2002, 06-03 Permit App: 02004300 Pool Project Number: 02004300 Inv: 1 i Application Date: 6/3/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SWIMMING POOL Contact: JENKIN,ERIC &STACEY
Address: 2108 S TIMERBLANE DR
C-S -Z: VERADALE,WA 99037
Setbacks: Front 30 Left: 6 Right: EX Rear: 20+ Phone: (509)921-1855
Group Name:
J Site Information Protect Name:
Plat Key: 005187 Name: RIDGEMONT ESTATES NO. 4-4TH ADD District: F
\ Parcel Number. 45252.0401 Block: Lot:
SiteAddress: 2108 S TIMBERLANE DR Owner:Name: JENKIN,ERIC& STACEY
tli VERADALE,WA 99037 Address: 2108 S TIMERBLANE DR
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,305 Sq Ft Width: 93 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review j
Landuse/Zoning Released By: �
�% �
%F-LANk_tN6 �c. S"r( cK
- f / PI ter/ ` �. i ' e
Permits:
Swimming Pool
Contractor: OWNER Firm: OWNER
Phone:
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
Operator: RMB Printed By: RMB Print Date: 6/3/2002
r
Project Number: 02004300 Inv: 1 Application Date: 6/3/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
"208"DRAINAGE EASEMENT SITE PLANS -SEE PLAT FILE
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Swimming Pool $65.50 $65.50 $0.00 $65.50
$65.50 $65.50 $0.00 $65.50
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 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: RMB Printed By: RMB Print Date: 6/3/2002
1 ( PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
11;1 'SPOKANE,WA 99260
509-477-3675
SPOKE COWIN
SPECIFIC SITE INFORMATION
Street Address: 2 l67 g S t��„� l F�/7r,
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: Poo / (�. t:S0� Sr 0tC--- AAi,Se
fuilding Permit 0 Change in Use 0 Grading O Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other
Department Use Only
Water District/Purveyor Sewer District/Purveyor - ---: - •Roadwidth ..;.`, $etbacks
Front` Rear.
School District Fire District: - .Zoning._.. -
Left. Right
OWNER/APPLICANT INFORMATION
El Indicate oho should be contacted rrRarding this projed
OOwner: [ % Phone: 92l S 0 Applicant Phone:
Cr,C r,C"._ >le,^/Col.as: Fu:
Mailing Address. Mailing Address:
2/08S. -,/N.6tilce. e._ ,or.
(:ir,Gate•,%tP Cin•,State,Zip
(4,4 o37
❑Contractor Phone 922 0 Architect/Engineer Phone
Cr.& 5 Fax Fax
Mailing address Mailing address
(:itc,Aare%ip City,State Zip
\C'A State,(:ontractor license z - Contact name:
•
PROJECT INFORMATION
Building Information
Building height to p•ak U of stories Iain floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2'"t floor sq.ft. Finished basement sq.ft.
to 32_
Occupancy group Construction tape Garage sq-ft- N`/ Deck sq.ft.
/Ivv4'-71.vci POO/
Cost ofrrojcct I Teat source(electric.gas.etc.)
�QV
!7, 9's
Manufactured Home Sign
Width: Length: What is the square footage of the sign F-low high is the sign?
face?
Year Make: #of signs
Area of existing signs
Relocation - Fire Safety
Previous address Fire Spnnkler Tent
Paint booth Fire Alarm Fireworks display _
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Finn Name ('hone 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 What is the current property size?
fye.,ident on tile plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this pro crry?
fye identf on site plan 0 Yes I�.1 No r
1(1& /a, c.a —
is your property in a designated wildlife habitat arca? Will the site be sen-cd by a septic system:4d Yes Gi o
O Don't know 0 Yes VI No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
Ifyes,idento,on site plan 1J)es.telenfij,on the site /an
0 YesNoO Maybe O Don't know 0 Yes )3F--No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,ident�on site plan 0 Yes C'�No O Yes plait>
Arc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( _%) 0 Yes No
0 Yes (eNo —
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
OYes ONo
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes 0 No
O Yes O No
Is the property inside the PSSA? 0 Nes O No Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 No
Due Received: Staff Rcpnavntatise:
METHOD OF PAYMENT
MUM ; C®V ,' SUBTOT.U.
❑
CASH 1 ❑ (111C1< ❑ 111111111111111 0 ❑ =..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
TOTAL FEE
B:1NKCARD NUMBFR:
MINIMUM PERMIT FEE/S S35.60Ptr AWF
I i K)Ri%Li)Si(GN.11 URI{:
KE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CEN.IER
This site plan is!%,ir.g submitted for the purpose of
{ r obtaining a bui ding permit and is a true and correct
representation of the proposal.All known property*
lines/dimensions,curb lines,structures and easements
j ,'3,/ , have been identified.Also indicated are wetlands,
� '� �"" ""_.,.. -"•�.,• 1
� cOI'Cf•1fA1�{?v slopes or other cT Itical areas.
,. . Signed:. r.,:2
•1 --'" " 4a4% I & l 92____
-_
. .i-. .. _ '... .q-
ADDRESS T►nn. 4€ .IO 111
ZONE L11V' '.S
,f>, 's ROAD WIDTH 5d
• 0 FRONT . r3 FLANKING (4. %)COMMENTS
•::. . L..t REVIEWED BY•
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Spo,liuu WA 99206
922-2200/924-8907
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