2003, 03-31 Permit App: 03002109 ResidenceProject Number: 03002109
Inv: 1
Application
Date: 3/31/2003 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
Setbacks: Front 25 Left: 15
Right:
Address: BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
16 Rear: 90 Phone: (509) 255-5000
Site Information: Project Name:
Plat Key: 006156 Name: SHELLEY LAKE 03RD ADD PUD District: F
Parcel Number: 45241.2606
Block: 1
SiteAddress: 849 S SHELLEY LAKE LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -3.5
Water District
Area: 12,747 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 71
Nbr of Dwellings: 1
Lot: 6
Owner: Name: GEORGE H. WHITE INC
Address: BOX 52
LIBERTY LAKE, WA 99019
Hold: El
Depth: 170 Right Of Way (ft): 30
Review
Site Plan Review
Relcased By:
Plan Review
..... . . .
Approach / Drainage
Released
BY:
Operator: RMB Printed By: RMB
Print Date: 3/31/2003
Project Number: 03002109
Inv: 1
Application
Date: 3/31/2003
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
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: E
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description, Gtr km Notes Su Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,636 $20,122.80 1,636 $20,122.80
DECK R-3 VN 140 $1,096.20 140 $1,096.20
GARAGE U-1 VN 748 $8,976.00 748 $8,976.00
RESIDENCE R-3 VN 1,655 $109,230.00 1,655 $109,230.00
Building Permit
Page 2 of 3
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Item Description
STATE SURCHARGE
RESIDENTIAL SURCHARGE
RESIDENTIAL VALUATION
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
Totals: 4,179 $139,425.00 4,179 $139,425.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$4.50
$240.90
$1,095.00
$1,340.40
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
5 NUMBER OF
1 NUMBER OF
1 . NUMBER OF
1 NUMBER OF
Operator: RMB Printed By: RMB
Fee Amount
$10.00
$12.00
$4.00
$50.00
$10.00
$10.00
$10.00
Permit Total Fees: $106.00
Print Date:
3/31/2003
Project Number: 03002109 Inv: 1
t
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/31/2003 Page 3 of 3
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Plumbing Permit
Units
3
6
2
1
1
1
1
1
1
2
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
$18.00
$36.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$114.00
UTILITIES REVIEW FOR "GFC" REQUIRED PRIOR TO ISSUANCE OF BUILDING PERMIT. JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,340.40 $1,340.40
$106.00 $106.00
$114.00 $114.00
$1,560.40 $1,560.40
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,340.40
$106.00
$114.00
$0.00
$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: 3/31/2003
Project Description:
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Al c.- i p S, A t it) c -€._- r v , c �-t A--11- G„q-it
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 S ane. i 1e`f L ke. LN CrgdaEe td4 9 037
45 Qct (• ;-bso�
Legal Description:
Low C,
mens'
L. k# 1 3 (a 4- d ct.(-- 1 �--,
Water' District/Purveyor
School District:
Sewer
Fire District:
'Road width;,,,
'Setbacks'
,'Front: 15/20
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
Left:
Right:
71 X )1t) - /0)1-7,11
0 Owner: n Phone:
4eVi/t-'G Fax:
0 Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip
City, State, Zip
Main floor sq. ft.
/(,..c -J
0 Contractor !�f (�A Phone y/�.
George 5
George
0 Architect/Engineer
Phone
Fax
i/ChiteFaI/K.•
Mailing address
Box 52
Mailing address
City, State Zip Liberty LaFe, `iia. 99019
City, State Zip
Finished basement sq. ft.
WA State Contractor license #
Contact name:
Construction typ
t✓/
PROJECT INFORMATION
Building Information
Building height to peak
,-/ f
# of stories
/
Main floor sq. ft.
/(,..c -J
Unfinished basement sq. ft.
/G 3 Co
Dimensions _
9
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
R
Construction typ
t✓/
Garage sq. ft. ��
Deck sq. ft
Cost of project(
_ D
Heat source (electric, gas, etc.)
n
1PL5 Permits Land Use System
Project 11 Search Project Name Search: Group Name Search:
r�
fif Combined Notes
Find, Add and Remove Notes
ddress
849 S SHELLEY LAKE LN, G UTILITIES CONDITIONS 2/26/2001 2:39:51 PM
Notes UTILITIES REVIEW FOR "GFC" REQUIRED PRIOR TO ISSUANCE OF
BUILDING PERMIT. JAS
Record: 24.1.4-11
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Monday, Mar 31, 2003 11:00 AM
ADDRE
ZONE
ROAD WIDTH
FRONT pi
COMMENT;"
REVIEWED B
This shy, r:ian k being submitted for the purpose of
• y p r- a nnd Is 0 ood correo
represcntatlen of the proposal. All known property
• lines/dimensions, curb lines structures and easa
have beenlrientifled. Also indicated are wetlands,
bodies of water, steep slopes or other crih.cal area
Signed:
q9(‘',-;) t