2002, 03-29 Permit App: 02002079 Residence Project Number: 02002079 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: Right: 12 Rear: 29 Phone: (509)216-1702
Group Name:
Site Information: Project Name:
Plat Key: 006217 Name: SP-1288-01 District: G
Parcel Number: 55192.0321 Block: Lot: A
SiteAddress: 17713 E 4TH AVE 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: 10,006 Sq Ft Width: 81 Depth: 122 Right Of Way(ft): 36
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review —
Site Plan Review Released By: -__
lit
Plan Review ,� / �
Released By: --- �
Approach/Drainage Released By: q -1, , -. i
et ig'414 /61
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Sewer Review do ,, ? ( ' ').tom_) L. + .
L,'�e 4.,,,L,-, C% 1 Released By: _ e.. j
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Permits:
Operator: JAS Printed By: JAS Print Date: 3/29/02
Project Number: 02002079 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: 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: Building Height: 23 Stories: 1
Bldg W x D: 68 x 30 Building Sq Ft: 2336 Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sci Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,168 $13,502.08 1,168 $13,502.08
DECK R-3 VN 72 $529.92 72 $529.92.
GARAGE U-1 VN 560 $6,720.00 560 $6,720.00
RESIDENCE R-3 VN 1,168 $72,416.00 1,168 $72,416.00
Totals: 2,968 $93,168.00 2,968 $93,168.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $855.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 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
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $105.00
Operator: JAS Printed By: JAS Print Date: 3/29/02
Project Number: 02002079 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 3 NUMBER OF $18.00
SINKS 3 NUMBER OF $18.00
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
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $90.00
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 $105.00 $105.00 $0.00 $105.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,242.60 $1,242.60 $0.00 $1,242.60
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: JAS Printed By: JAS Print Date: 3/29/02
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PROJECT APPLICATION WORK SHEET
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1110,i1111\ :-.1 ( •• \NF,COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
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1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
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SPECIFIC SITE INFORMATION
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OWNER/APPLICANT INFORMATION
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Indicate who should be contacted reprelinA this project
2 IL •-• 1152 CI Applicant: Phone:
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Contact name:
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PROJECT INFORMATION
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Building Information"
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ii,1, ci I Main floor sq.ft. Unfinished basement sq.ft.
2 I.6 kl4r 11 Cf
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rola!!:a1-11-, 1, .1):1co 2nd floor sq.ft. Fshed basement sq.ft.
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:II, C sc Garage sq.ft. Deck sq.ft.
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ileat source(electric,gas,etc.)
I 1 31 (00
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Manufactured Home • Sign
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, !What is the square footage of the sign How high is the sign?
face? .
\i a:_ ,#of signs Area of existing signs
Relocation Fire Safety:.
Fire Sprinkler Tent
Paint booth Fire Alarm _— Fireworks display
Value
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Special Inspections Required? Ton=lZesidential Energy Code� , �panc�
•+,. ... Ph,n. Plans Examiner Phone
Address
_--- - Inspector Phone
Cl urcrete ❑ Welding ❑ Bolting CI h,inforeement Address
ADDITIONAL SITE INFORMATION
rrucnirc;on the property? ❑ l \n What is the current property size? V
l :i, hr� ou.rh> Inn (square feet or acres)
,n. past ,1 the property within 250 feet of a sIo:(line? What is the current use of this property?
r i ,j ort.+'il /an ❑ l c Ne,
1 nut 1 rr petty in a designated wildlife hal-Mat ai Will the site be served by a septic system?❑ Yes O o
❑ I)on't know ❑ 's e )(No
I- rn, pal „f the property within a I00 yr Are or will there be wells located on the property?
!,:'. on in'+>/on Ifyes,idents on the site plan ❑ Yes No
❑
Maybe ❑Don't know ❑ 1"csNo
re tier, my wetland,,streams or ponds within^nr. t,et of the property? Is there evidence of fill or excavation on the property?
onCI 'irs 'o 0 Yes ' No
1 . tDicr, rope--pl ater than 305'0 on the pr,pdtst= ft se in 100 ft) Are critical or hazardous materials used or stored on site?
7 1, oto ❑ Yes t5(No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? •r.1 yes O Is public sewer xva+able to the site? 8
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Is the property inside the ASA? ❑ Yes ❑ No ' Is publie water available to the situ Q Yes A,:Q old';
❑ Yes O No
Is the property inside the PSSA? ❑ Yes D No Is the proper Igcatecl within 10(X1 feet o a a}I r s4f1£ce 2�r �
MET IOI)OF PAYMENT
SUBTOTAL
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F\\liI)PERMITS WILL ONLY BE ACI?PTRt)WITH PAYMENT OF A MAJOR CREDIT CARD
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