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2002, 09-26 Permit App: 02008412 PoolProject Number: 02008412 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/26/02 Page 1 of 2 Proiect Information: .. ... gig T. ' — a br Permit Use: SWIMMING POOL W/POOL HEATER & PIPING Contact: LIFETIME POOLS & SPAS Address: 1410 N HOWE ST C - S - Z: SPOKANE,W A 99212 Setbacks: Front 50+ Left: 30+ Right: 100 Rear: 100 Phone: (509) 995-6817 Group Name: Site Information: Project Name: Plat Key: 002861 Name: WEST FARMS IRRIGATED TR.PLAT # 4 District: H Parcel Number: 46344.0502 Block: SiteAddress: 5107 N MAYHEW RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: 999 UNKNOWN Lot: Owner: Name: WHITE, PAUL Address: 5107 N MAYHEW RD SPOKANE, WA 99218 Hold: ❑ Area: 15.90 Acres Width: 405 Depth: 652 Right Of Way (ft): 30 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: Septic System Review Permits: Contractor: LIFETIME POOLS/RANDY Address: 1410 N HOWE ST SPOKANE, WA 99212 Mechanical Permit Firm: RANDY MELCHER MFG CO INC Phone: (509) 995-6776 Item Description Units Unit Desc Fee Amount GAS APPLIANCE >100,000BTU 1 NUMBER OF $15.00 GAS PIPING 1 # OF UNITS $1.00 PROCESSING FEE 1 Y OR BLANK $25.00 Operator: CKF Printed By: CKF Permit Total Fees: $41.00 Print Date: 9/26/02 Project Number: 02008412 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/26/02 Page 2 of 2 Swimming Pool Contractor: LIFETIME POOLS/RANDY Firm: RANDY MELCHER MFG CO INC Address: 1410 N HOWE ST Phone: (509) 995-6776 SPOKANE, WA 99212 Item Description PRIVATE POOL STATE SURCHARGE COUNTY SURCHARGE Notes: Payment Summary: Permit Type Mechanical Permit Swimming Pool Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount $50.00 $4.50 $11.00 $65.50 Fee Amount Invoice Amount Amount Paid Amount Owing $41.00 $41.00 $0.00 $41.00 $65.50 $65.50 $0.00 $65.50 $106.50 $106.50 $0.00 $106.50 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: CKF Printed By: CKF Print Date: 9/26/02 SPOKANE COUNTY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address:" / 61 0 "1 t Assessor's Tax Parcel Number(s): Legal Description: Project Description: L� TYPE OF APPLICATION O Building Permit 0 Grading 0 Manufactured Home Permit 0 Timber Harvest 0 Relocation 0 Change in Use fe6ther 5� /o Mailing Address: / • He . ect OWNER/APPLICANT INFORMATION El Owner: rex. w What is the current property size? (square feet or acres) Phone: / 2F_ z 11,./ Fax: L'J Applicant: Phone: �ci f - L V /I I " Fax: Mailing Address: S/Q 7/'-1l6' 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? If yes, identify on site plan 0 Maybe 0 Don't know 0 Yes 0 No Mailing Address: / • He . ect City, State, Zi r %- �J qSju Phone: Fax: City, State, Zip , C.—ill , 7 2.f).- El Indicate who should be contacted regarding this project 0 Contact: Mailing Address: City, State, Zip ADDITIONAL INFORMATION Are there structures on the property? 0 Yes 0 No If yes, ident, on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan 0 Yes 0 No What is the current use of this property? Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 0 No 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? If yes, identify on site plan 0 Maybe 0 Don't know 0 Yes 0 No Are or will there be wells located on the property? 1f yes, identify on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan 0 Yes 0 No Is there evidence of fill or excavation on the property? 0 Yes O No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (,r/ %) 0 Yes 0 No Arc critical or hazardous materials used or stored on site? 0 Yes 0 No Project Number: FOR STAFF USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is the property inside a Joint Planning Area? What jurisdiction? O Yes 0 No Is the property inside the ASA? 0 Yes O Yes 0 No O 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 Is public sewer available to the site? 0 Yes 0 No What is the zoning for the property? School District: Water District/Purveyor: Fire District: Sewer District/Purveyor: Date Received: Staff Representative: Comments: 1111 SPOKE CouNtrY PROJECT APPLICATION - Detail Information SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Number: Contractor Phone IFax s7LI--i / / 9 t-/-a,"/� Mailing address City, state Zi �/�- -vz (.i%%iq • 2j Z - WA State Contractor license # Building Information Building height to peak Dimensions Architect / Engineer Architect/Engineer Phone Fax Mailing address City, State Zip Contact name: # of stories Main floor sq. ft. Unfinished basement sq. ft. Occupancy group Cost of project Total habitable space 2"d floor sq. ft. Finished basement sq. ft. Construction type Garage sq. ft. Deck sq. ft. O t O © c Manufactured Home Width: Year: Heat source (electric, gas, etc.) A/ 6 Sign Length: What is the square footage of the sign face? How high is the sign? Make: # of signs Area of existing signs Relocation Previous address Proposed use Fire Safety Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Value Special Inspections Required? Firm Name Phone inspectors: Non -Residential Energy Code Compliance? Plans Examiner Phone Address 7 Concrete 0 Welding 0 Bolting Reinforcement Inspector Phone Address 0 1T ADDRESS At 3 C / kid 11_i,ti' ZONE LLA : 4;T ROAD 'A IDTIf --6 FRONT .:2)01 --FLANKING COMMENTS • REVIEWEr2) j q, i(j `Zu ,'L This s ;e c:an is being submitted for the purpose of ob aining a budding permit and is a true and correct representation of the proposal. All known pror,erty lines/dimensions, curb lines. structures and easements have been identified. Also indicatcd are ;ietlands, bodies of wAter, steepslopesor other critical areas. M 11 E\V