2007, 05-25 Permit App: 07001986 PoolProject Number: 07001986 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2007 Page 1 of 2
Project Information:
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 Inforrnation: Project Name:
Plat Key: 005710 Name: CHINOOK NO 4 ADD District: East
Parcel Number: 46364.1202 Block: Lot:
SiteAddress: 5014 N LARCH RD Owner: Name: HART, KELLY L
Address: 5014 N LARCH RD
Location:: CSV SPOKANE, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 IIoId: ❑
Area: 11,000 Sq Ft Width: 110 Depth: 110 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information •
Review
Building Plan Review
Released By:
'2-
Landuse/Zoning/HE Conditions
Released By:
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
SWIM POOL> 5000 GAL
WSBCC SURCHARGE
Units Unit Desc
1 SELECT
1 SELECT
Operator: JD Printed By: JD
Fee Amount
$50.00
$4.50
Permit Total Fees: $54.50
Print Date: 5/25/2007
Project Number: 07001986 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2007 Page 1 of 2
Project Information:
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: 005710 Name: CHINOOK NO 4 ADD District: East
Parcel Number: 46364.1202 Block:
SiteAddress: 5014 N LARCH RD
Location:: CSV
Lot:
Owner: Name: HART, KELLY L
Address: 5014 N LARCH RD
SPOKANE, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID 1419 Hold: ❑
Area: 11,000 Sq Ft Width: 110 Depth: 110 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information •
Review
Building Plan Review
Released By:
Landuse/Zoning/HE Conditions
Released B 10�
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
SWIM POOL > 5000 GAL
WSBCC SURCHARGE
Units Unit Desc Fee Amount
1 SELECT $50.00
1 SELECT $4.50
Operator: JD Printed 13y: JD
Permit Total Fees: $54.50
Print Date: 5/25/2007
Project Number: 07001986 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2007 Page 2 of 2
Notes -
Payment Summary:
Permit Type
Swimming Pool
Fee Amount Invoice Amount Amount Paid Amount Owing
$54.50 $54.50 $0.00 $54.50
$54.50 $54.50
$0.00 $54.50
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances. -
Signature:
Operator: JD Printed By: JD
Print Date: 5/25/2007
QTflW
Spokane
Valley
cacp
BUILDING PERMIT APPLICATION WORKSHEET
E City of Spokane)Valtey Community Development Department
U Building Division
MIRAN 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
�Phore: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: Sblq 1-Rre_0')
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: 1 rIC(raund c513inn-,-n,nq (
❑ Building Permit
❑ Relocation
❑ C• hange in Use ❑ Grading
❑ T• enant Improvement ❑ Fire Safety
❑ Manufactured Home
k Other
OWNER/APPLICANT INFORMATION
❑ Owner Re L9 I+Ctr i -
Phone: z2D- 5R 3l0 Fax:
Address: So14 N Lc ueh
ewe Volley. k)a. critic', •
State Zip Code
❑ Contractor: A-1 General Con4-rcccior5
Phone: 3J-,3os-i Fax: 3Z$ -4'z7 a
Address: Lo 410 N 4ot' oi_
S Kctn�
� t1lG ga208
City State Zip Code
.h31:)
WA State Contractor License #:»I OnYCTo9 I D(
❑ Applicant: IH Coco&-oI Cor-baclor5
Phone: 3Zg -3Qs-4 Fax: 32g-4777
Address: 1pu13 4 it-1oi,(zee-
City
❑ Architect:
Phone:
Address:
State Zip Code
Fax:
City
Contact:r h
State 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
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