1999, 11-09 Permit App: 99010859 ResidenceProject Number: 99010859 Inv: 1
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Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/19 Page 1 of 3
Proiect Information:
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Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 20 Left: 5 Right: 5 Rear: 40
Contact: GEORGE H WHITE INC
Address: PO BOX 52
C - S - Z LIBERTY LAKE, WA 99019
Phone: (509) 994-2928
Site Information:
Plat Key: 005977 Name: SHELLEY LAKE SECOND ADDIT I District: F
Parcel Number: 45242.2305
SiteAddress: 825 S SHELLEY LAKE LN Owner: Name: GEORGE H WHITE INC
VERADALE, WA USA 9903 Address: PO BOX 52
Location:: VER LIBERTY LAKE, WA 99019
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 9,533 Sq Ft Width: 70 Depth: 136 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:.g F.
Department
BUILDING
Comments:
Review
Site Plan Review
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BUILDING Plan Review
Comment`s
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ENGINEER Appr i ch / Drainage
Comments:
UTILITIES
Permits:
Sewer Review
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Project Number: 99010859
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/19 Page 2 of 3
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Building Characteristics
Const Category:
Nbr Of Dwellings:
Bldg W x D: 42
Req Parking:
Description
BASEMENT U
GARAGE
RESIDENCE
New
x
Building Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
1 Occupant Load:
46 Building Sq Ft:
Handicap Parking:
Grp Type Notes
R-3 VN
U-1 VN
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
CLOTHES DRYER
RANGE
GAS LOG. OR GAS INSERT
HOOD -TYPE II
Building Height: 18 Stones: 1
3320 Sprinlders:
Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,660 $19,189.60 1,660 $19,189.60
440 $5,280.00 440 $5,280.00
1,660 $102,920.00 1,660 $102,920.00
Totals: 3,760 $127,389.60 3,760 $127,389.60
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,035.00
$4.50
$227.70
$1,267.20
Firm: S & R HEATING, INC
Phone: (509) 990-1351
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
5 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$15.00
$5.00
$40.00
$10.00
$10.00
$10.00
$10.00
Permit Total Fees: $110.00
Project Number: 99010859 Inv: 1
y
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/19 Page 3 of 3
Contractor: BURT PLUMBING SERVICE
Address: 23904 E RIVER RD Phone: (509) 226-0542
OTIS ORCHARDS, WA 99027
Plumbing Permit
Firm: BURT PLUMBING SERVICE
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Units Unit Desc
3
5
1
2
1
1
1
1
3
Printed By: CKF
Fee Amount
$1,267.20
$110.00
$108.00
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
Print Date: 11/09/1999
Invoice Amount
$1,267.20
$110.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,267.20
$110.00
$108.00
$1,485.20
$1,485.20
$0.00
$1,485.20
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