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2003, 04-01 Permit App: 03002181 Residence
Project Number: 03002181 Inv: 1 .Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: RESIDENCE/ATTACHED 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: Site Information: Project Name: Plat Key: Date: 4/1/2003 Page 1 of 3 Setbacks: Front 25 Left: 6 Right: 6 Rear: 30 Name: District: F Parcel Number: 45243.2708 Block: 3 SiteAddress: 840 S SHELLEY LAKE LN SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 8,317 Sq Ft Urban Residential 3.5 Lot: 8 Owner: Name: GEORGE H. WHITE INC Address: BOX 52 LIBERTY LAKE, WA 99019 Hold: ❑ Width: 70 Depth: 114 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information::::............................................................... Review Site Plan Review Plan Review Released By: Approach / Drainage r - 5//060 Operator: RMB Printed By: RMB ................ ................ ................ ................ Print Date: 4/1/2003 Project Number: 03002181 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: DescriptionGtr Type 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: Critical Materials: 0 This Application: Total Project: Sq 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 Permit Total Fees: Mechanical Permit Units 1 1 4 5 1 1 1 Operator: RMB Printed By: RMB Fee Amount $1,095.00 $4.50 $240.90 $1,340.40 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: 03002181 Inv: 1 Application Date: 4/1/2003 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 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Payment Summary Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 3 6 2 1 1 1 1 1 1 2 Page 3 of 3 Firm: GEORGE HARVARD WHITE CON Phone: (509) 921-9752 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: Fee Amount Invoice Amount $1,340.40 $1,340.40 $106.00 $106.00 $114.00 $114.00 $1,560.40 $1,560.40 Fee Amount $18.00 $36.00 $12.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $12.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $114.00 Amount Owing $1,340.40 $106.00 $114.00 $1,560.40 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 It ATI SPOKE COLIWY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: ii%e (A,_7 RP,S / A L x1.+ ce,ki TYPE OF APPLICATION J' Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): S Skz1(e L Ice. LN Uerador k Ct49tea7 7().k Legal Description: a m S Lo -r9 Q L I(.. 4-5 3 r _ Rtiad`zvidth- '' etbaeks rant: Fire District: OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project Right: r3/7 � Phone: 0 Owner: 4e1,016- 5. 4e 1/16-'G Fax: ❑ Applicant: Phone: Fax: Mailing Address: Mailing Address: City, State, Zip City, State, Zip 0 Contractor Phone/ George ref SpA fiite Fagnc. ❑ Architect/Engineer Phone Fax .! L l' Mailing address 13ox 52 Mailing address Ciry, State Zip Liberty Lak , Wa. 99019 City, State Zip WA State Contractor license # Contact name: PROJECT INFORMATION Building Information Building height to peak Dimensions Occupancy group # of stories Total habitable space / *r -- Construe ri typ Main floor sq. ft. / „ s" Unfinished basement sq. ft. /6 3 Gp 2"d floor sq. ft. Garage sq. ft. lye, Finished basement sq. ft. Deck sq. ft. Cost of project /1,S Heat source (electric, gas, etc) (t) 70 ropros ADDRF. SG •Sys ZONE 1=� ZONE „ FRONT — FLANKING COM Mr- REViEVI J f? - Fe/ .7F A, k ., purpose of =,id correct r oih_ r r,;l;:,,i areas. -7z-/.E/ F/c) snz2z.L-,7 LG7 4' ,C eCt A- V; -2/ 2q/ 7`" 2 /lcE �` G ; �.% 644, /, w» lrr (- /- 974: cox2-”'©,/'�'