2001, 06-08 Permit App: 01004456 ResidenceProject Number: 01004456 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/8/2001 Page 1 of 3
Project Information:
.....................................................
Permit Use: NEW RESIDENCE W/GARAGE - F A GAS
Setbacks: Front 25 Left: 6 Right: 6 Rear: 40
Site Information:
Plat Key: 006156 Name: SHELLEY LAKE 3RD ADDITION
Contact: GEORGE H WHITE INC
Address: PO BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 921-9752
Group Name: C,eL_ C{ l L( �ct )2g
Project Name:
District:
F
Parcel Number: 45245.9000
Block: 3
SiteAddress: 844 S SHELLEY LAKE LN
GREENACRES, WA USA 99016
Location:: GRE
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Lot: 6
Owner: Name: GEORGE H WHITE INC
Address: PO BOX 52
LIBERTY LAKE, WA 99019
Hold: ❑
Area: 10,225 Sq Ft Width: 70 Depth: 144 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
,7
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Plan Review
with
Approach / Drainage
u
Released By: .
C /
ariZrilIMPNIP.P ''. i 9
Released
9
*Ad IL
#
o
v
BUILDI Special Reviews
easons:
Permi o ditions:
Permit Conditions:
Permits:
Sewer Review
C
Released By:;
/0A -d Ql
's1
Project Number: 01004456 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/8/2001 Page 2 of 3
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52 Phone: (509) 255-9204
LIBERTY LAKE, WA 99019
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 16
Bldg W x D: 56 x 62 Building Sq Ft: 3178 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Valuation Su Ft Valuation
Building Permit
Firm: GEORGE HARVARD WHITE CON
Stories: 1
Description Type Notes Su Ft,
BASEMENT U R-3 VN 1,144 $13,224.64
DECK R-3 VN 180 $1,324.80
GARAGE U-1 VN 675 $8,100.00
RESIDENCE R-3 VN 2,034 $126,108.00
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
HOOD -TYPE II
1,144 $13,224.64
180 $1,324.80
675 $8,100.00
2,034 $126,108.00
Totals: 4,033 $148,757.44 4,033 $148,757.44
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$1,140.00
$4.50
$250.80
Permit Total Fees: $1,395.30
Mechanical Permit
Units
1
1
4
6
1
1
1
1
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$15.00
$4.00
$60.00
$10.00
$10.00
$10.00
$10.00
$129.00
Project Number: 01004456 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/8/2001 Page 3 of 3
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
WATER USING DEVICES
Payment Summary::;:;,:;,:,
Operator: MKC
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
Units
4
7
1
3
1
1
1
1
2
Printed By: MKC
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 255-9204
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
$1,395.30 $1,395.30
$129.00 $129.00
$126.00 $126.00
$1,650.30 $1,650.30
Fee Amount
$24.00
$42.00
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$126.00
6/8/2001
Amount Owing
$1,395.30
$129.00
$126.00
$0.00
$1,650.30
111111
SPox COUNTY
Project Description:
"g Building Permit
0 Relocation
L/ L
PROJECT APPLICATION
SPOKANE COUNTYDIVISION T OF
BUILDING
A& CODE ENFORCEMENT
1026
E
SPOKANE, WA 99260
509-477-3675
1 t) r..r.-t s r t,..c� I .. , f rr t� c. rt. r
TYPE OF APPLICATION
O Change in Use
O Sign
O Grading
$3 -IT (4e4 S si r
O Tenant (New/Change)
Street Address:
SPECIFIC SITE INFORMATION
eivf L A i•J
Assessor's Tax Parcel Number(s):
Legal Description:
L
Department Use Only
Sewer District/Purveyor
Water Di rict/Purveyor:
K Vie
School tstr t: /
� V
Fire District:
O Manufactured Home Permit
O Other
lie(la 1) n Le W A
90.37
el( ki L,k
Road width
30'
Zoning
x,-35
Setbacks
Front:
Rear:
Left: Right:
OWNER/APPLICANT INFORMATION
El Indicate who should he contacted regarding this project
0 Owner:
Phone:
Mailing Address:
Fax:
O Applicant
Phone:
Fax:
Mailing Address:
City, State, Zip
Cita, State, Zip
KC.cntractor
Phone
Fax
0 Architect/Engineer
Phone
Fax
George 91. White, Inc.
B 5
WA state ContracL • ty Lake, Wa. 9901.9
Mailing address
City, State Zip
Mailing address
City, State Zip
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
of stories
Main floor sq. ft.
203
Dimensions
Total habitable space
2nd floor sq. ft.
Unfinished hasement sq. ft.
/4/4
Finished basement sq. ft
Occupancy group/g3
Cost of project
Construction type
Garage sq. ft.
67j
Deck sq. ft.
63 4)
p5
Heat source (electric, gas, etc.)
A S rc<
Manufactured Home Sign
Widt)i: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Cl Yes A No What is the current property size? _
If yes,identify on site plan (square feet or acres) 0 , 2.'L
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identify on site plan 0 Yes X No es L o T
Is your property in a designated wildlife habitat area? Will the site be served by a septic system? O Yes 51'No
O Don't know 0 Yes ,K No _.
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes, identify on the site plan 0 Yes 0 No
0 Maybe 0 Don't know X Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes tg!No
If yes,identifyon site plan O Yes yr No _
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
%) O Yes ..%No 0 Yes )8'No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No
OYes 0 N
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes El No
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? O Yes O No
Date Received: Stiff Representative:
PLUMBING PERMIT APPLICATION
PROJECT % Lk Lit }
ADDRESS: SG/ 4-/V
PERMIT Q �y--
USE: l� L� tc 3 c a r 1 1
OWNER: ` `er4 D C G' 37
t/
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR:
George 51. White, int_
LICENSE: q eo rc, k v l 6, 9 / P 8
MAILING ADDRESS: B 52
PHONE: Q_ G �) 9 2 f 5 7 J
Liberty Lake, rWa. 99019
(Street) (City/State) (Zip)
PLUMBING FIXTURES !
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
rBr
COST/
UNIT
. EQUALS
AMOUNT
B02;'
TOILETS
WATER CLOSETS, BIDETS
3
x
56
—
�
/ c
B03(-
URINALS
x
56
—
TUBS
-
2,
x
56
—
/ 2_
.B04"
B05 .
SHOWERS (per trap)
BATH, STALL, ON-SITE BUILD
/
x
56
—
Cp
B06'
SINKS
LAVS/BASINS, BAR, FLOOR,
LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
(PREP/CULINARY/MEAT
,
C.C�
x
$6
—
C,='KITCHEN,
B07.
DISHWASHER
-
/
x
56
—
/
Y—
B08`
CLOTHES WASHER
/
x
S6
—
(o
B09
GARBAGE DISPOSAL/GRINDER
-
/
x
S6
—
B10
WATER SOFTENER
-
x
56
—
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical)
x
56
—
Bit
FLOOR DRAINS
AREA, CASE, COIL,IRENCH,'
CONDENSATE
x
56
=
B13
ROOF DRAINS/OVERFLOW DRAINS
(ea.)
-
x
S6
=
B14
FOUNTAINS, DRINKING
-
x
S6
—
B15
WATER PIPING/DRAIN-IN WASTE-
VENT/PLUMBING REVERSALS
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
x
56
—
B16
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
S6
—
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,/
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
S6
Ca
BI8
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR :
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
S6
—
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
S6
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
—
B21
MISCELLANEOUS FIXTURES
56
—
METHODOFPAYMENT
SUBTOTAL
/62
VISA
• CASH a CHECK • IREMIla I •
!ICCVE(
---
-- " `
PLUS PROCESSING FEE
$ 25.00
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
TOTAL I'ER\lII FEE DUE
DC--)
/ Z9 -r--
D A TE: EXPIRES:
MINIMUM PERMIT FEE IS $35.00
3ANKCARD NUMBER:
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
\UTHORIZED SIGNATURE:
Spokane County Division of Budding & Code Enforcement
1026 \Vest Broadway Avenue " Spokane, WA 99260-0050
Telephone No. (509) 477-3675 • Fax No. 477-7198 ' TDD No. (509) 477-7133
MECHANICAL PERMIT APPLICATION
PROJECT
ADDRESS:
'4(I S l y L.r% (-Arte
PERMIT
USE: Q
LJ/3 C a r Th*
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
1 er11037
(Street)
(City/State)
(Zip)
CONTRACTOR:
George 5L White, Inc.
LICENSE:
Poryhw K9 P3
MAILING ADDRESS:
Bob 52
Liberty LaI e, Wa. 99019
(Street)
PHONE:
(City/State)
(Zip)
10" BOILER/REFRIGERATION
B1V° BOILER/REFRIGERATION
501-1,000M BTU
525
$
1,001- 1,750M BTU
X
535
$
B12, BOILER/REFRIGERATION
+ 1,750M BTU
X
B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
B14 RANGE
B15 DRYER
B16 FUEL BURNING WATER HEATER
B17 MISCELLANEOUS FUEL BURNING APPLIANCE
B18 GAS PIPING (ea. Outlet)
B19 DUCT SYSTEMS
B20 VENTILATING FANS
B21 AIR HANDLER (DOES NOT include duct systems)
B22 AIR HANDLER (DOES NOT include duct systems)
B23 EVAPORATIVE COOLERS
B24 TYPE I HOOD
B25 TYPE II HOOD
B26 HEAT PUMP/AIR CONDITIONER
B27 AIR CONDITIONER
B28 AIR CONDITIONER
B29 AIR CONDITIONER
B30 AIR CONDITIONER
B31 LPG STORAGE TANK
B32 \VOOD OR PELLET STOVE/INSERT
X
X
560
510
510
5
5 /0
X
510
r
X
510
$ / 0
X
510
$
X
51
5
X
510
5
X
510
= OR <10,000 CFM
X
512
5 y�
S
> 10,000 CFM
X
515
$
X
510
5
X
550
$
X
510
0-3 TONS
X
512
5
/-1U
3-15 TONS
X
S20
5
15-30 TONS
X
525
5
30-50 TONS
X
535
S
+50 TONS
X
560
5
X
510
$
X
525
5
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑VISA
ONO=❑ r �'_ ❑
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
)IJC VE!:
:)ATE: EXPIRES:
)ANKCARD NUMBER:
\ VTHORIZED SIGNATURE:
SUBTOTAL
PLUS PROCESSING FEE
5 25.00
TOTAL PERMIT FEE DUE
13 ,0
MINIMUM PERMIT FEE IS 535.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENI-ER
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue *Spokane, \VA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 " TDD No. (509) 477-7133
OF WORK
# OF
UNITS
O o-
PLIDESCRIPTION
BY
COST/
UNIT
EQUALS
AMOUNT
;B02=
FUEL BURNING APPLIANCE
— OR <100,.000
X
512
—
$
B03
FUEL BURNING APPLIANCE
>100,000
1
X
515
—
$ /..s
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
— OR <400,.000
X
550
—
$
B0¢
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
X
5100
—
$
BW
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
— OR <400,.000
X
550
—
$
B07a'
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
X
5100
—
5
B08'
BOILER/REFRIGERATION
1-100M BTU
X
512
—
$
B09
BOILER/REFRIGERATION
101-500M BTU
X
520
—
$
10" BOILER/REFRIGERATION
B1V° BOILER/REFRIGERATION
501-1,000M BTU
525
$
1,001- 1,750M BTU
X
535
$
B12, BOILER/REFRIGERATION
+ 1,750M BTU
X
B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
B14 RANGE
B15 DRYER
B16 FUEL BURNING WATER HEATER
B17 MISCELLANEOUS FUEL BURNING APPLIANCE
B18 GAS PIPING (ea. Outlet)
B19 DUCT SYSTEMS
B20 VENTILATING FANS
B21 AIR HANDLER (DOES NOT include duct systems)
B22 AIR HANDLER (DOES NOT include duct systems)
B23 EVAPORATIVE COOLERS
B24 TYPE I HOOD
B25 TYPE II HOOD
B26 HEAT PUMP/AIR CONDITIONER
B27 AIR CONDITIONER
B28 AIR CONDITIONER
B29 AIR CONDITIONER
B30 AIR CONDITIONER
B31 LPG STORAGE TANK
B32 \VOOD OR PELLET STOVE/INSERT
X
X
560
510
510
5
5 /0
X
510
r
X
510
$ / 0
X
510
$
X
51
5
X
510
5
X
510
= OR <10,000 CFM
X
512
5 y�
S
> 10,000 CFM
X
515
$
X
510
5
X
550
$
X
510
0-3 TONS
X
512
5
/-1U
3-15 TONS
X
S20
5
15-30 TONS
X
525
5
30-50 TONS
X
535
S
+50 TONS
X
560
5
X
510
$
X
525
5
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑VISA
ONO=❑ r �'_ ❑
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
)IJC VE!:
:)ATE: EXPIRES:
)ANKCARD NUMBER:
\ VTHORIZED SIGNATURE:
SUBTOTAL
PLUS PROCESSING FEE
5 25.00
TOTAL PERMIT FEE DUE
13 ,0
MINIMUM PERMIT FEE IS 535.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENI-ER
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue *Spokane, \VA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 " TDD No. (509) 477-7133
SITE ADDRESS: � 4 Sie U ,PERMIT NO.
l LS1.0 DATE. 0 A) 0 /
C -,Residential Com
Prescriptive (Chapter 6) Options for all :R (3ccupancies,
eat Source: OTHER (gas, oi
INSTRUCTIONS
BY:
I) Your permit will he processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form. Your building must match the selected option requirements without
exceptions or substitutions.
2) Glazing percentage typically determines which option to choose. Complete the following glazing area calculation
before proceeding to the option table below.
GLAZING AREA CALCULATION:
SF. — SF. = to , %
TOTAL WINDOW AREA
HEATED FLOOR AREA (ALL FLOORS) = % OF GLAZING
NOTE: Use rough opening (R/O) for window area. Include all half -lite and full -lite door glazing in this
calculation.
CAN'T COMPLY? If none of the Prescriptive (Chapter 6) Options below are acceptable, consider the Component
Performance (Chapter 5) Approach. The main advantage is flexibility to juggle individual R and U -values as long as an
overall maximum value isn't exceeded. Note that the overall Component Performance requirements are no less stringent
than the Prescriptive requirements. Calculations may be performed with a Component Performance (Chapter 5) method
or by using an acceptable computer program such as WATTSUN 5.6.
--✓ -=
OPT I
OPT fl
0
OPT III
`/
OPT IV
0
OPT V
0
OPT VI
0
OPT VII
(< 2 stories)
0
OPT VIII
(s 2 stories)
0
OPT IX
0
•;..
1'4� 2 is
Glazing Max
% of floor
U -value
FURNACE AFUE 1
- H. Pump HSPF
Door U -value
(or R -value)
Ceilings:
with attics
vaulted
Walls:
above grade'
OR below grade
applied interior
applied exterior
sj Floor
Stab on grad,
10%
070
.78
6.g'
0.40
25
R-38
R-30
R-19
849
R-12
R-25
R10
3
12% k
-�05
'
$
1 r
.:
x`' �
, ' ' .:
2
-' S
-045
17%
065
88
77?e
0.40
<.((R-2.5)
4-38
R-30
R-19
819
842
R-25
810
[
17%
�0.60 -
J8 ti
x'�
f �90
3g
".°SO
IQc
R '
2
0
Rl.s�
17%
0.50
74
635,,'6S
0.40
8-2.5
R-38
R-30
R-19
R- 19
R-12
12-30
810
21% r=
X7+030
78 s't
k . ,
ID
830 �'
3Q
9
.Q
10.
25%
045
78
6.8
0.40
25
R38
it30
849
R-19
842
R-30
R10
r
� F
SOx°
�`
,�. 8
J.3
4140
s1. t.(R-2.5)
'
9 e ;`
39
w i
Y 0
0
Unlimited
0.25
.78
6.8
0.40
R-38
R-30
R-19
8-19
R-12
R-30
810
... tx'ikvil�" `i i^ ^W.R.a£s,.dt c.`.a +`
aw'•i.�m.sl
a?@eA".'AiS=tia 5k�+`4X'+'Yo :.
Footnote:
1 if a proposed design has a glazing ratio to the conditioned floor area of 19%, it must comply with the next highest glazing
option of 21%.
2 Minimum HVAC equipment efficiency requirement (AFUE). 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of
0.78. 'High' denotes an AFUE of 0.88. Minimum HVAC equipment efficiency requirement for heat pumps. `Low'
denotes an HSPF of 6.35. 'Med.' denotes an HSPF of 6.8. 'High' denotes an HSPF of 7.7. Water and ground source heat
pumps are considered as medium efficiency and have a minimum COP as required in Table 5-7.
.N^:,z:tr,`4.'fi+,'k.::e•7:.,w:.,.a,. .>..:__..:K�.n,<:;....s>,s..s;:sn�?�,'»Tr'Gw#s.,Cxtt.P+h�' '_;�,..,a.ra�=.K.:k.ozk�.-,, r.?tN. 7:t,.,..v. : .a.+?.�arrsi3a,.k...:-.r:
tofloor:11a
sloos..cutbfigs0710,0"—
vi•wAss.
- ;
'
1".
••• r
AD r:•!5l;
ZONE L.LV
ROAD \A/ ID H
FRONT FA, -1‹ NI
COM M
R E.VI E D EY
OM
v
_conY . e9e7 u
r"
7^. ^ _ . . . - - •
z /41
, •
•
79/-9.
•
--Y72/ 7