2002, 12-05 Permit App 02010822 Residence, GarageProject Number: 02010822 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 Contact: HAYDEN ENTERPRISES
AIR GAS Address: 3327 W INDIAN TRAIL RD #232
C - S - Z: SPOKANE, WA 99208
Setbacks: Front 22 Left: 8 Right: 8 Rear: 44 Phone: (509) 994-4691
Group Name:
Site Information: Project Name:
Plat Key: 006266 Name: LONGVIEW PUD District: G
Date: 12/5/2002 Page 1 of 3
Parcel Number: 55192.2401 Block: 3
SiteAddress: 222 S CORBIN LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR-3.5 Urban Residential 3.5
Water District:
Area: 6,720 Sq Ft Width: 56 Depth: 120 Right Of Way (ft): 28
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot: 1
Owner: Name: HAYDEN ENTERPRISES INC
Address: 2622 SW GLACIER RD #110
REDMOND, OR 97756
Hold: El
Review
Site Plan Review
Released By: NW"
twvu
Plan Review
-1- , ... .... ... ... .....
Approach / Drainage
CD( U.17 (.1T(CS
......... .
Operator: RMB Printed By: RMB Print Date: 12/5/2002
Project Number: 02010822
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:
B1dgWxD: 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
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor:
Address:
Notes
Type:
Building Height:
Sprinklers: 0
Critical Materials: 0
This Application:
Sq Ft Valuation
1,235 $15,190.50
100 $783.00
480 $5,760.00
1,235 $81,510.00
Totals: 3,050 $103,243.50
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Building Permit
Date: 12/5/2002 Page 2 of 3
Firm: HAYDEN ENTERPRISES INC
Phone: (509) 994-4691
Stories:
Total Project:
Sq Ft Valuation
1,235 $15,190.50
100 $783.00
480 $5,760.00
1,235 $81,510.00
3,050 $103,243.50
Fee Amount
$915.00
$4.50
$201.30
Permit Total Fees: $1,120.80
Mechanical Permit
COMFORT CENTRAL HEATING Firm: COMFORT CENTRAL HEATING
7136 N FOTHERINGHAM Phone: (509) 216-1234
SPOKANE, WA 99208
Item Description Units Unit Desc
GAS APPLIANCE<=100,000BTU 1 NUMBER OF
GAS PIPING 2 # OF UNITS
VENTILATING FANS 5 NUMBER OF
CLOTHES DRYER 1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$2.00
$50.00
$10.00
$74.00
Operator: RMB Printed By: RMB
Print Date:
12/5/2002
Project Number: 02010822 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
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
5
3
1
1
1
1
3
Date: 12/5/2002
Page 3 of 3
Firm: ALPHA PLUMBING & HEATING
Phone: (509) 535-0727
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1,120.80
$74.00
$108.00
$1,120.80
$74.00
$108.00
$1,302.80 $1,302.80
Fee Amount
$18.00
$30.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
Amount Owing
$1,120.80
$74.00
$108.00
$0.00
$1,302.80
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: RMB Printed By: RMB Print Date: 12/5/2002
I h I
ilk
tra
SPOIL 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:
Assessor's Tax Parcel Number(s):
Legal Description:
L of I B l od'(3 Lo (3
Project Description: N Q.)-A)
O Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
2
t
Setbacks 1
Front 20
Rear.
Right:
Left
School District
Fire District.
Zoning
OWNER/APPLICANT INFORMATION
5eo- 7ao
Er Indicate who should be , ontm/ed ;e a ding this /irojed
0 Ownc1{rt+� /' -I( ,, /� }
11 avid/(/ Al
Phone: �, l G - 17OZ
Fax:
❑ Applicant:
Phone:
Fax:
Mailing Address: 1
Mailing Address:
City, State, Zip
Cite, State, Zip
0 Contractor
Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
1 q ✓ 25 "et-
Cite, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
21
# of stories
)
Main floor sq. ft.
1235
Unfinished basement sq. ft.
12 35
I)imcns ops�
5
Total habitable space
2q ?
2nd floor sq. ft.
Finished basement sq. ft.
Occupant' group
V,LS
Construction ty e
sl-Vn, aP
Garage sq. ft.
4 % 0
Deck sq. ft.
l o ()
Cost of project
11 , IaU
1-Teat source (electric, gas, etc)
Goe..5
Manufactured Home
Sign
Width:
length:
What is the square Footage of the sign
face?
Flow high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation
Fire Safety
Erin nis address
Paint booth
Fire Sprinkler
Pent
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
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No
f[yes, zdentify on site plan
What is the current property size?
(square feet or acres)
Is any part of the propem, within 250 feet of a shoreline
If yes, identity, on site plan 0 Yes I, No
What is the current use of this properb
V pvtti`ti1—
Is your property in a designated wildlife habitat area?�j
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes '0 No
Is any part of the property within a 100 yr flood plain?
Ifyes, identifj! on site plan
0 Maybe 0 Don't know O Yes Lili No
Are or will there be wells located on the property?
'Des, identih on the site plan 0 Yes li No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify ou site plat 0 Yes No
Is there evidence of fill or excavation on the property? ������//////
0 Yes No
Are there slopes greater than 30% on the property? (30 ft use in 100 ft)
( /°o) 0 Yes �No
Are critical or hazardous materials used or stored on sit ?
0 Yes XNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes.
ElNo
Is public sewer available to the site? 0 Yes No.
Is the property inside the ASA?
0 Yes
0 Yes
0 No
O No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
D Yes 0 No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASH ❑ CHECK ❑
1DIIC*VEF.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D.CCI?:
IsXPIR1,S:
BAN KC.ARU NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS 535.00 PLF,LSE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PEI1LIIT CENTER
L)
0
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 water,
ter steep slopes obother critical areas.
Signed:
Date:
ADDRESSCbegI
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ROAD WIDTH ZS
FRONT aA- NKING
CCMME
REVIEWED
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