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2002, 10-01 Permit App: 02008558 Residence -. , Project Number: 02008558 Inv: 1 ApplicaeiolDate: 10/1/2002 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 38 Left: 6 Right: 35 Rear: 36 Phone: (509)994-4691 Group Name: Site Information: Project Name: ...................................................................................................................................................................................................................................... Plat Key: 006217 Name: SP-1288-01 District: G Parcel Number: 55192.0362 Block: Lot: C SiteAddress: 17805 E 4TH AVE Owner:Name: HAYDEN ENTERPRISES GREENACRES,WA USA 990 Address: 2622 SW GLACIER PL#110 Location:: GRE REDMOND,OR 97756 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 By: , t kl ; Plan Revigw` Released By: n ri t..L a L ;c �'._. t c;'t'\ Approach/Drainage Released By: 1,0*- � J ip aFssvAS5'. - Sewereview Released By: . �? (0/0,2 Permits: Operator: RMB Printed By: RMB Print Date: 10/1/2002 Project Number: 02008558 Inv: I `'tApp1icatioit Date: 10/1/2002 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: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 1,200 $14,760.00 1,200 $14,760.00 COV DECK R-3 VN 100 $1,007.00 100 $1,007.00 GARAGE U-1 VN 400 $4,800.00 400 $4,800.00 RESIDENCE R-3 VN 1,200 $79,200.00 1,200 $79,200.00 Totals: 2,900 $99,767.00 2,900 $99,767.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $892.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $196.35 Permit Total Fees: $1,093.35 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 3 #OF UNITS $3.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 5 NUMBER OF $50.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $117.00 Operator: RMB Printed By: RMB Print Date: 10/1/2002 Project Number: 02008558 Inv: 1 Application Date: 10/1/2002 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 Finn: ALPHA PLUMBING& HEATING Address: 13615 E. TRENT AVE Phone: (509)535-0727 SPOKANE,WA 99216 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 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 $1,093.35 $1,093.35 $0.00 $1,093.35 Mechanical Permit $117.00 $117.00 $0.00 $117.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,312.35 $1,312.35 $0.00 $1,312.35 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: RMB Printed By: RMB Print Date: 10/1/2002 ,—i i PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE Ilk SPOKANE,\VA 99260 509-477-3675 SPOKANE E COUNIfY SPECIFIC SITE INFORMATION Street Address: / 7 ErDS F_.. ('1++ 1\3\1E- Assessor's Tax Parcel Number(s): 6 S iQ1 Q' c 3 Legal Description: $t 0,/k�P� �^ `. Project Description: /Ve' 1 /-4444.-• ' uildtng Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyoe Sewer District/Purveyor Road widt}t, i Setbacks �. � e�) Front Rear. School District Fire District: Zoning Left: / Right: yiOWNER/APPLICANT INFORMATION X ` /0/ . 0 Indicate who should be contuded seta dine lid project L`_r<:1er: L�� p Phone:3‘ 2 1z ty y CI Applicant: Phone /4r4 ��/�1�/��`4 I'as: I•as: Mailing address: Mailing Address: 3LY 5 A-10,4, Aid CAA-4- City,State,tip yQ o City,State,Zip 4A.t a4 u c.�-1 s lam'/l ! < 0/�! ❑ Contractor PhonePhone ❑ Architect/F:n nnccr Fax Fax Mailing address Mailing address Cite,State Zip Cite,State Lip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak / #of stories / Main Floor sq.ft.2Unfinishedbasement sq.ft. v 12,o Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. 3ox41v IZa4 _— Occupancy group Construction hype Garage sq.ft. �� Deck sq.ft. �� ru5 5+1'1 dw-d z Cost of project I Icat source(electric,gas,etc.) Manufactured Home Sign Width: 1"ength: What is the square footage of the sign I low high is the sign? face? Year: Make: #of signs .1rea of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name l'hone Plans Examiner Phone Inspectors: Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? ❑ Yes What is the current property size? C_ If yes,identi f on sitep/an (square feet or acres) /00 C S sy 1.f" Is any part of the property within 250 feet of a shorelines What is the current use of this property? /� Yr Ifyes,idt, ente,on site plan ❑ Yes Y'1V o V O CaN Is your property in a designated wildlife habitat area? � Will the site be served by a septic system?❑ Yes t) ❑ Don't know ❑ Yes rlNo Is any part of the property within a 100 yr flood plain? .Are or will there be wells located on the property? Ifyes,identi[j,on site plan � Ifyes,ident on the site plat ❑ Yes M"..1--\17)-- 0 lNo❑Maybe ❑Don't know ❑ Yes "Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If yes,identify on site p/in ❑ Yes ❑ Yes 13-210 .Are there slopes greater than 30°%on the property?(30�ft rise 100 ft) Are critical or hazardous materials used or stored on site? ( o) ❑ Yes L'TNo ❑ Yes — DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes 0 No ❑ Yes ❑ No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No ❑ Yes 0 N Is the property inside the PSSA? Cl Yes Cl No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes 0 N Date Received: Staff Representative: METHOD OF PAYMENT ME=VISA ;zC �`x; SU1B"1'O'1':V ❑ CAS!I ❑ CHECK X K ❑ ❑ ❑ -� FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL FEE B:\NKCARI NUMBER: MINIMUM PERMIT FEE IS$35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE AUI•I 10R1 ZED SIGNATURE: COUNTY PERMIT CENTER 81' 4 " 16 SQL ADDRESS ZONE l--)•-•'e ROAD WIDTH' FRONT ` FLANKING COMMENT; REVIEWD'BY - �-- Fl:e113„ 16 This S ?P ng sii i? _,r+ n rUirose of obta nin a s cing pain,, and is a , an and correct representation of the proposal.All known property lines/dimensions, curb hoesstructures and easement; have been identified.Also indicated are wetlands, bodies of Nater,st- p slopes or other critical areas. Signed: i f{/� Date ' ro - - 123'-116 34' 40' I 50' 13 35'-416„ -20' TRACT C 17805 E. 4TH