2001, 06-04 Permit App: 01004230 ResidenceProject Number: 01004230 Inv: 1
Application
Date: 6/4/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: NEW RESIDENCE W/GARAGE - F A GAS
Setbacks: Front 20 Left: 5 Right: 5 Rear: 25
Site Information:
Plat Key: 005947 Name: SHELLEY LAKE 1ST ADDITION
Parcel Number: 45241.1819 Block: 1
Contact: GEORGE H. WHITE INC.
Address: PO BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 994-2928
Group Name:
Project Name:
District: F
Lot: 19
SiteAddress: 329 S SHELLEY LAKE LN Owner: Name: GEORGE H. WHITE INC.
VERADALE, WA USA 99037 Address: PO BOX 52
Location:: VER LIBERTY LAKE, WA 99019
Zoning: UR -3.5
Water District:
Area: 8,135 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Hold: ❑
Depth: 0 Right Of Way (ft): 30
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Plan Review
Approach / Drainage
Re1ea
Released By:
bt,11y44 yL—
UTILITIES Sewer Review
LRele"
Hold Reasons:
Permit Conditions:
Permits:
01- Ls -t)
Project Number: 01004230
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/4/01 Page 2 of 3
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Building Characteristics
New Group: R-3
Const Category:
Nbr Of Dwellings:
Bldg W x D: 54
Req Parking:
Description
BASEMENT F
DECK
GARAGE
RESIDENCE
Building Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
1 Occupant Load:
x 54 Building Sq Ft:
Handicap Parking:
Grp
R-3
R-3
U-1
R-3
Tim Notes
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Item Description
GAS WATER HEATER
GAS APPLIANCE >100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Type: VN
Building Height: 12
2988 Sprinlders: L
Critical Materials: ❑
This Application:
Sq Ft Valuation
1,108 $17,462.08
250 $1,840.00
562 $6,744.00
1,880 $116,560.00
Totals: 3,800 $142,606.08
Units
Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
3
1
5
1
1
Stories: 1
Total Project:
So Ft Valuation
1,108 $17,462.08
250 $1,840.00
562 $6,744.00
1,880 $116,560.00
3,800 $142,606.08
Fee Amount
$1,110.00
$4.50
$244.20
$1,358.70
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$15.00
$3.00
$20.00
$50.00
$10.00
$10.00
$10.00
$10.00
$138.00
Project Number: 01004230 Inv: 1
•
Application
Date: 6/4/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: GEORGE H WHITE CONST Firm: GEORGE HARVARD WHITE CON
Address: 0 130X 52 Phone: (509) 255-9204
LIBERTY LAKE, WA 99019
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: MKC
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
4 NUMBER OF
7 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Printed By: MKC Print Date:
Fee Amount
$1,358.70
$138.00
$126.00
Invoice Amount
$1,358.70
$138.00
$126.00
Fee Amount
$24.00
$42.00
$12.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$126.00
6/4/01
Amount Owing
$1,358.70
$138.00
$126.00
$1,622.70 $1,622.70
Notes:
DO NOT ISSUE SEWER PERMIT - OK TO ISSUE HOUSE PER ROGER
10/27/98
OK TO ISSUE SEWER PERMITS FOR:
BLK4-L 1 BLK5-L2,16,18
BLK 6 - L 1,3,5,6,9,10 BLK 7 - L 1,2
$0.00 $1,622.70
I ic I
SPOKN COUN rY
•
PROJECT APPLICATION ( 1-- y' 930
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: uvt s{ f tA-e 1 M fwt L u,3 c r - #3-'1"f Ac 1iter6 5A r
TYPE OF APPLICATION
g Building Permit
0 Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:
32x1 3 Slie.U(e./ Lkke q tee. IJec►a-oALe 3,
Assessor's Tax Parcel Number(s):
Legal Description:
epartmer
s
L o -T 19 l
1 s A 0 k -r i O VJ1
Water District/Purveyor: ;_
Sewer District/Purveyor,: •;
Road width
Zoning
Setbacks
Front:
Left:
Rear:
Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
0 Owner: Phone:
Fix:
0 Applicant:
QPhone:
�,.�
t e" Fax:
Mailing Address:
Mailing Address:
Dimensions
`( x S
City, State, Zip
City, State, Zip
Finished basement sq. ft.
//o 6
Contractor Phone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address George 3- White, Inc.
Mailing address
Cost of pr/oje"4/4��! j jj
/ OC v
City, State Zip (fBcx 52
Wa. 9901.9
City, State Zip
WA State Contnca Y Lake/
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
► L'
# of stories
\
Main floor sq. ft.
l B d O
Unfinished basement sq. ft.
�----
Dimensions
`( x S
Total habitable space
`i 8 8
2"d floor sq. ft.
Finished basement sq. ft.
//o 6
,__"_"_
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of pr/oje"4/4��! j jj
/ OC v
Heat source (electric, gas, etc.)
6 A_S rvr c c f`, At,—
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
Year: •
Make:
# of signs
How high is the sign?
Area of existing signs
Special Inspections Required? `
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Re s, L. o T
Relocation
Fire Safety
Plans Examiner
Phone
Previous address
Is there evidence of fill or excavation on the property?
0 Yes No
Are critical or hazardous materials used or stored on site?
0 Yes )2r No
Paint booth
Fire Sprinkler
Tent
_
Fire Alarm
Fireworks display
_
Proposed use
Value
Phone
O Concrete
O Welding
Special Inspections Required? `
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Re s, L. o T
Phone
Will the site be served by a septic system? 0 Yes l& No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes No
Are critical or hazardous materials used or stored on site?
0 Yes )2r No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(,_o/) P' Yes 0 No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes A No
If yes, identify on site plan
What is the current property size?
(square feet or acres) 9 0 2-0 S _
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan Yes 0 No
What is the current use of this property?
Re s, L. o T
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes ,K No
Will the site be served by a septic system? 0 Yes l& No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know X Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes ,l${ No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan g'Yes O No
Is there evidence of fill or excavation on the property?
0 Yes No
Are critical or hazardous materials used or stored on site?
0 Yes )2r No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(,_o/) P' Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O ' Yes O No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
O 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? 0 Yes 0 No
Date Received:
Staff Representative:
F�?or\ro
(1 P'Z ' 7
Lem T
k OCC
'this she plan Is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All (mown property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Ec l
RzGG,t),\JDra-11,:.1(—HL-1 3D'
FRO"'T
FLANKING
GOMf i:_
RL`JIEv',
Signet
DINE
J,4 Ne-t1J� L
-- - - ,..y.., ., a
f
66, es-- 07
...„_______z, 32 " 5 14/z7 4:2/ z, "4,— z 4 i„..,--4 N
Za 7/ 9 E(01' A- f ( 0kr7"- r. ), s\
_EP, 1-1, 6111-1 17-4)— ' .27)/(, MA ,,,9‘ c / 5'6 ,- .9, l 7c -Z
l/
) -- 9 ,/Q