2003, 03-31 Permit App: 03002134 ResidenceProject Number: 03002134 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 Address: BOX 52
Setbacks: Front 25 Left: 6 Right: 6 Rear: 60
Site Information:
Plat Key:
Name:
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 255-5000
Group Name:
Project Name:
District: F
Parcel Number: 45244.2612 Block: 1
SiteAddress: 861 S SHELLEY LAKE LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 9,403 Sq Ft Width: 79 Depth: 137 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot: 12
Owner: Name: GEORGE 11 WHITE
Address: BOX 52
LIBERTY LAKE, WA 99019
Hold: ❑
Review Information:
Review
Site Plan Review
Released By L
al
Plan Review
Released By ii •)
Approach / Drainage
-4664 Ca4A.- Pplottal
, %pit uct
Sewer R
Permits:
Released By: ' >r,4> 06 i1 ` 03
411:;(10D - c Vtl l,IT(E- 144', n3 - . /Sin
Operator: RMB Printed By: RMB
Print Date: 3/31/2003
Project Number: 03002134 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 3/31/2003 Page 2 of 3
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Building Characteristics
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Description Type Notes
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
Type:
Building Height: Stories:
L Sprinklers: u
Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,636 $20,122.80 1,636 $20,122.80
140 $1,096.20 140 $1,096.20
748 $8,976.00 748 $8,976.00
1,655 $109,230.00 1,655 $109,230.00
Totals: 4,179 $139,425.00 4,179 $139,425.00
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$1,095.00
$4.50
$240.90
Permit Total Fees: $1,340.40
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
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Units
1
1
5
5
1
1
1
Operator: RMB Printed By: RMB
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$5.00
$50.00
$10.00
$10.00
$10.00
$107.00
3/31/2003
Project Number: 03002134
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
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
WATER PIPING - DWV
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
6
2
1
1
1
1
1
1
2
Fee Amount
$1,340.40
$107.00
$114.00
Page 3 of 3
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:
Invoice Amount
$1,340.40
$107.00
$114.00
$1,561.40 $1,561.40
Fee Amount
$18.00
$36.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$114.00
Amount Owing
$1,340.40
$107.00
$114.00
$0.00
$1,561.40
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
SPOKANE COUNTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description:
TYPE OF APPLICATION
XBuilding Permit
O Change in Use
0 Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
Street Address:
SC 1
Assessor's Tax Parcel Number(s):
S S In c. C (l `f L kms. LCV )ed a- C e Ct 4, 99► e 37
Legal Description:
Lo-rt12 GLk #1 3r
44 4411 py
m
se
Water District/Purveyor:
SchoolFDistric
Sewer District/Pury
Fire District:
Setbacks.-
'Front:
Zoning
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
-)6 131 Icio
❑ Owner: /� Phone:
5 Orn. A- ` Fax:
0 Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
Dimensions ,1
(c7_,< 6-4
City, State, Zip
City, State, Zip
Finished basement sq. ft.
Contractor Phone0
George 5i.('Cfite FaIyc•
Architect/Engineer
Phone
Fax
Mailing address
B 5
Mailing address
Cost of project
City, State Zip
Liberty Lak.....e, 'Wa. 99019
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
�/ `
# of stories
/
Main floor sq. ft.
/(� s
Unfinished basement sq. ft.
/G 3 Gp
Dimensions ,1
(c7_,< 6-4
Total habitable space
/ e b 4
2nd floor sq. ft.
Finished basement sq. ft.
________
Occupancy group
Construction typ
Garage sq. ft. ��
Deck sq. �
Cost of project
Heat source (electric, gas, etc.)
r
rep��
:Inc,lc it
hsiVe
bodies
signed:
pJrpose of
•e and correct
•n,� ti Y
d ca ments
ai areas.
1
•RiAR&C
F Q NT 2S r
(r)
ZONE ',,$
ROAD WIDTH 30
FRONT__ZS_ F ANKINC
c Ov
RE\E
1
79,05'
862 1 s c -i- r, ,J LAKE
/4_,Q
Lon- _ (3�_o e� 1 5l -t Ft_ X7'1 A -`4-F___3 e2,,
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OIC`�� Cwt 'rJ L.i G EU:Jk7G-- 'IN) C.)
92 1 5 1 6')( ,Lte \.J'