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2002, 07-25 Permit App: 02006310 Residence Project Number: 02006310 Inv: 1 . Application Date: 7/25/2002 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 HOMES AIR GAS Address: 324 S MAINIFOLD LN C - S -Z: GREENACRES,WA 99016 Setbacks: Front 25 Left: 5 Right: 5 Rear: 20+ Phone: (509)362-3294 Group Name: Site Information: Project Name: Plat Key: 006175 Name: LONGVIEW District: G Parcel Number: 55192.2205 Block: 1 Lot: 5 SiteAddress: 17714 E 4TH LN Owner:Name: HAYDEN HOMES GREENACRES,WA USA 990 Address. 324 S MANIFOLD LN Location:: GRE GREENACRES,WA 99016 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 6,386 Sq Ft Width: 50 Depth: 126 Right Of Way(ft): 36 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: . Review Site Plan Rev' w sed By: /� InvN, -.1111170. N7k UMW 4111.. Plan Renew , Released By: Approach/Drainage j Released By: <17-451.5•0.'62... 1 Sewc ���� — � j Released By: g UZ 71 LIT (CS 1°0)04-(._, •- Q4 c4IN Permits: ........ . Operator: RMB Printed By: RMB Print Date: 7/25/2002 Project Number: 02006310 Inv: 1 Application Date: 7/25/2002 Page 2 of 3 • THIS IS NOT it 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: 0 Building Height: 17 Stories: 1 Bldg W x D: 34 x 48 Building Sq Ft: 1904 Sprinklers: ❑ 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 952 $11,709.60 952 $11,709.60 GARAGE U-1 VN 400 $4,800.00 400 $4,800.00 RESIDENCE R-3 VN 952 $62,832.00 952 $62,832.00 Totals: 2,304 $79,341.60 2,304 $79,341.60 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $767.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $168.85 Permit Total Fees: $940.85 Mechanical Permit Contractor: HAYDEN ENTERPRISES INC Firm: HAYDEN ENTERPRISES INC Address: 17626 E 2ND Phone: (509)994-4691 GREENACRES WA 99016 Item Description Units Unit Desc Fee Amount GAS WATER HEATER I 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: 7/25/2002 Project Number: 02006310 Inv: 1 Application Date: 7/25/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: HAYDEN ENTERPRISES INC Firm: HAYDEN ENTERPRISES INC Address: 17626 E 2ND Phone: (509)994-4691 GREENACRES WA 99016 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 1 NUMBER OF $6.00 SHOWERS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER I NUMBER OF $6.00 FLOOR DRAINS 1 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 $940.85 $940.85 $0.00 $940.85 Mechanical Permit $86.00 $86.00 $0.00 $86.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1.110.85 $1.110_85 $0.00 $1,110.85 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 he true and correct,and agrees that all provisions of laws and/or regulations governing this hype of work will he complied with. Subsequent issuance of a permit shall riot he umtrued to he a permit for,or an approval of,any s iotation of auc of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: RMB Printed By: RMB Print Date: 7/25/2002 • i l PROJECT APPLICATION WORK SHEET SPOK\NE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 SPO , 509-477-3675 K, COUl\TY SPECIFIC SITE INFORMATION Street Address: / 77 / q,4-• 55 tqa' e1.;aS \ssessot's Tax Parcel Number(s): Legal Description: to*t s— Gc I Project Description: �e wilding Permit O Change in Use O Grading O Manufactured Home Permit Relocation 0 Sign 0 Tenant(New/Change) 0 Other Department.Use Onto " Water District/Purveyor: Sewer District/Purveyor RgadtdH 1* • School T>istnct Fire Distort _,rso A OWNER/APPLICANT INFORMATION 12.4 T IZI Indicate who should be contacted n'Rarding this project 0 Applicant: Phone: •4YGPs.J hioMF_ S ra. Fax: Mailing Address: 32-1-f S. MRncola( Cry-,State,Zip City,State,Zip "AG" acr‘cg 1101(.0 C°nlracrt-" Pl""'r ❑ Architect/Engineer Phone has Fax Luling address Mailing address Cin.State Zip City,State Zip \A A State Contractor license Y Contact name: PROJECT INFORMATION Buildtn n fOr at n Nut ls'p ht it ht rn peal: of sto7ks /� � Main floor sq.fj � Unfinished basement sq.ft. ?, 7 5—2_ !)irocnsion Total Habitabis s sacs 2'd floor sq.ft. Finished basement sq.ft. Occupancy .roup ��� Constructnm t'p;S � Garage sq.ft. �� Deck sq.ft. ar Cost of proieo t-teat source(electric,gas,etc.) /4-/fo \ t' o c This site plan is boing.submitted for the purpose of obtaining a nuilciing permit and is a true and correct representation of the proposal.All known property6 lines/dimensions,curb lines,structures and easements S 9 \ 9 have been identified.Also indicated are wetlands, bodies of water,steep-/ slopes or other critical areas. Signed: �"!r,/Gf�/XVI 'Le"77---- Date: 7,2 rib 7, q M C0 srov1 5 / ice ' 00 6 \ C ADDRESS • 17-- ZONE I- ROAD WIDTHS ! FRONT " FLANKING A COMMENT REVIEWED5..- -- "V\ c) C `'a\,(\ 1`^S )2r) 0 1 c:i .1...o i Oc aoc V (i -fr 1 / / 1