2001, 06-04 Permit App: 01004233 ResidenceProject Number: 01004233 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
Project Information:
Permit Use: NEW RESIDENCE W/GARAGE - F A GAS
N.V.: >I
VOld
Contact: GEORGE H WHITE INC
Address: PO BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
Setbacks: Fron1� i Left:( ( ) Phone: (509) 994-2928
Group Name:
Project Name:
liguieimisormiiiiteximmaruwisoilicmismiamseirinersomexassignisammigazammisiiimmourzis-
Site Information:
Plat Key: 005947 Name: SHELLEY LAKE 1ST ADDITION District: F
Right: Rear
Parcel Number: 45241.1822 Block: 1 Lot: 22
SiteAddress: 347 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 Urban Residential 3.5
Water District:
Area: 8,193 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ..4... a
Hold: ❑
Depth: 0 Right Of Way (ft): 30
Department
BUILDIN
easons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
2(
a -
Plan Review
Released By:
Approach / Drainage
Released By:
r.
tl1,1NA 40_ oi_FNAHao
Sewer Review
Released :`
61
Project Number: 01004233
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
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 12 Stories: 1
Bldg W x D: 54 x 54 Building Sq Ft: 1988 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
Building Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
Description Grp
BASEMENT F R-3
DECK R-3
GARAGE U-1
RESIDENCE R-3
Tvpe
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
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
This Application: Total Project:
Sa Ft Valuation So Ft Valuation
1,108 $17,462.08 1,108 $17,462.08
250 $1,840.00 250 $1,840.00
562 $6,744.00 562 $6,744.00
1,880 $116,560.00 1,880 $116,560.00
Totals: 3,800 $142,606.08 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
Fee Amount
$1,110.00
$4.50
$244.20
$1,358.70
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
1 NUMBER OF $15.00
4 # OF UNITS $4.00
1 NUMBER OF $20.00
5 NUMBER OF $50.00
1 NUMBER OF $10.00
1 NUMBER OF $10.00
2 NUMBER OF $20.00
1 NUMBER OF $10.00
Permit Total Fees:
$149.00
Project Number: 01004233 Inv: 1
Application
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 BOX 52 Phone: (509) 255-9204
LIBERTY LAKE, WA 99019
Date: 6/4/01 Page 3 of 3
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
4 NUMBER OF
Printed By: MKC
Fee Amount
$1,358.70
$149.00
$132.00
Permit Total Fees:
Print Date:
Invoice Amount
$1,358.70
$149.00
$132.00
$1,639.70
$1,639.70
Fee Amount
$24.00
$42.00
$12.00
$12.00
$6.00
$6.00
$6.00
$24.00
Amount Paid
$0.00
$0.00
$0.00
$132.00
6/4/01
Amount Owing
$1,358.70
$149.00
$132.00
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
$1,639.70
SP°1(6 NFY
1112 t,J r uvt s r tic t 1 n-, 14-MeV/a_ , W�3 c to r - r03,! T Ac ((lei A r
Project Description:
TYPE OF APPLICATION
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
GI -`t7:33
g Building Permit
O Relocation
O Change in Use
O Grading
O Manufactured Home Permit
Street Address:
)41-17
O Sign
O Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
4401 5
S e ((e L ih- L Q. L A e. )e /'►l ►) r- LE t/0A 99-0)7
Assessor's Tax Parcel Number(s):
Legal Description:
Department'
L oT' 2Z,
Water District/Purveyor:; `
Y
s YA k C)CTI OVlJ
Sewer Dist rict/Purveyor
Road width
School District: <
Fire District:
Zoning
Setbacks`
Front:
Left:
Rear:
Right:
OWNER/APPLICANT INFORMATION
IRI Indicate who should be contacted regarding this project
0 Owner: Phone:
Fax:
0 Applicant:
Phone:
Q.t�N
t Fax:
Mailing Address:
Mailing Address:
# of stories
1
City, State, Zip
City, State, Zip
Unfinished basement sq. ft.
r ---
ContractorPhone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address
George 5C. White, Inc.
Mailing address
Finished basement sq. ft.
/r/Q
City, State Zip (B
`�'e, Wa. 99019
`` /�yy 5`2 / e
City, State Zip
Construction type
/%
WA State ContractLr $ L
Contact name:
Deck sq. ft.
5Z7
PROJECT INFORMATION
Building Information
Building height to peak
1L'
# of stories
1
Main floor sq. ft.
/65`00
Unfinished basement sq. ft.
r ---
Dimensions
o `( X S q
Total habitable space
5' 8 c I
2"1 floor sq. ft.
Finished basement sq. ft.
/r/Q
Occupancy group
Construction type
/%
Garage s . ./�
Co
Deck sq. ft.
5Z7
Cost of project �)
w
Heat source (electric, gas, etc.)
Manufactured Home
Width:
Length:
Year:
Make:
Sign
What is the square footage of the sign How high is the sign?
face?
# of signs
Area of existing signs
Relocation >
Fire Safety
Firm Name
What is the current use of this property?
%le S. L. U T
Previous address
Will the site be served by a septic system? 0 Yes t& No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes }2('No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
%le S. L. U T
Phone
Will the site be served by a septic system? 0 Yes t& No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(__%) '' Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes }2('No
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No
If yes, identib on site plan
What is the current property size?
(square feet or acres) e i 93 > F
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan X Yes 0 No
What is the current use of this property?
%le S. L. U T
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes t& 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 12; Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes X No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan Yes 0 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 rise in 100 ft)
(__%) '' Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes }2('No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater, Control Area?
O Yes 0 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? O Yes 0 No
Date Received:
Staff Representative:
NOTE:
ORGANIC CARBON TESTING IS REQUIRED FOR THE TOPSOIL
IF THE GUTTER FLOWLINE IS GREATER THAN 0.5' ABOVE SOD
DRAINAGE EASEMENT AS SPECIFIED ON PLAN
EASEMENT
OR R.O.W.
TOP OF BERM ELEV. =
TOP OF CURB ELEV.
+ .20 FT. 1.5" SOD ON TOPSOIL, SOD
INSTALLED CONCURRENT WITH
OCCUPANCY OF ADJACENT HOUSE
3:1 (TYP)
-.67'
SECTIONAL VIEW
WARNING - THE USE OF SILTY LOAM IS PROHIBITED
FROM USE AS POND BOTTOM MATERIAL.
NORMAL GUTTER LINE
3:1 (TYP)
GUTTER
FLOWLINE
CURB INLET
ROLLED
CURB &
GUTTER
CONCRETE APRON
4" THICK P.C.C.
)(1"-3" TOPSOIL ON
GRADED POND BOTTOM
GRADED POND BOTTOM
.71'-.88' BELOW
EDGE OF ASPHALT
EXPIRES 9/24/15
NOT TO SCALE
1 INLAND
ICPACIFIC
ENGINEERING
707 West 7th • Suite 200
Spokane, WA 99204
(509) 458-6840
FAX: (509) 458-6844
'208' CROSS SECTION WITHOUT STRUCTURE
SHELLEY LAKE 1ST ADDITION
DATE: 06/04/98 /
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