2002, 06-18 Permit App: 02004903 Residence z �
Project Number: 02004903 Inv: 1 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 TRAILS
C-S -Z: SPOKANE,WA 99208
Setbacks: Front 30 Left: 5 Right: 5 Rear: 46 Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: 006175 Name: LONGVIEW District: G
Parcel Number: 55192.2206 Block: I Lot: 6
SiteAddress: 17710 E 4TH*YE Owner: Name: HAYDEN HOMES
GREENACRES,WA USA 990 Address: 3327 W INDIAN TRAILS
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 By: VW'W z r l�?
' '
-
Plan Review Released By:
Approach/DrainageReleased By: • f OL
Sewer Review Released By: - 70 : 0
e4 roo
(9 qq.0(/
Permits:
Operator: DMD Printed By: DMD Print Date: 6/18/2002
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Project Number: 02004903 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: 2538 Sprinklers: ❑
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 1,269 $15,608.70 1,269 $15,608.70
COV DECK R-3 VN 160 $1,611.20 160 $1,611.20
GARAGE U-1 VN 402 $4,824.00 402 $4,824.00
RESIDENCE R-3 VN 1,269 $83,754.00 1,269 $83,754.00
Totals: 3,100 $105,797.90 3,100 $105,797.90
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $925.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $203.50
Permit Total Fees: $1,133.00
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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $86.00
Operator: DMD Printed By: DMD Print Date: 6/18/2002
Project Number: 02004903 Inv: 1 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 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
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: $108.00
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,133.00 $1,133.00 $0.00 $1,133.00
Mechanical Permit $86.00 $86.00 $0.00 $86.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1.327.00 $1,327.00 $0.00 $1.327.00
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 N iolation 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
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PROJECT APPLICATION WORK SHEET
111
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SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENiI
1026 WEST BROADWAY AVENUE
rligilik
AiSPOKANE,WA 99260 h,
509-477-3675 6,2 1 ( 3
SPOKANE Cot rY T �.s'
SPECIFIC SITE INFORMATION
Street Address: 1 1 1 O E Li i_�
Assessor's Tax Parcel Number(s): L 3 'f 4 , •7, 11
/
,
Legal Description: L O fr G J $I o ,l o�1 !(� �`
Project Description: r S (-(E2 JS r —
EI Building Permit ❑ Change in Use CI Grading ❑ Manufactured Hnisic Pert-nit
CI Relocation El Sign
❑ Tenant(New/Change) CI Other
Department Use Only � "''
Road i f t
Water�l$trt&lPatve oz Bea axl3utnct/Purveyor qi rS t yz�r
y j� a i
E � a boa , e
p t s '` v� of ��
SChOOI E 1$ Et Fire Gstrici- .t yz A K .Y\ Zdn tl ,„' 6.f xr re -
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OWNER/APPLICANT INFORMATION ;i'
0 Indicate who should be contacted regarding this project �l-_
sU' (hvnez: Phone: 71Applicant: Phone: .�'
Y�G 1 e S Fax Fax: j,
Mating Address:/ Mating Address: �
/la I�
3317 GJ /fd(1" %r^ar 1?- /'M(3 2 Z
coy,State,Zip o City,State,Zip i
s?o(GGnG /
1..)/4—
�/ ' Z�o
Phone l
❑ Contractor Phone CIArchitect/Engineer
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip 'I
WA State Contractor license# Contact name: i�kk'1
PROJECT INFORMATION
Building Ix format o '! i,
Building height to peak �' #of stories r Main floor sq.ft. / Z Unfinished basement sq.ft.
/Z �9
ll.,ncnsi'ms Total habitable space 2'd floor ft. Finished basement sq.fti,�j
9° x5° p` 2538 sq. f-= —'
Occupancy group Construction type$/ / / Garage sq.ft. G/. Deck sq.ft
�e sil
rZv�d "til
Cost of project Iteat source(electric,gas,etc.)
J4S 1
1,,
'C
Manufactured Homein — ---
Length: What is the square footage of the sign How high is the sign?
face?
Yc-.tr_ Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireu1rn-ks display
Proposed use Value
Special Inspections Required? Non=Residential Energy Coca Gornplia� ?
I nm Name Phone
Plans Examiner Phone
Inspector, Address ---
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Q Yeso What is the current property size? /
If yes,identify on site plan (square feet or acres) (e/ 3 g7 51 }'
Is arty part of the property within 250 feet of a shorreiir e? What is the current use of this property? VA et
If2•6"-No
f- ^
yres,identify on site plan O Yes {�'No
Is your property in a designated wildlife habitat area?�/ Will the site be served by a septic system?O Yes fJ No t
O Don't know O Yes LST No
L any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Il r's,identify on site plan Ifj�es,identiO on the site plan O Yes l�No
O Maybe O Don't know D Yes Er/No
Are',here any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
)es,ident on site plan 0 Yes Tr-No Q Yes 0' io
:\n there slopes greater than 3040 on the property?(30 ft e in 100 ft) Are critical or hazardous materials used or stored on site?
( /("/0) O les 5 No 0 Yes G'Iys,
DEPARTMENT USE ONLY
Is the propertq'.nxa dent nar d Ston rte'ater Control Urea? Is publre sewer available fo jhe site? Q# 5 s 7 .No
QYes QNo
is the property irisrde the SA? Q Yes No",' Ts publre�t atet available td the 1te? Q Yes l lslo
QYes - 'O5N
Is the property inside the PSSA? 0 Yes 0 No Is the prezpetIy lgcatedwnl tri 1 a� -fejt of a�Naf al Resourc Arica?
,..
11
Date Received Staff Representative:
METHOD OF PAYMENT
SUB1Ol 'ii.
VISA.
❑ ❑ - ❑
❑ C1
; SII 0 CHECK
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD '
llrV"11?: EXPIRES: __-- t-tT(?TA1.F5E
B;1NKC_\RD NUMBER: ----- — MfNJMthtiMpRnniXr EiS$3�.dOPLE. sF
MAKE?CI-TE:c1 c"15As'Js1 r,0 SPOKA`�e
Ati'IFIURI%I{D SIGN- COI/NTY'PERMfr,CENTER
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MECHANICAL PERMIT APPLICATION
PROJECTLi ill PERMIT
ADDRESS: 1 O USE: �--,
OWNER: f(Ay4e-m //Yr1 5 1e PHONE (Daytime Contact):
TUi
MAILING ADDRESS: 33i , tj /4,1,4„, rq,/ A/ A.40 23 a 5t)o kG i c /[.J/+- `. e o
(Street) (City/State) Zip"
CONTRACTOR: C c svt
/e n r�c A I LICENSE: II
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MAILING ADDRESS: C 7PHONE: Ii
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(Street) (City/State) 2ip)
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#OF MULTI- COST/ 1MNN
PLIED
DESCRIPTION OF WORK UNITS BY UNITEQUALS
B02 FUEL BURNING APPLIANCE =OR <100,.000 1 X $12 = 12,00
1303 FUEL BURNING APPLIANCE >100,000 X $15 =
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) =OR <400,.000 X $50 = 'B04
B04 UNLISTED APPLIANCE(_ADDITIONAL CHARGE) >400,000 X $100 =
B06 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 =
Bll BOILER/REFRIGERATION 1,001-1,750M BTU X $35 = —:
Bit BOILER/REFRIGERATION +1,750M BTU X $60 = , _
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - —.411— X $10 =
B14 RANGE - I X $10 = •a0
B15 DRYER - I X $10 = /0•Dou
B16 FUEL BURNING WATER HEATER X $10 = 1 0.O O
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - 1•• _ X $10 2.0•00—
B18 GAS PIPING(ea.Outlet) - X $1 = $t
B19 DUCT SYSTEMS - X $10 = 1
B20 VENTILATING FANS - 3 X $10 = t 3O.c
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 =
B23 EVAPORATIVE COOLERS - X S10
B24 TYPE I HOOD X $50 = t
B25 TYPEIIHOOD - I X $10 = /aDO
i"—
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS I X $12 = P_[L•Co
B27 AIR CONDITIONER 3-15 TONS X $20 = r'
B28 AIR CONDITIONER 15-30 TONS X $25 = k;_
B29 AIR CONDITIONER 30-50 TONS X $35 = Vi_
B30 AIR CONDITIONER +50 TONS X $60 = 3_
B31 LPG STORAGE TANK - X $10 =
B32 WOOD OR PELLET STOVE/INSERT - X $25 =
METHOD OF PAYMENT SUBTOTAL �/1y.00
9t.
mom
VISAz 1 3Josw.
PLUS PROCESSING FEE $ 25.00
❑ CASH ❑ CHECK ❑ ❑ ❑ -
FAXED PERMITS WILL ONLY RE ACCEPTED WITH PAYMENT I;1�
OF A MAJOR CREDI'r CARD TOTAL PERMIT FEE DUE ',i;S/3 l'. co
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.0
PLEASE MAKE CHECKS PAYABLEI ID
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CEN ''ER
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
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PLUMING PERMIT APPLICATION
PROJECT
PERMIT
ADDRESS: / 411 USE: :.
OWNER: GS PHONE (Daytime Contact):
a yGlC/1
MAILING ADDRESS: 3 3;7 t , i h Tad
d Ij p, ZiZ 5,70),._ /,1A- ✓9�g
(Street) �✓! (City/State) (,'�
CONTRACTOR: LICENSE:
/4-43(4A. ptv,t4i0
MAILING ADDRESS: PHONE:
(Street) (City/State)
PLUMBING FIXTURES
#OF MULTI- COST/ AMOUNT
PLIED
DESCRIPTION DETAIL UNITS BY UNIT EQUALS I,s_,
B02 TOILETS WATER CLOSETS,BIDETS 3 x $6 I--
pr.Coo
B03 URINALS x $6 =
B04 TUBS - 3 x $6I-
- /$•tro
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 '
B06 SINKS LAVS/BASINS,BAR,FLOOR, S– x $6
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD 3j0. 00
(PREP/CULINARY/MEAT ._
B07 DISHWASHER - I x $6 a G- e-o
B08- CLOTHES WASHER - I x $6j~_ ex,
B09 GARBAGE DISPOSAL/GRINDER - I x $6_B10 B10 WATER SOFTENER - x $6 ill_
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6
mechanical)
1 B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, 1 x $6 'I U p
CONDENSATE li_
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 L
(ea.) L.—.
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 e
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, 3 x $64.. `8 CO
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS —
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 m
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 a 1
B21 MISCELLANEOUS FIXTURES $6 –
METHOD OF PAYMENT SUBTOTAL /0 S•00
MEM
AJGVI-'
VISA PLUS PROCESSING FEE $ 25.00
0 CASH ❑ CHECK ❑ 0 '` 0 .:
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUB. )3 3-0a
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35:00
PLEASE MAKE CHECKS PAYABLE TO
N
BAKCARD NUMBER: SPOKANE COUNTY PERMIT C,NT IR
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050 I
Telephone No.(509)477-3675"Fax No. 477-7198*TDD No. (509)477-7133
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This s'te;,Ian is being submitted for thepu`•pose of
obtaining a building permit and is a true a d correct
representation of the proposal.All known I'd
lines/dimensions,curb lines, structures an easements
have been identified.Also indicated are wetlands.
bodies of water,steep s opes :r other critical areas.
0%.A,S
061' Si ned: A11/Date: G /8- 0
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ADDRESS il" E 4
ZONE LA, .�•S
ROWID
FRADT_ FLANKIN
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COMMENTS i� �
7- REVIEWED BY '=�:t�./L�1
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