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2009, 08-11 Permit App: 09002497 PoolSLam• o r Qi.,� 1 L.L Lllll l.GULG1 pokane - Y 11707 E Sprague Ave, Suite 106 ]a17e Spokane Valley,FW A 99206 v Yl y (509)688-0036 AX:(509)688-0037 Community Development www.spokanevallev.ore.com Residential Construction Permit Application PERMJT NUMBER: tic, 7 PERMIT FEE: o New Construction o Addition/Remodel o Other: o Accessory Bldg o Deck SITE ADDRESS 3510 S. Eo. -{Ps Reg SpnX11.-(rel WA 5'9,2.04 ASSESSORS PARCEL NO: `15331.0D--9- LEGAL DESCRIPTION: fiedtioram ofn4 0-.743 Building owner Name: Joe -r IU.indi 0' (3rvry Address: 35 IL S Rep -ie. -5 R' City: ka,.,.6 U o,Jf,%1 Zip: 9°2c. Phone: (So 9)8el, -/c46gFax: '`Colitact Person , Name' 1 ij(l L • 77,110 k Phone: (sos)9i3-6SRS _Contractor ;.';. Name' Poo( k ayra Address: 13S24-( E. S)prrt�i,l.e, Abc_. City SPok e (.J,llc� Zip: 4crwr t Phone- (socacr)s-6-5,r Fax: (So%)9 -Scl6 Lic No: Po -o L W I a41CP Exp. Date: City Business Lic No: Describe the scope of work in detail: Cost of Project: Cl/cove:/t -173r Limy / toed Col, c/ p/ Lb arid csIQ4 I **************The following MUST be complete: (write N/A if not applicable)**************** HEIGHT TO PEAK: /VA / DIMENSIONS: %6 32.. # OF STORIES: tiS4 TOTAL HABITABLE SPACE: i(/,4 MAIN FLOOR TO SQ. FTG: n/A 2"." FLOOR SQ. FTG: /W UNFIN BASEMENT SQ. FTG: /V IMPERVIOUS SURFACE AREA: V% FINISHED BASEMENT SQ. FTG: /VA GARAGE SQ. FTG: //4 DECK/COV. PATIO SQ. FTG: /Va 30% SLOPES ON PROPERTY: iV/d # OF BEDROOMS: - --_ -. -44 CONSTRUCTION TYPE: )/ �/ HEAT OUR E: /r4Dawn SEWER OR SEPTIC? SCA, eh/ - 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 Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash ❑ Check ❑ Mastercard ag VISA Bankcard #: ` Expires: _ VIN#: Authorized Signature~ REVISED B252DD5 x/0/0"7 RErp N r C=Y ' Ev - Cff I OF F - BOG i 2009 Project Number: 09002497 Inv: 1 Application THIS 1S NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Date: 8/13/2009 Page 1 of 2 Permit Use: 16 X 32 POOL Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001629 Name: MJDILOME Contact: POOL WORLD INC. Address: 13524 E SPRAGUE AVE C - S - Z: SPOKANE, WA. 99216 Phone: (509) 928-6585 Group Name: Project Name: District: Sout Parcel Number: 45331.0222 Block: SiteAddress: 3516 S BATES RD Lot: Owner: Name: O'BRIEN, JOSEPH & MINDY Address: 3516 S BATES RD SPOKANE, WA 99206 Location:: CSV Zoning: R-2 SF Res Suburban District Water District: 007 MODEL Area: 12,525 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 50 Review Building Plan Review Released By: .. ,'. Originally Released: 8/12/2009 By: tmelbourn Landuse/Zoning/HE Conditions Permits: Released By: Originally Released: 8/13/2009 By: kkendall Contractor: POOL WORLD INC Address: PO BOX 14927 SPOKANE, WA 99214 Item Description SWIM POOL> 5000 GAL WSBCC SURCHARGE Swimming Pool Finn: POOL WORLD INC Phone: (509) 928-6585 Units Unit Desc I SELECT I SELECT Operator: JD Printed By: jmm Fee Amount $52.00 $4.50 Permit Total Fees: $56.50 Print Date: 8/13/2009 Project Number: 09002497 Inv: / Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/13/2009 Page 2 of 2 Payment Summary: Permit Type Swimming Pool Fee Amount Invoice Amount Amount Paid Amount Owing $56.50 $56.50 $0.00 $56.50 $56.50 $56.50 $0.00 $56.50 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: JD Printed By: jrom Print Date: 8/13/2009 • 4 I� 5 / PI 01_5 O brt.en 3516, S Bfirt Si !zo 5`poiaite„---Wkjj L& .99-2 —4 • /!nw M:/Se PLANNING DEPT. APPROVED DATE. 8/1/061 1 � v L 35%25. ,fir Ma" L Client $e t randy Ohri..h Pool y Spa 1 I Deluxe modelM Return Appointment Coping Facia Decking Water Feature ❑ Bar • Stools • Table 1 1 Fire Pit • BBQ ❑ © 2003 All rights reserved. Pool World • Spokane, WA • 99216 POOL WORLD WA Contractor Registration #PO -OL -W I*24I CP 13524 E Sprague Ave ID Public Works Contractor Registration #13698-A-0(47) Spokane, Washington 99216 (509) 928-6585 • Fax (509) 928-9469 www.poolworld.biz• e-mail: ted@poolworld.biz