2005, 07-12 Permit App: 05002349 PoolProject Number: 05002349 Inv: 1
Application
Date: 07/12/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 18 X 36 SWIMMING POOL W/GAS HTR & PIPING Contact: LIFETIME POOLS & SPAS
Address: 1410 N HOWE ST
C - S - Z: SPOKANE,W A 99212
Phone: (509) 995-6817
Group Name:
Project Name:
Setbacks: Front 70+ Left: 40 Right: 15 Rear: 25
Site Information:
Plat Key: 002083 Name: PONDEROSA 02ND ADD
District: Sout
Parcel Number: 45324.0407 Block:
SiteAddress: 4002 S RIDGEVIEW DR
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: AHRNDT, SCOTT & DEANNA
Address: 4002 S RIDGEVIEW DR
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 150 Depth: 250 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Permits:
Contractor: LIFETIME POOLS/RANDY
Address: 1410 N HOWE ST
SPOKANE, WA 99212
Item Description
GAS APPLIANCE > 100,000BTU
GAS PIPING
Mechanical Permit
Firm: RANDY MELCHER MFG CO INC
Phone: (509) 995-6776
Units Unit Desc
1 NUMBER OF
1 # OF UNITS
Fee Amount
$15.00
$1.00
Permit Total Fees: $16.00
Operator: K_C Printed By: K_C Print Date: 07/12/2005
Project Number: 05002349 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/12/2005 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
Notes:
Payment Summary:
Permit Type
Mechanical Permit
Swimming Pool
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount Invoice Amount
$16.00 $16.00
$54.50 $54.50
$70.50 $70.50
Fee Amount
$50.00
$4.50
Amount Paid
$0.00
$0.00
$54.50
Amount Owing
$16.00
$54.50
$0.00 $70.50
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: K_C Printed By: K_C Print Date: 07/12/2005
Spokane
jUalley
' BUILDING PERMIT APPLICATION WORKSHEET
E « qtetcprka valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
,Phone: (509) 688-0036; Fax: (509) 688-0037
[I [L I()) 11 irj
REQUIRED SITE INFORMATION
Street Address: 4-700 Z S.
Assessor's Tax Parcel Number(s):
' Legal Description:
sem,=
PERMIT DESCRIPTION:..„-
._
r- IN Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
0 Relocation ❑ Tenant Improvement ❑ Fire Safety Other
OWNER/APPLICANT INFORMATION
❑ Owner: CJLOi. to 0 Applicant:
Phone: 'f -1-3--W 6 7 Fax: Phone: Fax:
ddress: 4koo Z S • 40r' Address:
City tate Zip Code City State Zip Code
0 Contractor: iSti'6 0 Architect:
Phone: -3,/-1 /(q Fax: 'Sr3` 01.5-- /4--- Phone: Fax:
Address: 167 / co N. / crt-a—�
jc •.._:
City State Zip Code City
• WA State Contractor License #: 1-,(FFT p 5-5J--0 Contact:
Spokane Valley Bus. Liscense #: Contact:
Address:
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: - Oo 0
1
30%, SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? �.
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
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 inure to the property owner.
Print Name / CLL/ ivrC,k1 Signature .c� �"L� ,
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
n
ane
lJ
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0b37
For Inspections, Call (509) 688-0054
Lrommunity tJeveiopr T1 I L) JI 111im 11
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: {�� -2- S � }�1lP!/- Permit Use:
Owner. J Q --t1 TT a_
Mailing Addres: s_(o,o
Contractor.
Mailing Address: / CIL ( 0
Phone (Daytime Contact):
UJLdat--)__ W' 4e
tTo Phone #:
License #: %
snit
city r State
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
i
X
$15.00
=
fc. `O O
3
UNLISTED APPLIANCE (Addifional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or Tess than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
/
X
$1.00
=
I. 00
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.0D
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE 1 HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 5D TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS'
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
L'
3�`
An.o1�_
P Cots
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of watt, steep slopes or other critical areas.
Signed*
Date' 7