2001, 10-22 Permit App: 01009312 Pool, Heater, Piping Project Number: 01009312 Inv: 1 Application Date: 10/22/2001 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 SWIMMING POOL W/HEATER&PIPING Contact: POOL WORLD INC.
Address: 13524 E SPRAGUE AVE
C-S -Z: SPOKANE,WA. 99216
Setbacks:Front 100 Left: 48 Right: 30 Rear: 25 Phone: (509)928-6585
Group Name:
Site Information: Project Name:
Plat Key: 001648 Name: MISSION ADD District:
Parcel Number: 45172.0109 Block: Lot:
SiteAddress: 1426 N SUNDERLAND RD Owner:Name: BRISCHLE,MATT
SPOKANE,WA 99206 Address: 1426 N SUNDERLAND RD
Location:: SPO SPOKANE,WA 99206
Zoning: UR 3.5
Water District: 011 MODERN Hold: FA
Area: 0 Sq Ft Width: 40 Depth: 1500 Right Of Way(ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review
Site Plan Review Released By:
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
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $41.00
Operator: MKC Printed By: MKC Print Date: 10/22/2001
Project Number: 01009312 Inv: 1 Application Date: 10/22/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Swimming Pool
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
PRIVATE POOL 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
COUNTY SURCHARGE 1 Y OR BLANK $11.00
Permit Total Fees: $65.50
to : :.'':••:::•:••.:::.::::::...•..:::::::::.:::::::::::::::::::::::::::..:.::....:.::...:.....:..............:..........:.........................................................................................................................................
No s
Payment Summary: :;...
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $41.00 $41.00 $0.00 $41.00
Swimming Pool $65.50 $65.50 $0.00 $65.50
$106.50 $106.50 $0.00 $106.50
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and fmds 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 contrued 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: MKC Printed By: MKC Print Date: 10/22/2001
iAPPLICATION ICATION WORKSHEET
General Information ( / 93/ g
aice num. r
o.a••rens 1 `a, Y
•canerJ n t tC 4 / `L e. 707.
-Mailing address i qieZ 1 14 i �i
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City tate IP
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L, Site Information 'II
Legal Descnption
I
Yropdrd e 1y l/li�J }Water Dist t Number ot:ij �"ellmgs Buildings
t J'�VAt
C-- l K01dwidth
Zone Inspector
1
Project Information
16,
`ew
Mon •,,,,,,, ngeo use'ermit losew
Swimming Pool - Value lit 5- 0 _
l Building Information
\..
Occupant load Building height
Stones
Dwelling units
Budding dimensions
I"otal square footage Req'd parking 1 Handicap parlong Jpnnkler system entical Matenal
Heating and insulation information (II—valises)
• Heat souree
•
111
. 11.1111111111111 Hat ceding Vaulted ceiling Above grade wall
•
Below grade wall Hoor Slab on grade
Door(u—value) Window t•urnace e[liceocy
total window area %of Boor area
Contractor Information'
Plumbing contractor
Building contractor
Pool World, Inc.
License number
Phone License number
PO-OL-WI-241 *CP 928-6585
Mailing
aadress
Mailing address
13524 E Sprque Ave
City,state.zip
City,state,zip
Spokane. WA 99216
Other/Lender
Heating contractor
uy,state.zip
uy,state.zip
PHONE i
PROJECT CONTACT Actium_ Henderson 928-6585
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: /%Z.G Ws 444,101e.ple4j • —
I:(: if ' ' PHONE: f�2 —7O7�
OWNER: iii .-��Li- =' ♦ �
MAILING ADDRESS: /y CO
(street) _ (city/state) (zip)
CONTRACTOR: POc L ltd pit)x,„, LICENSE: 1--h-(>/ / j24/ '
PHONE: '7L e— 6 5----,F..5--
MAILING ADDRESS: E-i 3.S d-t{ Se. , E%�1-,va_ (d/n r t 112.!�,
(str (,t (city/state) (Zip)
# mum- COST
DESCRIPTION OF WORK OF UNITS mann /UNIT EQUALS AMOUNT
BB.(12 FUEL BURNING APPLIANCE =or<100,000 $12 - s _
Btl3 FUEL BURNING APPLIANCE Pool � 45.5 i" >100,000 / _ $15 - s /5=Ci
UNLISTED FUEL BURNING APPLIANCE =or<400,000 $50 - s
iiiiii UNLISTED FUEL BURNING APPLIANCE >400,000 = $100 - s
'I&USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = $50 - s
,i0 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >40o,00o = $100 - s
BOILER/REFRIGERATION 1-100M BTU = $12 - s
',,L.,::.:: BOILER/REFRIGERATION 101-500M BTU = $20 - s
WO BOILER/REFRIGERATION 501-1,0o0M BTU $25 - :
::iCi:i
Eli BOILER/REFRIGERATION 1,o01-1,750M BTU = 35 - s .
BIZ BOILER/REFRIGERATION +1,750M BTU = $60 - s
.thili GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - _ $10 - s
Bio RANGE - _ $10 - s
815<DRYER - _ $10 - s
'OW FUEL BURNING WATER HEATER - _ $10 - s
MM''MISCELLANEOUS ANEOUS FUEL BURNING APPLIANCE - _ $10 - s
illt GAS PIPING(ea.outlet) - ( _
1119>DUCT SYSTEMS -
.B2 L VENTILATING FANS - _ $10 - s
152t AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM = $12 - s
ilii AIR HANDLER(DOES NOT include duct systems) >10,000 CFM i $15 - .
itii EVAPORATIVE COOLERS - _ $10 - s
'tat
TYPE I HOOD - _ $50 - s
2$ TYPE II HOOD _ - _ $10 - :
426>HEAT PUMP/AIR CONDITIONER 0-5 TONS x 12 - s
gitti,AIR CONDITIONER 6-15 TONS = $20 - s
B21JV AIR CONDITIONER 16-30 TONS = $25 - s
82:AIR CONDITIONER 31-50 TONS = $35 - s
iiiiii AIR CONDITIONER +50 TONS _ $60 - s
Iiiii LPG STORAGE TANK - _ $10 - s
it WOOD OR PELLET STOVE/INSERT - _ $25 - s
Subtotal r
NOTE: MINIMUMPE' I a EIS 35.00 PLUS: PROCESSING FEE $25.0C
TOTAL PERMIT FEE DUE $ Y(a(J
.04
SIGNATURE:V i
SPOKANE I! 0 DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE* SPOKANE,WA 99260* (509)456-3675
master\mecperm.5
SPOKANE;REGIONAL HEALTH DISTRICT
Environmental Health Division
1101 W College, Rm 402, Spokane WA 99201 (509) 324-1560
SEWAGE SYSTEM VERIFICATION FORM
Since our office does not have information on file showing the location and size of your system, please provide the
following information in order for us to review your proposal.
Project address: tea 7i
Property owner: Address: Phone:
pl 4itIIe
Existing property use: (residential ( )multi-family
If a business, name and nature: —"
If a business,approximate metered water consumption: gallons per
Type of wastewater fixtures connected to sewage system(s):
I toilets / showers/tub Z sinks / laundry
C2 car wash 6 sprinkler system 7 hot tub/spa (5 swimming pool
/ dishwasher
Year structure built: 7w Year sewage system installed: /947'4'
Number of bedrooms: 3
Has existing sewage system(s)been reconstructed or repaired? ( )Yes No
If yes, when: Reason:
Location and size of the system: Please make or submit a drawing showing location, dimensions, and measurements of your lot,
structure,sewage system(s),water wells,waterline,driveways,direction"north",etc. IDENTIFY WHAT IS DRAWN.
I gotbi
AUL_ I ,
I certify in .• on is true to the bt of y kno ledge.
/ r, /02!:>/
.g,attire of - property own date
01/99
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This site plan is being submitted for the purpose ofr(V
obtaining a building permit and is a true and correct t
representation of the proposal.AU kn• property '(�
lines/dimensions,curb lines,structu•-- -nd easements \o
have been identified. r indicat,I• -re .L ands, +
bodies of water, .•_mo• o• - •=l areas.
� ..�Signed: - ' ,0._ __