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2002, 05-09 Permit App: 02003535 CarportProject Number: 02003535 0: 1 � w Application • Date: 5/9/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ......................................................................................................................................... Permit Use: 18 X 80 CARPORT Contact: GEORGE H. WHITE INC Address: BOX 52 C - S - Z: LIBERTY LAKE, WA 99019 Setbacks: Front Left: Right: Rear: Phone: (509) 255-5000 Group Name: 04-17-9 CSC( Site Information: Project Name: ..................................................................................................................................................................................................... Plat Key: 000104 Name: ASSESSOR'S PLAT#6 District: F Parcel Number: 45103.1101 Block: SiteAddress: 12704 E NORA AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR -22 Water District: Urban Residential -22 Lot: Owner: Name: NORA WEST LLC Address: 12704 E NORA AVE SPOKANE, WA 99216 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Review Coordinator Plan Review Site Drainage Review �a / C Landuse Review Permits: Operator: RMB Printed By: RMB Print Date: 5/9/2002 Project Number: 02003535 Inv:� � Application Date: 5/9/2002 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: GEORGE H WHITE CONST Address: 0 BOX 52 Phone: (509) 921-9752 LIBERTY LAKE, WA 99019 Building Characteristics Const Category: New Group: S-2 Type: HN Nbr Of Dwellings: 0 Occupant Load: 0 Building Height: 8 Stories: 1 Bldg W x D: 18 x 80 Building Sq Ft: 1440 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: El This Application: Description Grp Type Notes Sq Ft Valuation CARPORT S-3 VN 1,440 $13,795.20 Building Permit Firm: GEORGE HARVARD WHITE CON Item Description COMMERCIAL VALUATION PLAN REVIEW FEE COMMERCIAL SURCHARGE STATE SURCHARGE Payment Summary: Permit Type Building Permit Totals: 1,440 $13,795.20 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Total Project: Sq Ft Valuation 1,440 $13,795.20 1,440 $13,795.20 Fee Amount $213.00 $138.45 $77.32 $4.50 $433.27 Fee Amount Invoice Amount Amount Paid Amount Owing $433.27 $433.27 $0.00 $433.27 $433.27 $433.27 $0.00 $433.27 Page 2 of 2 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: 5/9/2002 l 1 iti SPOKE COUNTY Project Description: PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 TYPE OF APPLICATION Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: 7a (,,1 41- s NOR % f _SPO, LJ Assessor's Tax Parcel Number(s): z7/ 5-/ U / / (� / Legal Description: Road Setbadks?- Front OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project 0 Owner: Phone:6-6/—"'41/00 MOP itx. �` Lc,- c Fx: 7,6-63/ L/ 0 Applicant: 11IO 14 7.. Phone: kie-s Fax: J Mailing Address:Mailing ) 2 70y 1 e., I" Address: Ct St t (�► City, State, Zip arContractor Phone 2 1_ 9 7 5 t 7 4e Cfi A ./' J i z ! t 5 1 (.f2 9i9,1— 97 ( 0 Architect/Engineer Phone Fax Mailing address pGX S Z, LiQ.�', Um,, 9'OP,, Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: Build hgight to peak �6 sionse, PROJECT INFORMATION Building Information # of stories C�} Aer0 f • Total habitable space Main floor sq. ft. 2"d floor sq. ft. yku Unfinished basement sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project 6 Heat source (electric, gas, etc.) r 05/16/2002 08:13 5095349755 s%% NORTHWEST 2214 East Riverside Spokane, WA 99202 (509) 534-9711 (509) 534-9755 • Fax DATE: May 16, 2002 TO: Jun COMPANY: STI NORTHWEST r1-4ut ni FAX TRANSMITTAL PAGES: 3 INCLUDING COVER SHEET FAX: 477-4703 Spokane County Building Department FROM: Alan K. Bain PROJECT NOTES; Jun: PHONE: J033: George White Inc. Carport project #02003535 Here is the Special Inspector and Testing Lab Acknowledge Forms for the above referenced project. Alan Confidentiality Notice This document(s) accompanying this fax transmission contain(s) information, which is confidential and privileged. This information is intended to be for the Individual or entity set forth above. if you are not the intended recipient, please be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited. Thank you. J:\stifextorm -vi.0-4/00 i 05/16/2002 08:13 5095349755 STI NORTHWEST SPECIAL INSPECTOR AND TESTING LAB EMPLOYMENT ACKNOWLEGEMENT FORM Please complete one form for each INDIVIDUAL performing Special Inspection or Testing work on each project. Date May 16, 2002 Project Address 12704 East Nora Project Name inspection or Lab Firm Name STi Northwest Project No. 02003535 Address 2214 East Riverside Avenue; Spokane, Washington 99202 Phone (509) 534-9711 Name of individual performing work Harry Groanvelt ICl3O Number 5048188-85 Supervisor (if Trainee) _ (must be Certified inspector) STATEMENT OF UNDERSTANDING 1, Harry Groar.zelt , hereby affirm that I have been employed by STI Northwest for a duration of the proiect (hours, days, weeks) to provide special inspections under Section 306 of the Uniform Building Code of: Structural Steel Boltin and Weld.in ( ] Non -Certified Trainee ICBO No as it relates to the above stated project and that I am aware that as special inspector, my duties and responsibilities include: 1) Observation of the work assigned for conformance with the approved design drawings and specifications, 2) Furnishing inspection reports to the building official, and the engineer or architect of record, in addition to other designated persons. All discrepancies shall be brought to the immediate attention of the contractor for correction, them, if uncorrected, to the proper design authority and to the building official, and 3) Submitting a final signed report stating whether the work requiring special inspection was, to the best of my knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the Uniform Building Code. T also agrec to immediately notify the building official if my employment as it relates to this project is modified in any way or terminated prior to submittal of my final report. Individual's Signature IZULlL- j Supervising Special Inspector's Signature (required if individual is a Trainee) 05116/2002 08:13 5095349755 STI NORTHWEST PAGE 11:3 p STRUCTURAL MASONRY - During preparation of masonry wall prisms. sampling and placing of all masoruy units, placement of reinforcement, inspection of grout space, immediately prior to closing of cleanouts, and during all grouting operations. 0 REINFORCED GYPSUM CONCRETE - When cast -in-place Class B gypsum concrete is being mixed and placed. n INSULATING CONCRETE FILL - During the application of insulating concrete fill when used as part of a structural system_ O SPRAY -APPLIED FIREPROOFING - As required by Uniform Building Code Standard No. 7-6. O PILING, DRILLED PIERS AND CAISSONS - During driving and testing of piles and construction of cast - in -place drilled piles or caissons_ • SHOTCREIE - During the taking of test speciment and placing of all shotcrete and as required by Section 1922.10 dt 1922.11 Uniform Building Code, • SPECIAL GRADING, EXCAVATION AND FILLING - During earthwork excavations, grading and filling operations inspection. • SPECIAL CASES - Work which, in thc opinion of the Building Official, involves unusual hazards or conditions_ 2. The owner hereby certifies litat the special inspector(s) named in this agreement have been engaged to perform tests and inspections, as indicated in the checklist above, during construction to satisfy all applicable portions of the Uniform Building Code. PART 4. DESIGNATION OF SPECIAL INSPECTOR(S) List special inspector(s) intended to be employed by thc owner, include name, address and phone number for all individuals who will be doing on-site or lab work relating to the required tests and inspections. Alan K. B in Phone 15091 465-15 111 • • • • Harry Grganvelt P.O.. ,B x H; $anripnf nt TT) R186 Phone (208) 263-0885 10