2002, 10-15 Permit App: 02009107 Residence Project Number: 02009107 Inv: 1 Application Date: 10/15/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: GEORGE H. WHITE INC
AIR GAS Address: BOX 52
C - S -Z: LIBERTY LAKE,WA 99019
Setbacks: Front 50 Left: 20 Right: 20 Rear: 70 Phone: (509)255-5000
Group Name:
Site Information; Project Name
Plat Key: 005947 Name: SHELLEY LAKE 1ST ADD PUD District: F
Parcel Number: 45241.1815 Block: 1 Lot: 15
SiteAddress: 313 S SHELLEY LAKE LN Owner: Name: GEORGE 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: Hold: ❑
Area: 20,683 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By. Q - ( 042-11C,} 1
Plan Review Released By:
Approach/Drainage Released By: iL i 1 f Cl, f f
Sewer Rev'•w Released By. lL a( € r _z/
`.
r /'-t'fe'flv -((6 0rL Tv
Permits:
Operator: RMB Printed By: RMB Print Date: 10/15/2002
Project Number: 02009107 Inv: 1 Appli cation Date: 10/15/2002 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: U
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN 286 $2,239.38 286 $2,239.38
GARAGE U-1 VN 517 $6,204.00 517 $6,204.00
RESIDENCE R-3 VN 1,673 $110,418.00 1,673 $110,418.00
Totals: 2,476 $118,861.38 2,476 $118,861.38
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $990.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $217.80
Permit Total Fees: $1,212.30
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
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: RMB Printed By: RMB Print Date: 10/15/2002
Project Number: 02009107 Inv: 1 Application Date: 10/15/2002 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 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
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
WATER USING DEVICES 1 NUMBER OF $6.00
Permit Total Fees: $78.00
Notes
DO NOT ISSUE SEWER PERMIT-OK TO ISSUE HOUSE PER ROGER 10/27/98
OK TO ISSUE SEWER PERMITS FOR:
BLK 4 -L 1 BLK 5 -L 2,16,18
BLK6 -L 1,3,5,6,9,10 BLK7-L 1,2
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,212.30 $1,212.30 $0.00 $1,212.30
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,375.30 $1,375.30 $0.00 $1,375.30
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: 10/15/2002
+ +
1 , 1 PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
bill SPOKANE,WA 99260
SPOI( COUIyTY509-47t7-3675
Project Description: if fie.S . SI Pr.b 4'Y� CI r A C. I/�Z 4 N c 11 vl/ 2. cis-r 4 G/ (—
TYPE OF APPLICATION
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
SPECIFIC SITE INFORMATION
Street Address: 3 1 S c c < <e 1 L. P 1c_e L y{—vtiz. V //1-QIA. f E tot; 9 y?-7
Assessor's Tax Parcel Number(s): /
Legal Description: .4-t-
Department Use Only
Water District/Purveyor: Sewer District/Purve y or Road wide � I Setbacks lc
Front: �et) Rear:
School District.. `` Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION .:- .0) 61S—
El Indicate who should be contacted regarding this project
❑ Owner: Phone:on�jj ❑ Applicant: Phone:
George 51 Whitt',`inc. Fax:
Mailing Address: Mailing Address:
Box 52
City,State,Zip Lzferti, / ,, (77). 99019 City,State,Zip
6 f
0 Contractor Phone ❑Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip _„ City,State Zip
WA State Contractor license# Contact name:
G e.o r-cj it vt.) & 9 7 P 6
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/ / / ‘ 7 3 Al/f4-
Dimensions C t Total habitable space 2°d floor sq.ft^ ' Finished b m nt sq.ft.
28 37 /6 3 / /"
Occupancy group Construction type Garage sq.ft. / Deck sq.ft. 8 6,
g 2) ill
7
Cost of project 007 U� Heat source(electric,gas,etc.)
//5_ZG � � ArS
t
Manufactured Home (Sign
Width: 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
ri Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes KNo What is the current property size?
If yes,identify on site plan (square feet or acres) 2o 6 F T
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 V A-c k\ t L�
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O YesNo
O Don't know O Yes IK 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 )No
O Maybe O Don't know O Yes I 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 Yeslo
If yes,identify on site plan O Yes XNo
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 O Yes )3(_No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
OYes ONo
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
0 Yes 0 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:
, ..., .....„.. , . ..,
.*
— .
for tha purpose of
– • ' i ,s
_ ',. ,t and correct
, L!, -,- a , -
/q2A,
-, , __— _
represeht,t,'„Iun ot the prepc,,.J1 All knuwn property
lin,,s1dinfensions.CUlt tr os.sructures and easements
ADDRESS-
have bE.:,‘,,-.intifieri ,t,l,io,,,rdicated are wetlandsZONE
,
bodies of‘Nu-,..1-,steep s;onus or other critic-al areas. ROAD WI DT
:F: '1: -ZI
Fl./01\1KiNG
Signed._____—____-_------,----------
, f--- ,----)7,,--1- -/---7
: —T_ _,,luppovgijw..: --____.j. am.....__
•
0 • ,
. tA, •jec*
...b.
• .
• % . .
• . ,,
44 1 0 • • , .
•
4.4.-1
,...... ,.,2
. ......
, 1
........
. h
' gui • 1 / 1
e. 5
* 1 4
ow° P1)
.. ....,
0 1 1
c."--6 ___,
--\
.
331 iii l'' .
I
• v:
.,....
7 0 ... . ! *Ni
t ,,,,otAi 1 • tiv ..
/7
ft do
4-t;'• i
- tr; 1
-- ft/P. •C 44 ' ,
..... , t
.4, ...... g
.. . .. 4
0 1
, ,1 Gd
,.... ...,
. ,
.., r
WPM, ale 4011.110101/10
..,,' -----7:-:,,t,:t= =.^Alfmt.';:r.'174;."Z„,
'''"-'''''::::;;;;;;; ;;::::,....,,,,,,......... - .
.,;;;',.......
. .
S. S 14 EZ't
.....
I 0T / 'a 014,0 c tqc I 4.
1S''''''' 1 /
Pi:10/ ei r \I
1,itAl9=1,..°4.7‘...^....'t,t.,4,4.1,14MIKVMS.0,1MIACk.**WWWONVIAIASO.HAMONNIVAMOVil.tbsVINCOMM. ...,F,...,M.M...IFM.1'...14001,11106,61,ffltr, ........1,1,4S040.04i..<066.4..5401,.....10,11,-,A...1+1.11.9.110.9..9111119Mil
6 et) j-4 ,
0 c 7