2003, 03-20 Permit App: 03001806 ResidenceProject Number: 03001806 Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/20/2003 Page 1 of 3
Proiect Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 25 Left: 6 Right: 6 Rear: 50
Site Information:
............................
............................
Plat Key: Name:
Parcel Number: 45244.2613
Contact: GEORGE H WHITE, INC
Address: BOX 52
C - S - Z: LIBERTY LAKE WA 99019
Phone: (509) 921-9752
Group Name:
Project Name:
Block: 1
SiteAddress: 903 S SHELLEY LAKE LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Lot: 13
Owner: Name: GEORGE H WHITE, INC
Address: BOX 52
LIBERTY LAKE WA 99019
Hold: ❑
Area: 10,253 Sq Ft Width: 75 Depth: 138 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ;;.................
Review
Site Plan Review
Released.'Byl`
Plan Review
Released By:
Approach / Drainage
� 3 JNA. al.
Sewer Rev'ew
—3 r t PO -2,
Permits:
Released By:
Released By:
tVer-S 24/0
Operator: JAS Printed By: JAS Print Date: 3/20/2003
Project Number: 03001806
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/20/2003 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:
Building Permit
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Group: Type:
Occupant Load: Building Height: Stories:
Building Sq Ft: Sprinklers: ❑
Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,823 $22,422.90 1,823 $22,422.90
168 $1,315.44 168 $1,315.44
768 $9,216.00 768 $9,216.00
1,829 $120,714.00 1,829 $120,714.00
Description g km 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
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Totals: 4,588 $153,668.34 4,588 $153,668.34
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,165.00
$4.50
$256.30
$1,425.80
Firm: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$30.00
$10.00
$10.00
$10.00
Permit Total Fees: $107.00
Print Date: 3/20/2003
Project Number: 03001806 Inv: 1
• Application
•
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/20/2003
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
CROSS CONNECTION DEVICES
WATER USING DEVICES
Notes: :>
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
5
1
2
1
1
1
1
1
3
Fee Amount
$1,425.80
$107.00
$108.00
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
$1,425.80
$107.00
$108.00
$1,640.80 $1,640.80
Fee Amount
$12.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
Amount Owing
$1,425.80
$107.00
$108.00
$0.00
$1,640.80
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: JAS Printed By: JAS Print Date: 3/20/2003
SPOKANE COUNTY
. PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFprfriPift fl
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: %UE U._)
RP_s 1 A 1 ru C. -e—. c.c 1 3 G /#�f` A-"
TYPE OF APPLICATION
XBuilding Permit
In Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:
Legal Description:
90 � s S �L c (�., j L Ice- L J Lk( c i a k t 4 9 037
L c�T 3 Rp
Assessor's Tax Parcel Number(s):
L k •1
epartment Use Only
Water District/P,tirveyor:
School. District:
Setbacks
Front:
Fire District:.
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
0 Owner: A Phone:
4t•W-'e-+' Fax:
❑ Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
Dimensions
5C, x ( 2.-
City, State, Zip
City, State, Zip
Finished basement sq. ft.
0 Contractor � Phone
George 9-1: (i4)hiteFaInc.
0 Architect/Engineer
Phone
Fax
Mailing address
Bo52
Mailing address
Cost of project
/ 3 2 Z 60
Ciry, State Zip
N b
Liberty Lake, 'Jl)� 99019
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
'
I
# of stories
/
Main floor sq. ft.
/ S Lq
Unfinished basement sq. ft.
1823
Dimensions
5C, x ( 2.-
Total habitable space
36'52
2"d floor sq.ft.
Finished basement sq. ft.
Occupancy group...,
Construction type \
AJ
Garage sq. ft. _76 j
Deck sq. ft.
168
Cost of project
/ 3 2 Z 60
Heat source (electric, gas, etc.)
6 A-5
9'03
LOT- 3Lbtz \' (SV'CELL
c
3 76 7°3