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $748.75
STA 1'h SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $164.73
Permit Total Fees: $917.98
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
Permit Total Fees: $86.00
Operator: RMB Printed By: RMB Print Date: 1/14/2002
Project Number: 02000195 Inv: 1 Application Date: 1/14/2002 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 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
Payment Summary: .. .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $917.98 $917.98 $0.00 $917.98
Mechanical Permit $86.00 $86.00 $0.00 $86.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,087.98 $1,087.98 $0.00 $1,087.98
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: 1/14/2002
,
1 PROJECT APPLICATION WORK SHEET
ii
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCF.NIEN i'
I
1026 WEST BRO\D� :\�' VENUE
•
1,41
T11 SPOKANE,W\ 99260
09-477-3677
SPOKANT COUNTY
• SPECI'FIC SITE INFORMATION
Street Address: ,.' , �. r \ L`
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Assessor's Tax Parcel Number(s): 1 "1 . o3SCj
Legal Description: • 3 CJ lock -7 1-o v 1
Project Description: N v L'_) \[d
Building Permit 0 Change in Use 0 Grading
0 Manufactured Home Permit
4
Relocation 0 Sign 0 Tenant(New/(;hangs) 0 Other
DepanrnOnly
ater 1 ktoct/P receoi x S wet Dutrfet/Puxeepor Roadswidth / Setbacks
e }�rone� 40.(C)
�. Rear.
School, ' to x,; Fires District. , Zoning
F , ' t e Left: Right
OWNER! PPLICANTe contac
Fe INFORMATION J d 3� 53A /05
dicatr it's shrl� ted refardipiy!iv,prey i
0(hencevk. /� ^ Phone: ?/'v d \
�� 0 Applicant: Phone:
Mailing Address: Marling Address:
City,State,Zip City,State,Zip
0 Contractor
Phone ❑ Architect/Engineer Phone
Fax Fax
Mailing address ^ ,/�//� Mailing address
City,State Zip City,State Zip
\VA State Contractor license# Contact name:
PROJECT INFORMATION
�I )4trz Information
Building height Vo peal #of stories Main floors t. l nfinished semens sq.I t.
Dimensioni)c Total abatable sp c 2nd floor sq.ft. Finished
basements 1.&.
Occupancy groupConsto�>ty� ��� Garage s �0 Deck sq.ft. / q 51/ f.i
SIN
Cost of project •]! Heat source(electric,gas,etc-) �(
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This sift,elan is being submitted for the purpose of
obtaininij a l. in9 permit rod is a true end correct
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representation of the proposal.All known property
linesidimenslons,curb lines, structures and easements 0
have been identified.Also indicated are wetlands,
bodies of water, steep slopes or other crItical areas.
Signed:
Date ge
ADDRESS ._z,L_'d_ c.....
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FRONT aP - F LAN K I N G -_
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