1996, 06-25 Permit App: 96004826 PoolPROJECT NUMBER= 96004826
APPLICATION
DATE= 06/25/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2417 S UNION RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= SWIMMING POOL, HEATING & PIPING
PLAT#= 000000
BLOCK=
AREA=
# OF BLDGS=
PLAT NAME=
LOT=
F/A=
# DWELLINGS=
OWNER= PICKETT, ERLENE
STREET= 2417 S UNION RD
ADDRESS= SPOKANE WA 99206
PARCEL#= 45284.0308
UNKNOWN
ZONE= UR -3.5 DIST#= F
F WIDTH= 80 DEPTH= 150 R/W=
1 WATER DIST =
CONTACT NAME= RON
BUILDING SETBACKS: FRONT= 10 LEFT= 30
PHONE= 509 928 1114
PHONE NUMBER= 509 928 6585
RIGHT= 30 REAR= 20
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
HEALTHDIST SITE PLAN REVIEW
COMMENTS:
t********,t,t******************** MECHANICAL PERMIT *****************************
CONTRACTOR= POOL WORLD INC
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
GAS APPLIANCE >100,000BTU
GAS PIPING
PHONE= 509 928 6585
QUANTITY FEE AMOUNT
***************************** SWIMMING POOL
CONTRACTOR= POOL WORLD INC
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PRIVATE POOL
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE FEE AMOUNT
1
1
15.00
1.00
******************************
PHONE= 509 928 6585
QUANTITY FEE AMOUNT
Y
Y
Y
50.00
4.50
11.00
AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96004826 APPLICATION DATE= 06/25/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 16.00 .00 16.00
SWIMMING POOL 65.50 .00 65.50
81.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 81.50
******************************** THANK YOU ************************************
1
1
1
Contractor Information
APPLICATION ,WORKSHEET
General Information
1
1*
Job addr
aYi7 5
Yarcei number
Owner Sib 1NYw pig rAt - `'
Mailing address
7 $ u
City
'hone
9 ' --/// /'
State I�
Zip
Site Information
Legal Descnption
Property size
Water Uistnct
Lone
Inspectors
Number ot:
,ICoadvigil ts;:
Uwellmgs Suddmgs
i
Project Information
164C "37_
Permit Use
Swimming Pool - Value
Building Information
Dwelling units
(2,4 C4 v
New
Addition Remodel Change of use
Occupant Ioad
Budding night
Keg parking Handicap parbnag Spnnaler system Cnttcal Materna
Budding dimensions
7
rotai square footage
Stones
Square footage breakdown
R—valor
atn door
I Uncovered / covered deck
Second ltoor
Other
hmshed basement
••r
Untinisned basement
poor ou—vatueb
Garage
17
I urnaceet icency
Studding contractor
IjPool World, Inc.
License numoer
PO-OL-WI-241*CP
Heat • _ and inaniation information
R—valor
eat source
I
. owgra •ewa
••r
I •ongra •e
poor ou—vatueb
" in. ow
I urnaceet icency
ota win •owarea
I ; o oorarea
Plumbing contractor
(
Phone
928-6585
License numoer Phone
Mailing address
13524 E Sprque Ave
City. state. zip
Spokane, WA 99216
Heating contractor
Matting address
City. seta zip
Other/ Lender
License number Phone
License numoer
Phone
Mailing address
Mailing address
City. state, zip
City. state. zip
PROJECT CONTACT PHONE
Kerry Henderson 928-6585
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL` PERMIT APPLICATION
PROJECT ADDRESS: 2 q / 7 S' a
OWNER: &L,(20.4,,-,,
MAILING ADDRESS: c,2 7 5 6444t,:,
(street)
CONTRACTOR:
PHONE: 9a7 — ///r
LrJi¢ cl 92DG
(city/state) (zip)
LICENSE: lgD-r' L - wl 2y/ s G�
2.619 s
(zip)
MAILING ADDRESS: �� t 5 -( /
PHONE:
REfr
mastertmedhperm.hnd
SP • • ' COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE SPOKANE, WA 99260' (509) 456-3675
DESCRIPTION OF WORK
#
OF UNITS
MULTI-
RIND IW
COST
/UNIT
mom.
AMOUNT
1302 FUEL BURNING APPLIANCE
= or <100,000=
$12
-
:
B03 FUEL BURNING APPLIANCE ge) C (5=164...-• /75 44
>10o,o00 /
=
515
-
: /Y. 02_2
B04 UNLISIE.1) FUEL BURNING APPLIANCE
= or <400,000=
$50
-
:
.BO5UNLISTED FUEL BURNING APPLIANCE
>400,000$100
-
s
1306 USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400.000=
$50
-
:
B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000$100
-
:
1308 BOILER/REFRIGERATION
1-100M BTU=
$12
-
:
B04< BOILER/REFRIGERATION
1o1—soma[ BTU=
$20
-
:
8103<BOILER/REFRIGERATION
501-1.000MBTU$25
-
:
B13 BOILER/REFRIGERATION
1.001-1,750M BTU=
$35
-
:
B2 BOL ER/REFRIGERATION
+1.750M BTU=
$60
-
:
BI3> GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-=
$10
-
:
B14 RANGE
-$10
_
:
$15. DRYER
-
_
$10
-
:
B1 FUEL BURNING WATER HEATER
-
$10
-
:
:$17 MISCELLANEOUS FUEL BURNING APPLIANCE
-=
$10
-
:
8:18::: GAS PIPING (ea. outlet)
- /$1
-=
$10
-
-
:
:
B19' DUCT SYSTEMS
B20 VENTILATING FANS
-=
$10
-
:
1321 AIR HANDLER (DOES NOT include duct systems)
= or <10.000 CFM=
$12
-
:
B2Z AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM=
$15
-
:
823' EVAPORATIVE COOLERS
-$10
-
:
B24` TYPE I HOOD
-=
$50
-
:
B25 TYPE II HOOD
-=
$10
-
:
E' HEAT PUMP/AIR CONDITIONER
0-5 TONS=
812
-
:
B27 AIR CONDITIONER
6-1S TONS=
$20
-
:
B28 AIR CONDITIONER
16-30 TONS$25
_
:
B29 AIR CONDITIONER
31 —501'0014S=
$35
-
:
B30 AIR CONDITIONER
+so TONS•=
$60
-
:
B31 LPG STORAGE TANK
-=
810
-
s
032'.; WOOD OR PELLET STOVE/INSERT
-=
$25
-
:
NOTA MIIVIMIIMPE IS $35.000
J /
Subtotal
/ G , u
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ f 00
REfr
mastertmedhperm.hnd
SP • • ' COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE SPOKANE, WA 99260' (509) 456-3675
Today's /z5) 9L
date:
3itc address: Zai i 7
ORIGINAL SITE PLAN
bi..„„,
['m proposing to build:
Parcel number or
legal description:
.E LF;CEMENT SYSTEM
PERMIT APPROVALS
ite Address or Legal Description of Property:
S 2417 U(vIOy
arcel #: 452B4.0 15 Subdivision/Block/Lot: L B
Critical Material User:,
CM Agreement Receive
Sewage. Maintenance Agree,
DASADSCHD Density RequJ
Method 1 0 Meth
Area of, Special Concern;;
Other Agency Approval/D
Planning, DOH)
Segregatwn Date:
100 -foot setback reqOuire
Easement required: Y
Easement received, -. date
Appl.#: 95-011134
MINIMUM SPECI
12gaLtday
TREX
nk Size•
ger ease Trap Size
(Rump: Chamber Size:
O:Sand. Filter Bed: Flow Ra
Cil olding Tank:
EOBuilding Sewer ODis1
t Other:
DMc;
DSand
See Alternative Sys
• • • MUST FOLLOW APPROVED PLOT PLAN ***
Other EH; Program Approval,an+
OFOOD-
OSCHOOL
DOTHER:
plication Approval
Double Plumbing Requested -Date:
DRequired DRecommended ONA DSee plot plan
Installer/Designee:
Installer Company:
Building Department Release Date:
Permit Issued Date:/ -2S* Expires:"/2-21b6 Initials:Jw
Multiple Unit Permit Expires:
DNA
Initials:
THIS IS A PERMIT ONLY WHEN : 1 APPROPRIATE SIGNATURE IS ENTERED
UNDER 'APPLICATION APPROVAL SIGNATURE' AND "PERMIT ISSUED' DATE IS
COMPLETE.
/ / fl�U ' iG 11'1./1'''' JvQ m o �lvd/ o p� �'6v
/ S
_ dot / U /6 , 1 U
r� fid` �� [ � .- c (/�
REMARKS: ' -t 9 //, w' , /
S ( f /?a / Gra `/ 4�' Ilwf /o/ (/a;1a h /c
f T �,
y, �r
Page 2 - Permit
SPOKANE COUNTY HEALTH DISTRICT
DIVISION OF ENVIRONMENTAL HEALTH
West 1 101 College Avenue, Suite 402
A 99201-2095
1OTES :
' iiiiiiiii
liris!
1
illimu
1!!
(509) 324-1560
(509) 324-3603 or (509) 324-1567
FAX:
FAX COVER SHEET
This facsimile contains privileged and confidential
information intended only for use by the individual or
entity named below. If the reader of this message is not
the intended recipient, or the employee of recipient, you
are hereby notified that any dissemination, distribution or
copying of this communication is strictly prohibited. If
you have received this communication in error, please call
the sender's telephone number listed below.
0:RECIPIENT'S
774 6.-t- eon' Lam-/
FAX NUMBER:
z - 7'4/6 ?
ATE: 6, _ ?6,
SUBJECT:
30M: _
— Oli 14(ti(e –
SENDER'S TELEPHONE NUMBER:
3 z- - / Y5-7
r
AGES (including cover sheet):
3 it:,,-.(
ENVIRONMENTAL HEALTH FAX NUMBER:
(509) 324-3603 or 324-1567
1OTES :
JUL-02-1996 15:06
PROJECT NUMBER=
PENALTIES
96004826 APPLICATION
*xx*** THIS IS NOT A PERMIT
WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
DATE= 06/25/96 PAGE= 01
SITE STREET=
ADDRESS=
2417 S UNION RD
SPOKANE WA 99206
PERMIT USE= SWIMMING POOL,
PLATO= 000000
BLOCK=
AREA=
O OF BLDGS=
HEATING & PIPING
PARCEL# 45284.0308
PLAT NAME= UNKNOWN
LOT= ZONE= UR -3.5 DIST#=
F/A= F WIDTH= 80 DEPTH=
0 DWELLINGS= 1 WATER DIST =
PHONE= 509 928 1114
OWNER= PICKETT, ERLENE
STREET= 2417 S UNION RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON
BUILDING SETBACKS: FRONT= 10 LEFT= 30 RIGHT= 30 REAR= 20
x***************************** REVIEW INFORMATION ********x************x*******
DEPARTMENT REVIEW REQUIREMENT
F
150 R/Ws
PHONE NUMBER= 509 928 6585
HEALTHDIST SITE PLAN REVIEW
COMMENTS: o 1c 7// 4 57c, 4 c4 J
MECHANICAL PERMIT ************************x****
PHONE= 509 928 6585
,..1/ 6 JU7
****x**********,r************Yr*x
CONTRACTOR= POOL WORLD INC
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
GAS APPLIANCE >100,000BTU
GAS PIPING
QUANTITY FEE AMOUNT
*************x*x****x******** SWIMMING POOL
1
1
15.00
1.00
*********x***x************x***
CONTRACTOR= POOL WORLD INC
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY
PRIVATE POOL
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE FEE AMOUNT
Y
Y
Y
PHONE= 509 928 6585
FEE AMOUNT
50.00
4.50
11.00
AMOUNT PAID AMOUNT OWING
JUL-02-1996 15:07
6/151 11.4" 1
2(1/-7 5 114,4;,,..
address:
Iroposiug to build:
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