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2007, 10-04 Permit App: 07003869 PoolProject Number: 07003869 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 16 X 32 INGROUND SWIMMING POOL Contact: POOL WORLD INC. Address: 13524 E SPRAGUE AVE C - S - Z: SPOKANE, WA. 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 928-6585 Group Name: Site Information: Project Name: Plat Key: 005403 Name: SP -0878-93 District: East Date: 10/4/2007 Page 1 of 2 Parcel Number: 55082.0146 Block: SiteAddress: 19324 E BUCKEYE AVE Location:: CSV Lot: B Owner: Name: RIDER, LARRY T & CATHERINE Address: 1225 N SKIPWORTH SPOKANE, WA 99203 Zoning: UR -3.5 Urban Residential 3.5 Water District: 008 CONSOLIDATED IRRG #1 Hold: ❑ Area: 1.45 Acres Width: 134 Depth: 557 Right Of Way (ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Released By: Originally Released: 10/4/2007 By: TMELBOU Landuse/Zoning/HE Conditions Permits: Released By: Originally Released: 10/1/2007 By: mpalaniuk Swimming Pool Contractor: POOL WORLD INC Firm: POOL WORLD INC Address: PO BOX 14927 Phone: (509) 928-6585 SPOKANE, WA 99214 Operator: jmm Printed By: JD Print Date: 10/4/2007 Project Number: 07003869 Inv: .1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/4/2007 Page 2 of 2 Notes: VERIFICATION THAT WATER REQ. HAVE BEEN MET. VERIFICATION THAT FIRE DIST. REQ. HAVE BEEN MET. Payment Summary: 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: JD Print Date: 10/4/2007 Spokane jValleyu� Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valle '.� .BY (509)688-0WAT r • : pasE Y wwwrg SE? 2 8 2007 Residential Construction P n Accessory Bldg Nui CENSE New Construction Permit Application b dition/Remodel Deck ❑ Other: PERMIT NUMBER: /38 (49 PERMIT FEE: Community Development SITE ADDRESS: iq 32-q �(/C K �c'y�' / c' 'as o i2 -C isiz o ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: DIMENSIONS: Name: LA -1z..21 t oelt Name: pox GJ0f2. Address: 1 9-s224_, fa jsuc, 4z �I 2"D FLOOR SQ. FTG: City: olr, ogim,vvws State: on Zip: iyoz1 Phone: Q 2 % ,_ 653 7 Fax: State: (,4J4 City: 5,,,.-,010„1,u L 14,4e..‘ zi Contact Person Name: 'Y(,41 `% C d;tl- Phone: yzg (c S 3 - Describe the scope of work in detail: Contractor: DIMENSIONS: # OF STORIES: Name: pox GJ0f2. MAIN FLOOR TO SQ. FTG: 2"D FLOOR SQ. FTG: Address: l 3 s--..4./ k 5-px..4 IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: State: (,4J4 City: 5,,,.-,010„1,u L 14,4e..‘ zi Zip: % `2i Phone: iZ c, 6, s -i.5 Fax: C7 g . y(....7 Contractor Lic No:, _ ,..-C.N __), 2Ex p Date: SEWER OR SEPTIC? l , 3 v t City Business Lic. No: Cost of Project: $ l (a K 3Z to GRex.NO tat chin IN( at) C Proposed Use: **************The followinE MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2"D FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATURE: DATE: c -2-I'--61 7 Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 0 Check ❑ Mastercard Expires: ❑ VISA VIN#: •r• Client Zqrfry ,s< • 7 / ik,•-•! PoolZ Spa Deluxe model. Return Appointment r?:114, • 1 f;74;:ri i I1 ; / t.,ri .-"-,, i .Z. -,-- • 1 :.:1* /33 - if.2,e7C/7 Coping e:?e,-,-; Facia Decking Water Feature 50-7 --7-,Z! •ti • ima PLANNING DEPT. APPROVED DATE o//-7 POOL WORLD WA Contractor Registration #P0-0L-W1*241CP 13524 E Sprague Ave ID Public Works Contractor Bar • Stools • Table 71 Fire Pit • BBQ 1 Spokane, Washington 99216 Registration #I3698 -A-4(47) (509) 928-6585 • Fax (509) 928-9469 © 2003 All rights reserved. Pool World • Spokane, WA • 99216 www.poolworld.biz• e-mail: ted@poolworld.biz