2001, 08-14 Permit App: 01006795 Pool Project Number: 01006795 Inv: 1 Application Date: 8/14/2001 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: POOL WORLD INC.
Address: 13524 E SPRAGUE AVE
C-S-Z: SPOKANE,WA. 99216
Setbacks: Front EXI Left: 50+ Right: 25 Rear: 60 Phone: (509)928-6585
Group Name:
Site Information:
Project Name:
Plat Key: 000697 Name: PELLEY ADD District: G
Parcel Number: 55202.0903 Block: Lot:
SiteAddress: 18724 E 2ND AVE Owner:Name: JAMES,RONALD L&MARY ELL
GREENACRES,WA USA 990 Address: 18724 E 2ND AVE
Location::GRE GREENACRES,WA 99016-9739
Zoning: UR 3.5
Water District: 008 CONSOLIDATED IRRG#1 Hold: ❑
Area: 45,501 Sq Ft Width: 148 Depth: 307 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: :.
Department Review
BUILDING Site Plan Review ,Released t' A '
Hold Reasons: h "u.-t / 0. 3
Permit Conditions: 1— ✓c .0 � -�—
HEALTHDISTRICT Septic c System Review Released By. 1 et/
Hold Reasons:
Permit Conditions:
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
MINIMUM FEE ADJUSTMENT 1 Select $19.00
Permit Total Fees: $35.00
Project Number: 01006795 Inv: 1 Application Date: 8/14/2001 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
Payment Summary:
Operator: DMD Printed By: DMD Print Date: 8/14/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Swimming Pool $65.50 $65.50 $0.00 $65.50
$100.50 $100.50 $0.00 $100.50
I- APPLICATION WORKSHEET !I
L General Information 'i �) L ('( (
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Legal Descnption
Numberot: Dwellings Buildings
Property size Water llisttxt
Zone , .> lrupecro*' .
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Project Information
1112x3
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Swimming Pool - Value ` 1�
L Building Information `
Dwelling units Occupant load
Building height Stones
\,Building dimensionsIbtal square footage lieq'd parking I Handicap panting Spiwlder system (l nitcalMa/ernt
11 Heat t•source and insulation information It—values
Square[oota(te breakdown e
=got?
Uncovered/covered deck
Flat ceding Vaulted ceiling Above grade wall
Second floor Other
Finished basementBelow grade wall Floor Slab on grade
Door(u—value) Window Furnaceellieency
Unfinished basement
I oral window area %of floor area
Gauge
Contractor Informationj
Plumbing contractor
Building contractor
Pool World, Inc.
License number
Phone License number
PO-OL-WI-241 *CP 928-6585 Maihngaddress
Mailing address
13524 E Sprque Ave city,state,zip
City,state,zip
Spokane. WA 99216
Other iLender
Heating contractor Phone
License number
Phone License number
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ity,state,zip
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PHONE
PROJECT CONTACT 0.102 Henderson 928-6585 i
Spokane County Division of Buildings456-3675
1026 West Broadway Ave * Spokane, Wa 99260 (509)
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Pool YARD SPECIFICATIONS
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Phone REVI ED B�terk _z;,,��i.„�l'j
Location of Equipment
Yard Level and Flat?
Underground Utilities: Will Retaining Wall be needed?
Gas Cost?
Phone Will fill be needed?
Electric Cost?
Electric Meter on house
Water Access to Yard
Septic Tank/ Drainfields Concrete Truck
Sewer Piping Wheelbarrow -or- Concrete pump
Drywell needed
Cable TV
Cost of Relocation? Fencing:
Permanent
Will Temporary fence be needed?