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HomeMy WebLinkAbout2001, 07-17 Permit App: 01005830 ResidenceProject Number: 01005830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 22 Left: 5 Right: 5 Rear: 50 Site Information: Plat Key: 005977 Name: SHELLEY LAKE 2ND ADDITION Contact: GEORGE H WHITE, INC Address: BOX 52 C - S - Z: LIBERTY LAKE WA 99019 Phone: (509) 921-9752 Group Name: Project Name: District: F Parcel Number: 45242.2306 Block: 2 Lot: 6 SiteAddress: 831 S SHELLEY LAKE LN Owner: Name: GEORGE H WHITE, INC VERADALE, WA USA 99037 Address: BOX 52 Location:: VER LIBERTY LAKE WA 99019 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 9,573 Sq Ft Width: 70 Depth: 135 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Page 1 of 3 J Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Plan Review Approach / Drainage o1J-0215( Critical Area Review Shoreline Review Project Number: 01005830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for UTILITIES Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: Permits: Sewer Review Date: 7/17/01 ommencing work without a permit Page 2 of 3 Flood plain Contractor: GEORGE H WHITE CONST Address: 0 BOX 52 LIBERTY LAKE, WA 99019 Building Characteristics Const Category: New Group: R-3 Building Permit Firm: GEORGE HARVARD WHITE CON Phone: (509) 921-9752 Nbr Of Dwellings: Bldg W x D: 57 Req Parking: 1 Occupant Load: x 30 Building Sq Ft: Handicap Parking: Description Grp Dm Notes BASEMENT U R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: VN Building Height: 22 Stories: 1 3800 Sprinlders: L Critical Materials: ❑ This Application: Total Project: Su Ft Valuation So Ft Valuation 1,900 $21,964.00 1,900 $21,964.00 144 $1,059.84 144 $1,059.84 600 $7,200.00 600 $7,200.00 1,900 $117,800.00 1,900 $117,800.00 Totals: 4,544 $148,023.84 4,544 $148,023.84 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount $1,140.00 $4.50 $250.80 $1,395.30 Project Number: 01005830 Inv: 1 � r Application Date: 7/17/01 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: S & R HEATING Address: 15501 N YALE RD MEAD, WA 99021 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 Contractor: BURT PLUMBING SERVICE Address: 23904 E RIVER RD OTIS ORCHARDS, WA 99027 Item Description TOILETSBIDETS 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: Mechanical Permit Firm: S & R HEATING, INC Phone: (509) 467-3960 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 4 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $15.00 $4.00 $20.00 $30.00 $10.00 $10.00 $10.00 $10.00 $119.00 Firm: BURT PLUMBING SERVICE Phone: (509) 226-0542 Units Unit Desc 3 NUMBER OF 6 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Printed By: JAS Fee Amount $1,395.30 $119.00 $120.00 Permit Total Fees: Print Date: Invoice Amount $1,395.30 $119.00 $120.00 $1,634.30 $1,634.30 Fee Amount $18.00 $36.00 $12.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 $120.00 Amount Paid $0.00 $0.00 $0.00 7/17/01 Amount Owing $1,395.30 $119.00 $120.00 $0.00 $1,634.30 1 1 11 SPOKAKE COUNTY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: OE U.) r wt s t 0 -0 -1. -Ya_ 0/3 C i4 ir TYPE OF APPLICATION A- rr rvt Cel r 'R Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Nu ®3( S SieLM46e_ LI4 t•J Ue(Yl-l)gle WA mber(s): 99a 3 7 Legal Description: 2 �� 1 Y� 1� 1� T utJ LO l Cr, (Loc (c Z artnien S�e'ley t4ke., Water District/Purveyor- Sewer District/Purveyor Road width School District: <" Fire District: Zoning Setbacks Front: Left: Rear: Right: OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted regarding this project ❑ Owner: Phone: Fax: Cl Applicant: Phone: e` Fax: Mailing Address: Mailing Address: Main floor sq. ft. !7'. '0 City, State, Zip City, State, Zip Total habitable space 3 S 6 _TJ Contractor Phone Fax ❑ Architect/Engineer Phone Fax Mailing address George H White, 1• Mailing address Construction type V City, State Zip (B%/yy 52 Bo la. 99019 City, State Zip Deck sq. / L WA State ContractL TV' L ci Contact name: Heat source (electric, gas, etc.) 6 /4 S t= J r c t° i'; ok , r. PROJECT INFORMATION Building Information Building height to peak .'='-2-' # of stories / Main floor sq. ft. !7'. '0 Unfinished basement sq. ft. / rlJ G Dimensions 7 x .G Total habitable space 3 S 6 _TJ 2nd floor sq. ft. Finished basement sq. ft. _----‘2... - Occupancy group/e/C/.3 Construction type V Garage sq. ft. G'---- Deck sq. / L Cost of project Heat source (electric, gas, etc.) 6 /4 S t= J r c t° i'; ok , r. Manufactured Home • ; Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Relocation Fire Safety Firm Name What is the current use of this property? t S L. O 7 - Previous address Will the site he served by a septic system? Cl Yes (& No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? 0 Yes » No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? t S L. O 7 - Phone Will the site he served by a septic system? Cl Yes (& No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Yes tcr No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( /%) 0 Yes XNo Are critical or hazardous materials used or stored on site? 0 Yes » 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, identify on site plan What is the current property size? (square feet or acres) 7 3 S /` Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan 0 Yes X No What is the current use of this property? t S L. O 7 - Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes ,lk No Will the site he served by a septic system? Cl Yes (& 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 14 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan X Yes Is there evidence of fill or excavation on the property? 0 Yes tcr No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( /%) 0 Yes XNo Are critical or hazardous materials used or stored on site? 0 Yes » No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes O No Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Yes O Yes O No O No Is public water available to the site? O Yes O 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: Fv"17 r Roc This site plan is being submitted f obtaining a building permit and is representation of the proposal. Al lines/dimensions, curb lines. stru have been identified. Als• • • ica bodies of watj. -slopes .. /1/ Signed: Date: N11 r thepurpose of true and correct known property ures and easement d are wetlands, er critical areas. j? ALT _ —76' d, ' 33/ s C'L/ G?k - z `)--9 3 -7 t , ,