2003, 03-03 Permit App 03001245 Residence, GarageProject Number: 03001245 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE
Setbacks: Front 24 Left: 8 Right: 8 Rear: 44
Site Information:
Plat Key:
Name: L of Col 0
Date: 3/3/2003 Page 1 of 3
Contact: HAYDEN HOMES
Address: 324 S MANIFOLD LN
C - S - Z: GREENACRES, WA 99016
Phone: (509) 362-3294
Group Name:
Project Name:
District: G
Parcel Number: 55192.2404 Block: 3
SiteAddress: 202 S CORBIN LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR 3.5
Water District:
Urban Residential 3.5
Area: 6,720 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot: 4
Owner: Name: HAYDEN ENTERPRISES INC
Address: 2622 SW GLACIER RD #110
REDMOND, OR 97756
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By.
Plan Review
Released By.
Approach / Drainage
Released By: tsl t•
Sewer Review
Permits:
O3ao\24e\
-Released'By.
Operator: JEF Printed By: JEF
Print Date: 3/3/2003
Project Number: 03001245
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: HAYDEN ENTERPRISES INC
Address: 17626 E 2ND
GREENACRES WA 99016
Building Characteristics
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description Grp
BASEMENT U R-3
DECK R-3
GARAGE U-1
RESIDENCE R-3
Building Permit
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Tvpe Notes
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Date: 3/3/2003 Page 2 of 3
Firm: HAYDEN ENTERPRISES INC
Phone: (509) 994-4691
Type:
Building Height: Stories:
Sprinklers: El
Critical Materials: ❑
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,235 $15,190.50 1,235 $15,190.50
100 $783.00 100 $783.00
480 $5,760.00 480 $5,760.00
1,235 $81,510.00 1,235 $81,510.00
Totals: 3,050 $103,243.50 3,050 $103,243.50
Units
1
1
1
Contractor: COMFORT CENTRAL HEATING
Address: PO BOX 28924
SPOKANE WA 99228
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
HOOD -TYPE II
PROCESSING FEE
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
2
1
1
4
1
1
Fee Amount
$915.00
$4.50
$201.30
$1,120.80
Firm: COMFORT CENTRAL HEATING
Phone: (509) 216-1223
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Y OR BLANK
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$12.00
$20.00
$40.00
$10.00
$25.00
$131.00
Operator: JEF Printed By: JEF
Print Date:
3/3/2003
Project Number: 03001245 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: ALPHA PLUMBING & HEATING Firm:
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
PROCESSING FEE
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
3
4
3
1
1
1
1
3
1
Fee Amount
$1,120.80
$131.00
$127.00
Phone:
Date: 3/3/2003
Page 3 of 3
ALPHA PLUMBING & HEATING
(509) 535-0727
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Y OR BLANK
Permit Total Fees:
Invoice Amount
$1,120.80
$131.00
$127.00
$1,378.80 $1,378.80
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
$25.00
Amount Paid
$0.00
$0.00
$0.00
$127.00
Amount Owing
$1,120.80
$131.00
$127.00
$0.00
$1,378.80
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: JEF Printed By: JEF Print Date: 3/3/2003
i h 1
Allik
SPOIL Cou y
Street Address: 0,02 Car ton /1(�
Assessor's Tax Parcel Number(s);
PROJECT APPLICATION WORK SHEET
SPOKr\NE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WES'C BROADWAY AVENUE
SPO]KANE, WA 99260
509-477-3675
Legal Description: Lot_ L! a 1 coa. 3
SPECIFIC SITE INFORMATION
to-Ti leiLd T
Project Description:
iuilding Permit
0 Relocation
New k-
O Change in Use
O Gra• ling
O Sign
Department_Vse Only
Water District/Purveyor
School District
O Tenant (New/Change)
O Manufactured Home Permit
O Other
Sever District/Purveyor
Road width
Fire District:
Lhvnc•.. Phone: $f` — -l2j -(,L07
yd u, kiPres V
Fax:
Mailing Address:
ZisZZ 51.E c r cier Place 501 I/a
City, St, e, Zip
6/01114 O1Z 77.51,
Conr3ct,'r y�
Pho„,• Z _32f '
Fax
'tailing address
Oft 37 y s• /If 4,4/ /,te.
City, State Zip
\\'A State Contractor license #
Zoning
OWNER/APPLICANT INFC'RMATION
El Indicate who .rhoarld be conlae/ed re,Gan irk Ibis proftel
Applica: n:
Mailing Add .ess:
City, State, 2 ip
Setbacks'
Mont:
Rear:
Left Right:
Phone:
Fax:
Architect/lingineer
GJ14 f 1"0/ ip
Mating addre: s
City, State Zip
Contact name:
Building height to peals
20
Dimensions
Occupancy grroou
/w5,
Cost of project
# of stories
Phone
Fax
PROJECT INFORMAT [ON
Building Information
Total habit, ace
2 3
• I S
i.onitruchon h' t' /
7C4.0ittr .
Main floor sq ft.
2" d floor sq. f .
Garage sq. ft.
1 Jeat source (rlectric, gas, etc.)
Unfinished basement sq. ft.
Finished basement sq. ft
Deck sq. ft.
Manufactured Home
Relocation
>renou, address
hope
Special Inspections Required?
Si.
X"hat is the square
ace?
#i of sig u
Fire
slue
fety
;e of the sign
Fire Sprinkle
Paint booth Fire Alarm
'rent
Fireworks display _
Non -Residential nergy Code Compliance?
Na�rsr,.. fs-fur -----
O Concrete 0 Welding O Bolting O Reinforcement
Ilyes, ideate l seer Lvy
r anv part of the propery' within 250 feet of sl
In e{ Me oIi ' ou me ,/an 0 Yes i- No
designated wildlife habitat area?
O Don't knowO 1allo 1, any Irut of the propene within a 100 yr flood plaint.
/Der, ielealy rrn site play
0 Maybe 0 Don't know O Ye ►, No
-Are then any wetlands. streams or ponds wirhtn 200 leer of die property
Ifper aAnh on nteel? a
0 Ycs No
.1 re there lopes greater than 30°o on the pi ()per (30 fr i Ise in 100 ft)
(--� 4 )
❑ lc Ni
yAre there structures on the pit terADDITIONAL SITE INFOR MATION
P 1 rya? 0 Yes _
n i ' on What Is th_ current property size?
squire feet or acres) /in
Z J
\Y'hat [he current use of this property?
1�C1Ca."/—
sir be screed by a septic .system? 0 Yes I;- No
11 there be wells located on the property?
pries, identij - of the site pay
Yes No
Is there err Itnce of fill or excavation on the property?
O Ycs VNo
c critical i>r hazardous materials used or stored on site?
O Ycs ,No
u
c
re
c?
Is the property in a designated Storrnwater Control ,Aron?
Is the property inside thc ASA? O Ycs
O Yes
n Yes
Phonc
Phone
.\
ill
c
rs
1'
DEPARTMENT USE Ols IX
O No
O No
O No
s the properly inside the PSSA7 Ycs O No
Dare Rrrc oil
S tan Rrp,rrn re
s public sev ex available to the site?
0 Ycs 0 No
Is public war el: available to the. site?
0 Yes 0 No
Is the propel ry located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
METHOD OF PAYMENT
❑ CAS] I 0 Cl nix ❑ " SAS
FAXED PERMITS WILL ONLY BE ACEPTED WJTn PAYMENT OF A MAJOR CRED] 15 CARD
D:111 f:
BANR(:.ARI) NURIBI ?R_
INN TRIES:
Ao'r 101:1/ED SIGNALER!?
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PLE 5SE
MAKE CHECKS P7 ThBLE: TO S40KANE
COUNTS' RERASTSCENT R
b b
V )
00
c_c)
b
lJ )
co
h
ADDRESS 202 S. 6d213"
ZONE La --.5
ROAD WIDTH
FRONT FLANKING
COMMENTS
REVIEWED BIS
This site plan is being submitted for the purpose of
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,
bodies of weer, steep slopes or other critical areas.
Signed.
Dat
02 or 1
L.at t1 Moak 3 Lore ukv-