2005, 06-21 Permit App: 05002099 PoolProject Number: 05002099 Inv: 1 Application Date: 6/21/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: IN -GROUND SWIMMING POOL Contact: POOL WORLD INC.
Address: 13524 E SPRAGUE AVE
C - S - Z: SPOKANE, WA. 99216
Setbacks: Front NA Left: 8 Right: 20+ Rear: 9 Phone: (509) 928-6585
Group Name:
Site Information: Project Name:
Plat Key: Name: CANAL 01ST ADD District: East
Parcel Number: 55184.3802 Block: Lot:
SiteAddress: 18111 E SPRINGFIELD CT Owner: Name: LANNING, GREGORY L & ANGEL
Address: 18111 E SPRINGFIELD AVE
Location:: CSV SPOKANE VALLEY, WA 99016-953
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,840 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Revi
Site:
Septic System Review
Permits:
-- --- - — - Mechanical Permit — —
Contractor: POOL WORLD INC Firm: POOL WORLD INC
Address: PO BOX 14927 Phone: (509) 928-6585
SPOKANE, WA 99214
Item Description
Units
Unit Desc
Fee Amount
GAS APPLIANCE >100,000BTU
1
NUMBER OF
$15.00
GAS PIPING
1
# OF UNITS
$1.00
Permit Total Fees: $16.00
qvt4� C�
Operator: DMD Printed By: DMD Print Date: /2005
Project Number: 05002099 Inv: I Application Date: 6/21/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: POOL WORLD INC
Address: PO BOX 14927
SPOKANE, WA 99214
Item Description
PUBLIC POOL
STATE SURCHARGE
Swimming Pool
Firm: POOL WORLD INC
Phone: (509) 928-6585
Units Unit Desc Fee Amount
1 SELECT $50.00
1 SELECT $4.50
Permit Total Fees: $54.50
Notes:
NOTE THAT THERE IS A CHANGE OF CONDITIONS FOR THE ZONE CHANGE FOR THIS
PLAT (APPROX 9-9-93). ZE-59A-72 AND ZE-106A- 72.
Payment Summary:
Permit Tyne Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $16.00 $16.00 $0.00 $16.00
Swimming Pool $54.50 $54.50 $0.00 $54.50
$70.50 $70.50 $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: DMD Printed By: DMD Print Date: 6/21/2005
bb/11/'LbbS n7: Lb on7JL41DOr--
��� ci c+ur�� X7.17 rK t TO 3241567 P.01/02
Project Number: OS002099 Irm: I Appli catical Date: 6/21/2005 Page 1 of 2
THIS IS NOT A P19RMIT
Penalties will be assessed for commelacing work without a permit
Prosect
Permit Use: IN -GROUND SW MMMG (POOL !Contact; POOP. WORLD INC.
Address: 13524 V SPIT AGUE AVE
d - S - Z: SPOKANE, WA. 99216
Setbacks: Front NA Leff: 8 Rishr.: 20+ Rear: 9 ! Phone; (509) 928-6585
Group Name:
Site Infongasion: PtojedtName:
r. rrrrrll�re�
Plat Key. Naw: CANAL, 01ST ADD ! District: Las t
Parcel Number: 551843802 Block Lot: j -
SitcAddress: 18111 E SPRINGFIELD CT Owner: Name: LA NNING, GREGORY L & ANG n
Addrase: 18111 E SPRING1r1ELD AVE
Location:: CSV I SPOKANE VALLEY, WA 99016.45:1
Zoning: UR -3.5 Urban Residential 3.5
Wow Disn icc
Area: 11,840 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr o:f Dwellings. 0
Review 1n&MgQ&
i
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Site Plan Review
mics: i
—' MeekaNtea!Perar�r �-----------
Coutr"t": POOL. WORLD INC Firx.r, POOL WORLD INC
Address: PO BOX 14927 Phorle: (509) 928-6585
SPOKANE, WA 99214
Item Description jblijA VWt Des•; F Amount
OAS APPLIANCE >100,000BTU 1 NU GRIP OF $15.00
GAS PIPING l # OF UNITS I $1.00
Permlt'rotal Fees 516,00
� r
A)AJ-�K7Operator: DMD Printed 9y: DMD Print Date05
: /20
JUN 21 2005 10:36 5093241567 PAGE.01
06/21/2005 09:26 5by3'L415bI JRrlw
JUN 21 2005 09:19 FR
9 TO 3241567 P.02/02
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5093241567 PAGE.02
City Of 7i
SPOKANE VALLEY
BUILDING PERMIT APPLICATION
PERMIT #
BOX 1
OWNER JOB LOCATION
OWNER'S ADDRESS IZr,UC'
PHONE
BRIEFLY DESCRIBE JOB
CITY r4 LU �"
BOX 2 CONTRACTOR'S NAME ['�(✓°'uG PHONE
CONTRACTOR'S ADDRESS I `i .�ZT�CITY S �lY �� STATE
CONTRACTORS REG. # /�G� # `�� ��� EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED)
BOX 3
CONTACT PERSON OF PROJECT /"�Gl� /�L� ,�f'I�i'!' PHONE
ADDRESS 1 3 �2 c/ C-2/ �r���-��` " CITY �i�� ��� STATE
i
BOX 4
SEWER AVAILABILITY WATER AVAILABILITY
BOX 5
ESTIMATED PROJECT COST $ / rGG 1,��� EXISTING BLDG. VALUATION $
BOX 6
PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBR LOT NUMBER
BOX 7
BUILDING SQUARE FOOTAGE (EXISTING/ PROPOSED) IST FLOOR /
SECOND FLOOR /
THIRD FLOOR /
BASEMENT / CARPORT--
GARAGE
ARPORT
GARAGE / DECK /
TOTAL /
BOX 8
( ) SINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS) ( ) EXISTING STRUCTURE
( ) COMMERCIAL /INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT.
( ) TENANT. IMPROVEMENT IMPERVIOUS SURFACE SQ. FT.
ROY 9
PLUMBING FIXTURES (INCLUDING ROUGH INS)
MECHANICAL FIXTURES
NO. WATER CLOSETS
GAS PIPING: I_ OUTLETS
_
_ GARBAGEDISPOSAL
NO. GAS LOG
GAS
FURNACE, ELECTRIC _
_BATHTUBS
SHOWERS
_ GAS HOT WATER HEATER
_
LAVATORIES
_ CONVERSION BURNER
—
SINKS
— BOILER: SIZE
DISHWASHERS
_ AIR HANDLING UNITS
_
ELETRIC HOT WATER HEATER
_ HEAT PUMPS: SIZE
_
LAUNDRY WASHER OUTLET
_ UNIT HEATERS
—_ URINALS
_ AIR COOLING UNITS: SIZE
DRINKING FOUNTAINS
_ COMMERCIAL HOOD
_
SUMPS, SPRINKLER VACUUM BREAKERS _ EARTHQUAKE VALVE
_
FLOOR DRAINS
_ VENTILATING FAN
_
BACKFL,OW PREVENTOR
_ WOOD STOVE
_
WATER SOFTNER (BUILT IN)
_ INCENERATORS
_
GREASE TRAP
_ SUSPENDED HEATER
_
HOT TUBS
_ OTHER
_
TOTAL FIXTURES
OVER
S -V APPBP
_ BACKFLOW PREVENTOR
WATER SOFTNER (BUILT IN)
_ GREASE TRAP
T HOT TUBS
_ OTHER
TOTAL FIXTURES
_ WOOD STOVE
_ INCENERATORS
_ SUSPENDED HEATER
OTHER
I VERIFY UNDER THE PENALTY OF OR PERJURY, THAT THE INFORMATION FURNISHED BY ME IS TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE
OWNER OF THE ABOVE PREMISES (OR SITE) TO PERFORM THE WORK FOR WHICH THE APPLICATION IS
MADE.
OWNER / AGENT DATE
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
REMARKS
SEPA; EXEMPT NOT EXEMPT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
FIRE SPRINKLERS FIRE ALARM ACCESS ROADS WATER
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
__ --------- ----------- __________________________________________________ _
STREET USE STORM DRAINAGE OTHER
(CASH OR CERTIFIED CHECK MAY BE REQURED FOR STREET CLEAN UP)
PUBLIC WORKS APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD / ALT NEW INDUSTRIAL
IND. ADD / ALT NEW COMMERCIAL COM ALT / ADD
NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD / ALT
TENANT IMPROVEMENT ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQUARE FEET
STORIES
@ $ = SQ. FT.
@ $ = SQ. FT.
@ $ = SQ. FT.
@ $ = SQ, FT.
TOTAL VALUATION .$
BUILDING PERMIT NO. PLANS CHECK FEE $ RECEII'T NO.
PERMIT FEE $ PLUMBING FEE $ MECH. FEE $ WSBCC $
ENERGY FEE $ DECK / CARPORT FEE $ OTHER FEES $
TOTAL FEES $ AMOUNT DUE $
BUILDING DEPARTMENT APPROVAL BY
ASSIGNED ADDRESS
RECEIVED STAMP
S -V APPBP
ACCEPTED FOR FILING
g MECHANICAL PERMIT APPLICATION
6• FAX: 509 688-0037
«� Phone: (509} 688-003 , ( )
'dllr� J For Inspections, Call (509) 688-0054
Project Address: 0711
Owner. 6
Mailing Address`
Contractor. ),!its
Mailing Address:
DESCRIPTION OF WORK
r License #: /t -a -C -
Community Development Departmer
Building Divisio:
11707 E. Sprague Avenue, Suite 10,
Spokane Valley, WA 9920
��
Permit Use: S/,rr .,, ,,, ,n /��''-r`'F
Phone (Daytime Contact): 9-;'7 - C/ `/`1
{�.,�-, � c, � /moi � l �•
City State Zip Code
/ f -;ZW O Phone #:
�„ L%L �rL:14
C, State Zi Code
OF UNITS I X COST I = I TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00 =
2
FUEL BURNING APPLIANCE c°dt
t"tMore than 100,000 /
X
$15.00 = J�c
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400 ODO
X
$100.00 =
5
USED APPLIANCE SEC min. AFUE ratin
Ecival to or less than 400,ODO
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE rating)
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 -100M BTU
X
$12.00 =
8
BOILERIREFRIGERATION
101 - 500M BTU
X
$20.00 =
9
BOILERIREFRIGERATION
501 - 1,000M BTU
X
$25.00 =
10
BOILERIREFRIGERATION
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
18
DUCT SYSTEMS
X
$10.00 =
19
VENTILATING FANS
X
$10.00 =
20
AIR HANDLER DOES NOT include ductin
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 =
22
EVAPORATIVE COOLERS
X
$10.00 =
23
TYPE I 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 50 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:
❑ CASH ❑ CHECK (,VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE: _
EXPIRES:
SUBTOTAL / L'L.�
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE: Sx Z' C?
\ :A'b
I moo'
---�
a
12 --
This site pi Vi is being submitted for the purpose of
a 'building permit and is a true and correct
ot the proposal. All known property
,ons, curb structures and easernents
halt-, been iden", ffle5Kdo indicated are wetlands,
bodies of m ater, a
'"'P"Vopesv
other critical areas.
Date:
n