2002, 07-17 Permit App: 02006030 Pool Project Number: 02006030 Inv: 1 , Application Date: 7/17/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REPLACE EXISTING SWIMMING POOL Contact: SOLBERG,DARIN & MARY
Address: 1305 S ROTCHFORD DR
C -S -Z: VERADALE,WA 99037
Setbacks: Front 38 Left: 120 Right: 10 Rear: 234 Phone: (509) 926-5444
Group Name:
Site Information: Project Name:
Plat Key: 002316 Name: ROTCHFORD ACRE TRACTS District: F
Parcel Number: 45243.0509 Block: Lot:
SiteAddress: 1305 S ROTCHFORD DR Owner: Name: SOLBERG,DARIN & MARY
VERADALE, WA 99037 Address: 1305 S ROTCHFORD DR
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sy Ft Width: 165 Depth: 300 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released B, �.:. �0,1
Septic System Review Released By '7 _�
1
/the) 'Iterrj-
Permits:
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
GAS APPLIANCE>100.00OBTU 1 NUMBER OF $15.00
GAS PIPING 1 #OF UNITS $1.00
VENTILATING FANS 1 NUMBER OF $10.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $51.00
Operator: DMD Printed By: RMB Print Date: 7/17/2002
Project Number: 02006030 Inv: I Apphc qaion Date: 7/17/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Swimming Pool
Contractor: GRAHAMS PORTA POOL Firm: GRAHAMS PORTA POOL
Address: 111 N VISTA RD lE Phone: (509)922-1100
SPOKANE,WA 99212
Item Description Units Unit Desc Fee Amount
PRIVATE POOL 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
COUNTY SURCHARGE 1 Y OR BLANK $11.00
Permit Total Fees: $65.50
Notec:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $51.00 $51.00 $0.00 $51.00
Swimming Pool $65.50 $65.50 $0.00 $65.50
$116.50 $116.50 $0.00 $116.50
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 he
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: DMD Printed By: RMB Print Date: 7/17/2002
g .,,-
lAPROJE6T APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPoi M' Cowl 509-477-3675 0a -U418b
SPECIFIC SITE INFORMATION
Street Address: /3a3 i zitC/./F-0/gzl Ve4AAt-LE j,i- r?63
Assessor's Tax Parcel Number(s): / 0
Legal Description:
Project Description: c.5 Id/ 44 frl-r'U U Pao
C9Kilding Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District: Fire District: Zoning
Left Right
OWNER/APPLICANT INFORMATION
� I Indaiale who should be ronladed ardin,i lhi+prrjed
IT (>/Vner Phone 9 Zb"',...4-44 4 NM Appplicant: L!� s ' /� Phone: 9' '.Z"11
1
D�Ks/J SoL6E ! Fax: bf A1 ' 50LA5ce- Fax::
Mailing Address: Mailing Address:
/305. 6. 24'ICNW.C6 -�—'
City,State,Zip City,State,Zip
V erAA4A.€, kJ . 1?6 3'7
0 Contractor Phone 9 2 2.—//60 0 Architect/Engineer Phone
L-7Kf}t7TMS potr.4 P 0 0 L Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
VV'A State Contractor license# Contact name:
PROJECT INFORMATION
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 type Garage sq.ft. Deck sq.ft.
Cost of project I leat source(electric,gas,etc.)
Manufactured Home Sig
Width: Length: r Wliat,rs the square footage of the sign I low high is the sign?
facee
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler 'Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? O Yes O No What is the current property size?
Ifyes,identifi,on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identify on site plan O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,itientifii on site plan Ifyes,ident fy on the site plan O Yes O No
O Maybe O Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan O Yes O No O Yes O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
( /%) O Yes O No O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca? Is public sewer available to the site? O Yes O No
OYes No
Is the property inside the ASA? D Yes O No Is public water available to the site? O Yes O No
O Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Arca?
O Yes O No
Date Received: Staff Represcntaticc:
METHOD OF PAYMENT 1
9C�Vt SUBTOT.A1,
VISA
0 cAsli ❑ CHICK 0 WIN ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D;A'1'I I?xPIRI(S: TOTAL FEE
BANKC,\RD NUMBER: MINIMUM PERMIT FEE IS$35.00 PLEASE
Iii KE CHECKS PAYABLE To SPOKANE
AUTHORIZED SIGNATURE: COUNTY PERMIT CENTER
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ADDRESS
ZONE
ROAD 1
FRONT
COMMENTS
REVIEWED BY
FLANKING
This Oe pl�h l f�r,ing 5� for thepurpoee Of
ebtaining a bulldlr1 .,ern -'`t and 1s a true and correct
representation of he r""'p sal. All known property
tines/dimension,, c h ^es. structures and easements
ihave been dente Also 'V d . ateddothre e it wettlaads,
v bodies of ater, steep.
Signed:
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