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2001, 10-04 Permit App: 01008707 Residence Project Number: 01008707 Inv: 1 Application Date: 10/4/2001 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: GEORGE H WHITE Address: PO BOX 52 C - S -Z: LIBERTY LAKE,WA 99019 Setbacks: Front 174 Left: 160 Right: 400 Rear: 600 Phone: (509)921-9752 Group Name: Site Information: Project Name: Plat Key: 999999 Name: RANGE District: F Parcel Number: 45245.9141 Block: Lot: SiteAddress: 301 S SHELLEY LAKE LN Owner:Name: GEORGE H WHITE VERADALE,WA USA 99037 Address: PO BOX 52 Location::VER LIBERTY LAKE,WA 99019 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 234 Depth: 2400 Right Of Way(ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 n orm R eview I f Department Review Review BUILDING Site Plan ReviewReleased 114411w1W1 ,1 Jam/R Hold Reasons: Permit Conditions: BUILDING Plan Review Released By: � t7 --L Hold Reasons: Permit Conditions: ENGINEER Approach/Drainage Released By: SiLit••- ••Q f Hold Reasons: Permit Conditions: Q/.AJ!'iC 85 r HEALTHDISTRICT Septic System Review - Released By: 40 I -0 f f Hold Reasons: -- (3/ (- /Cr/ Permit Conditions: C �c� PLANNING Landuse/Zoning 1I Released By: "la f� Hold Reasons: GE—GY7 to" .,. P rmr�t 71d".1s: - /WV' Permits: j/ .+��#..:.:. , .::: • Project Number: 01008707 Inv: 1Application Date: 10/4/2001 Page 2 of 3 • THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: GEORGE H WHITE CONST Firm: GEORGE HARVARD WHITE CON Address: 0 BOX 52 Phone: (509)921-9752 LIBERTY LAKE,WA 99019 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 12 Stories: 1 Bldg W x D: 64 x 70 Building Sq Ft: 4129 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 1,650 $26,004.00 1,650 $26,004.00 BASEMENT U R-3 VN 829 $9,583.24 829 $9,583.24 DECK R-3 VN 435 $3,201.60 435 $3,201.60 GARAGE U-1 VN 675 $8,100.00 675 $8,100.00 RESIDENCE R-3 VN 2,479 $153,698.00 2,479 $153,698.00 Totals: 6,068 $200,586.84 6,068 $200,586.84 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,400.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $308.00 Permit Total Fees: $1,712.50 Mechanical Permit Contractor: GEORGE H WHITE CONST Firm: GEORGE HARVARD WHITE CON Address: 0 BOX 52 Phone: (509)921-9752 LIBERTY LAKE,WA 99019 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 4 #OF UNITS $4.00 AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 2 NUMBER OF $20.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $146.00 Project Number: 01008707 Inv: 1 Application Date: 10/4/2001 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: GEORGE H WHITE CONST Firm: GEORGE HARVARD WHITE CON Address: 0 BOX 52 Phone: (509)921-9752 LIBERTY LAKE,WA 99019 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 4 NUMBER OF $24.00 SINKS 7 NUMBER OF $42.00 SHOWERS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $138.00 ent umm am S P v Operator: DMD Printed By: DMD Print Date: 10/4/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,712.50 $1,712.50 $0.00 $1,712.50 Mechanical Permit $146.00 $146.00 $0.00 $146.00 Plumbing Permit $138.00 $138.00 $0.00 $138.00 $1,996.50 $1,996.50 $0.00 $1,996.50 Notes • I , I • PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE U SPOKANE,WA 99260 SPOIw COUNTY 509-477-3675 ---- �� Project Description: OE < uvt s I r t,-c't i n-' Lei/3 C N-r rY TT At 6 ei 5 A r TYPE OF APPLICATION Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation El Sign ❑ Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: S 3 ` S 2 ! (e C L L q �e! I)A Le W A Assessor's Tax Parcel Number(s): L� 24(.5 9 9a 3 7 Legal Description: C e1le `Y L /41<� Department Use Only Water Dist ict/PutvByoi, - Sewer-District/Purveyor Road width Setbacks t,' Front: ' Rear: School District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project 0 Owner: Phone: ❑Applicant: Phone: Fax: t Fax: Mailing Address: Mailing Address: City,State,Zip City,State,Zip L�TContractor Phone ❑ Architect/Engineer Phone Fax Fax Mailing addressr{White, 111/�ne� Mailing address George H. h e City,State Zip (Bo `` y 5`2 City,State Zip WA State ContracLiirrh Lake,t, Wa. 990 Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories ( Main floor sq.ft. Unfinished h ement sq.ft. ok Dimensions, f Total habitable space 2"d floor sq.ft. Finished basement sq.ft. &46' x "70 LIf 2` 9 -- ) 6 Occupancy group�C/„.3 Construction type Garage sq.ft. Deck sq.ft. S_ Cost of project _ Heat source(eelectric,gas,etc.) 2 C..) , L t-�J CoA c cu r• c — Manufactured Home '' Sign, Width: Length: ' • Whaj 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? 0 Yes A No What is the current property size? If yes,identify on site plan (square feet or acres) 2 c p' c f•- 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 O Yes No Is your property in a designated wildlife habitat area? Will the site be served by a septic system? O Yes ,,We+, 0 Don't know O Yes 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 O Yes )8( No O Maybe 0 Don't know Yes O 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 No If yes,identify on site plan 0 Yes PC 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 XNo O Yes )i'No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? El Yes O No CI Yes 0 N Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No O Yes O No Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area? O Yes O No Date Received: Staff Representative: PLUMBING PERMIT APPLICATION ADDRESS: 30 1 Se4;-.y Lk 44 PERMIT re.s t.4)) 3 c4 r A-7t- OWNER: ` ler4 DAL C q37 PHONE (Daytime Contact): MAILING ADDRESS: V (Street) (City/State (Zip) CONTRACTOR: LICENSE: e0 r-0“..._, 4 / P B George 5i. `I/1�hitP1 ir�f_ MAILING ADDRESS: PHONE: Box 52 ( -c-- moi) 9 2 1 9 7 2. Liberty Lake, Wa. 99019 (Street) (City/State) (Zip) PLUMBING FIXTURES #OF AI 01.77- COST/ A IMO UA/r PIJED DESCRIPTION DETAIL UNITS BY UNIT . EQUALS B02. TOILETS WATER CLOSETS,BIDETS 4 x 56 - 74, .B03 URINALS x 56 - .B04 TUBS - Z x 56 - / 2- ;B05... SHOWERS(per trap) BATH,STALL,ON-SITE BUILD 3 x S6 - l g• B06 SINKS LA VS/BASINS,BAR,FLOOR, x S6 - KITCHEN,LAUNDRY,UTILITY, JANITOR,PHOTO,X-RAY,FOOD Z (PREP/CULINARY/MEAT _B07 DISHWASHER - 1 x 56 - (9 . -B0S CLOTHES WASHER - I x S6 - (o . B09 GARBAGE DISPOSAL/GRINDER - i x S6 - (-s , BIO WATER SOF 1 ENER - x , 56 - B11ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x S6 = mechanical) B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, I x 56 = CONDENSATE �_ • B13 ROOF DRAINS/OVERFLOW DRAINS - x 56 = (ea.) _______ B1-1 FOUNTAINS,DRINKING - x S6 - ___ B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x 56 = VENT/PLUMBING REVERSALS REPAIR,REVERSALS B16 J SEWAGE EJECTORS GRINDER,SUMP PUMP x S6 - B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x 56 = HOSE BIB,STEAMER,PROOFER, CARBONATOR,SWAMP COOLERS 3 B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK 56 = VALVE,AND R.P.B.P.D.FOR: VATS,SUMPS,TANKS,BOILERS,& SPRINKLER SYSTEMS B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x 56 CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x S6 = B2I MISCELLANEOUS FIXTURES 56 = i1ETTIOD OF PAYMENT SUBTOTAL / ) ,.'t z''° uUCWE(: PLUS PROCESSING FEE S 25.0 ] CASH [I] CHECK ❑ NEN= ❑ ❑ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD T CTAL PERMIT FEE DUE /6 3 ©0 )ATE: EXPIRES: MINIMUM PERMIT FEE IS 335.00 PLEASE MAKE CHECKS PAYABLE TO ANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER UTTIORIZED SIGNATURE: — Spokane County Division of Building&Code Enforcement 1026\Vest Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7131 MECHANICAL PERMIT APPLICATION PROJECT • PERMIT n ADDRESS: 3 d / S V1 e... lrl e../ Lk.. L,.4 k USE: `<es i...„‘"/3 C A r- !a Tr. OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: ajeo1' e H. White, Inc. LICENSE: ` PorShw t59 I P3 MAILING ADDRESS: Bc x 52 PHONE: ,-d S r j ' a Liberty LaJ( , `INa. 99019 l (Street) (City/State) (Zip) #OF MULTJ- COST/ AMOUNT PLIED DESCRIPTION OF WORK UNITS BY UNIT EQUALS' B FUEL BURNING APPLIANCE - OR <100,.000 1 X $12 - $ (2. , B03 FUEL BURNING APPLIANCE >100,000 X $15 - $ B04; UNLISTED APPLIANCE(ADDITIONAL CHARGE) - OR <400,.000 X $50 - $ .....B04.i? UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 - $ B06'.. USED APPLIANCE(Must meet WSEC's min.AFUE rating) — OR <400,.000 X $50 - S ,1307: USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 — S -B08; BOILER/REFRIGERATION 1-IOOM BTU X $12 - $ :B09 BOILER/REFRIGERATION 101-500M BTU X $20 - $ 1310: BOILER/REFRIGERATION 501-1,000M BTU X $25 = $ 'W1. BOILER/REFRIGERATION 1,001-1,750M BTU X $35 - $ B12, BOILER/REFRIGERATION +1,750M BTU X $60 - $ 1313 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - •Z X $10 - $ 2.v B14; RANGE - ( X $10 = $ I U , B15 DRYER - IX $10 = $ l 0, I B16' FUEL BURNING WATER HEATER - t X $10 = S / O, B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 = $ B18 GAS PIPING(ea.Outlet) - Z X $1 = S 2 . B19 DUCT SYSTEMS - 1 X $10 = S /0 .- B20 B20 VENTILATING FANS - q, X $10 = $ y o , B21 AIR HANDLER(DOES NOT include duct systems) = OR <10,000 CFM X $12 = S B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 - S B23 EVAPORATIVE COOLERS - X $10 - S B24 TYPE I HOOD - X $50 = $ B25 TYPE II HOOD - 1 X $10 = S /0. B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 = S B27 AIR CONDITIONER 3-15 TONS / X $20 = S 2 C?, B28 AIR CONDITIONER 15-30 TONS X $25 = S B29 AIR CONDITIONER 30-50 TONS X $35 = S B30 AIR CONDITIONER +50 TONS X $60 = S B31 LPG STORAGE TANK - X $10 = S B32 WOOD OR PELLET STOVE/INSERT - X $25 = S METHOD OF PAYMENT SUBTOTAL / /4/ c .) . MIEN )IJC IfEI VISA PLUS PROCESSING FEE S 25.00 ❑ CASH ❑ CHECK ❑ WIENNE ❑ . ❑ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A StAJOR CREDIT CARD TOTAL PERMIT FEE DUE / L / �� DATE: EXPIRES: MINIMUM PERMIT FEE IS 535.00 PLEASE MAKE CHECKS PAYABLE TO BANKCARD NUMBER: SPOKANE COUNTY PERMIT CEN 1 ER AUTHORIZED SIGNATURE: Spokane County Division of Building&Code Enforcement 1026 West Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133 Parcel: 45245.9141 Owner: BRITT JR,CHARLES W/SCHMITT,MARGARET A CoOwner: -.... . -- --iiiOwner Address n �� ®� co • x ,rir i 4927 N PASADENA LN D-1 SPOKANE WA 99212 n ,...., 4'� � LI:jci) !� is t Site Address ���a :Sill �� zel cp ester0 ADDRESS UNKNOWN VERADALEitierr,a7•1.-4.s,...(441:11018111alk r le r i Legal Description W114v.11,,►VA• j'� x 24-25-44 THAT PTN OF THE SW1/4 OF THE NE1/4&THE NW1/4 at---� �� �/;�,. ��•OF THE lt,'��r .rSE1/4 '�Yri inii/Arat,_:„ °h1IN SEC 24,TWN 25 N,RGE 44 E,W.M.,COUNTY OF �'' =Y 4 " SPOKANE, IL. STATE OF WASHINGTON,DAF:BEG AT THE NE COR OF THE •-"". w.0r`1���'C4: • aux• • r +'� It, SW1/4 1441111. OF THE NE1/4;TH N 89DEG 17MIN 15SDS W,A DIST OF ogirg 234.82FT; i � 0Afil: .-,. TH S 39DEG 27MIN 30SDS W,433.65FT;TH S 43DEG 09MIN 41SDS ' _ ; W® tet • liner" � � 12th ,W, 195.69FT;THS 51DEG 47MIN 38SDS W, 121.44FT;THS - ; � 10 vasa 7 19DEG �_ 1111 as I�IIiL��I[M" 04MIN 05SDS W, 123.25FT;THS 06DEG 39MIN 21SD• S W, �� i41 'iii ix p 143.11 FT; .. ® TH S 15DEG 40MIN 34SDS E, 148.00FT;TH S 29DEG 18MIN .......iii.A. 16SDS 1111 1:13" E, 163.40FT;TH S 40DEG 36MIN 47SDS E, 102.38FT;TH S 37DEG 39MIN 33SDS E,65.45FT;TH S 38DEG 37MIN 21SDS E, 116.18FT; TH S 12DEG 53MIN 43SDS E, 92.54FT;TH S 30DEG 27MIN 38SDS E, 50.65FT;TH S 75DEG 50MIN 56SDS E,65.75FT;TH S 87DEG 24MIN 55SDS E,86.41FT;TH S 75DEG 52MIN 51SDS E,76.90FT;TH S 47DEG 34MIN 24SDS E,40.41 FT;TH S 87DEG 46MIN 55SDS E, 105.09FT;TH S 56DEG 05MIN 17SDS E,41.39FT;TH S 77DEG 16MIN 41SDS E,50.74FT TO A PT ON THE ELY LN OF THE NW1/4 OF THE SE1/4 LYG 216.63FT S OF THE NE COR OF SD NW1/4 OF THE SE1/4;TH NLY ALG SD ELY LN AND THE ELY LN OF THE SW1/4 OF THE NE1/4 TO THE PQB. Notice: This is not a legal document. Data depicted on this map is general&subject to constant revision. It is intended for reference use only. Legal documents should be obtained from the appropriate agency. I I - ADDRESS ZONE �` // p 7 - 'ROAD IA/ c'P� C �c F T ��- '® Ar" (' ��: O FRONT ii `-- t! C MMEN i-ti4 r- ` \.)r REV{E�,ED D.t, �� << /,= pled S - - (t % rI r li / / ---0 1' / i _. �_. a ' — Q�-,', IIS ii/1 11 </7III -- �J' , y j this site plan is being submitted for thepurpose of `� /gip/ obtaining a building permit and is a true and correct NU,,-' representation of the proposal.All known property �� lines/dimensions,curb lines.structures and easements < have been identified.-1%.,,...L„;.--;• -ted are wetlands, \ bodies of water .27 pe,s or other critical areas. Signed: t /; Date: 1 ( li 1I "C \,_ / t $)-)ELI- (_ I��-f'' \i; li �p K-6 36 I C-, S t)rUL-1 Z.J4 k(_:-- &PIN E ri fi GL-'0, i/, 1^"H7 --1:71/C- , 92 '- c, 7S 2 ��� ocT ; POO ,