2003, 04-01 Permit App: 03002179 ResidenceProject Number: 03002179 Inv /1
Application
THIS IS NOT A PERMIT
Penalties wijl be assessed for commencing work without a permit
Project Information:
h
Permit Use: RESIDENCE/ATTACH D GARAGE - FORCED Contact: GEORGE H. WHITE INC
AIR GAS Address: BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 255-5000
Group Name:
Project Name:
Date: 4/1/2003 Page 1 of 3
Setbacks: Front 20 Left 6 Right: 6 Rear: 30
Site Information:
Plat Key:
Name:
. ...............
District: F
Parcel Number: 45243.2709 Block: 3
SiteAddress: 838 S SHELLEY LAKE LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 9,204 Sq Ft
Urban Residential 3.5
Lot: 9
Owner: Name: GEORGE H WHITE INC
Address: BOX 52
LIBERTY LAKE, WA 99019
Hold: ❑
Width: 80 Depth: 121 Right Of Way (ft): 9204
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
.
altd49—AL
Plan Review
Approach / Drainage
Released By:
'2Q VI EC-- 4IPPPX)
Operator: RMB Printed By: RMB
Print Date: 4/1/2003
Project Number: 03002179
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/1/2003 Page 2 of 3
Contractor: GEORGE 11 WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Building Characteristics
Building Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Const Category: New Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description ga. 'km 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
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Type:
Building Height: Stories:
Sprinklers: u
Critical Materials: ❑
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
1,636 $20,122.80 1,636 $20,122.80
140 $1,096.20 140 $1,096.20
748 $8,976.00 748 $8,976.00
1,655 $109,230.00 1,655 $109,230.00
Totals: 4,179 $139,425.00 4,179 $139,425.00
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$1,095.00
$4.50
$240.90
Permit Total Fees: $1,340.40
Mechanical Permit
Units
1
1
4
5
1
1
1
Operator: RMB Printed By: RMB
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$4.00
$50.00
$10.00
$10.00
$10.00
$106.00
4/1/2003
Project Number: 03002179 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/1/2003
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Page 3 of 3
Plumbing Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Units
3
6
2
1
1
1
1
1
1
1
Fee Amount
$1,340.40
$106.00
$108.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,340.40
$106.00
$108.00
$1,554.40 $1,554.40
Fee Amount
$18.00
$36.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
Amount Owing
$1,340.40
$106.00
$108.00
$0.00
$1,554.40
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 4/1/2003
1 I
11111
SPOKANE COUNTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: iv LA) RPS Q ix iruG - -d- (a C- 4r7 A-11- G'4&
TYPE OF APPLICATION
Al( 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:
q#3 SS C `�' ^^ L �ke. Lk) Clef/4(144.e 4 9c'1' O 37
4-152.-443 • a10Q
_ 1
Assessor's Tax Parcel Number(s):
Legal Description: L �„ 4 L 3
3 r� � -� P'-,
School District
Fire'District
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
/21- 9aoq
0 Owner: Phone:
C5 4,,,,,_ e...... Fax:
0 Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip
City, State, Zip
0 Contractor Phone
e/
`14)hiteFaInC.Fax
0 Architect/Engineer
Phone
George5L
Mailing address
B 52
Mailing address
City, State Zip Liberty Lafr�e, 'Wa. 99019
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building height to peak
Dimensions
°
tons
lc2-x 64
Occupancy group
# of stories
Total habitable space
uilding. Information
Main floor sq. ft.
/aaS
Unfinished basement sq. ft.
16 3 Cp
2nd floor sq. ft.
Finished basement sq. ft.
Constructioittyp
Garage sq. ft. 7ge)
Deck sq. ft. I f
Cost of project
Heat source (electric, gas, etc.)
14`
ZONE U
ROAD DT
FRONT 2o _ 71.ANKING
REVECN-Efa /
t:tH:t; ' f‘ts:71.11(.: plirpose. of
correct 0
rcpCCEr :-
;)Toperty
eascmet ts
bociic;r3 or :.:11.2,-1;.,,r areas.
/J/4/'t-'
6
38
91/ .4/
Jo cac fr3 31Ze Cfrot'__ paoifiet)/
fil_spLopE3/4_ S'ee. N fe• qcf tr\
SPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
irth 1026 WEST BROADWAY AVENUE- • SPOKANE, WA 99260-0050
SPoKARE Cornu
Site Information Project Information
Site Address: 838 S SHELLEY LAKE LN
SPOKANE, WA 00000
Parcel Number: 45243.2709
Subdivision:
Block: 3 Lot: 9
Zoning: UR -3 Urban Residential 3.5
Owner: GEORGE H WHITE INC
Address: BOX 52
LIBERTY LAKE, WA 99019
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 03002180 Inv: 1 Issue Date: 7/11/2003
Permit Use: SEWER CONNECTION - SHELLEY LAKE 3RD
Applicant: GEORGE H. WHITE INC
BOX 52
LIBERTY LAKE, WA 99019
Contact: GEORGE H. WHITE INC
BOX 52
LIBERTY LAKE, WA 99019
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 255-5000
Phone: (509) 255-5000
Rear:
Permits
Sewer Connection Permit
Contractor: GEORGE H WHITE CONST License #: GEORGHWO91P8
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer.
Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
those related to trench safety.
$15.00
$100.00
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
7/11/2003 4375 $100.00
7/11/2003 4383 ($100.00)
9/19/2003 6001 $100.00
Processed By: BURRIS, ROBIN
Printed By: KNUTSEN, PAM Page 1 of 1
COPY
NOTICE
It is the responsibility of the applicant/permittee, not Spokane County, to see to it that the use described on the front of this permit complies with
applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary
approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the
applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-
way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of
right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely
with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the
owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan)
required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site
drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be com-
pleted prior to final approval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy; completed
inspection record card must be available on site.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected
prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Division
of Building and Code Enforcement
477-3675
• Construction in a flood plain, Division of Engineering & Roads
477-3600
• Electrical wiring, State Department of Labor and Industries
324-2640
• On-site waste disposal system, Spokane Regional Health District
324-1560
• Road cuts for utilities or driveways, Division of Engineering &
Roads - 48-HOUR NOTICE REQUIRED
477-3600
or State Department of Transportation
456-3000
• Sewer connection, Division of Utilities
477-3604
or City Public Works Department
625-6300
PERMIT EXPIRATION AND REFUNDS
Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for
a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a
minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year
of the date of expiration for one-half the original fee, subject to certain limitations—please call us if you have any questions.
All refund requests must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment.
Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized
more than 180 days after fee payment.
MISTAKE?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please
bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to
the Division of Building and Code Enforcement at the below address.
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue
Spokane, WA 99260
Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133