2001, 11-08 Permit App: 01009934 BasementProject Number: 01009934 Inv: 1 IiCat* Date: 11/8/2001 Page 1 of 3
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THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45263.0314PTN Block: 2
SiteAddress: I114433UE 25TH LN
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -7 Urban Residential -7
Water District: 010 VERA
Area: 4,984 Sq Ft Width: 56
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: :.
Lot: 2
Owner: Name: HAYDEN HOMES
Address: 3327 W INDIAN TRAIL RD #232
SPOKANE, WA 99208
Hold: ❑
Depth: 89 Right Of Way (ft): 30
Permits:
Operator: RMB Printed By: RMB Print Date: 11/8/2001
Project Number: 01009934 Inv: 1 Application Date: 11/8/2001 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: 3327 W INDIAN TRAIL RD #232 Phone: (509) 994-4691
SPOKANE, WA 99208
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: El
Description Grp Type Notes
BASEMENT R R-3 VN
Item Description
RESIDENTIAL VALUATION
STATESURCHARGE
RESIDENTIAL SURCHARGE
This Application:
S(I Ft Valuation
1,060 $4,452.00
Totals: 1,060 $4,452.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: HAYDEN ENTERPRISES INC
Address: 3327 W INDIAN TRAIL RD #232
SPOKANE, WA 99208
Item Description
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
MINIMUM FEE ADJUSTMENT
Stories:
Total Project:
So Ft Valuation
1,060 $4,452.00
1,060 $4,452.00
Fee Amount
$100.50
$4.50
$22.11
Permit Total Fees: $127.11
Mechanical Permit
Firm: HAYDEN ENTERPRISES INC
Phone: (509) 994-4691
Units
Unit Desc
Fee Amount
1
# OF UNITS
$1.00
1
NUMBER OF
$12.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
Select
$2.00
Permit Total Fees:
$35.00
Operator: RMB Printed By: RMB Print Date: 11/8/2001
I
Project Number: 01009934 Inv: I Application Date: 11/8/2001 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:....::::::.:.......
. ..... .. ..... ....... .... ..
,,, , I...'' .......................... ............................ ............................
Payment Summary:
........ ....................
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $127.11 $127.11 $0.00 $127.11
Mechanical Permit $35.00 $35.00 $0.00 $35.00
$162.11 $162.11 $0.00 $162.11
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 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: 11/8/2001
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PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
"ffioru-u 1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPOKW Co
SPECIFIC SITE INFORMATION
Street Address: i' J-23 --Z (;.! („ L a
Assessors Tax Parcel Number(s): t'
Legal Description:
L of 1 2_ C��
Project Description:
"\ �15� L�G'��2.dt'1<-✓l
` ` \f P��`�-�
oy\
Setbacks
Main floor sq. ft.
Unfinished basement sq. ti.
Iax: — 0 "l2 `
From Hear:
School District:
Fire District:
Building Permit
CitY, State, Zip
❑ Change in Use
Cir., State, Zip
❑ Grading
ury' V fix/
O Manufactured Home Permit
❑ Relocation
Phone❑
❑ Sign
❑ Tenant (New/Change)
Fax
❑ Other
Department Use Only
Fater District/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Main floor sq. ft.
Unfinished basement sq. ti.
Iax: — 0 "l2 `
From Hear:
School District:
Fire District:
Z.ming
CitY, State, Zip
Garage sy. ft.
Cir., State, Zip
I ( ti.
OWNER/APPLICANT INFORMATION
Q InAvl, whn d—ld & ron/a,7vd rvnii &— /hic Drni of
❑ Owner.
Phone: 2 14, —
❑ Applicant: Phone:
�� &,,�v
ppv 1
Main floor sq. ft.
Unfinished basement sq. ti.
Iax: — 0 "l2 `
Fax:
Mailing Addres :
327 w
;�fifl z
Mailing Address:
CitY, State, Zip
Garage sy. ft.
Cir., State, Zip
:i „f project
ury' V fix/
1 lest source (electric, gas, cte.)
G-CA,S
❑ Contractor
Phone❑
i PhArchiic�t I .n�mccr one
I -ax
Fax
\lalling ad ss
Mailing address
Cin', State zip
Cin, State Zip
\VA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ti.
Dimensions
Total habitable space
2,d Floor sq. ft.
Finished basement sq. ft.
U rD
()ccupancy group
Construction type
Garage sy. ft.
Dc•ck scl. ft.
:i „f project
1 lest source (electric, gas, cte.)
G-CA,S
Manufactur'NkHome
sign
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Area of existi tens
0 Don't know 0 Yes FNo
Is any part of the property within a 100 yr flood plain.
Are or will there be }yells located on the property?
Relocation
Fire Safety
Prcv ious address
Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display
Proposed use
Value
Special Inspections Require ?
Non -Residential Code Compliance?
Firm Name 'hone
Plans Examiner Phan
Inspectors:
Address
,Vyes, idenfi6 on siteplan 0 Yes 0 40
Inspector Phone
O I trete O Welding 0 Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No
\N hat is the current property si "
,Vyes, idenlyfi on site plan
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
,Vyes, idenfi6 on siteplan 0 Yes 0 40
0 No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? 0 Yes No
0 Don't know 0 Yes FNo
Is any part of the property within a 100 yr flood plain.
Are or will there be }yells located on the property?
Ifyes, identij on site plan
Ifyes, idenfift on the site plan 0 Yes 19 No
0 Maybe 0 Don't know 0 Yes %No
0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
Ifyes, identi on site plan 0 Yes 13&0
0 Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
-ire critical or hazardous materials used or stored on site?
% 0 Yes RNo
0 Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? 0 Yes FNO
0 Yes
0 No
Is the property inside the ASA? 0 Yes
0 No
Is public water available to the site? 0 Yes 110,No
0 Yes
0 No
Is the property inside the PSSA? O Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
METHOD OF PAYMENT
❑ CASII ❑ C1I1.CK ❑ ❑ . ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCARD NU,11BIiR:
AUI'110RIZI-.D SIGNATURE:
EXl'1RES:
SUBTO'I'-A 1.
TOTAL FEE
MINIMUMPERMITFEEISF35.00PI.T \,I-
MAKP. CI IICCI:S P:1}"gBLG TO SPOIL\\I
COUNTY PFit:\irr CI 'N7ER