The URL can be used to link to this page

2005, 09-21 Permit App: 05003384 ResidenceProject Number: 05003384 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/21/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Setbacks: Front 20 Left: 8 Right: 8 Rear: 30 Site Information: Plat Key: Contact: GEO. H WHITE INC Address: PO BOX 52 C - S - Z: LIBERTY LAKE, WA 99019 Phone: (509) 921-9752 Group Name: Project Name: Name: SHELLEY LAKE 4TH ADD PUD District: East Parcel Number: 45244.2902 Block: 1 SiteAddress: 907 E SHELLEY LAKE LN Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: Lot: 2 Owner: Name: GEO. H WHITE INC Address: PO BOX 52 LIBERTY LAKE, WA 99019 Hold: ❑ Area: 8,978 Sq Ft Width: 40 Depth: 116 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information:, Review Site Plan Review Released By: Originally Released: Plan Review 09/21/2005 By: CJJANSSE Released By: Originally Released: Approach / Drainage 09/21/2005 By: TMELBOU Released By: N/A -PRIVATE LANE Originally Released: 09/21/2005 By: CJJANSSE Sewer Review Permits: Operator: CJJ Printed By: CJJ R7eleased By Print Date: 09/21/2005 Project Number: 05003384 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/21/2005 Page 2 of 4 Approach Contractor: GEORGE H WHITE CONST Firm: GEORGE HARVARD WHITE CON Address: 0 BOX 52 Phone: (509) 921-9752 LIBERTY LAKE, WA 99019 Building Permit Contractor: GEORGE H WHITE CONST Firm: GEORGE HARVARD WHITE CON Address: 0 BOX 52 Phone: (509) 921-9752 LIBERTY LAKE, WA 99019 Building Characteristics Total Area 2005 Building Height 22 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Su Ft Valuation Su Ft Valuation BASEMENT U R-3 VB 2,142 $32,130.00 2,142 $32,130.00 DECK R-3 VB 280 $4,200.00 280 $4,200.00 GARAGE U-1 VB 730 $13,870.00 730 $13,870.00 RESIDENCE R-3 VB 2,205 $164,669.40 2,205 $164,669.40 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 5,357 $214,869.40 5,357 $214,869.40 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,637.75 $4.50 $655.10 Permit Total Fees: $2,297.35 Operator: CJJ Printed By: CJJ Print Date: 09/21/2005 Project Number: 05003384 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/21/2005 Page 3 of 4 Contractor: S & R HEATING Address: 15501 N YALE RD MEAD, WA 99021 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS RANGE GAS LOG OR GAS INSERT HOOD -TYPE II Contractor: PRECISE CONSTRUCTION Address: 602 S SHELLEY LAKE LN VERADALE, WA 99037 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER ROOF DRAINS WATER USING DEVICES Mechanical Permit Firm: S & R HEATING, INC Phone: (509) 467-3960 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 4 # OF UNITS 1 NUMBER OF 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $10.00 $10.00 $12.00 $4.00 $12.00 $40.00 $10.00 $10.00 $10.00 Permit Total Fees: $118.00 Plumbing Permit Firm: PRECISE CONSTRUCTION Phone: (509) 218-1718 Units Unit Desc 2 NUMBER OF 5 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: CJJ Printed By: CJJ Fee Amount $12.00 $30.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 Permit Total Fees: $78.00 Print Date: 09/21/2005 Project Number: 05003384 Notes: Inv: 1 Application THIS IS NOT A PIRMIT Penalties will be assessed for commencing work without a permit Date: 09/21/2005 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $2,297.35 $118.00 $78.00 Invoice Amount $2,297.35 $118.00 $78.00 $2,493.35 $2,493.35 Amount Paid $0.00 $0.00 $0.00 Amount Owing $2,297.35 $118.00 $78.00 $0.00 $2,493.35 Page4of4 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: CJJ Printed By: CJJ Print Date: 09/21/2005 PERMIT APPLICATION WORK SHEET [LE II -POKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague A.ve Ste 106 ! ! Spokane Valley, WA 99206 (7 -Phone: (509)688-0036 Fax: (509)688-0037 Nbiafitttpl INFORM APQN STREET ADDRESS: q07LiT ASSESSOR'S TAX PARCEL NUMBER(SI: a 1-FA)iI is ' 6 - LEGAL DISCRIPTION: „ c0,/ A 7 •v 4) - trs PERMIT DESCR TION : . ING PERMIT QRELOCATION • a CHANGE IN USE GRADING CISIGN 0 -TENANT al-MANUFACTITRED HOME OWNER / APPLICANT INFORMATION 1 CI OWNER:Lt -L c-0,41 riv a PHONE: 12 '22/—/77 ADDRESS: t 0 Y z="-- 2/ L/ •(Al • CITY,STATE, ZIP CONTRACTOR: ._91 LT PHONE: FAX: ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR UCENSE geo E-79 t? 6 Ai t.--) / Pe? CONTACT: PERMIT/BUILDING INFORMATION .0 APPLICANT: PHONE: ADDRESS: FAX: ARCHITECT.: PHONE: ADDRESS: Y71 FAX: CITY, STATE, ZIP CITY, STATE, ZIP -7 COST Of PROJECT: Mi 0 6 30% SLOPES ON PROPERTY: • BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP BUILDING DIMENSIONS: --- NUMBER OF STORIES: 1 NUMBER of BEDROOMS:2___L___ FLANKING SETBACK: FRONT SETBACK: .ef2 0 REAR SETBACK: LEFT SETBACK: g RIGHT SETBACK: er CONSTRUCTION TYPE:Uj 1: STRUCTURES ON PROpERTY: - CRITICAL AREAS: r CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: CURRENT SEPTIC CURRENT WELL USE: , ri IMPERVIOUS SURFACE AREA: Q Feco 41P, MAIN FLOOR SQ FT. 2N0 FLOOR SQ FT: UNFIN BASEMENT FINISHED BASEMENT: GARAGE:J-1-C-1"---73`: COVERED DECK: 2g e - DECK: 44' PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-00$7 For Inspections, CaII (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: 9d7 (# 7 z / G An/ Permit Use: Owner. G • )4 w 1.4 r r— ±-40 I (. Phone (Daytime Contact): Mailing Address: Q X s'f Usk kA-' 99,1.) f City Contractor. P E'bC C.r& cdloysr.. Mailing Address: State Zip Code License #: Phone #: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE:, �=-') r DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 2- X 56.00 = 2 URINALS X 56:00 = 3 TUBS X 56.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT S X 56.00 = 5 SINKS LAVSIBASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 = 6 DISHWASHER X 56.00 7 CLOTHES WASHER ilf / X 56.00 = 8 GARBAGE DISPOSAL X 56.00 = 9 WATER SOFTENER X 56.00 = 10 ELECTRIC HOT WATER TANK NOTE IF GAS, SEE MECHANICAL X 56.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE / X 56.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 56.00 = 13 FOUNTAINS, DRINKING X 56.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 56.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE. MAKER, HOSE BIB, —"'`• STEAMER PROOFER, CARBONATOR, SWAMP COOLER `I X 56.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 56.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 = 20 MISCELLANEOUS PLUMBING FOCTURE X 56.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X 520.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK DATE SUBTOTAL 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERM T FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE:, �=-') r MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: i w 407 i' . C Permit Use: Owner. CnL0 , Slv C Mailing Address: Ie.. 6 • r,' Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone (Daytime Contact): SCity Contractor. tf-\ License #: Mailing Address: State Phone#: Zip Code State DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ' X 31200 2 FUEL BURNING APPLIANCE More than 100,000 X 315.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X 3100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X 3100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X 312.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 -1,000M BTU X $25.00 = 10 BOILAWREFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X 360.00 = 12 GAS LOG, GAS INS -4 , GAS FIREPLACE , X $10.00 = 13 S RANGE . I X 510.00 14 DRYER X 310.00 15 FUEL BURNING WATER HEATER 1 X 310.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) L 7/ X 31.00 = 18 DUCT SYSTEMS / X $10.00 = 19 VENTILATING FANS f/ X 310.00 -• 20 AIR HANDLER (DOES NOT include ducting) Equal to or Tess than 10,000 CFM X $1200 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 315.00 = 22 EVAPORATIVE COOLERS X 310.00 _ 23 TYPE I HOOD X 350.00 = 24 TYPE II HOOD / X 510.00 = 25 HEAT PUMP/AIR CONDnTONER 0-3 TON / X 51200 = 26 AIR CONDmONER 3-15 TON X $20.00 = 27 AIR CONDmONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X 335.00 = 29 AIR CONDmONER More than 50 TON X 560.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE INSERT X 510.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X 515.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST_ X $12.00 = 36 INCINERATOR - RESIDENCE X 319.00 = 37 INCINERATOR - COMMERCIAL X 322.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK VISA 0 MC CARD ii- -------Th..- SUBTOTAL DATE PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE J - •„CS tSj.9O O Qa• ate, • g'c77g SFA 274'' IIne at "q/1hP ,i (/ 1k r a ''°O 6S � SP O/ O �� X07 4r0 rre,,, drj ar ryS eOS, //L' (E5, PNIC_}_ 9 • /0A /c GoT 4etAr- LAkL ," 92(-777 FAX