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2003, 01-23 Permit App 03000425 Residence, GarageProject Number: 03000425 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS Setbacks: Front 20 Left: 21 Right: 5 Rear: 40 Site Information: ........................................................................................... Plat Key: 006266 Name: LONGVIEW PUD Date: 1/23/2003 Page 1 of 3 Contact: HAYDEN ENTERPRISES Address: 3327 W INDIAN TRAIL RD #232 C - S - Z: SPOKANE, WA 99208 Phone: (509) 994-4691 Group Name: Project Name: .................................................................................................................................... District: G Parcel Number: 55192.2403 Block: 3 SiteAddress: 210 S CORBIN LN GREENACRES, WA USA 990 Location:: GRE Zoning: UR-3.5 Urban Residential 3.5 Water District: 999 UNKNOWN Area: 6,720 Sq Ft Width: 56 Depth: 120 Right Of Way (ft): 28 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Lot: 3 Owner: Name: HAYDEN ENTERPRISES INC Address: 324 S MAI ]iFOLD LN GREENACRES, WA 99016 Hold: ❑ Review Site Plan Review Released B Plan Review Released By i' Approach / Drainage Operator: RMB Printed By: RMB Print Date: 1/23/2003 Project Number: 03000425 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Inv: I 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 BASEMENT U DECK GARAGE RESIDENCE Grp R-3 R-3 U-1 R-3 Group: Occupant Load: Building Sq Ft: Handicap Parking: Type Notes VN VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Sprinklers: Critical Materials: Building Permit Date: 1/23/2003 Page 2 of 3 Firm: HAYDEN ENTERPRISES INC Phone: (509) 994-4691 Stories: This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,168 $14,366.40 1,168 $14,366.40 64 $501.12 64 $501.12 400 $4,800.00 400 $4,800.00 1,168 $77,088.00 1,168 $77,088.00 Totals: 2,800 $96,755.52 2,800 $96,755.52 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Fee Amount $873.75 $4.50 $192.23 Permit Total Fees: $1,070.48 Mechanical Permit Contractor: COMFORT CENTRAL HEATING Firm: COMFORT CENTRAL HEATING Address: 7136 N FOTHERINGHAM SPOKANE, WA 99208 Item Description 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 Units 1 1 3 1 5 1 1 Phone: Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: (509) 216-1234 Fee Amount $10.00 $12.00 $3.00 $12.00 $50.00 $10.00 $10.00 $107.00 Operator: RMB Printed By: RMB Print Date: 1/23/2003 Project Number: 03000-125 Inv: I Application 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 TO1LETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 3 1 4 3 1 1 1 3 Fee Amount $1,070.48 $107.00 $102.00 Date: 1/23/2003 Page 3 of 3 Firm: ALPHA PLUMBING & HEATING Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $1,070.48 $107.00 $102.00 $1,279.48 $1,279.48 (509) 535-0727 Fee Amount $18.00 $6.00 $24.00 $18.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $102.00 Amount Owing $1,070.48 $107.00 $102.00 $1,279.48 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: 1/23/2003 SPo RE COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 2 v Co4 1 GAiI� Assessor's Tax Parcel Number(s): Legal Description: z v 7 3 /3 /0G 3 IAL \ / 1 n ; _ j Pub Project Description: / /e /i'vSe - Building Permit O Relocation O Change in Use O Grading O Manufactured Home Permit O Sign O Tenant (New/Change) O Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Roart;tili ` /� L `fILJI Setbacks Front Le IZ C7� i Rear Right. School District Fire District Zoning,-y 1 S `C� lib OWNER/APPLICANT INFORMATION -IC) �y X9 Ownc /� / I!' �/1 � /{ f%�f 7` Phone: -Iax: 2/ p /V Z. Z 9� ❑ Applicant: PP > Phone: Pas: % 'C C J� ��-�4 Mailing Address: f V' %j,`' 32y - '44 &f !INe- Mailing Address: C.iry, State, Zip C 4CA15 Gam- 970/o City, State, Zip Contractor Phone Fax O Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: Building Information Building height to pea I, # of stories /, 3 Main floor sq. ft. /,GB, Unfinishedasemen sq. ft. Dimensions 6oyVi Total habitable space p 7334 2na floor sq. ft- `�� Finished basement sq. Ft. ---- Occupancy group Construction npe /� Garage sq. ft. �t7 Deck sq. ft. irk Er Cost of project /2 S/ 5 D �_ !Teat source (eAlectrric, gas, etc.) Manufactured HomeI Sim width: 1.ength: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Relocation Fire Safety Previous address Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display _ Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? ❑ Yes R- No Ifyer, dentin, On site plan What is the current property size? '( 7 9 a (square feet or acres) C+ Is any part of the property within 250 feet of a shoreline 1/yes, identefj, on site plan ❑ Ycs g No AX9rar is the current use of this property? Vetc 4" Is your property in a designated wildlife habitat area? ❑ Don't know ❑ Yes XI No Will the site be served by a septic system? ❑ Ycs '9, No Is any part of the property within a 100 yr flood plain? Ifyes,Pientit, on site plan ❑ Maybe ❑ Don't know ❑ Ycs IN" No Are or will there be wells located on the property? If yes, identen, on the site plan ❑ Yes t ' No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan ❑ Ycs ps No Is there <r'iden<c of till or ?scat ion on the property? ❑ Yes OcNo ,Arc there slopes greater than 30% on the property? (30 ft rise in 100 Et) ( /%) ❑ Ycs 7KNo :Arc critical or hazardous materials used or stored on site? ❑ Ycs IX -No DEPARTMENT USE ONLY Is the property in a designated Stormwarer Control Area? ❑Yes ❑No Is public sewer available to the site? ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes ❑Yes ❑ No ❑No Is public water available to the site? ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Nautical Resource Area? ❑ Ycs ❑ No Date 12ecciscid Staff itspresenram METHOD OF PAYMENT 1111111111111 VISA ❑ CASH ❑ Cl I3CK ❑ DIICOVE# FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DA"PIS: 1SXP1RILS: NANKCARD N UNBER: A U19 IORP/I 1) SIGN A9URI is TOTAL FEE MINIMUM PERMIT FEE IS $3£00PLEASE SL\KE CHECKS PAYABLE', TO SPOKANE COUNTY PERMIT CENTER L 30 This site plan is being submitted for the pumose of oLtaininj t..uilding permit and is a true and correct re )resentation of the proposal. All known F roperty lit es/dimensions, curb lines. structures and easements h ve been identified. Also indicated are wetlands, bcpdies of water, steel s +pes or other critif,al areas. S gned: Cite: t 3 0--3 ADDRESS,‘. QUO CoC. t 14 ZONE lA„G sS ROAD WIDTH Z2 FP COM. Z / 0 C(2/7-!3 /L4T- GvT 3 /3 W Dr t Jc oJcty Loci v/ r�