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