2002, 06-18 Permit App: 02004895 Residence E �
Project Number: 02004895 Inv: I Application Date: 6/18/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: HAYDEN HOMES/MICHAEL ALLBAUG
Address: 3327 W INDIAN TRAIL RD
C - S -Z: SPOKANE,WA 99208
Setbacks: Front 26 Left: 5 Right: 5 Rear: 50 Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: 006175 Name: LONGVIEW District: G
Parcel Number: 55192.2207 Block: 1 Lot: 7
SiteAddress: 17706 E 4TH ANT- Owner:Name: HAYDEN HOMES
GREENACRES,WA USA 990 Address: 3327 W INDIAN TRAIL RD
Location:: GRE SPOKANE,WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 50 Depth: 126 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released Bye ,2�.},� (( 1&/
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Plan Review Released By .-y
Approach/Drainage •
ll
PP g Released By: ( ' �"Y`_! __t
Sewer Review Released By: G' 1 (JZ
OIL ❑ig_
c)„ -9 _- - -
Permits: ..
Operator: DMD Printed By: DMD Print Date: 6/18/2002
Project Number: 02004895 Inv: 1 Application Date: 6/18/2002 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: Occupant Load: Building Height: 20 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
COV DECK R-3 VN 114 $1,147.98 114 $1,147.98
GARAGE U-1 VN 402 $4,824.00 402 $4,824.00
RESIDENCE R-3 VN 1,235 $81,510.00 1,235 $81,510.00
Totals: 1,751 $87,481.98 1,751 $87,481.98
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $817.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $179.85
Permit Total Fees: $1,001.85
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 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
HOOD -TYPE 11 1 NUMBER OF $10.00
Permit Total Fees: $87.00
Operator: DMD Printed By: DMD Print Date: 6/18/2002
Project Number: 02004895 Inv: I Application Date: 6/18/2002 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 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 I 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 $1,001.85 $1,001.85 $0.00 $1,001.85
Mechanical Permit $87.00 $87.00 $0.00 $87.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,172.85 $1,172.85 $0.00 $1,172.85
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to he a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 6/18/2002
i
i 1 PROJECT APPLICATION WORK SHEET 'i',
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SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509 477 3675 2 . C(6
SPOIL COINTY i•
SPECIFIC SITE INFORMATION L-1
Street Address: /77 0 !i 6 Y,4" s7' ii
.\,lessor's Tax Parcel Number(s): 5c/q2 , .2207 J'
Legal Description: L p T 7 BL o c ie.—
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Project Description: ki E(/'-) kip`JS/=
LTJ'building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Hosie !'ertnit
•
El Relocation ❑ Sign O Tenant(New/Change) ❑ Other
Department U$ Onl
M tdl �ZSp
i
Water Distr(ct/Purveyor Seater District,'Purveyor Road w`rdt t< 't` Se c i ;
4 root. s it ear I
< J \ F f f�
• School IJiStiYcr FxtelDistzct
* 7 { s 1'.
OWNER/APPLICANT INFORMATION
Ei Indicate who should b contacted regarding this project I
LJ Olen<:r: 1 '/ _ Phone: 3/2,2 —5%y/if ❑Applicant: Phone: ,,.
144)10.5A-) Nonni/6 5 Fax: v` NN / Fax: ,
Rlailin'Address: t I. �� / Mailing Address: II'
3L7 t /4c1/;,/, �/'Ar l , j fl/`1/3 23Z 1 —j
tSly,State,Zip 9yl v�
� City,State,Zip
Se/ote /� c.,-)A
❑ Contractor
Pho°° CI Architect/Engineer Phone
1
Fax Fax I'.
Mailing address Mailing address If
I:
City,State Zip City,State Zip
\W'.=t State Contractor license# Contact name:
PROJECT INFORMATION 1
Building Informatio i a ,''
>t r: ., rt ,tom � . x-
Building height to peak Z 1 #of stories ' Main floor sq.ft. /2 3j� S' r Unfinished basement sq.fl.
Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft'
L/o yco /2 35-
Occupancy group Construction type Garage sq.ft. Deck sq f_ i'
/Z�s 57 a//72,1) Yn Z s7 A-
Cost of project Heat source(electric,gas,etc.)
i
III
i
Manufactured Home Sign
1X%�dih I,crigth: What is the square footage of the sign }low high is the sign?
face?
Make: #of signs Area of existing signs
Relocation Fire$a€ety it 1
Pre\i(105 address Fire Sprinkler II 'fent
'
_..--
Paint booth Fire Alarm Firentarks display
Proposed use Value
Special Inspections Required? Non-Resicleiiti l Erier Coe �oniplia��c'e?
Firm Name Phone ' Plans Examiner Phone
Inspectors: t\ddress �'— J
Inspector Phone
❑ Concrete O Welding ❑ Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? O Yes L'''No What is the current property size? �'.
Gi 3 S? ss, {
Ifyer,identon site plan (square feet or acres)
Is any part of the property within 250 feet of a shorelige? What is the current use of this property?
If yes,identify on site plan 0 YesoLrNo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes co
❑Don't know O Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If re,idem fy on site plan Ifyes,ident�on the site plan 0 Yes 0 0
0 Maybe O Don't know O Yes 1:91C--lo
Arc there any wetlands,streams or ponds within 200 f of the property? Is there evidence of fill or excavation on the property?
If yes,zdent 'so site plan O Yes �O No O Yest7 lv'in
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? �'~
( /%) O Yes B No O Yes t
DEPARTMENT USE ONLY
Is the property in a designated Sroxn water Control Area? �Is public sewer available to tIae site? Yes 7 1110
❑ Yes No
Is rhe property instde the ASAI ❑ Yes El No Is public cater 7 Vo
❑ Yes . ;, 7 No,, I�
Is the property inside the PSSA? ❑ Yes 17 No ..Is the property located ithin 1000:deet of a Nato ral Resour lrea?
Dare lieceiced:
Staff Representative:
•
METHOD OF PAYMENT
111.111111111111
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❑ (,:;'\SII ❑ (.HE(:K 1111101111N1 ❑ 0 -.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 117.=
1).1'1E: EXPIRES:
BAN \RD NUMBER: MIN7IUMPRliZ7.k IB$336/IPL1tiE i
MA1t8 CJ-71�C[sn P LET¢SPOf��'rIS3
AU"I'i K1111/E1)SIGNA'I1JRF: _ Cot�ITyt luyrcEN';'EIt I
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PLUMBING PERMIT APPLICATION f'
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PROJECT giii L� PERMIT �
ADDRESS: ,�� USE:
OWNER: PHONE (Daytime Contact):
MAILING ADDRESS: r- % .o
33 L/ W /A/DI4r-� //Lsl7 t- • AP ?A./6 99z°B' csiaokA-1,,l /4-14- �'
(Street) (City/State) i
CONTRACTOR: LICENSE:
11-1,144 /'L vM giA>
MAILING ADDRESS: PHONE:
(Street) (City/State) (Zip'
PLUMBING FIXTURES I lb
#OF MULTI-
COST/ 'i '' AMOUNT
PLIEDESCRIPTION DETAIL UNITS BY UNIT EQUALS 1'' '
l P� 2. x $6 = d l___. /'L
B02 TOILETS WATER CLOSETS,BIDETS
B03 URINALS x $6 - r j
B04 TUBS - y x $6 7 I Z
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 =
B06 SINKS LAYS/BASINS,BAR,FLOOR, x $6 =
KITCHEN,LAUNDRY,UTILITY, 49 2 H
JANITOR,PHOTO,X-RAY,FOOD l
(PREP/CULINARY/MEAT
B07 DISHWASHER - 1 x $6 =
B08 CLOTHES WASHER - 1 x $6 = (0,
B09 GARBAGE DISPOSAL/GRINDER - I x $6 f t'
B10 WATER SOFTENER - x $6 = :—i
1311 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6
mechanical)
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, . x $6 =
CONDENSATE —
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 =
(ea.)
B14 FOUNTAINS,DRINKING - x $6 -
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 =
VENT/PLUMBING REVERSALS REPAIR,REVERSALS I
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 =
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, 3 x $6 = `�
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
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 =
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 =
1121 MISCELLANEOUS FIXTURES $6 =
METHOD OF PAYMENT SUBTOTAIIIY� gil
l
V 7. 1C PLUS PROCESSING FE $ 25.00
❑ CASH ❑ CHECK ❑ D 0 ..
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DU l /0 7. 00
DATE: EXPIRES: MINIMUM PERMIT FEE IS$3.'3:00
PLEASE MAKE CHECKS PAYA E TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT C )fNTR
l is
AUTHORIZED SIGNATURE.
Spokane County Division of Building&Code Enforcement '
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
'
MECHANICAL PERMIT APPLICATION
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PROJECT i–7–7 0 tyE..
y is,, L Ai PERMIT
ADDRESS: i USE:
OWNERPHONE (Daytime Contact):
�i 1�r4 IDIL� � aMr 5
MAILI 7 Z 7 ADDRESS,
l nJ P l -TWA/L RP eM)3 2 3.2- 3'/ O IcA-i•-1 l=/ (A)4 79?0
(Street) (City/State) 42: ,
CONTRACTOR: C of p-On i e 12 )/'- 7'72/-r c. LICENSE:
MAILING ADDRESS: PHONE:
(Street) (City/State) 2
I #OF MULTI- COST/ L IOUNT
—I
DESCRIPTION OF WORK PLIED
UNITS BY UNIT EQUALS
B02 FUEL BURNING APPLIANCE =OR <100,.000 1 X $12 = ,—/Z–
B03 FUEL BURNING APPLIANCE >100,000 X $15 =
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) –OR <400,.000 X $50 =
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 = /—,
B06 1 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =OR <400,.000 X $50 = _
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 =
B08 BOILER/REFRIGERATION 1-100M BTU X $12 =
B09 BOILER/REFRIGERATION 101-500M BTU X $20 =
B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 = t`
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 –
B12 BOILER/REFRIGERATION +1,750M BTU X $60 =
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - X $10 =
B14 RANGE - g X $10 – /v
B15 DRYER - ( X $10 = V
B16 'FUEL BURNING WATER HEATER - I X $10 = Jo
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 = r_,
B18 GAS PIPING(ea.Outlet) - X $1 =
B19 DUCT SYSTEMS - X $10 =
B20 VENTILATING FANS - 4 9 X $10 = 3o
B21 AIR HANDLER(DOES NOT include duct systems) =OR <10,000 CFM X $12 =
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 =
823 EVAPORATIVE COOLERS - X $10 =
B24 TYPE I HOOD - X 550 =
B25 TYPE II HOOD - I X $10 = 1 /o
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS * X $12 = /Z
B27 AIR CONDITIONER 3-15 TONS X $20 =
B28 AIR CONDITIONER 15-30 TONS X $25 = il"S�o
B29 AIR CONDITIONER 30-50 TONS X $35 = 4,
B30 AIR CONDITIONER +50 TONS X $60 = 8-_�'
B31 LPG STORAGE TANK - X $10 = 1-
B32 WOOD OR PELLET STOVE/INSERT - X $25 =
METHOD OF PAYMENT SUBTOTAL Il c 7
mom 43(-441:
VISA PLUS PROCESSING FEE I S 25.00
❑ CASH ❑ CHECK E 0 . 0
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT k
OF A MAJOR CREDITCARD TOTAL PERMIT FEE DUE fid 4 00
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.01"
PLEASE MAKE CHECKS PAYABLE(I'°
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane CountyDivision of Building&Code Enforcement ���!
P
1026 West Broadway Avenue"Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
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ADDRESS
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ROAD WIDTH •
I FRONT F • KING �;__
COMMENTS ilia ��
REVIEWED BY ►�A I 1 ..it;
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is being submitted for thepurpose t
obtasite planpermit and is a true and corn ct
obtaining a building
representation of the proposal.Ail known props
/ finesldimensions,curb lines,structures and ease�ments
have been identified.Also i�dicatedarerweta n as.
387
( ... S 1—
Sia s or other ''I,
bodies of water,steep ,
I� .J
9 Signed: `
Date: 4
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