2003, 01-16 Permit App 03000317 Residence, GarageProject Number: 03000317 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 22 Left: 10 Right: 6 Rear: 46
Date: 1/16/2003 Page 1 of 3
.......................................................................................................................
Contact: HAYDEN ENTERPRISES
Address: 324 S MANIFOLD LN
C - S - Z: GREENACRES WA 99016
Phone: (509) 362-3294
Group Name:
Project Name:
Site Information:
Plat Key: Name: l; a ,) j District: G
Parcel Number: 55192.2402
Block: 3 Lot: 2
SiteAddress: 216 S CORBIN LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR 3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: r,720.00 Acres Width: 56 Depth: 120 Right Of Way (ft): 28
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: HAYDEN ENTERPRISES
Address: 324 S MANIFOLD LN
GREENACRES WA 99016
Review
Site Plan Review
Approach / Drainage
Sewer Review
Permits:
IULLQ)
(,(j -fit
Released By.
Operator: JAS Printed By: JAS Print Date: 1/16/2003
Project Number: 03000317 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 1/16/2003 Page 2 of 3
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: Stones:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grg Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 980 $12,054.00 980 $12,054.00
DECK R-3 VN 64 $501.12 64 $501.12
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 980 $64,680.00 980 $64,680.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 2,504 $82,995.12 2,504 $82,995.12
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$786.25
$4.50
$172.98
$963.73
Contractor: COMFORT MECHANICAL Firm: COMFORT MECHANICAL CONT
Address: PO BOX 758 Phone: (509) 928-0207
GREENACRES, WA 99016
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
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$30.00
$10.00
$10.00
Permit Total Fees: $97.00
Print Date: 1/16/2003
Project Number: 03000317 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
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
3
2
1
1
1
1
3
Fee Amount
$963.73
$97.00
$84.00
Date: 1/16/2003
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
$963.73
$97.00
$84.00
$1,144.73 $1,144.73
(509) 535-0727
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$84.00
Amount Owing
$963.73
$ 97.00
$84.00
$0.00
$1,144.73
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: JAS Printed By: JAS
Print Date: 1/16/2003
lOci
ilk J4.4.
f -11E
SPOKANE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST 3ROADWAY AVENUE
SPOI:ANE, WA 99260
909-477-3675
SPECIFIC SITE INFORIVA.TION
Address: 1 4 Co( b A
ors Tax Parcel Nurnber(s):
2 {3 6ck 3 LoAlu i P f)
• '"--)esc.jption: Vi NA-5-6
l'qultling Permit
0 Relocation
O Change in Use
O Sign
O Gracing
CI Manufactured Home Permit
O Tenant (New/Change)
0 Other
r Depacttnent Use Only
••,!
ri
tt.'r Dit.iyirr/Purveyt•r:
• . .
Sever DiStrtetiPla,
.1.oad.widff;
• I ire, Di5tric-t:
Z.Ontrig.
Setbacks
• • . • ••••
Fronfcltt: •
Rght•
OWNER/APPLICANT INFOIEVIATION
El Indicate who shwa be contacted re at i,a this lroiect
Plionc•
t.k.(X1/44" Gt l•;,x.
0 Applies nt
Phone:
Fax:
324 5 AAA 4 i A 47(
/om 4._
Mailing Ad t lress:
At 41 ac_6€ 5 v.) A
4/1'`PD/
City, State, iip
A .rtilnCtOt Phon,
I .ax
o Architect /Engineer
Phone
Fax
:1,, micir,ss
Mailing adds a:s
State Zq
City, State 21.
Cat. 1;, cnse
Contact nan e:
XLIO
icy 9up
t 5
..• project
I 2,
P ROJECT INFORMAPION
Building Informa, Lon
Total habirilbh: SrACC
0.11 I 0
(2011StIlifi ion tve
ov‘. diqjC
,'Sc)
fain floor . ft.
61 50
2nd floor sc..ft_
Garage sq. fti 80
Heat sourc: (electric, gas, etc)
6'6\5
Unfinished basement sq. ft.
ACV 1
Finished basement sq. ft.
Deck sq. ft.
‚LI
it.ufacturcd IIorne
Si n
- —
o
What is the r, luare looragc of die s\[m
fame?
How Mgh is the sign?
NEE.
# of signs
Area of esis0 ig signs
Flre SaIety:
Fire Sprinkler __ 'Pent
Print booth _ Fire Alarm Fireworks display
Value
i i1 Inspections Required?
`
Non I_ sidential Energy Code Compliance?
Oh on
•..
Plans Boor Phone
Addrecs
C"s
inspector Phone
-.a Welding ❑ Bolting 0 :tci nforcenietic
Address
ADDITIONAL SITE
INFOR °1f CATION
-< r the prof crrv. `� i o
r '
What s ih current property size?
(square fee or acres) 720
li pr ipr1ty ietthi in 250 feet of 1din{_
I7 r rrfhn 0 Yes
What is rhr (anent use of this property?
V ON.COA,,t
r 1 r it m t designated wildlife habv rr ru ,.,(
Ei Don't know 111 \e. �(i No
Will the sit be served by a septic system? 0 Yes �j No
se slit f roperity within a 100 in. Floor1 ;En
ry a. iy Dno't know ❑ � No
Are or will mere be wells located on the ro
P Per
Thies, tderitel'srt the nlaplme 0 Yes LNo
r, CIS, Streams or ponds o aii } a oFdm property?
r s 0 )
Is there evi 9ence of fill or excavation on the property?../
O Yes �
No
) gni ref Ran 30` i no the prul a r i , ] -- rise in 100 Ct)
A a NEo
9�,
Are critical i hazardous materials used or stored on site?
0 Yes not No
1'deESSA
❑
ONLY Br, 'sr PAYMENT OF A MAJOR GAMUT CARD
DEPARTMENT USE ONLY
0.1 es O No
s- 0 Na
fP Yes 0 Nr
s public se l set available to the _site?
tibhc w: trr available
Ss thepropr Ley located
hin 1.000 feel
0 Ye s 0 \rn
0 Yes'
0
atuxal Resoirce Area?
SOBTOTAI.
TOTAL' FEE
AII:VIMU1fP£RMl£1 [a!S $35.00PI LASA
MAKE GnECr.S P,SSMILE. TOSPOr A.NE.
COUNTY 1''RMIICENTER.
CCU
t10 v.%-C
This site plan
obtaining , s being
representation
amid b g submitted
have lineset ationof the pro osalo is apt ohaanrpo e of
eof identified.
s structure's
t All knp ,n correct
bodies ode b �%nv�
d. x. r., rUcf tta
Signed: water, steeps^° ,rd``'a'od res and easements
sees or th are weir
bate: ercritical aneas.
4
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