1999, 05-20 Permit App: 99004314 ResidenceProject Information:m.�
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Permit Use: RESIDENCE W/GARAGE - GAS' Contact: GEORGE H WHITE, INC
Address: PO BOX 52
Setbacks: Front 20 Left: 5 Right: 5 Rear: 40 C - S - Z LIBERTY LAKE WA 99019
Phone: (509) 921-9752
Site Information:moot=smazosmsossammsmozz` >:r:> m' "```"
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Plat Key: 005977 Name: SHELLEY LAKE SECOND�,�/ADDI District F
Parcel Number: 45245.9146 fi3 e-" 1�
SiteAddress: 811 S SHELLEY LAKE LN
GREENACRES, WA USA 99
Location:: GRE
Zoning: UR 3.5' Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 79 Depth: 134 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Owner: Name: GEORGE H WHITE, INC
Address: PO BOX 52
LIBERTY LAKE WA 99019
Hold: o
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Deuartment Review
BUILDING Site Plan Review
Comments:
BUILDING Plan Review
Comments:
NGINEER Approach / Drainage s/a/rn../�44 itB rOr"4
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Comments:
116.1-)1),,L0
BUILDING Special Reviews J �--
Comments:-�-� -
UTILITIES
Project Number: 99004314
•
Inv: 1 Application
Date: 5/20/99 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Building Characteristics
Building Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 40 x 54 Building Sq Ft:
Req Parking: Handicap Parking:
Description Gtr Tie Notes
BASEMENT U R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: S & R HEATING
Address: UNKNOWN
UNKNOWN
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Building Height: 21
3760 Sprinklers: 0
Critical Materials: 0
This Application:
Sa Ft Valuation
1,880 $21,732.80
540 $6,480.00
1,880 $116,560.00
Totals: 4,300 8144,772.80
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Stories: 1
Total Project:
Sa Ft Valuation
1,880 $21,732.80
540 $6,480.00
1,880 8116,560.00
4,300 $144,772.80
Fee Amount
$1,120.00
84.50
$246.40
Permit Total Fees: $1,370.90
Mechanical Permit
Firm: S & R HEATING, INC
Phone: (509) 990-1351
Units
1
1
4
4
1
1
1
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Fee Amount
810.00
812.00
$4.00
$40.00
810.00
810.00
810.00
Permit Total Fees: 896.00
Project Number: 99004314
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/20/99 Page 1 of 3
Project Number: 99004314 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/20/99 Page 3 of 3
Contractor: BURT PLUMBING SERVICE
Address: 23904 E RIVER RD
OTIS ORCHARDS, WA 99027
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
Units
3
4
1
1
1
1
1
1
3
Printed By: JAS
Firm: BURT PLUMBING SERVICE
Phone: (509) 226-0542
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount Invoice Amount
$1,370.90 $1,370.90
$96.00 $96.00
$96.00 $96.00
$1,562.90 $1,562.90
Fee Amount
$18.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$96.00
5/20/99
Amount Owing
$1,370.90
$96.00
$96.00
$1,562.90
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