2002, 10-29 Permit App: 02009649 Residence Project Number: 020096-19 Inv: 1 Application Date: 10/29/2002 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 ENTERPRISES
Address: 324 S MANIFOLD LN
C -S -Z: GREENACRES,WA 99016
Setbacks: Front 26 Left: 10 Right: 10 Rear: 56 Phone: (509)362-3294
Group Name:
Site Information: Project Name:
Plat Key: 006217 Name: SP-1288-01 District: G
Parcel Number: 55192.0361 Block: Lot: B
SiteAddress: 17719 E 4TH<A E_ Owner: Name: HAYDEN ENTERPRISES
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: 10,005 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 t;y: 7 , M
Plan Review Released By:
F (7Z_
Approach/Drainage Released By: (�� 0o
•
V'_ A} Yt-o
Sewer Review Released By.
Permits:
Operator: DMD Printed By: DMD Print Date: 10/29/2002
Project Number: 020096-19 Inv: I Application Date: 10/29/2002 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN 1,235 $20,698.60 1,235 $20,698.60
COV DECK R-3 VN 120 $1,208.40 120 $1,208.40
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 1,235 $81,510.00 1,235 $81,510.00
Totals: 3,070 $109,177.00 3,070 $109,177.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $945.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $207.90
Permit Total Fees: $1,157.40
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 APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 4 #OF UNITS $4.00
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
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $108.00
Operator: DMD Printed By: DMD Print Date: 10/29/2002
Project Number: 02009649 Inv: 1 Application Date: 10/29/2002 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
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
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: $102.00
Notes
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $L157.40 $1,157.40 $0.00 $1,157.40
Mechanical Permit $108.00 $108.00 $0.00 $108.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,367.40 $1,367.40 $0.00 $1,367.40
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 construed 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: DMD Printed By: DMD Print Date: 10/29/2002
l 1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA99260 ✓ Z --.9(e( ( J
SPO CO 509-477 3675 o2 ,
SPECIFIC SITE INFORMATION
Street Address: 177`G 6 r4 LA.
Assessor's Tax Parcel Number(s): 33 Z (23( f
Legal Description: �j Q l
i-kc -r ?LArl T RA—T I L U `D
Project�� Description: i "- Na l i_
E Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width .`Setbacks
Front Rear.
School District. Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
Ri Indicate who should be conladed regarding this projed
Owner
: \-,� Phone: 3367.-- 32941 ❑ Applicant: Phone:
L\/�t6e -1] l— ti- > liax: liax:
Mailing Address: Mailing Address:
3CA,
21 5. r`ArLivoLD F
Cin,State,Zip City,State,Zip
CrIZEErt AL-QE- k• 9 &
❑ Contractor PhonePhone
❑ Architect/I[n nneer
Fax Fax
Mailing address Mailing address
Cite,State tip Cin-,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak , #of stones i Main floor sq.ft. /2 Unfinished basement sq.ft.
Dimensions Total habitable space 20 floor sq.ft. Finished basement sq.ft.
3">'" ° 2 7 c> /2 3 5----
Occupancy group Construction type Garage scf.ft. Deck sq.ft.
/�5 5Ff�sv,'�r��a7 � 60Q t,Z O.Q. (20 s(//
Cost of project I leat source(electric,gas,etc.)
o 61 1 1 c,S
i
Manufactured Home Sign
Width: Length: What is t!,e.stiliare footage of the sign I low high is the sign?-
'
ign?' face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Mann Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
O
Are there structures on the property? Yes No What is the current property size?
If yes,identi on site plan (square feet or acres) /a 005 j
Is any part of the property within 250 feet of a shore e? What is the current use of this property?
Ifyes,idenf on site plan O Yes D No Yj601/4ty�,'��
Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?O Yes la.,N i
CI Don't know El Yes Rif No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I_/yes,identify on site plan I_fyes,ident( on the site plan O Yes No
O Maybe O Don't know O Yes G3'No
Are there any wetlands,streams or ponds within 200,,,itet of the property? Is there evidence of fill or excavation on the property? � �
If yes,ident on site plan O Yes No Cl Yes IB No
Are there slopes greater than 30%on the property?(30 ft *se in 100 ft) Are critical or hazardous materials used or stored on site?
( %) O Yes No O Yes P'No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
O Yes O No
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No
O Yes O No
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Received: Staff Representative:
METHOD OF PAYMENT
iiiiiiiiiilC tli SUBTOTvL
VISA ,
0 CASI I 0 CI II?Ch 0 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:A"1'I I:A PI RI(S: TOTAL FEE
BANKLARD N UMBER: MINIMUM PERMIT FEE IS$35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
AU'll IORI/.I:D SIGNATURE: COUNTY PERMIT CENTER
,81, 413„
16
ADDRES ! c ^--/
ZONE A ' "�
ROAD WIDTH 37
FRONT 1 . •C..
COMMENTS,jgi
REVIEWED :;y YLa%LA / -- - _
56'-101
This F,. .7. n'::in 'r;b :ng submitted for thepurpose of
o - , ,•ern and is a true and correct
represe. ._..on of the prn.;.csai.All known property
linesldim=nsons, curb ; ctructur,os and easements
have been dentifed noted a-o wetands,
bodies of,voter, eep s,:;r;s or other critical areas.
Signed
Date: 1,0- 21- 2
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