2009, 07-01 Permit App: 09001873 Inground PoolProject Number: 09001873 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/1/2009 Page 1 of 2
Project Information:
Permit Use: BUILD 16FT X 32FT INGROUND POOL
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 001393 Name:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
KOKOMO TOWNSITE (FEES)
WALSH, ROBERT
7214 E 5TH AVE
SPOKANE VALLEY, WA 99212
(509) 443-4272
District: Sout
Parcel Number: 45283.2712 Block:
SiteAddress: 10906 E 24TH AVE
Location:: CSV
Zoning: R-3 SF Res District
Water District: 007 MODEL
Area: 13,000 Sq Ft
Nbr of Bldgs: 1
Review Information:
Width: 0
Nbr of Dwellings: 1
Lot:
Owner: Name: WILLIAMS, KRISTINA L
Address: 10906 E 24TH AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
Permits:
6/25/2009 By: tmelbourn
Released By:
Approved with conditions.
Originally Released:
Contractor: IMPERIAL GUNITE POOLS
Address: 7214 E 5TH AVE
SPOKANE VALLEY, WA 99212
Item Description
SWIM POOL > 5000 GAL
WSBCC SURCHARGE
6/29/2009 By: lbarlow
Swimming Pool
Firm: IMPERIAL GUNITE POOLS
Phone: (509) 443-4272
Units Unit Desc
1 SELECT
1 SELECT
Operator: MT Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$52.00
$4.50
$56.50
7/1/2009
Project Number: 09001873 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/1/2009 Page 2 of 2
Notes:
an,,r11„, „r ,. ,.3 , IK.;
Temporary fencing is required around the construction site during excavation.
A scale has not been provided on the site plan. However the dimensions provided coincide w/in 2' of
the lot dimensions for Lot 11 & 12, B27, Kokomo Townsite Plat.
Based on the information provided it can be clearly determined that the pool location complies with the
rear and side yard and flanking street setbacks.
void
Payment Summary:
Permit Type
Swimming Pool
Fee Amount Invoice Amount
$56.50 $56.50
Amount Paid
$0.00
Amount Owing
$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: MT Printed By: JD
Print Date: 7/1/2009
OF
S'oliane
Valley.
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
SITE ADDRESS:
colo(p F
ASSESSORS PARCEL NO:
7
PERMIT NUMBER: 0.q -
PERMIT FEE:
New Construction
Addition/Remodel
Other: ?(7O 1
b fc
Accessory Bldg
Deck
LEGAL DESCRIPTION:
Building Owner:
DIMENS(ONS: ..
Name: K
1--,, i -)ii 1 r,41,y,
Name: o e„ 4_
Address: 1 b
2Nu FLOOR SQ. FTG:
-.
City: C". „
1 State: L
Zip:
y if.>
Phone: 0f ,5761.43 Fax:
State: /...../1.--
Contact Person
,6 (J_) cS)?_-)1.-\
Name:
Phone: 0 1 ,5-(f / Le.
Describe the sco
Proposed Use:
e of work in detail:
v L7 0
(„i tA,d4
Contractor:
DIMENS(ONS: ..
# OF STORIES: t 1
Name: o e„ 4_
)
2Nu FLOOR SQ. FTG:
-.
Address: --) 02 / y.---
' /1-._
FINISHED BASEMENT
SQ. FTG: stl-
City:_5 6 CA
State: /...../1.--
Zip:
Phone: Z -ci ) 7
Fax:
HEAT SOURCE:
Contractor Lic No:Ifyv),-_- 11-,,
I
, eyip D8.e
City Business Lic. No:
Cost of Project: $
) e ycA,
14 a /1
C
**************The following MUST be com I te **********************
HEIGHT TO PEAK:
DIMENS(ONS: ..
# OF STORIES: t 1
TOTAL HABITABLE SPACE:
AJA—
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
-.
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: stl-
GARAGE SQ. FTG:,,,
0
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: fJ
# 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 ca be p7cesle
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
KCheck
DATE:
0 Mastercard 0 VISA
Expires: VIN#:
•
n!“.\ ";\
Untitled Page
Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with LItI to perform construction work
within the scope of its specialty. A General or Specialty construction Contractor must
maintain a surety bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Name
Phone
Address
Suite/Apt.
City
State
Zip
County
Business Type
Parent
Company
IMPERIAL GUN ITE
POOLS
5094434272
7214 E 5TH AVE
SPOKANE
WA
99212
SPOKANE
Individual
UBI No. 602660333
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
ACTIVE
IMPERGP932J3
CONSTRUCTION CONTRACTOR
4/23/2007
4/23/2011
SWIMMINGPOOLS/SPAS/HOT
TUBS
Specialty 2 UNUSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
WALSH, ROBERT D
OWNER
04/23/2007
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
PLATTE
RIVER INS
CO
ctb2710993
04/16/2009
Until
Cancelled
$6,000.0004/23/2009
1
American
Contractors
Indem CO
100022050
04/16/2007
04/16/2009
06/18/2009
$6,000.0004/23/2007
Insurance Information
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
AMERICAN
3
STATES
25CC15284230
04/16/200904/16/2010
$1,000,000.0004/09/2009
INS CO
https://fortress.wa.gov/lni/bbip/Detail.aspx
6/25/2009
Untitled Page
2
AMERICAN
STATES 25CC1528422D 04/16/2008 04/16/2009
INS CO
Page 2 of 2
$1,000,000.00 04/25/2008
1
AMERICAN
STATES
INS CO
25CC15284210
04/16/2007
04/16/2008
$1,000,000.00
04/23/2007
https://fortress.wa.gov/lni/bbip/Detail.aspx 6/25/2009
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Advisory: the lot dimensions on the site plan do not correspond with
lhe lot dimesnitons of the plat. According to the plat the lot
dimensions are 100 W X 130.L. No scale is provided on the plan.
However, since it can be clearly determined that the proposed pool
location can comply with the rquired setbacks, the site plan can be
approved. L Barlow 6/30/09
I
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