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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� e ok N6R11 \oc \he an p co y c A t '';,t\aa 3 a\c oo�1 pseme�\s • n,,ac `� c,at. P\\e a04f e,Ne\\a�da; r ...ot) \ oc,r3 d ace a\ aye e 6\ca 1 c ;t a \ o\re l O. ( G lib t2' I 1I Z1 • �j : 1 ,Ja Z0�''''.'n., /rib �� -- — "" ,� a .._ eijelvdo 1 -" i c • 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 . - - - ,_ .. . . . L S a 08/22/2005 09:56 5093241567 SRHD EHS PAGE 01/02 — ' : . ... TO 3241567 P.02432 - r FINAL AS-BUILT INSTAL4710N , 140 ' b , 7,..; .y ., NGRA S•••••:-• t t t • If L iso • ,s' . it f , • f • • •it� • , IA' , , y Iz / 1 10 . delk)C1.4.8_4( I/I'\ . . • .• • _ • ;. 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--+ / 4•'ilt . /ter r. 1 ', , '' ,5-Cl /ir +� na r-- REMARKS (cantinued) c• tc ,r, ' ' w'1.' V n,i • , ..t ..�.. ''5� I, G n;',''' <yi` r. AUG 22 2005 11:07 5093241567 PAGE.01