2005, 08-31 Permit App: 05003179 Pool Project Number: 05003179 Inv: 1 Application Date: 08/31/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 16' X 32'ABOVE GROUND POOL Contact: SHINKLE,CARLA&KEVIN
Address: 12911 E SHARP
C-S-Z: SPOKANE VALLEY,WA 99216
Setbacks:Front Left: Right: Rear: Phone: (509)928-3436
Group Name:
Site Information: Project Name:
Plat Key: 005472 Name: LIESL SUB District: F
Parcel Number: 45142.1019PTN Block: Lot:
SiteAddress: 12911 E SHARP AVE Owner:Name: SHINKLE,CARLA&KEVIN
Address: 12911 E SHARP
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: ',578.00 Acres Width: 94 Depth: 187 Right Of Way(ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1000
Review Information:
Review
Site Plan Review Released By:
Originally Released: 08/31/2005 By: CBATES
Septic System Review Released By:
PER LANCE @ COUNTY HEALTH,A SEWER PERMIT HAS BEEN ISSUED. #05-6424
Originally Released: 08/31/2005 By: cjjanssen
Swimming Pool
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
PRIVATE POOL 1 SELECT $50.00
Permit Total Fees: $50.00
Operator: CJJ Printed By: CJJ Print Date: 08/31/2005
Project Number: 05003179 Inv: 1 Application Date: 08/31/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
ADDRESSED
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Swimming Pool $50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 08/31/2005
08/22/2005 09:56 5093241567 SRHD EHS PAGE 02/02
AUG 19 2005 16i FR _ TO 3241567 P.01/02
CUM Oil fr:u. '41241 City of Spokane Valley Community Development Bdung DepDivartment
opo .tpe . on
• 11707 E. Sprague Avenue, Swie 106
. .,,, VallSpokane Valley, WA 99206
V Phone; (509) 688-4 36; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
L
Street Address: _ • G
Assessor's Tax Parcel Number(s): 3 ,:,,
• Legal Description: _ -
PERMIT DESCRIPTION: it ;•a • s r• `.:►pis '.
a
KBuilding Permit 0
Change in Use ( GradIng D Other Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety
1-----'''921:lffviAPPLICANT 1NFORMA
TION
Be" •
_Owner. + 1 Yu.rt,kJz ❑ Applicant:
Phone: Y Z.$-3 3 Fax: Phone: Fax
• Address:
0 - • , itI_' Z , sit. zp cod.
. � SEAL rp Code Cay,
0 Contractor. _ 0Architect
Phone: Fax:
Phone: Fax Address:
ddress:
City stab
Zip Code Gty Stag Zp Cads
WA State Contractor License#: _ Contact: _ --
Spokane Valley Bus. Llscense#: Contact _ .
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK D1Mr 1SIO �� ,#OF STORIES: —
'� 8 I ..
MAIN FLOOR TO 5FIG: 2 FLOOR SQ.FTG:
UNFIN BASEMENT SO.FTG:
FINISHED BASEMENT SQ. FTG: • GARAGE SQ,FTG: DECK/COV.PATIO SQ.FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE; HST SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: " SEWER OR 914-3 P!1P
SYSTEMT
RUG 22 2005 11:08 5093241567 PAGE.02
BUILDING PERMIT APPLICATION WORKSHEET
elc
r Spillane
City of Spokane Valley Community Development Department
OE -3[1 (1 Building Division
11707 E. Sprague Avenue, Suite 106
J� -- - Valley
3�` . Spokane Valley, WA 99206
\v - • Phone: (509) 688-0036; Fax: (509) 688-0037
yREQUf 1
`
IRED SITE INFORMATION
Street Address: 12, 11 ( E E .
Assessor's Tax Parcel Number(s):
Legal Description:
^ '� w 00 pact_ i
PERMIT DESCRIPTION: GL,61 e saro c, act 1 IQ Y 3
[Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
V _Owner. ratia + Ke•VCrt.SkiI ,k1� ❑ Applicant: •
Phone: i -3g3(p Fax: Phone: Fax:
Address: 129,l I £ . ka,r D Address:
to',�- a ' A r
EP Z1 Lp
$ity State Zip Code City State Zip Code
❑ Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Tip Code City State Zip Code
• WA State Contractor License#: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIOI'4S: i� ,#OF STORIES:
.33` Ki[nY' � eg IZZ5b C‘,C‘,,.,
MAIN FLOOR TO SQ. FTG: 2 "FLOOR SQ. FTG: c 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 ORO EP-Eric
SYSTEM?
UX__ \l \ fi 1011 LH Uli ' LolN et_ Ski/a. GS
cust o mc Is CD1 It cI O S V Ui -
MANUFACTURED HOME YY J
Nidth: Length: Year. Pit Set:
Manufacturer.
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
=ire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
rent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner. Phone: Fax:
kddress:
City State Zip
nspector. Phone: Fax:
kddress:
City State Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
=irm Name: Phone: Fax:
nspector(s):
)ISCLAiMER
-he perrnitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
Welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
)roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this
ransaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
Zeferenced 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.
)wnership of resulting development rights granted by any issued permit• ure to the property owner.
'rint Name 00..r( 0. �`��-� Signature �QA-14.--e—r-LM's
4ethod of Payment: (Faxed permit applications will only be accepted with major bankcard)
] Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
>ankcard #: Expires: VIN#:
authorized Signature:
FINAL AS-BUILT INSTALLATION oti�� 9�
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THE LOCATION OF THE ON-SITE SEWAGE
SYSTEM REPRESENTED BY THE DRAWING
IS NOT TO BE CONSTRUED AS AN ,
EXACT LOCATION OF THE SYSTEM. . .
REMARKS (continued) :
ZP___,--52/1_ ..3,/idite . - - - ,_ .. . . .
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08/22/2005 09:56 5093241567 SRHD EHS PAGE 01/02
— ' : . ... TO 3241567 P.02432
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;. THE.LOCATION.OP THE ON-SITE SiCkAdi "
"'SYSTEM REPRESENTED BY THE.DRAWING TrOZ::Ak--C4 •'
,
IS NOT TO BE CONSTRUED AS AN .
EX •
ACT LOCATION OF TME SYSTEM. ;& t ' " .' ' 01--+
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REMARKS (cantinued)
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..t ..�.. ''5� I, G n;',''' <yi` r.
AUG 22 2005 11:07 5093241567 PAGE.01