2000, 09-15 Permit App: 00008282 PoolProject Number: 00008282 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/15/2000 Page 1 of 1
Project Information:
Permit Use: SWIMMING POOL
Setbacks: Front
Site Information:
Plat Key: 005831 Name: RIDGEMONT ESTATES NORTH 6TH ADD
Parcel Number: 45252.9071PTN Block: Lot:
Contact: inland empire excavation
Address: 10211 e driftwood ct
C - S - Z: spokane wa 99206
Left: Right: Rear: Phone: (509) 891-1586
Group Name:
Project Name:
SiteAddress: 1701 S SONORA ST
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Urban Residential 3.5
District:
Owner: Name: BURGMAN, MARK
Address: 1701 S SONORA
VERADALE, WA 99037
Hold: ❑
Area: 0 Sq Ft Width: 105 Depth: 80 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
Swimming Pool
Contractor: INLAND EMPIRE EXCAVATION Firm: INLAND EMPIRE EXCAVATION I
Address: 10211 E DRIFTWOOD Phone: (509) 891-1586
SPOKANE, WA 99206
Item Description
PRIVATE POOL
STATE SURCHARGE
COUNTY SURCHARGE
Payment Summary:,
Operator: DMD
Permit Type
Swimming Pool
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Printed By: DMD
Permit Total Fees:
Fee Amount
$50.00
$4.50
$11.00
$65.50
vga
Print Date: 09/15/2000
Fee Amount Invoice Amount
$65.50 $65.50
$65.50
OK TO ISSUE SEWER PERMITS PER BILLY 2/14/97
$65.50
Amount Paid
$0.00
$0.00
Amount Owing
$65.50
$65.50
1 1
AltXI
liii
SPOKANE COMFY
Project Description:
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675 iJ X'1 07 G2
TYPE OF APPLICATION
❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
' Other io,41 jek9,0 (
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
/ 70 ` 6: -16124st' Sc7r)oK4_
Legal Description:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted reQardine this proiect
❑ Owner: j Phone: Q t 3 v2 7 3 3
iia r k + 3 (/� Y �( /n0. /\ Fax:
❑ Applicant: /) Phone:
S �'.( /� e ? Fax:
f� /
Mailing Address: \
/70/ S <60/901P -CL
Mailing Address:
City, State, Zip
fI/o4 tc 99(21/
City, State, Zip
"o/
i _ 1S
❑ Contractor / Phone .7?
T/�i! �CNC� �W10/�P 1(C. Fax l
inArchitect/Engineer
Phone
Fax
Mailing address i/
To ,- OrI-P 9D('Cc 6'4
Mailing address
, L/
City, State Zip c
6-po toil-
City, State Zip
WA State Contract r license #
T4faneec CoCe, Kt -t3
Contact name:
PROJECT INFORMATION
Building height to peak
# of stories
Mate
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
Heat source (electric, gas, etc.)
What is the square footage of the sign
face?
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete O Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreli ?
If yes, identify on site plan Cl Yes.'-',' 'No
What is the current use of this property?
7165
Is your property in a designated wildlife habitat area?
O Don't know O Yes "cNo
Will the site be served by a septic system? O Yes No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes O No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes AfiNo
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan O YesNo
Is there evidence of fill or excavation on the property?
O Yes o
Are there slopes greater than 30% on the property? (30 rise in 100 ft)
( / %) O Yes No
Are critical or hazardous materials used or stored on};te?'
O Yes �No
DEPARTMENT USE ONLY
., -
Is the property"in aa esignated Stormwater Control Area?
Yes . `" CINo "����
cwi - �xf•
Is pub is sew a la ®'
t
IS the property insidelhe ASA)
es. "'" {'� No "
.-- O YesCI.No"�f.���_
�s publi�l
���
l• ke
D Yes CI No
IS the pimp
,
i t�
itix
�%et
es
Is the property inside the PSSA?
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASH 0 CHECK 0
ICIVE
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCARD NUMBER:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
ADDRESS:
ZON=
ROAD WIDTH:
5R0
-4J:op"( 8y•
ac,d
C)15
p s-Odati.
This sita fgr pAiroose of
obtaining a 'ouileing pufMii ls a frue and correct
rcpresentation of the proposal. All known property
linesidimensions, curb lines, structures and ease,rnents
have been identified A o indic- wetlan
bodies of w ter, stee sop crtlC 4eas.
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