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2002, 07-12 Permit App: 02005838 PoolProject Number: 02005838 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/12/2002 Page 1 of 2 Proiect Information: Permit Use: SWIMMING POOL Setbacks: Front EXI Left: 6 Right: EX Rear: 15 Site Information: Plat Key: 006067 Name: Contact: DORAN, BARBARA Address: 1805 S LIMERICK DR C - S - Z: VERADALE, WA 99037 Phone: (509) 924-1218 Group Name: Project Name: ........... RIDGEMONT ESTATES NORTH 9TH ADD District: F Parcel Number: 45252.5103 Block: 2 Lot: 3 SiteAddress: 1805 S LIMERICK DR VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 450.00 Acres Width: 90 Depth: 135 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 orm a Review f tion: In __.. Owner: Name: Address: DORAN, BARBARA 1805 S LIMERICK DR VERADALE, WA 99037 Hold: ❑ Review Site Plan Review 1‘1-€' 'Si.e.°/64+1 Permits: Released By: Contractor: OWNER Item Description PRIVATE POOL STATE SURCHARGE COUNTY SURCHARGE Operator: RMB Swimming Pool Firm: OWNER Phone: Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Printed By: RMB Fee Amount $50.00 $4.50 $11.00 Permit Total Fees: $65.50 Print Date: 7/12/2002 Project Number: 02005838 Inv: 1 r Application Date: 7/12/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary Permit Type Swimming Pool Fee Amount Invoice Amount Amount Paid Amount Owing $65.50 $65.50 $0.00 $65.50 $65.50 $65.50 $0.00 $65.50 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 contrued 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: RMB Printed By: RMB Print Date: 7/12/2002 ( 1 SPOKANT COUNTY ••. PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: j (orb s / rn e_a. i C j Assessor's Tax Parcel Number(s): 11,'flrz 1i A 20 Legal Description: Project Description: 71 Building Permit 0 Change in Use O Grading O Manufactured Home Permit 0 Relocation O Sign 0 Tenant (New/Change) O Other Department Use Only Water Sewer District/Purveyor ..Roadwidth Setbacks Front Rear. Left:Right School District Fire District: Zoning OWNER/APPLICANT INFORMATION rpt• ., r» ,,,;. .r;,, rg...()Nr ner://�� ''`l/ A Phone: 24_1 Li Fax: ) 17 '©603 ;41 ❑ Applicant: Phone: lax: _t*L' LOst4 Mailing Address: / O S S t► Y1 t (C k Mailing Address: Dimensions 0 : City, State, Zip U 1-(. (4Jft `19a;7 City, State, dip Finished basement sq. ft. Phone El Contractor ' Fax - ❑ Architect/ Phone Mailing address Mailing address I leat source (electric, gas, ctc.) City, State Zip City, State Zip VA A State Contractor license # Contact name: Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2'd floor sq. ft. Finished basement sq. ft. Occupancy group Construction t. pc Garage sq. ft. Deck sq. ft. Cost of project I leat source (electric, gas, ctc.) Manufactured Home Sign Width: Length: What is the square footage of the sign face? 1 low high is the sign? Year: Make: # of sums Arca of existing signs Fireworks display Are critical or hazardous materials used or stored on site? 0 Yes Er -No Address Proposed use Relocation Fire Safety Firm Name What is the current use of this property? R-E-SiD Previous address Will the site be served by a septic system? 0 Yes 0 No Paint booth Fire Sprinkler 'Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? 0 Yes Er -No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? R-E-SiD Phone Will the site be served by a septic system? 0 Yes 0 No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0—Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( %) D Yes Cf11lo Are critical or hazardous materials used or stored on site? 0 Yes Er -No Address Inspector Phone O Concrete O Welding O Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? erYes 0 No Ifyes, identift on site plat What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shore_:4e? fyes, ident f on site plan 0 Yes CT No What is the current use of this property? R-E-SiD Is your property m a designated wildlife habitat area? 0 Don't know 0 Yes CilNo Will the site be served by a septic system? 0 Yes 0 No Is any part of the property within a 100 yr flood plain? Ifyes, identi, on site plan 0 :Maybe 0 Don't know 0 Yes Tr No Are or will there be wells located on the property? Ifyes, identifi on the site plan 0 Yes 1No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, ident s on site plan 0 Yes ❑'o Is there evidence of fill or excavation on the property? 0—Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( %) D Yes Cf11lo Are critical or hazardous materials used or stored on site? 0 Yes Er -No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0Yes 0 N Is public sewer available to the site? 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 No 0 Yes 0 No Is public water available to the site? 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ C:ASIi ❑ CI!I'CI< ❑MEM❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.\'1'1?: I?.\PIRI?S: B;ANKCARD NUMBER: \UI'I IORIZI':D SIGNATURE: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE 15 $35.00 PLEASE MAKE CHECKS PAY A13LE TO SPOKANE COON]'' PERMIT CENTER This site pivl is awing submitted for the purpose of obtaining a building permit and is"a true and correct 1=./: 1 4,1• 1 • •1/ .1•,1. • =q Tines/dimensions, curb lines. structures end ease ents have been identified, Also indicated are 'Wetland bodies of wate;, steep slopes or other critical are. s. 'Signed: 7 Date: / ADDRE$3 3Jg05 Li ene_ ZONE ROAD wfl)t1,90 FRONT HCl ..._FILIOKING COMMEN REVIEWED �'nWtS��1r