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2001, 06-08 Permit App: 01004460 ResidenceProject Number: 01004460 Inv: 1 Application Date: 6/8/2001 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/GARAGE - F A GAS Setbacks: Front 25 Left: 6 Right: 6 Rear: 30 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: Project Name: District: F Parcel Number: 45245.9000 Block: 3 SiteAddress: 856 S SHELLEY LAKE LN GREENACRES, WA USA 99016 Location:: GRE Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Lot: 2 Owner: Name: GEORGE H WHITE INC Address: PO BOX 52 LIBERTY LAKE, WA 99019 Hold: ❑ Area: 8,488 Sq Ft Width: 70 Depth: 113 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: BUIL .1 Orlt Pe t Conditions: easons: UTILITIES Permit Conditions: Permits: Plan Review Released By. •4 5 Approach / Drainage Special Reviews Released, 0:1-n- (40 t 41W0a-Aui (1). Sewer Review Released By ��S Project Number: 01004460 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Date: 6/8/2001 Page 2 of 3 Contractor: GEORGE H WHITE CONST Address: 0 BOX 52 LIBERTY LAKE, WA 99019 Building Characteristics Group: R-3 Type: VN 1 Occupant Load: Building Height: 20 63 Building Sq Ft: 4035 Sprinklers: 0 Handicap Parking: Critical Materials: 0 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,955 $22,599.80 1,955 $22,599.80 130 $956.80 130 $956.80 740 $8,880.00 740 $8,880.00 2,080 $128,960.00 2,080 $128,960.00 Const Category: New Nbr Of Dwellings: Bldg W x D: 53 x Req Parking: Firm: GEORGE HARVARD WHITE CON Phone: (509) 255-9204 Description Grp Type 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 Notes 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 Stories: 1 Totals: 4,905 $161,396.60 4,905 $161,396.60 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 1 Fee Amount $1,205.00 $4.50 $265.10 $1,474.60 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 $50.00 $10.00 $10.00 $10.00 $10.00 $119.00 Project Number: 01004460 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 Plumbing Permit Units 4 8 1 3 1 1 1 1 2 Payment Summary;:::.......................................................... Operator: MKC Printed By: MKC Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Fee Amount $1,474.60 $119.00 $132.00 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: Invoice Amount $1,474.60 $119.00 $132.00 $1,725.60 $1,725.60 Fee Amount $24.00 $48.00 $6.00 $18.00 $6.00 $6.00 $6.00 $6.00 $12.00 Amount Paid $0.00 $0.00 $0.00 $132.00 6/8/2001 Amount Owing $1,474.60 $119.00 $132.00 $0.00 $1,725.60 1HH [ SPOKE COUNTY Project Description: - (-P-1670/ PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 r,lFz t„) r slrtAcl c TYPE OF APPLICATION 4 c Ci r '54 Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: e`t % sk.e l (e ,( L l4 LQ. L A i•J.e.... Ve, 1) !1 Le W �l, Assessor's Tax Parcel Number(s): 9 3 7 Legal Description: L oT t �d .� - to o»�T� o,V SG,e l te.y L Department Use Only Mailing Address: 2'"' floor sq. ft. Water District/Purveyor: Sewer District/Purveyor City, State, Zip Construction type v -/d% Road width Setbacks Front: Rear: Left: Right: School District: Fire District: Mailing address George White, ` 4" Inc.Inc Zoning OWNER/APPLICANT INFORMATION El Indicate who should he contacted regarding this project El Owner: Phone: Fax: ❑ Applicant Phone: f 1"� ( _ Fax: Mailing Address: Dimensions mensions e # s3 (r2, Mailing Address: 2'"' floor sq. ft. City, State, Zip City, State, Zip Construction type v -/d% trContractor Phone Fax 0 Architect/Engineer Phone Fax Mailing address George White, ` 4" Inc.Inc Mailing address City, State Zip Wo 52 `�/� .9019 City, State Zip WA State Contract. Contact name: PROJECT INFORMATION Building Information Building height to peak 4' of stories / Main floor sq. ft. 26 30 Unfinished basement sq. ft. /5',5-..C.- 7JJDi2c) Dimensions mensions e # s3 (r2, 'Coral habitable space 403.a 2'"' floor sq. ft. Finished basement sq. ft. Occupancy group/73 jC/ Construction type v -/d% Garage sq. ft.�/� lJ Deck sq.f Cost of project/ �source 1 2, ,D0 ,„ J A Heat sourrce(electric, gas, etc.) (.O S 'i~- <.: , c r : ; rL , r- Manufactured`Home'` Width: Length: Sign What is the square footage of the sign face? Year: IA Make: # of signs How high is the sign? Area of existing signs Previous address Fire Safety Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? %fie s L 0 T Phone Will the site be served by a septic system? 0 Yes rsk. No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Yes tSI!No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( — %) 0 Yes XNo Are critical or hazardous materials used or stored on site? 0 Yes I'' No Address Inspector Phone O Concrete O Welding O Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes A No Ifyes, ident f on site plan What is the current property size? (square feet or acres) e).198 r _ Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan 0 Yes X No What is the current use of this property? %fie s L 0 T Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes ,tEk No Will the site be served by a septic system? 0 Yes rsk. No Is any part of the property within a 100 yr flood plain? Ifyes, identify on site plan 0 Maybe 0 Don't know Yes 0 No Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes l0' No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, ident f on site plan 0 Yes g No Is there evidence of fill or excavation on the property? 0 Yes tSI!No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( — %) 0 Yes XNo Are critical or hazardous materials used or stored on site? 0 Yes I'' No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is public sewer available to the site? 0 Yes O No Is the property inside the ASA? 0 Yes O Yes 0 No O No Is public water available to the site? 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: PLUMBING PERMIT APPLICATION PROJECT ADDRESS: . 62 s ./4 L/L� ..: PERMIT Q res W 3 c /4 r' A- Tt OWNER: Ver4 DAt-C W732 PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: George 5-f White, Inc_ LICENSE: q eo rc k w 6, 9 i P 8 MAILING ADDRESS: PHONE: Liberty Lake, 'Wa, 99019 (Street) (City/State) (Zip) PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- PBYD COST/ UNIT . EQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS 3 x 56 — a / 45 B031' URINALS x 56 — B04' TUBS - 2 x 56 — / 2— . B05 . SHOWERS (per trap) BATH, STALL, ON-SITE BUILD / x 56 — B06' SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT C.I/ x 56 — 3 B07 DISHWASHER- / x 56 — w B08 CLOTHES WASHER - / x 56 — G B09 GARBAGE DISPOSAL/GRINDER - / x 56 — B10 WATERSOFIENER - x 56 — B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) x 56 — B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE i x 56 = B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x 56 = B14 FOUNTAINS, DRINKING - x 56 — B15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x 56 = 1 B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x 56 - B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS x 56 = B18 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 56 B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x 56 — B21 MISCELLANEOUS FIXTURES 56 11ETHOD OF PAYMENT SUBTOTAL / Z O� Ci r— PLUS PROCESSING FEE 5 25.00 a CASH • CHECK MI ® Il r IJCCVEli --- "` FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE (� --7 J` )ATE: EXPIRES: MINIMUM PERMIT FEE IS S35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER ANKCARD NUMBER: .LITHORIZED 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 MECHANICAL PERMIT APPLICATION PROJECTt_ ADDRESS: �S S G (� +� Lk. LA eke . PERMIT nn / USE: l< e l c�,r 3 C A r T. OWNER: PHONE (Daytime Contact): MAILING ADDRESS: 1%e r ►� 1�,� l -e 91c) 3 % CONTRACTOR: (Street) George White, Zne. (City/State) (Zip) MAILING ADDRESS: Box 52 Liberty. Lc*, `INa. 99019 (Street) LICENSE: clPae"ghwl&91PS PHONE: (5--,5J 9'2 5?a `2. (City/State) B12 BOILER/REFRIGERATION + 1,750M BTU X 560 $ B13. GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE X 510 B14 B15 B16 B17 B18 B19 B20 B21 B22 B23 B24 B25 B26 B27, B28. B29 B30 B31 B32 RANGE DRYER FUEL BURNING WATER HEATER X X X 510 510 510 MISCELLANEOUS FUEL BURNING APPLIANCE X 510 GAS PIPING (ea. Outlet) X DUCT SYSTEMS X 51I 510 5 /0 $ / 0 5 S $ VENTILATING FANS AIR HANDLER (DOES NOT include duct systems) = OR <10,000 CFM s X 510 X 512 5 sO S AIR HANDLER (DOES NOT include duct systems) > 10,000 CFM X 515 $ EVAPORATIVE COOLERS X 510 $ TYPE I HOOD X 550 5 TYPE II HOOD X HEAT PUMP/AIR CONDITIONER 0-3 TONS X AIR CONDITIONER 3-15 TONS X 510 512 I 520 S / 0 5 S AIR CONDITIONER 15-30 TONS X 525 S AIR CONDITIONER 30-50 TONS X 535 5 AIR CONDITIONER LPG STORAGE TANK +50 TONS X 560 5 WOOD OR PELLET STOVE/INSERT X 510 5 X 525 $ METHOD OF PAYMENT VISA 1 CASH ❑ CHECK 0 ® ❑ 0 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 71JCOVEr. ]ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: SUBTOTAL PLUS PROCESSING FEE 5 25.00 TOTAL PERMIT FEE DUE ' MINIMUM PERMIT FEE IS S35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Spokane County Division of Building A. Code Enforcement 1026 West Broadway Avenue *Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 DESCRIPTION OF WORK # OF UNITS MULTI- PBy° COST/ UNIT EQUALS AMOUNT ;B02;- FUEL BURNING APPLIANCE — OR <100,.000 X 512 ' — $ `803.; FUEL BURNING APPLIANCE >100,000 / X 515 — $ /J =804;; UNLISTED APPLIANCE (ADDITIONAL CHARGE) — OR <400,.000 X 550 — 5 =804:€ UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X 5100 — 5 BOK USED APPLIANCE (Must meet WSEC's min. AFUE rating) — OR <400,.000 X 550 — $ >B07;.' USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 X 5100 — 5 -B08 „ BOILER/REFRIGERATION 1-1OOM BTU X $12 — $ 'BO BOILER/REFRIGERATION 101-500M BTU X 520 — 5 B10 : BOILER/REFRIGERATION 501-1,000M BTU X 525 — $ B11x> ROIT.FR/REFR1CFRATTCIM 1 rani 1 7CAI .!' 'TT T v ..,' B12 BOILER/REFRIGERATION + 1,750M BTU X 560 $ B13. GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE X 510 B14 B15 B16 B17 B18 B19 B20 B21 B22 B23 B24 B25 B26 B27, B28. B29 B30 B31 B32 RANGE DRYER FUEL BURNING WATER HEATER X X X 510 510 510 MISCELLANEOUS FUEL BURNING APPLIANCE X 510 GAS PIPING (ea. Outlet) X DUCT SYSTEMS X 51I 510 5 /0 $ / 0 5 S $ VENTILATING FANS AIR HANDLER (DOES NOT include duct systems) = OR <10,000 CFM s X 510 X 512 5 sO S AIR HANDLER (DOES NOT include duct systems) > 10,000 CFM X 515 $ EVAPORATIVE COOLERS X 510 $ TYPE I HOOD X 550 5 TYPE II HOOD X HEAT PUMP/AIR CONDITIONER 0-3 TONS X AIR CONDITIONER 3-15 TONS X 510 512 I 520 S / 0 5 S AIR CONDITIONER 15-30 TONS X 525 S AIR CONDITIONER 30-50 TONS X 535 5 AIR CONDITIONER LPG STORAGE TANK +50 TONS X 560 5 WOOD OR PELLET STOVE/INSERT X 510 5 X 525 $ METHOD OF PAYMENT VISA 1 CASH ❑ CHECK 0 ® ❑ 0 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 71JCOVEr. ]ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: SUBTOTAL PLUS PROCESSING FEE 5 25.00 TOTAL PERMIT FEE DUE ' MINIMUM PERMIT FEE IS S35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Spokane County Division of Building A. Code Enforcement 1026 West Broadway Avenue *Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 D R ZONE_ R CAD 1/, . _ ii -1 3() / n Z T RS -6, 115/1/zzty CPO, COO /117— 2e," ( 7)--14-7,9 /w/r/�41 Ail -4 r "(L. , ( 1.1‘; , 9/9 •