2005, 03-31 Permit App: 05001028 PoolProject Number: 05001028 Inv: 1
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/31/2005 Page 1 of 2
Project Information:
Permit Use: 18 X 36 INGROUND SWIMMING POOL
Setbacks: Front N/A Left: 15 Right: 12+ Rear: 16
Site Information:
Plat Key:
Contact: A-1 GENERAL CONTRACTORS
Address: 6410 N MONROE
C - S - Z: SPOKANE WA 99208
Phone: (509) 328-3054 .�
Group Name:
Project Name:
Name: VERADALE HEIGHTS, 07TH ADD TO
District: Nort
Parcel Number: 45142.1629 Block:
SiteAddress: 14006 E BOONE AVE
Location:: CSV
Zoning: UR -7
Water District:
Urban Residential -7
Area: 12,150 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: BIPPES, MICHAEL CONRAD
Address: 14006 E BOONE AVE
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:
Plan Review
Released By:
Septic System Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 03/31/2005
03/31/2005 15:10 5093241567
MAR 31 2005 13:25 FR
Project Number 05001028
SRHD EHS
PAGE 01/02
TO 3241567 P. 212 /03
Inv: 1 Application Date: 03131/2005
THIS IS NOT A PERMIT
Penalties will be assessed fr commencing work without a permit
Page 1 of 2
Proket Information;
Permit Use: 18 X 36 1NGROUND SWIMMING POO COntact: Al GENERAL. CONTRAC1OI1S
Address: 6410 N MONROE
C S - Z: SPOKANE WA 99208
?bone: (509) 328-3054
Group Name:
52aniornutilen: Project
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Plat Key: Name: VERADALE EMIG S 07T11 ADD 110 District: Tort
Parcel Number: 45142.1629 Block .Lot:
Setbacks; Front N/A Left: 15 Right; 12+ Reif
SiteAddress: 14006 E BOONE AVE
Location:: CSV
Zoning: LTR -7 Urban Residentiil
Water District: ! Hold:
Area: 12,150 Sq Ft Width: Depth: 0 Right OfWay (ft): 0
Owner: Name: BIPPES, MICHAEL CONRAD
Address': 14006 E BOONE AVE
SPOKANE VALLEY, WA 99216
Nbr of Bldgs; 1 Nbr ot Dwellings:
AtecienvInforimaiion: fzumparamr.vmsaina-,:exAszi
&mn
Site Plan Review
trzlq/2111t374147Az•,;.t:0:21.11tailzo,..:-.:: " ra,co
Plan Review
Reid
Septic System Review
RaleaSed y:
Perrnin: IngamirigrdSMI=Iltakro
Operator ILC Printed By:KC
MAR 31 2005 15:17
latIltn.rce.:44,42i="mullmallmmv0..z..^Mao.;.r-vAr7..,.;:cror 40411.:Ztys. "e:Hrtvot Carante2.1
Print Date: 03/31/2005
5093241567 PAGE.01
Project Number: 05001028 Inv: 1
- Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/31/2005 Page 2 of 2
Swimming Pool
Contractor: A-1 GENERAL CONTRACTORS Firm: A-1 GENERAL CONTRACTORS IN
Address: 6410 N MONROE ST Phone: (509) 328-3054
SPOKANE, WA 99208
Item Description
PRIVATE POOL
STATE SURCHARGE
Notes:
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$50.00
$4.50
Permit Total Fees: $54.50
Payment Summar,:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Swimming Pool $54.50 $54.50 $0.00 $54.50
$54.50 $54.50 $0.00 $54.50
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 03/31/2005
*dim
doolValley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: J-_. j (,
Assessor's Tax Parcel Number(s):
Legal. Description: % �/
PG C I b �(
PERMIT DESCRIPTION:
Building Permit
Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement D Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: M (EOC C 4 L�-e 6t //1 a..< ❑ Applicant:
Phone: 122 - k 3 5-0 Fax: 0 U Phone: Fax:
Address: _ ((o&�'1/0c1,..4. . Address:
k,(,-,.< lam- l c,e / State Zip Code City
❑ Contractor: ,4 ( tri( ecA '` l r i . `
Phone: "31$-365'( Fax: 3 2-`g- Lf772.
Address: hi- l tf (,) WL, frc--(
C i lis 4 5 .tee
ci ( State Zip Code City State
State Zip Code
❑ Architect:
Phone: . Fax:
Address:
WA State Contractor License #: ( G/VCL ca 1 / Contact: IJP frva
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR.TO SQ_ FTG: . -
•2"`' FLOOR SQ. FTG:
, UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC.
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # ofHeads: Fire Alarm:
Tent:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
0 BOLTING 0 CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
I nspector(s):
Fax:
❑ WELDING
DISCLAIMER
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
Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit in
Print Name a e IA-uc c 1- Signature
to the property - ner.
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ' 0 Check
Bankcard #:
Authorized Signature:
0 Mastercard
0 VISA 0 Other
Expires: VIN#:
i I ' ( 5
1 ,r1
_yr
-t ocot-
(S/
1
15 _ J
This site plan is being submitted for
Obtaining a building permit and is a
representation of the proposal Aft
lines/dimensions, curb lines, st
have been ideptified. Also in
bodies of water, steep sto
Signed:
r r Date:
1u-6
the purpose of
e and correct
wn property
and easements
are wetlands,
critical areas.