2003, 04-16 Permit App: BD-03-105 Pool, Pool HeaterCity of
SPOKANE VALLEY
BUILDING PERMIT APPLICATION
PERMIT# 11)S.
BOX 1"L S j
S, ,, t✓r1�2c 4
/Z � f i -k 4-jT JOB LOCATION �
OWNER
OWNER'S ADDRESS 4✓'i 4
PHONE c.28- ///
BRIEFLY DESCRIBE JOB lar
CITY V/V„ iii t L STATE Lala
1(Q x3 V !/U �C - `3 i�r77rrl r/�i Poo
,—
BOX 2
CONTRACTOR'S NAME P WOILL.. Y, PHONE g2g
CONTRACTOR'S ADDRESS / - 5.2LI fez .144j411 -i- CITY S`'PJ iW 1//t LATE
CONTRACTORS REG. #-i-it c P EXPIRATION DATE t (SINZ
• (CARD MUST BE PRESENNNTTTEEED D COPIED)
BOX3
CONTACT PERSON OF PROJECT //�41/r4 4L PHONE 3?- go 5 9
ADDRESS C3 5-2 y
CITY btC -4r-
f/A[.r. £ ( STATE 4t1/4
BOX 4
SEWER AVAILABILITY Y
WATER AVAILABILITY
BOX 5
ESTIMATED PROJECT COST $ f'S l<. 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
BOX7
BUILDING SQUARE FOOTAGE (EXISTING/ PROPOSED) 1ST FLOOR /
SECOND FLOOR /
BASEMENT / CARPORT
THIRD FLOOR / GARAGE
TOTAL /
/ DECK /
BOX 8
(
(
(
BOX 9
SINGLE FAMILY
) MULTIFAMILY (NO. OF UNITS)
) COMMERCIAL / INDUSTRIAL
) TENANT. IMPROVEMENT
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE SQ. FT.
PLUMBING FIXTURES (INCLUDING ROUGH INS)
NO. _ WATER CLOSETS
_ GARBAGE DISPOSAL
BATHTUBS
SHOWERS
_ LAVATORIES
SINKS
_ DISHWASHERS
_ ELETRIC HOT WATER HEATER
_ LAUNDRY WASHER OUTLET
URINALS
_ DRINICNG FOUNTAINS
_ SUMPS, SPRINKLER VACUUM BREAKERS
FLOOR DRAINS
_ BACKFLOW PREVENTOR
WATER SOFTNER (BUILT IN)
_ GREASE TRAP
HOT TUBS
TOTAL FIXTURES
S -V APPBP
MECHANICAL FIXTURES
GAS PIPING: OUTLETS
NO. _ GAS LOG
_ FURNACE, ELECTRIC _ GAS_
_ GAS HOT WATER HEATER
_ CONVERSION BURNER
_ BOILER: SIZE
_ AIR HANDLING UNITS
_ HEAT PUMPS: SIZE
_ UNIT HEATERS
_ AIR COOLING UNITS: SIZE
_ COMMERCIAL HOOD
_ EARTHQUAKE VALVE
VENTILATING FAN
_ WOOD STOVE
_ INCENERATORS
_ SUSPENDED HEATER
I OTHER
OVER
_ BACKFLOW PREVENTOR
WATER SOFTNER (BUILT IN)
_ GREASE TRAP
_ HOT TUBS
OTHER rinai 1.4 'COOL -
WOOD STOVE
INCENERATORS
SUSPENDED HEATER
OTHER
TOTAL FIXTURES
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 'nit, WORK FOR WHICH Iter: 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 , j 'hind' P00( --
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ $ = SQ. FT.
BUILDING SQ. FT. @ $ = SQ. FT.
BUILDING SQ. FT. @ $ = SQ. FT.
BUILDING SQ. FT. @ $ = SQ, FT.
TOTAL SQUARE FEET TOTAL VALUATION $
BUILDING PERMIT NO. PLANS CHECK FEE $ RECEIPT NO.
(QO"_�.a
PERMIT FEE $ Se PLUMBING FEE $ MECH. FEE $ WSBCC $ q...6-0
ENERGY FEE $ DECK / CARPORT FEE $ OTHER FEES $
TOTAL FEES $ AM i D $ 'f• 50
BUILDING DEPARTMENT APPROVAL BY
ASSIGNED ADDRESS
RECEIVED STAMP
S -V APPBP
ACCEPTED FOR FILING
/le/71 ce,e,;cA,
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Sparr to;ane
Hey
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
PROJECT
ADDRESS:
DESCRIPTION OF WORK
PERMIT
USE:
OWNER:
X
PHONE (Daytime Contact):
MAILING ADDRESS:
AMOUNT
(street)
(city/state) (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS:
-
PHONE #:
2
(street)
(city/state) (ZIP)
METHOD OF PA
❑ CASH ❑ CHECK 0 ❑ '.
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Pao2
DESCRIPTION OF WORK
# OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BUR2NING APPLIANCE
= OR <100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-IF
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
= or < 400,000
X
$50
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
s57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
--
X
$10
-
13
RANGE
-
X
510
-
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
-
X
$10
-
' '/
16
MISC. FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. Outlet)
-
X
$1
-
18
DUCT SYSTEMS
-
X
$10
=
19
VENTILATING FANS
-
X
$10
-
20
AIR HANDLER (DOES NOT include ducting)
= OR < 10,000CFM
X
812
-
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19
-
22
EVAPORATIVE COOLERS
-
X
$10
-
23
TYPE I HOOD
-
X
$50
-
24
TYPE II HOOD
-
X
810
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIR CONDITIONER
15-30 TON
X
$25
=
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
$60
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
WOOD STOVE - FREE STANDING
-
X
$25
-
V1EN
l
to'
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: ' Q
❑ CASH ❑ CHECK 0 ❑ '.
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Pao2
3.11.010 SWIMMING POOLS - GENERAL. It shall be required that all public and
semipublic pools have the area in which the pool is located completely surrounded
by a fence of substantial construction. Such fence shall be not less than six feet in
height and shall be provided with a gate or gates having latching hardware which
can be locked or otherwise securely fastened shut when the pool is not in use by
persons authorized to use such pool. All private swimming pools shall have a fence
of substantial construction not less than four feet in height completely surrounding
the pool or the yard area in which the pool is located, and such fenced area shall be
provided with a gate or gates having a latch openable only from the pool side of the
fence located a minimum of 42 inches above the adjacent grade. Covers which may
be used to enclose or cover the pool shall not be considered to qualify as a substitute
for the required fence as a means of providing minimum safeguards of the pool area.
For the purposes of this section, a fence of substantial construction shall
mean a fence, wall or other obstruction or barrier so constructed as not to have
openings, holes or gaps larger than 2 inches in any dimension, except for fences
consisting solely of vertical pickets which may be spaced not more than 4 inches
apart. All such fences shall be installed, inspected and approved prior to filling the
pool with water.
The fee for swimming pool permits issued pursuant to this Title shall be
as specified in section 3.08.060(c).
3.11.020 PERMITS. The permit fee for a swimming pool is intended to offset the
costs of permit processing and inspections to verify fencing and setback require-
ments only.
CHAPTER 11 - SWIMMING POOLS 47
Name
Job Address
City
Phone-dav ( 1
SCALE POOL DRAWING FOR:
WE
SPECIFICATIONS:
Make Model
Pump Coping
Filter Facia
Heater Plaster