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2002, 03-29 Permit App: 02002077 Residence Project Number: 02002077 Inv: 1 Application Date: 3/29/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE-GAS Contact: HAYDEN ENTERPRISES Address: 17626 E 2ND C- S-Z: GREENACRES WA 99016 Setbacks: Front 25 Left: 7 Right: 7.5 Rear: 45 Phone: (509)216-1702 Group Name: Site Information: Project Name: Plat Key: 006266 Name: LONGVIEW PUD District: G Parcel Number: 55192.0359 B ck: 1 Lot: 11 SiteAddress: 17628 E 4TH10i1.E' 11• Owner:Name: HAYDEN ENTERPRISES GREENACRES,WA USA 9901 Address: 17626 E 2ND Location::GRE GREENACRES WA 99016 Zoning: UR-3.5 Urban Residential 3.5 Water District: 008 CONSOLIDATED IRRG#1 Hold: ❑ Area: 6,387 Sq Ft Width: 50 Depth: 126 Right Of Way(ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review _ cam" _ Site Plan Review Re1ea ' _ Plan Review Released By: - Approach/Drainage Released By: •02.• 19/16;vand Sewer Review `tom ,- - L C_ j 4.."----1 Released By: '6—j- — :-"V R ("( __a_,__ig,tr_de__L 0 TO 1S5cA -t '11f7 Permits: Operator: JAS Printed By: JAS Print Date: 3/29/02 Project Number: 02002077 Inv: 1 Application Date: 3/29/02 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: 3327 W INDIAN TRAIL RD#232 Phone: (509)994-4691 SPOKANE,WA 99208 Building Characteristics Const Category: New Group:R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 17 Stories: 1 Bldg W x D: 36 x 56 Building Sq Ft: 1032 Sprinklers: LI Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Sci Ft Valuation Sq Ft Valuation GARAGE U-1 VN 960 $11,520.00 960 $11,520.00 RESIDENCE R-3 VN 1,032 $63,984.00 1,032 $63,984.00 Totals: 1,992 $75,504.00 1,992 $75,504.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $742.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $163.35 Permit Total Fees: $910.35 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 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $74.00 Operator: JAS Printed By: JAS Print Date: 3/29/02 Project Number: 02002077 Inv: 1 ,Application Date: 3/29/02 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 TOILETS/BIDETS 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 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $78.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $910.35 $910.35 $0.00 $910.35 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $1,062.35 $1,062.35 $0.00 $1,062.35 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: JAS Printed By: JAS Print Date: 3/29/02 I. PROJECT APPLICATION WORK SHEET Ilk -P(-{K,ANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SP() AE Coti SPECIFIC SITE INFORMATION Su'c, r \ddres : 1742,5 E. get c 1.-ss,r,t'::Tai: Parcel Number(s): i.,..r:;1 I )escnpriocr Loft 1 1 21o,k 1 La Al kii& i P u 1 1'r,: , 1 1`,•.>crihtion: 1\1 2,_A PO4AS .- vr,l It Prrn t ❑ (Th t i c I ❑ Grading ❑ Manufactured Home Permit i' "„t' ❑ Sigt ❑ Tenant(New/Change) ❑ Other 1 cp irtment TSC Only $1 \\ater )stncx Pury<:vor Sewer District;Pur. Read width '; Setbacks t' ? Front - Rears 33 - d� ^�r F V N Y F A Y a' ,,, I. nl -'u,- Fire District4.1 Zoning � ti + - Ief £.�� �'-rKr`� O\�NER/APPLICANT INFORMATION 0 lrrlir,,h. ,Pho-/s 'd be contacted regarding this pre ect fl '-tG h::,,:,� -_-_ � FY`� .. 1Q /�/� CIApplicant Phone: `.1din.. Lir, :,1\1 --. 23-611- Fax: Address: r Cite,State,Zip 0 Architect/Engineer Phone ---------� Fax Mailing address Cit}',State Zip Contact name: PROJECT INFORMATION Building Tnforma' 'oi ' van floor sq. ft. 17'.Ie eht it a', 17nfinish basement sq.ft. 11 - 1/Cr 1\.o 1>; 1 :al I�t',:r ;; 2nd floor sq.ft. Finished basement sq.ft. (:onstnic ��� Garage s4 f f 5P 1- Deck sq.ft. I feat source(electri ,gas,etc.) -1 0 2 3 65 — — Cro..5 MIatnitacuired Home _ Slgn . \\,,h-1, I p,h What is the square footage of the sign How high is the sign? 'face? 1.t r 11111, #of signs Area of existing signs Relocation Fife Safety I r � Pr, Lr,,=.:.d,lress Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display _ Value Special Inspections Required? Nori-Resit entiil nefgy C©1e CQmpliance- A Ph' Plans Examiner Phone h:rn r Address inspector Phone 1 ❑ t mssetc El Welding ❑ Bolting 1 ' N in'-',rceno of Address — _ ADDITIONAL SITE INFORMATION .Arc nitre stnxtures on the property? ❑ Ycs 71 No What is the current property size? Ir rc.i,i�'idilj�rill TrIe pian (square feet or acres) 3 I utv. parr of the property within 250 feet of a shr;rr inc? What is the current use of this proper y? C) ,i,id's/ipj so.ii plan ❑ Yc, _ No O‘,L(.,A,A Is%our property in a designated wildlife habitat ar,," Will the site be served by a septic system?❑ Yes Olio 0 1)on't know 0 \cs_ C.No is.sm part of the property within a 100 yr tl siii plus- Are or will there be wells located on the property? Ifyes,ideati(y on the site plan 0 Yes 2q,No 1 1fal'l,c 0 Don't know ❑ y,,, No \ t ni i u,e o trial-ids,streams or ponds within l 1� ccr of the property? Is there evidence of fill or excavation on the property? El1 No 0 Yes No i 0 a ii Inpcs psinter than 30°'o on the prop i ri v U I-rise in 100 ft) Are critical or hazardous materials used or stored on site? ❑ \,_ No ❑ Yes No / DEPARTMENT USE ONLY Is the property in a designated Stormer ater Conti"(,1 Area? . I5 public sewer:avaa,a*: a the site? ' " Y-e8 , Cr1�1rT ❑ Ycs DNo' Is the property inside the ASA? ❑ Ycs 0 No. i Is public tw'2tetayallittg t a the slte� °tom M",4h' �1 Q 7n -: 0 ❑ Yes 0-110 f ( • ?P h ti `"S: Is the property`inside the PSSA? 0 yes ❑ No, Is t,e p operty lgcate'd w thin IfOQ feet ta:` ' I f ; of Fe.,' r2ef ❑ Ye ', E1 Na Staff Rcpr,-_.r,. METI101)OF PAYMENT SSUBTOTAL VISA Z.--s.,';',;:,;;" fr.: ❑ r,y;H ❑ CI IrCK 0 11111111M11 ❑ 0 FAXLI)PERMITS WILL ONLY BE ACEPTE L\X ITII PAYMENT OF A MAJOR CREDIT CARD '0 b N s z ,f0% I 1'\'II1i ' k I<\\1-1 yitl)NI'\1 :: -- -._. — MJNIMVM,P .(riffF XS$3.Rp AGE '�;'. ' F&CTHEtS' S0.!° FSk9i `; � \ I I it,ait I):;It N\IUR?_ CouN:rtl;&+frCENE ,, ,,:- EL) K L11._ @10k „.,) „. c-- 5 0 . 5 0 ' ortsq.,,u,k, 1 04,.,,,,,,.,,, oa 0; 'Oo rhe e`i4,�'he Sf' ,s°f ya//0/7 .`ss'°Ur6Ar°4'o 4"0';•fO`rh CI, et ed �" Sa. a eo 20 ' • ,o S���/k., Lor ON qac e of K/S or areo,L/-es a n o,°a°rieor (---' ot6cy. ea,�d:, se7y s �SO�fO.� c'Z meas C _1 N N �__� 36 ' lb mile -i . LO + oIAS e O0 A • l ADDprgo, t ��P,4--� Lam, RE Vlc v v:,. 6 , 3 8 7 SF Lo NI 1 çD