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2002, 05-01 Permit App: 02003193 Residence
Project Number: 02003193 Inv: 1 Application Date: 5/1/2002 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 ENTERPRISES AIR GAS Address: 3327 W INDIAN TRAIL RD#232 C -S -Z: SPOKANE,WA 99208 Setbacks: Front 25 Left: 6 Right: 5 Rear: 53 Phone: (509)994-4691 Group Name: Site Information: Project Name: Plat Key: 006266 Name: LONGVIEW PUD District: G Parcel Number: 55192.0321 LA) Block: 1 Lot: 4 SiteAddress: 17718 E 4TH*VLF' Owner: Name: HAYDEN ENTERPRISES GREENACRES,WA USA 990 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: Plan Review4 ` L Released By: Approach/Drainage • Released By: QL Sewer Rec ew Released By: t-v / T KQS.�S> (,,1.Tk L V '(,_ a ar `? Permits: Operator: RMB Printed By: RMB Print Date: 5/1/2002 Project Number: 02003193 Inv: 1 Application Date: 5/1/2002 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: 1 Occupant Load: 0 Building Height: 21 Stories: 1 Bldg W x D: 39 x 48 Building Sq Ft: 1896 Sprinklers: Req Parking: 0 Handicap Parking: 0 Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 948 $11,660.40 948 $11,660.40 DECK R-3 VN 64 $501.12 64 $501.12 GARAGE U-1 VN 400 $4,800.00 400 $4,800.00 RESIDENCE R-3 VN 948 $62,568.00 948 $62,568.00 Totals: 2,360 $79,529.52 2,360 $79,529.52 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: 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 VENTILATING FANS 4 NUMBER OF $40.00 EVAPORATIVE COOLERS 1 NUMBER OF $10.00 CLOTHES DRYER 1 NUMBER OF $10.00 Permit Total Fees: $84.00 Operator: RMB Printed By: RMB Print Date: 5/1/2002 Project Number: 02003193 Inv: 1 ` Application Date: 5/1/2002 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 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 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: $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 $84.00 $84.00 $0.00 $84.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1.108.85 $1.108.85 $0.00 $1,108.85 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 he contrued to be a permit for,or an approval o1 any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: RMB Printed By: RMB Print Date: 5/1/2002 • PROJECT APPLICATION WORK SHEET , fk si,()K,vNE COUNTY DIVISION OE BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509477-3675 L •, ,,,)K,A,\Ec()-uNly 1 , SPECIFIC SITE INFORMATION \ddress: t 7-715/ r" 0k1- 1--- ' - LNI — . • ,t's Ta:\ Parcel Number(s): i)escriptit,n: L' 9J10 GK. 1 I , . 4"...c...., Dt'scriptitm: N 0_,v-) Ao ilcling Permit o Change,in Use 1 0 Grading CI Manufactured Hone Permit 1 . . •.clocation 0 Sign 0 Tenant(Newit:hange) 0 Other _. — 1 '' —•-'",(‘'.:.11- 4:-Iil.7.4...i;t3.'4 ',..lr-Vir''1'-'t - .,.r. • - -:<..,..i.-:•-, -.,-- 1 )(2partment Use,Unly:.''' -.-.:.:' -- ; 7---::#.• :;.'4i-2:11-:, ..),TictiN,eYor: '..': !-,':., .,. s,,)er-.'Disitict/Purveyor . •:';-;::,.:., '';;-.: ;,:f.',,,,-^11',•,§..F.mca,... ...,...Irr54::,:'''''''''''''. ,f1;:v,s'.','-', ,-. 4-,,114Tii,..: ''''; ;';'4.,A',OH'Irckir'' ':.,,t.,t'''.:- 1:,,,,,"04'..4„-_,:f '.'....4',-; ' VAlas;-:;•;i7t-;';'' ...-.' ' "=-,''' , ' . '-• ' ,' .-.:,,',:,.,%:•;41.-i':,',.;.7,:4.:.1-:',, 1.g: 4 .,.,:;V,,.7,.._ ii.,,q;;;,;.;;.4;•o -;.._,..: ...i... ' . " '' '.' .' ' ' ' ':----''.'-`•'----*.i,;z.L17.1,4:-,6•;.•,:•,;,-;4,-.:::::,,„,:i,..,,,v;v:,:,A.,,,,,,,,,,,,,,,?:0,:.,Ff:--..r.,,,,q,:,,,,,,,,,:,.,-;,-4.....1 District: ,:- -,:,•:'•• -Titifpiitrict - - -.'',,jf.'-,.?•r,iz;::•';•,:2,i',•iv..,, Yo,.--.4tiv.,4,v.,c,;-. 01,,,f,,,,..4.,,,,!.,,,,,.-.:-.)---,::;....,:-&-.1k,',.•...w..,,,o,,,,5.-. . .-•••• i•'., - .••-•:-..::,:,::,-,v;.?:*,-A.';',.'5,2i.:-. 517,071,--'.4.-10`00:%9,,P.4:::M',:117'-i,---16.41-,V...:.,':‘,.--iX,N,t.',i,,,f:ii.',.,4,-,p,:,"0,0!,-1%.-.,,, - _ . .„. .,:,,,,i'a 3-,: -,,,,?1,F.4.-7N-7., •,,;•;.::...,,.',-,.,..n'm..,--f-,.:,,,,,,,,-::.- • . „ OWNER/APPLICANT INFORMATION So $ (217- Col ell) Et Indicate who should be contacted rgarding this project P11:,„, i.-k 6 -t'70-t a Applicant Phone: \-k Fax t. Mailing Address: City,State,Zip ! El Architect/Engineer Phone IFax .i---— Maaing address City,State Zip 1— , [ Contact name: ! i ----- PROJECT INFORMATION ' '_.:•••' ; , -',... . ';.•BOil'dtrit.:TfiftAtOttOttrA*t;a;.• .',J:P:';-.S.::.--- Ti'ig•,i':'fV'ft'."-,4-P:;'ntttt --• '1 r ..•.-..I - • •- ''.•, , . • ••:',.• -•' ..'",.•;'4':; :•'•:Z-0'1:.:4-.';',4friiik-;4:4'4. .'::;;;',". •':ii,i;-;.44.-.,:i4';;:•'k,..,:,-•::,-/>•.;k:44.6-4F,:g.,,,,'•;§..4.4i4j-,,*-,6• ,.. . ., r.. . .,,,,,,,,, ,:,is:al #of st,o, Main floor sfli ft. Unfinished basement sci,ft. 2 ( Total 1-p....hit:!--1.,T.Lce. 2nd floor sq.ft. Finished basement sq.ft. Sn -- - 3 x/t 5 vt 1 1 %14 F- - — ,,,,, gr,-„,,,,, cons,,-,,c,„,,,,,..,,, Garage sq.ft Deck sq.ft_ :,p, :•,, „ Heat source(electric,gas,etc.) i I I 1anutactLlred Home what is the square footage of the sign How high is the si ? face? i#of signs I h.__� Area of existing siz=,is i �1 elOcation }ypai rp ,y. i� ' r_ K;4 sss. ,Y,lY,,;[-is-Address Fire Sprinkler Paint booth Fire Alarm Fireworks d;:,;iax ___ r�,se�l use — Value axamne • . ' " ISpcclal Inspections Required? Ndlcal Et rz I ?Qn eSlxtnef l : �Anay ace— > , ,<— — PlnsEir ' ". `• 'r Y-- i Phone =y i Address i Inspector Phone r,nc rete 0 Weldin O Bolting$ n 0 Reinforcement i Address I — ADDITIONAL SITE INFORMATION ;, !hc:c :rructures on the property? O Yes No What is the current property size? ;c; nlentil on site okut u,�, part of the ,roc (square feet or acres) property e rtV within 250 feet of a shot,line? What is the current use of thisproperty? Mill ,.irf nti/p on,tilt Ian" 0 Ye t I No ,ur properp-in a designated wildlife habitat area? a O Don't know p c.; .� No Will the site be served by a septic system?0 Yes �Q No f In pat of the property within a 100 yr flood plain // le tip on sih/van Are or will there be wells located on the property? on the siteplon Cl Mai be 0 Don't know If}er zdenti�yYes 0 Yes G No 0 ,k,n any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? i dent./5,on site Ian 0 Yes E o j It rc slopes greater than 30%on the property:- (i ft ft rise in 100 0 Yes _4 to the critical or hazardous materials used or stored on site? O 1c • No O Yes Y.P, 1 I, the property in a desigriated Stn itnwater Control thea? DEPARTMENT USE ONLY sJ �f ta4 h a SYre4 ` 44 4 6 . t a7 Yes © Nq + sr r ` h uV "is ;;O l ehr PropertyinidetheASAI 0 Yes. ❑ Na ii Li " livf is G e LWs� ir �7� 3 0•.YeS ' ` 4° r-&- u r»:' 'a ; o 'fuac � p 0 } y. yys . 7 zq- ry3Acx # c4is lf ris Tile property inside the PSSA? 0 YesD NO a �� e a > ° e9d4 : :. k , .f rvs , ae 4„„ a. Mr ue, .z7.7. / - 1W 1 f f01)OF PAYMENT MUMr ❑ , \'I3 ❑ rlll?CK 0 . ❑ _ • SUBTOT I:-XED PLRMIJTS WILL ONLY BE ACEPTED WI FH PAYMENT OF A MAJOR CREDIT CARD ::; , EXPIRE :X01)Nt'NIRl R Al ;I:T:'FD S[GTvV'fUKI?: , ' I 7 oqoqA S 6 JS 92 9 IN -17 ___. ... .. I ... CD 4 cc S N1 5.Ap H LO LO 4 10.00 ► S ? n ( t N ADDREt SO'11t 14uJ ZONE _... 12--3 S 00 ROAD WIDTH i FRONT a FLANKING COMMENT REVIEWEL INl 5 7 5 i This sitelan is beingsubmitted ter the purpose of T I P obtaining a building permit and is a true and correct representation of the proposal.All known property lines/dimensions,curb lines.structures and easements have been identified.Also indicated are wetlands, ,''v \-01 bodies of water, eep slopes Qr other critical areas. v Signed: '',./ ///wl��V Date: 5/1 / O S 60S . 0S