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Home My WebLink About2004, 11-19 Permit App: BLD-04-08149 Residencersru � Stiokane 40,,,. 'Malley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 917 S SHELLEY LAKE LN SPOKANE VALLEY WA 99037 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: GEORGE H WHITE INC GEORGE H WHITE INC PO BOX 52 LIBERTY LAKE, WA 99019-0052 GEORGE H WHITE INC PO BOX 52 LIBERTY LAKE WA 99019-0052 Lot: Blk: Parcel No: Application #: BLD -04-08149 Applied: 11/19/2004 Issued: Expires: 05/18/2005 Zoning: Phone: (509) 921-9752 Phone: Lic No: (509) 921-9752 GEORGHWO91 P8 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY CURRENT PROPERTY SIZE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL >100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON sfr 178672 20 47 X 60 1 2 20 40 10 10 r-3 5-n 1 13732 no no 3 3 5 1 1 1 1 2 1 1 1 1 4 4 1 1 Fees: PLAN CHECK FEE TYPE II HOOD BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL > 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: 574.46 10.00 1,436.15 4.50 18.00 18.00 30.00 6.00 6.00 6.00 6.00 12.00 19.00 10.00 10.00 10.00 4.00 40.00 12.00 2,232.11 0.00 CITY OF SPOKANE VALLEY1 APPROVED FOR SUBMITTAL Building Planning ccec Public Works l tal Due: 2,232.11 5D'20 Q,,w- OL-( - ESI THIS IS NOT A RECEIPT SPolian'e‘'` .0#Valley NOV i D PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILD/NG DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 ti g Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: S/IL,-zL I i 44 -4 -L -- ASSESSOR'S 4-4-L ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: `b -r -7/ ISCO C 1 S/4 ��Z C Ly PERM ESCRIPTION: UILDING PERMIT URELOCATION a CHANGE IN USE • ❑ GRADING a MANUFACTURED HOME 0 SIGN 0 -TENANT 0-0FHIR OWNER / APPLICANT INFORMATION J 1 OWNER: LT (Jc, /4 , W )4 I rL -i-' P (, 0 PHONE:92 k 1v7 S L� FAX: 6j k �7 y ADDRESS: e U /' � L J (, Lid , l�1{ l� 9Q U/(/ CITY,STATE, ZIP ❑CONTRACTOR: <''•' C 0 PHONE: ADDRESS: CITY, STATE, ZIP FAX: WA ST CONTRACTOR LICENSE # APPLICANT: PHONE: FAX: ADDRESS: //�� CITY, STATE, ZIP ARCHITECT: D6 fl) 1 V PHONE`S7 FAX: ADDRESS' CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 9 G, GG Q BUILDING HEIGHT TO PEAK: 0 I BUILDING DIMENSIONS: 07y6 G NUMBER OF STORIES: I NUMBER of BEDROOMS: 2 - FLANKING FLANKING SETBACK: FRONT SETBACK: 9 0 / REAR SETBACK: (-(0 G r LEFT SETBACK: RIGHT SETBACK: / 30% SLOPES ON PROPERTY: N 6 MAIN FLOOR SQ FT:I76 / OCCUPANCY GROUP: R-3 2ND FLOOR SQ FT: CONSTRUCTION TYPE: ('- O C/a'1/17' UNFIN BASEMENT 6O STRUCTURES ON PROPERTY: ISI 0 FINISHED BASEMENT: I6g8 CRITICAL AREAS: GARAGE: 7 3 7 y CURRENT PROPERTY SIZE: IS/ 732-- COVERED DECK: CURRENT PROPERTY USE: L6 T DECK: I i( pe CURRENT SEPTIC USE: � / T, CURRENT WELL USE: C ► T1/ IMPERVIOUS SURFACE AREA: MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS:. CITY, STATE, ZIP INSPECTOR: - PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS BOLTING °CONCRETE 0 REINFORCEMENT 0 WELDING FIRM NAME: PHONE: FAX: INSPECTOR(S): BUILDING STAFF USE ONLY i IS PUBLIC SEWER AVAILABLE: ® YES 0 NO IS PUBLIC WATER AVAILABLE: ® YES a NO IF YES: COUNTY 0 CITY IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: 0 YES 0 NO DATE: 1 STAFF: METHOD OF PAYMENT: CASH CHECK BANKCARD #• AUTHOR/ZED SIGNATURE: *FAXED PERMIT APPLICAT P/RES: VIN # ONLY BE ACCEPTED WITH MAJOR BANKCARD Wane MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: 9/7 S1?? (13 I n/ ( Owner: 6't' • 14 w 1-1 IT L/ _DV Mailing Address: Asp •i r� ois , k , Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): %I.o1(.7 Contractor: S 1-; E -- A T- License #: Phone #: Mailing Address: State Zip Code State Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 1 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or Tess than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or Tess than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE I X $10.00 = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER i X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) rf ✓/ X $1.00 = 18 DUCT SYSTEMS I X $10.00 = 19 VENTILATING FANS `I X $10.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS I X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON I X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC rnan a• DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Project Address: Owner. G /-1 U1 N Fre- . PLUMBING PERMIT APPLICATION. Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 / 7 s/IG2c / ' (/fin/` Permit Use: Phone (Daytime Contact): Mailing Address: 100 X S-2/ L) 6, LI ; W, 996/ C) Jp? City Contractor:f m f License #: Mailing Address: /JO/1/ �G(k- City j State Zip Code Phone #: State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK f OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 3 X $6.00 = 2 URINALS X $6.00 = 3 TUBS 3 X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 = 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER / X $6.00 = 8 GARBAGE DISPOSAL / X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE / X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B_P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Vicinity Map: 45244.3206 Scale : 1 inch = 400 ft (rounded) 07/02/04 Vicinity Map II SPOKANE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 1 Site Information Project Information 1 Site Address: 917 S SHELLEY LAKE LN Parcel Number: 45244.2907 Subdivision: Block: 1 Lot: 7 Zoning: UNK Unknown Owner: GEORGE H WHITE INC Address: PO BOX 52 LIBERTY LAKE WA 99019 Building Inspector: BOBBY STONE Water Dist: Project Number: 04008571 Inv: 1 Issue Date: 11/16/2004 Permit Use: SEWER CONNECTION - SHELLEY LAKE 4TH Applicant: GEORGE H WHITE INC PO BOX 52 LIBERTY LAKE WA 99019 Phone: (509) 991-0429 Contact: GEORGE H WHITE INC PO BOX 52 LIBERTY LAKE WA 99019 Phone: (509) 991-0429 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: J L HAWKINS EXCAVATING License #: JLHAWE*222LE SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. 1 Payment Summary 1 Total Fees AmountPaid AmountOwin% $100.00 $100.00 $0.00 Tran Date 11/16/2004 Processed By: SHATTO, JULIE Printed By: WENDEL, GLORIA Page 1 of 1 Receipt # 6885 Payment Amt $100.00 PERMIT r-75 z- /A/o y Spokane Valley Permit # Completion Date Inspections performed 10 days after scheduled completion to schedule call (509)688-0195 or Fax (509)688-0037. Any re- inspection will incur an additional $25.00 charge. 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 ROW Construction Permit ROW 04-885 Issue Date 11/19/2004 Location of Property 917 S SHELLEY LAKE Comments Account # Issued by Kcummings Construction Utility a ❑ Project Description driveway NEW DRIVEWAY APPROACH Trench Dimensions Applicant/Contractor Name George H. White Inc. Address P.O. Box 52 Liberty Lake WA 99019 - AC Cut Required Licence # Individual Name Permit Fee Inspection Fee $25.00 $25.00 Contractor Phone # 509-255-6641 Account # Total Fees Collected $50.00 Permittee Signature Approved Date e 1 in 0 (4 I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Credit Card # Name of Holder Expiration Date Signature In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily (signed) PERMIT MUST BE KEPT ON SITE Date