2007, 07-06 Permit App: 07002616 Swimming PoolSpokane
Valley
Community Development
Residential Construction JU
Permit Application D
D
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509). 0036 FAX: (509)688 -003
I••Sa J'a! •!- E
www
PERMIT NUMBER:
PERMIT FEE:
ew Construction
addition
they:
SITE ADDRESS: ( l 7 ?O L ' � kl(
emodel
Accessory Bldg
Deck
ASSESSORS PARCEL NO: 5 5 1 O, J oSipZ LEGAL DESCRIPTION:
Building
DIMPNRI , ' LD
�;Owner:
Name: 3 ll I. M I YQ
it Tad i e L
Address: i Zao b
. ` tCt
Citkev ti tQ \ jai " State: /r Zipp tco
V
Phone: Gam/! , qq C " I C . � % U Fa d' 11Z -UlU
Contact Person
Name: ..3—ey V1,1 I
Phone: r-
I \AACCd -Ei ei
Describe the scope
of work in detail:
Contractor:
DIMPNRI , ' LD
# OF STORIE :/�
Name:
RFACE
SPACE:
-
Address:
2 FLO SQ. FTG:
UNFIN BASEMENT
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
CONSTRU 1 LN,TiCRE:
City Business Lic. No:
SEWER O' E'T1C3
l
r
Proposed Use: (J \ � J j� 0
Cost of Project: $
* * * * * * * * * * * ** *The following MUST be oC mplete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT! y PFQK:
DIMPNRI , ' LD
# OF STORIE :/�
TOTA tITpgBLE
IMPERVIOUS S
AREA: 1 v 1
RFACE
SPACE:
-
MAIN FL//OO R TO SQ.
FTG:
2 FLO SQ. FTG:
UNFIN BASEMENT
SQ. FTG:
FINISHED BAST NTj�
SQ. FTG: �V �"j
GARAGE SC,�. FTr:,/\_
/V
DECK/C /n IIATIQtSQ. FTG:
�U ( ��
30% SLOPES ON /
# OF BEDROOM :1 14._
CONSTRU 1 LN,TiCRE:
HEAT SO)IR,CEL //_
SEWER O' E'T1C3
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley ermit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional inf. a • n ma be required to be submitted, and subsequently approved before
this application can'T processe d
SIGNATURE
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
C
❑ Check
TE: 1X107
❑ Mastercard ❑ VISA
Expires: VIN #:
Spokane
,,Valley
11703 E Sprague Ave Suite B -3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • cityhall®spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and /or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8 ") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Project Number: 07002616 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: INSTALL 20 X 40 SWIMMING POOL Contact: TUBDZIECKI, TREVOR & JENNIE
Address: 17726 E ALKI
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 991 -6115
Group Name:
Site Information: Project Name:
Date: 7/9/2007 Page 1 of 2
MOW
Plat Key: Name: Range
Parcel Number: 55183.0567
SiteAddress: 17726 E ALKI AVE
Location:: CSV
Block:
District: East
Lot:
Owner: Name: TUBDZIECKI, TREVOR & JENNIE
Address: 17726 E ALKI
SPOKANE VALLEY, WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 39,653 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Septic Sys Review
Landuse /Zoning/HE Conditions
Permits:
Contractor: OWNER
Item Description
SWIM POOL > 5000 GAL
WSBCC SURCHARGE
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Released By:
Released By:
Swimming Pool
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$50.00
$4.50
Permit Total Fees: $54.50
Operator: jmm Printed By: jmm Print Date: 7/9/2007
• Project Number: 07002616 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/9/2007 Page 2 of 2
Payment Summary:
Permit Type
Swimming Pool
Fee Amount Invoice Amount Amount Paid Amount Owing
$54.50 $54.50
$0.00 $54.50
$54.50 $54.50 $0.00 $54.50
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: jmm Printed By: jmm
Print Date: 7/9/2007
07/10/2007 08:03 5093241567 SRHD EHS
JJL Jy '2017 15:13 FR COSY PERMIT CENTER 509696003? TO 3241567
Project Nu:I nt e': 07002616 Inv: l
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
PAGE 01/01
P.01/02
Date: 7/9/2007 Pale 1 of 2
Project Ir, 2 [nation:
Pormit Use:: 11 iSTALL 20 X 40 SWIMMING POOL
Setback :1 `r mt
Site inform a td on^
Plat } e•': Name: Rango
Pan :.elIlumber: 55183.0567 Block:
ii eAddress: 17726 E ALKI AVE Owner: Name: TUBDZIECICI, TREVOR & JENNIE
Address: 17726 E ALKI
SJPDXAIvTE VALLEY, WA 99016
Left: Right: Rear:
Contact: TUBDZIECKI, TREVOR & JENNIE
Address: 17726 E ALK1
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (309) 991 -6115
Group Name:
Project Name:
Lot:
District: East
Location :: CSV
Zoning: UR -35 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: 0
Area: 39,653 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review It!f a maiiowl.
Rori n r
➢C,iltli�g Plan Review
Sept ,c Sys Review
Usti h se /Zonlrig(f E Conditions
Perm its. r a n.r..,.,w..a�a.mawenw-m Pau. .11ekiamill a'.c" -di ".alc"o` .
- _ _, . _..._ - - -- SSvimming Pool -
Conti to:: OWNER Firm: OWNER
Phone: (000) 000 -0000
Item 12 cription
SW1 FOOL 5000 GAL
WSJ ICC SURCHARGE
Units Unit Desc
1 SELECT
1 SELECT
Opt Batt r: Jmm Printed By: jmm
JUL 10 2007 09:03
Permit Total Fees:
Fee Amount
S 50.00
54.50
....__.-$54.50
Print Data: 7/9/2007
5093241567 PAGE.01
Project Number: 07002616 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/9/2007
Project Information:
Permit Use: INSTALL 20 X 40 SWIMMING POOL
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Page 1 of 2
.. ix
Contact: TUBDZIECKI, TREVOR & JENNIE
Address: 17726 E ALKI
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (509) 991 -6115
Group Name:
Project Name:
zwp
District: East
Parcel Number: 55183.0567
SiteAddress: 17726 E ALKI AVE
Location:: CSV
Zoning: UR -3.5
Block:
Urban Residential 3.5
Lot:
Owner: Name: TUBDZIECKI, TREVOR & JENNIE
Address: 17726 E ALKI
SPOKANE VALLEY, WA 99016
Water District: 134 CONSOLIDATED ID #19
Area: 39,653 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
IMORMANSW-
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Septic Sys Review
Released By:
Landuse /Zoning/HE Conditions
Permits:
Released By:
1
Released By:
~7,
Contractor: OWNER
Item Description
SWIM POOL > 5000 GAL
WSBCC SURCHARGE
Swimming Pool
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
1 SELECT
1 SELECT
Operator: jmm Printed By: jmm
Permit Total Fees:
Fee Amount
$50.00
$4.50
$54.50
Print Date: 7/9/2007
' Project Number: 07002616 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/9/2007 Page 1 of 2
Project Information:
Use: INSTALL 20 X 40 SWIMMING POOL
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
TUBDZIECKI, TREVOR & JENNIE
17726 E ALKI
SPOKANE VALLEY, WA 99016
(509) 991-6115
District: East
Parcel Number: 55183.0567 Block:
SiteAddress: 17726 E ALKI AVE
Location:: CSV
Lot:
Owner: Name:
Address:
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 39,653 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Depth: 0
Septic Sys Review
aro IND-7
TUBDZIECKI, TREVOR & JENNIE
17726 E ALKI
SPOKANE VALLEY, WA 99016
Hold: ❑
Right Of Way (ft): 0
Released By:
Released By:
Landuse /Zoning/HE Conditions
Permits:
Contractor: OWNER
Item Description
SWIM POOL > 5000 GAL
WSBCC SURCHARGE
Units
1
1
Operator: jmm Printed By: jmm
Released By:
Swimming Pool
Firm: OWNER
Phone:
Unit Desc
SELECT
SELECT
Permit Total Fees:
(000) 000-0000
Print Date:
Fee Amount
$50.00
$4.50
$54.50
7/9/2007
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PLANNPIG DEPT APPROVED
BY
DATE:
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