2005, 05-04 Permit App: 05001445 PoolProject Number: 05001445 Inv: 1
J Y
Appi;ation'
THIS ISNOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 5/4/2005 Page 1 of 2
Permit Use: INGROUND SWIMMING POOL Contact: A-1 GENERAL CONTRACTORS
Address: 6410 N MONROE
C - S - Z: SPOKANE WA 99208
Setbacks: Front Left: Right: Rear: Phone: (509) 328-3054
Group Name:--
Site Information: Project Name:
Plat Key: 002768 Name: VERADALE HEIGHTS, 06TH ADD TO District: F
Parcel Number: 45142.1402
Block: Lot:
SiteAddress: 13916 E CATALDO AVE
Location:: CSV
Zoning: AGSUB
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information
Owner: Name: BLAIR, MIKE
Address: 13916 E CATALDO AVE
SPOKANE, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Septic System Review
Released -By:c. 5J, / (!
Permits: .
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
Units Unit Desc Fee Amount
1 SELECT $50.00
$4.50
1 SELECT
Permit Total Fees:
Operator: JAG
Printed By: DMD
Print Date:
$54.50
5/4/2005
05/05/2005 08:50 5093241567 SRHD EHS ruca 111/6zTO 3241567 P.01/03
MAY 04 2005 17:13 FR i
Date: 5/4/2005 Page 1 of 2
' Project Number; 05001445 Inv: 1 Application •
I
TICS IS NOT A PERMIT
Penalties will be assessed for commencinrork without a permit
pS111tgieinassinnamonsemenoseassissetspeseasseseean
Pemit Use INGROUND gVpvL1VG POOL Contact: A-1GENERAL
CONTRACTORS
At: 6410 N
E
C - 51 - Z: SPOKANE WA 99208
Setbacks: Front Left: Right:
Rear: Phone: (509) 328-3054
Group Name:
ProjectNsme:
Sire Iafr��sxs•�
�tarkmo District: 1
Plat Key: 002768 Name: VERADALE HEIGHTS, 06TH ADD TO —.
Parcel Number: 451423402 Block: Lot:
SileAddress: 13916 E CATALDO AVE Owner: Name: BLAIR, MIKE
Address: 13916 E CATALDO AVE
SPOKANE, WA 99216
Location:: CSV
Zoning; AGSUB
Water District
Area: .00 Acres Width 0 Depth: 0 Right Of Way (ft); 0
NM of Bldgs: 1 Nbr of Dwellings: 1
si•smss�ar�raes»�
ReviewInformation* — .. -.. . ----_--
Bold: []
Septic System Review
$)9;11101 Dig Pool
Contractor: Al••GENERAL CONTRACTORS Firm: A-1 GENERAL CONTRACTORS IN
Address: 6410 N MONROE ST Phone: (509) 328-3054
SPOKANE, WA 99208
)tem Description
PRIVATE POOL
STATE SURCHARGE
units Unit De@E
1 SELECT
1 SELECT
Permit Total Fees:
tosaggat
$50,00
S4.50
Operator: JAG
MAY 05 2005 09:59
Printed By: DMD
554,50
Print Date: 5/4/2005
5093241567 PRGE.01
Project Number: 05001445 Inv: 1
AppCation '
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/4/2005 Page 2 of 2
Notes:
Payment Summary:
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: JAG Printed By: DMD
Print Date: 5/4/2005
Spokane
40,01alley
05 - 1445-
.
445
. BUILDING PERMIT APPLICATION WORKSHEET
ECIEtyN of.Stok Valley Community Development Department
��VVII
C Building Division
11707 E. Sprague Avenue, Suite 106
MAY 0 4 2005 Spokane Valley, WA 99206
fone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
l3T/6 ,c, Gataldo
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: .1-n yro ✓n r S/✓i sin+rn a� foo )
® Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
C✓�
Owner: -re 9 NMI /art Joh
Phone: US -20/1 Fax: •
Address: /39/g E. Cans/dg
Spokane IVA 49114
City I State Zip Code
® Contractor: 4-/ Senn /'* / �p fr0etn :pc,
Phone: 38l-3 ofy Fax: Slit- 9775.
Address: ,449o /14 Nonroe-
-Seek ant_
---3eo/cnnt_ 1✓A 9920
State Zip Code
City
Applicant: (COAZICteilt
Phone; Fax:
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: 4/CENC,ZO9/t) / Contact: 4o 4 in
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ, FTG:
2N0 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:
i ; Year;i , ! Ci l Pit Set:
RELOCATION
Previous Address:
Proposed Use:
t.it •
1 l I. •:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
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
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
❑ WELDING
Fax:
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
Print Name
o the prop
„6:wdm-.
Signature m/yr
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
El Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
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