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2002, 06-26 Permit App: 02005215 ResidenceProject Number: 02005215 Inv: 1 Application Date: 6/26/02 Page 1 of 3 THIS 1S NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: RESIDENCE W/GARAGE - GAS Contact: HAYDEN HOMES Setbacks: Front 20 Left: 5 Right: 5 Rear: 19 Site Information: Plat Key: 006135 Name: CRESTVIEW ADDITION Parcel Number: 45263.5603 Block: 3 SiteAddress: 14315 E 25TH LN SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -7 Urban Residential -7 Water District: 010 VERA Area: 4,403 Sq Ft Width: 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Address: 3327 W INDIAN TRILA RD, PMB 232 C - S - Z: SPOKANE WA 99208 Phone: (509) 362-3294 Group Name: Project Name: District: F Lot: 3 Owner: Name: HAYDEN HOMES Address: 3327 W INDIAN TRILA RD, PMB 23 SPOKANE WA 99208 Hold: ❑ Depth: 89 Right Of Way (ft): 30 Release Plan Review Released B Approach / Drainage Released By: Sewer Review,.( ! Released B Permits: �e Operator: JAS Printed By: JAS Print Date: 6/26/02 Project Number: 02005215 Inv: I Applicantion Date: 6/26/02 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 Sq Ft Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 21 Bldg W x D: 40 x 50 Building Sq Ft: 2470 Sprinklers: El Req Parking: Handicap Parking: Critical Materials: NUMBER OF This Application: Description Grp Type Notes Sa Ft Valuation BASEMENT U R-3 VN 1,235 $15,190.50 GARAGE U-1 VN 400 $4,800.00 RESIDENCE R-3 VN 1,235 $81,510.00 Totals: 2,870 $101,500.50 Item Description Units Unit Desc RESIDENTIAL VALUATION 1 Y OR BLANK STATE SURCHARGE 1 Y OR BLANK RESIDENTIAL SURCHARGE 1 Y OR BLANK Contractor: COMFORT CENTRAL HEATING Address: 7136 N FOTHERINGHAM SPOKANE, WA 99208 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Stories: 1 Total Project: Sq Ft Valuation 1,235 $15,190.50 400 $4,800.00 1,235 $81,510.00 2,870 $101,500.50 Fee Amount $905.00 $4.50 $199.10 Permit Total Fees: $1,108.60 Mechanical Permit Firm: COMFORT CENTRAL HEATING Phone: (509) 216-1234 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF I NUMBER OF Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $3.00 $12.00 $40.00 $10.00 $10.00 $10.00 $117.00 Operator: JAS Printed By: JAS Print Date: 6/26/02 Project Number: 02005215 Inv: I Application Date: 6/26/02 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: ALPHA PLUMBING & HEATING Address: 13615 E. TRENT AVE SPOKANE, WA 99216 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: Payment Summa Plumbing Permit Firm: ALPHA PLUMBING & HEATING Phone: (509) 535-0727 Units Unit Desc Fee Amount 3 NUMBER OF $18.00 4 NUMBER OF $24.00 3 NUMBER OF $18.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 N1JMBER OF $6.00 1 NUMBER OF $6.00 3 NUMBER OF $18.00 Permit Total Fees: $102.00 Page 3 of 3 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,108.60 $1,108.60 $0.00 $1,108.60 Mechanical Permit $117.00 $117.00 $0.00 $117.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,327.60 $1.327.60 $0.00 $1,327.60 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 contrued to he 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: JAS Printed By: JAS Print Date: 6/26/02 i 1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMF�'IT' MILL 1026 WEST BROADWAY AVENUE ## "59 SPOKANE, WA 99260 1 SPo 509-477-3675 Street Address: 3 — :\Ssessor's Tax Parcel Number(s): ❑ Applicant: Phone: Legal Description: � LoT 3 /iLl7Ll� — Project Description: Phone: ❑ Applicant: Phone: hlaifin,� Address: Building Permit Z3z ❑ Change in Use ❑ Grading ❑ Manufactured I <;.me Permit ❑ Relocation❑Sign City, State, Zip � ❑ Tenant (New/Change) ❑ Other i OWNER/APPLICANT INFORMATION 0 Indicate who .should Ge contacted reRardin,g Ibis project h Oumct Phone: ❑ Applicant: Phone: hlaifin,� Address: Z3z Mailing Address: Fax: —. City, State, Zip Sf'o IC,411J E L-� 99 z City, State, Zip � ❑ Contractor Pl11DO ❑ Architect/Engineer Phone Mailing address Fay Fax Mailing address —' City, State Lip City, State Zip —. \X'A Srale Contractor license # Contact narne: PROJECT INFORMATION Building Infdrtna o BuilcGng height to peak # of stories Main floor sq. ft --?I j �-L -3 s Dimensions 'Total habitable space 2°d floor sq. ft. Occupancy group (F5 Construction r;'p` f� Garage sq. ft. /L costof project Ilea[ source (electric, gas, ished basement sq. f1t. ped basement sq. ft. sq. ft. -- di< Manufactured Home - -- )i — �X �<II!' Lcngrh: What is the square footage of the sign face? Itow high is the sign? V A G A -N7— car: Make: # of signs gn• Area of existing signs Proposed use Valu( 0 Yes 0 Ni " Ifyes, identify on the site plan O Yes eN, ❑ Maybe O Don't know ❑ Yes WIN. Are there any wetlands, streams or pondswithin 200�f of the property? Is there evidence of fill or excavation on the property? Relocationa,;w-1--- ire .Safety e? i i - Ihrm t�nmc Yhrnr Previous address Fire S ririlder P -- Inspector phone V A G A -N7— Is your property in a designated wildlife habitat area?_ Paint booth _ Fire Alarm _ Fire '''rks Address display Proposed use Valu( 0 Yes 0 Ni " Ifyes, identify on the site plan O Yes eN, Special Inspections Require& Non -Residential Energy Code C,Ompli"ki Mans Examiner I'hnu Address -- –----- e? i i - Ihrm t�nmc Yhrnr Inspectors: What is the current use of this property? Inspector phone V A G A -N7— Is your property in a designated wildlife habitat area?_ ❑ Concrete ❑ Welding O Bolting ❑ Reinforcement Address Is the property located within 1000 feet of a Natural Reno urt q — ADDITIONAL STTF TN1F7f1RMA'T'TnM Are there structures on the property? ❑ Yes No What is the current property size? 411-1 D /, I es, identi ,fi on rite plan (square feet or acres) 7 Is any part of the property within 250 feet of a shore ' What is the current use of this property? Ifyes, idention site lam O Yes No V A G A -N7— Is your property in a designated wildlife habitat area?_ Will the site be served by a septic system? C3 Yes No ❑ Don't know O Yes 0 -No Is the property located within 1000 feet of a Natural Reno urt q Is any part of the property within a 100 yr flood plain? Ifyes, identify on site plan Are or will there be wells located on the property? 0 Yes 0 Ni " Ifyes, identify on the site plan O Yes eN, ❑ Maybe O Don't know ❑ Yes WIN. Are there any wetlands, streams or pondswithin 200�f of the property? Is there evidence of fill or excavation on the property? I es, identifyon site plan ❑ Yes L� No C3 Yes Are there slopes greater than 30% on the property? (30 ft nM 100 ft) 01 Are critical or hazardous materials used or stored on site? O Yes & No ❑ Yes 3-19 0 DEPARTMENT USE ONLY Is the property in a designated Stor7mvater Control Area? Is public sewer available to the site? O N", `II '�,io 71 Yes O No Iz lI 1 ; Apel in; icic the AS:Ar L7 Yes ❑ No 1s public water :available to the site% 0 1 c s j"] `o ❑ Yes O No coin tr ITR:vUT c}�_�rr'.r. Is the property Inside the PSSd? ❑ Ycs ❑ No Is the property located within 1000 feet of a Natural Reno urt q Arc'la _ 0 Yes 0 Ni " Date Received: Staff Representative. — MrLlHUD OF PAYMENT NOW ❑ CASH ❑ CHECK ❑ ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DAI'F:: BAN KCARD NUMBER: AUT1 0RIZED SIGNATURE: EXPIRES: SUBTOT '''L TOTAL FI t-" MINTarU.Lf!'E2NrrE'[iE7s \Lllla- CI IEC kS P:AS-ik3L6 ":Y-� SPC]K,�Vi. coin tr ITR:vUT c}�_�rr'.r. 6- ac 6\., 6. n nn 4 0f T Ok-NSQ 4, 1 I ilAi I /P/ 1 II 11A I his site plan is bId t fhdpUPOMIN of i obtainingab-' in 6f ighl t j true and 68FF881 in represent ti of the ropm. III khd*h Orope,r;-Uly lines/dime isio,n mo; I dlAs and eoihMiA have been ide ad. A�l s dIdd drb we4iainds, i bodies of r, stoop. Opeli W it ctitic1311 areas, Signed: .4 Date: z 0 /1JQ q -3�� 9��FN s 3a Lo�,6e 4�