2002, 04-23 Permit App: 02002861 ResidenceProject Number: 02002861 Inv: 1
Application
Date: 4/23/2002 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 25 Left: 7 Right: 30 Rear: 50 Phone: (509) 255-5000
Group Name:
Site Information: Project Name:
..........................................................................................
Plat Key: 006156 Name: SHELLEY LAKE 3RD ADDITION
District: F
Parcel Number: 45244.2801 Block: 2
SiteAddress: 902 S SHELLEY LAKE LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 1
Owner: Name: GEORGE H. WHITE INC
Address: BOX 52
LIBERTY LAKE, WA 99019
Hold: ❑
Area: 12,094 Sq Ft Width: 101 Depth: 136 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
ation: :.
Review
Site Plan Review
Plan R
4tal '5 111 ►N11�[ -Tc
Released By.
Te) 5
Approach / Drainage
Sewer Review
Permits:
Released By:
A4.CfKD (ij1 L IT1 C iie.c JAt---
Operator: RMB Printed By: RMB Print Date: 4/23/2002
Project Number: 02002861
Inv: 1
Application
Date: 4/23/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GEORGE H WHITE CONST
Address:
Building Permit
Firm: GEORGE HARVARD WHITE CON
0 BOX 52 Phone: (509) 921-9752
LIBERTY LAKE, WA 99019
Building Characteristics
Group: R-3 Type: VN
Const Category: New
Nbr Of Dwellings: 1
Bldg W x D: 54
Req Parking:
Occupant Load:
x 52 Building Sq Ft:
0 Handicap Parking:
Description gm 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 APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
0 Building Height: 17
3490 Sprinklers:
0 Critical Materials:
This Application:
Sq Ft Valuation
1,745 $21,463.50
160 $1,252.80
576 $6,912.00
1,745 $115,170.00
Totals: 4,226 $144,798.30
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Stories: 1
Total Project:
Sq Ft Valuation
1,745 $21,463.50
160 $1,252.80
576 $6,912.00
1,745 $115,170.00
4,226 $144,798.30
Fee Amount
$1,120.00
$4.50
$246.40
Permit Total Fees: $1,370.90
Mechanical Permit
Units
1
4
6
1
1
1
Operator: RMB Printed By: RMB
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$4.00
$60.00
$10.00
$10.00
$10.00
$106.00
4/23/2002
Project Number: 02002861
Inv: 1
Application
Date: 4/23/2002 Page 3 of 3
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
WATER USING DEVICES
Notes:
Payment Summary: .;:>
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
6
1
2
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
Permit Total Fees:
Fee Amount Invoice Amount
$1,370.90 $1,370.90
$106.00 $106.00
$108.00 $108.00
$1,584.90 $1,584.90
Fee Amount
$18.00
$36.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
Amount Owing
$1,370.90
$106.00
$108.00
$0.00 $1,584.90
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 contrued 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: 4/23/2002
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: Je )
Res W4,-rti+c i1 ec V 4-4",4GG . - G A S
TYPE OF APPLICATION
31 Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: 9 0 2_
S' S- 1, e. L (e •-/
L I- K -e. L A rv�c. V.�.rp eL 4t le, 1L] 9'?o 37
Assessor's Tax Parcel Number(s):
1
Mailing Address:
/
Legal Description:
L o T
1, g L o c -(c Z
City, State, Zip
3 tr L 1�-ci 8,: t i it
11)1 X % 14f O
�'
Department Use Only
❑ Architect/Engineer
/
Mailing address George x While, Inc.
Bob 52
Water District/Purveyor:
Sewer District/Purveyor
City, State Zip
Liberty Lake, `INa. 99019
Road width i
Setbacks - I
Front
Left:
20 Rear: 30
111
Right:
School District:'_
Fire District:
9
l l'I2002
� `.
Zoning
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
e C -
❑ Owner: Phone:
T p Fax:
0 Applicant:
Phone:
rT "' "y.Fax:
Main floor sq. ft.
Mailing Address:
Mailing Address:
habitable space
/ 7Y,
2"d floor sq. ft.
.--
City, State, Zip
City, State, Zip
Construction type
Garage sq. ft. � �
Contractor Phonet�]]
❑ Architect/Engineer
Phone
Fax
Mailing address George x While, Inc.
Bob 52
Mailing address
City, State Zip
Liberty Lake, `INa. 99019
City, State Zip
RECEIVED
WA State Contractor license #
G e o r 9 A 1„) & S 1 P 8
Contact name:
9
l l'I2002
� `.
PROJECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
DimensionsTotal
511 X S_Z
habitable space
/ 7Y,
2"d floor sq. ft.
.--
Finished basement sq. ft.
Occupancy group 3
Construction type
Garage sq. ft. � �
Deck sq.
Cost of project—. 61 Q
'5%5 . ----
Heat source (electric, gas, etc.)
G /4
Manufactured Home
Sign'
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation
Fire Safety
Firm Name
What is the current use of this property
\/ AC. 44-v —7- 1 ,U 6*, V e /0 p kr,e.-v
Previous address
Will the site be served by a septic system? 0 Yes JNo
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
_
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property
\/ AC. 44-v —7- 1 ,U 6*, V e /0 p kr,e.-v
Phone
Will the site be served by a septic system? 0 Yes JNo
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the propert ?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / T) 0 Yes XNo
Are critical or hazardous materials used or stored on site?
0 Yes )(No
Address
Inspector
Phone
0 Concrete
O Welding
O Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes `� No
If yes, identify on site plan ' \
What is the current property size?
(square feet or acres) / � Q om! 4 s F
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes ANo
What is the current use of this property
\/ AC. 44-v —7- 1 ,U 6*, V e /0 p kr,e.-v
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes J No
Will the site be served by a septic system? 0 Yes JNo
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes X No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes No
\
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes ,(No
Is there evidence of fill or excavation on the propert ?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / T) 0 Yes XNo
Are critical or hazardous materials used or stored on site?
0 Yes )(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 0 No
Is the property inside the ASA?
0 Yes 0 No
O Yes 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:
SITE ADDRESS: 902.e 5 I e f i• Lk PERMIT NO.
DATE • /6 4 -Pr
o Z
INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form. Your building must match the selected option requirements without
exceptions or substitutions.
2) Glazing percentage typically determines which option to choose. Complete the following glazing area calculation
before proceeding to the option table below.
GLAZIN
LCULA
W CJ
TOTAL WINDOW ARE
NOTE:
e -/e, (NJ
F.
HEATED FLOOR
L FLOORS) % OF GLAZING
Use rough opening (R/O) for window area. Include all half -lite and full -lite door glazing in this
calculation.
CAN'T COMPLY? If none of the Prescriptive (Chapter 6) Options below are acceptable, consider the Component
Performance (Chapter 5) Approach. The main advantage is flexibility to juggle individual R and U -values as long as an
overall maximum value isn't exceeded. Note that the overall Component Performance requirements are no less stringent
than the Prescriptive requirements. Calculations may be performed with a Component Performance (Chapter 5) method
or by using an acceptable computer program such as WATTSUN 5.6.
OPT II
OPT III
OPT IV
OPT VI
OPT VII
(5 2 stories)
Glazing Max.,
% of floor
Glazing U -Factor
Vertical
Door U -Factor
Ceiling
Vaulted Ceiling
Walls:
Above grade
Or Below grade
applied interior
applied exterior
Floor
R -19+R -5z
R -19+R-52
R-21
R-12
R-30
Slab on Grade
0.20
t-38 Adv
21+R-7.5? '.
R-21
R-12
R.30
R10
Footnote:
1 If a proposed design has a glazing ratio to the conditioned floor area of 19%, it must comply with the next highest glazing
option of 21%.
2 This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
3 This wall insulation requirement denotes R-21 wall cavity insulation plus R-7.5 foam sheathing.
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