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2001, 05-15 Permit App: 01003600 Pool 1 Project Number: 01003600 Inv: 1 Appiicatidn Date: 5/15/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: ABOVE GROUND SWIMMING POOL Contact: SHERICK,SCOTT Address: 11114 E 26TH AVE C-S-Z: SPOKANE,WA 99206 Setbacks:Front NA Left: 5 Right: NA Rear: 5 Phone: (509)921-9164 Group Name: Site Information: Project Name: Plat Key: 001393 Name: KOKOMO TOWNSITE District: F Parcel Number: 45283.3413 Block: Lot: SiteAddress: 11114 E 26TH AVE Owner:Name: SHERICK,SCOTT SPOKANE,WA 99206 Address: 11114 E 26TH AVE Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 70 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review In formation: , m s g,�a __ r �ma .. Department Review r`f'�' BUILDING Site Plan Review { f Released'---RY: .I" ' /` /�5 .-/ Hold Reasons: Permit Conditions: BUILDING Plan Review Released By L ` A+iw I ,� Hold Reasons: Permit Conditions: Z , y.,46,,e,,,,,,_ .,.,t( -_,e,.., Permits: n r . ,,a . _„. ,.m. ,,v- . �_x. . , Swimming Pool Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount PRIVATE POOL 1 Y OR BLANK $50.00 STATE SURCHARGE 1 Y OR BLANK $4.50 Permit Total Fees: $54.50 I Project Number: 01003600 Inv: 1 Application Date: 5/15/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Operator: DMD Printed By: DMD Print Date: 5/15/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Swimming Pool $54.50 $54.50 $0.00 $54.50 $54.50 $54.50 $0.00 $54.50 _ I PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 1111 SPOKANE, WA 99260 SPOKARECOWIY 509-477-3675 SPECIFIC SITE INFORMATION Street Address: llx1c/ E 2b4-l7 Assessor's Tax Parcel Number(s): a & 3 `i/3 Legal Description: ko 6 „rdelst1l a it,ao1 r ,5f LT y' all LI `I .4LL LT/ 1ii i c--/i. L/l r3/4* 3 Y Project Description: a n yIx,1 f a 1ovt¢ court/ jpo o O Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation 0 Sign 0 Tenant (New/Change) f Other pt,r., _ O ' �� `���¢��� �.ttet'. ,., .: OWNER/APPLICANT INFORMATION �,� El Indicate who should be contacted regarding this project 14 Owner: Phone: II (p 4 ❑Applicant: Phone: seer& S)lcc Ck Fax: Sarn, Fax: Mailing Address: Mailing Address: cs City,State,Zip City,State,Zip 901'0% lt 11/7'. 1 a.1 O(a 0 Contractor Phone 0 Architect/Engineer Phone Fax Fax Mailing address Mailing address City,State Zip City,State Zip • WA State Contractor license M Contact runic PROJECT INFORMATION • Budding height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft_ Dimensions Total habitable space 2°d floor sq.ft. Finished basement sq.h. Dccupancy group Construction type Garage sq.ft_ Deck sq.ft. lost of project - Heat source(electric,gas,etc) I Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: I of signs Area of existing signs .. . :~ €�vX -2&3£. � `c -.� t- , -' r- pt r? v3 - i d§ "� _ - xWy->, 3 i - Tent 4r _ c�k � u mom- FreSprinkler' — Previous address Paint booth_ Fire Alarm Fireworks display Proposed useValue �a `, �'' �' �"° €" ' > ° ..'5- F `t. #9. .'.- -..tea' '_ -I s � 5 � ..,a,s=m.�'�... _..� _� Laf-,4;;;,„- -.,,,,..--.. � -'.i'° Firm Name Phone > .---- Phone Phone Plms Ezamincr _ Phone Inspectors: Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? I �es 0 No What is the current property size? If yes,ident f on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? 0 Yes Amo rzr41),L If yes,identify on site plan Is your property in a designated wildlife habitat are�a.?�- Will the site be served by a septic system?0 Yes [�('Io 0 Don't know O Yes f No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes O'1 o 0 Maybe 0 Don't know 0 Yes �No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? • property? O Yes 9"No If yes,ident ib,on site plan 0 Yes (t7'T o Are 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 O1 o O Yes C3o DEPARTMENT USE ONLY zs, '-,:.-- ..-Z7'- v -'- rwa, "R -. az�3_ " 41.1-614-at a , 4_ f - 1lza pe. e '`? _ �. 3-,1 -f-. s'� . ,�9g�tilw. ' s ®g � . - S 7 -.,-v .� '3-1;"='''- -71- 7-'-','-':!::- .,-':'.:', �- fixb, "E 117,-,18G.E -.gas ." �- ' -}" r-� ;= -e ..�. '_`yam ",•- ,t�s a _ ' s, a ' sue . y3. Jy��_ 4e- -- :, , —_ Dave Received: Staff Representative: METHOD OF PAYMENT mom ;=.4..,.. •'t1CCIF SUBTOTAL [1 CASH ❑ CHECK ❑ : 11/ . ,._ [J FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE= _ EXPIRES: s ' • r rss x==: ` (flT TFR -�x BANI{CARD NUMBER= ▪ ' ' 4 r1tIIM(JMi'F1L2f£1'FEi{ISf3}bPPL£A` �r ,\UT 3ORI7ED SIGNATURE: I�SAt�EEIIEGKSP YABIE fO'S1� (I7E r -C©UT TY'PPERI TF'CENr- =z 4 Fene.0 This site plan is being submitted for thepurpase of obtaining:a bid permit and is a tree and comet ADDRESS l (�, Z- representatonofftlaeprtop ..Mbermproperly ZONE imesittism ensimaas„curb times,sees and easements ROAD W!DT H e r' hate been id Fred.Also rind cated ire wetlands, F R O N T____,_., i I N G bodies of so critical areas. COMMENTS ..� : � , -w I f REVIEWED BY'��J��l►i"�1e Date: ( -- t5� 14-11-t11 k bake. to' leu}Q