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2002, 06-17 Permit App: 02004852 ResidenceProject Number 01004352 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/17/02 I'age 1 of 3 Project Information: Permit Use: RESIDENCE NV/GARAGE - NATURAL GAS Contact: CLIFF SCHMITZ CONSTRUCTION Address 16520 E SECRETARIAT C - S - Z: VERADALE, WA 99037 Setbacks: Front 30 Left: 10 Right: 30 Rear 84 Phone: (509) 444-7733 Group Name: Site Information: Project Name: Plat Key: 006185 Name: MIDILONIE EAST 3RD District: F Parcel Number: 45341.1802 Block 4 Lot: 2 SiteAddress: 3421 S MCDONALD ST SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District' Urban Residential 3.5 Owner: Name CLIFF SCHMITZ CONSTRUCTION Address 16520 E SECRETARIAT VERADALE, WA 99037 Hold: ❑ Area: 1,539.00 Acres Width: 109 Depth: 125 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: Review Information: Review Site Plan Review Plan Review Approach / Drainage Released 13y: _ tj iP_i q- Released By: L -�� G –/? O.z Released 13y: C e�- ►'1-L Sewer Review I Released By. _p 6) — 0 2 ---4 85.1 � vlY Sy" _� t �� Perin lis: Operator. CKF Printed By CKF Print Date: 6/17/02 Project Number. 02004852 Inv: I Appl'cation THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/17/02 Page 2 of 3 Contractor CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT VERADALE WA 99037 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height 24 Bldg W x D: 60 x 38 Building Sq Ft: 3349 Sprinklers: E Req Parking: Handicap Parking: Critical Materials: This Application: Description Grp IS Notes Sq Ft Valuation 2ND FLOOR R-3 VN 1,029 $67,914.00 BASEMENTU R-3 VN 1,152 $14,169.60 DECK R-3 VN 216 $1,691.28 GARAGE U-1 VN 912 $10,944.00 RESIDENCE R-3 VN 1,168 $77,088.00 Building Permit Firm: CLIFF SCHMITZ CONSTRUCTION Phone: (509) 922-4297 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Stories: 2 Total Project: Sq Ft Valuation 1,029 $67,914.00 1,152 $14,169.60 216 $1,691.28 912 $10,944.00 1,168 $77,088.00 Totals: 4,477 $171,80688 4,477 $171,806.88 Units Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Contractor: BLUE FLAME HEATING & A/C Firm: Address: 6011 E 9TH SPOKANE, WA 99212 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Phone Fee Amount $1,255.00 $4.50 $276.10 $1,535.60 BLUE FLAME HEATING & A/C (509) 536-0186 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 5 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: CKF Printed By: CKF Permit Total Fees: Pi int Date: Fee Amount $10.00 $12.00 $2.00 $50.00 $10.00 $10.00 $94.00 6/17/02 Project Number. 02004852 Inv: 1 Application Date: 6/17/02 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: JIMMY'S PLUDIBING Address. 1702 S MAMER SPOKANE, WA 99216 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER ROOF DRAINS WATER USING DEVICES Notes: Payment Stimazart' • Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: JIMMY'S PLUMBING Phone: (509) 928-8991 Units Unit Desc 4 NUMBER OF 7 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF I NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $24.00 $42.00 $12.00 $12.00 $6.00 $600 $6.00 $6.00 $18.00 $132.00 Fee Amount $1,535.60 $94.00 $132.00 $1,761.60 Invoice Amount Amount Paid Amount Owing 51,535.60 $0.00 $1,535.60 $94.00 $0.00 $94.00 $132 00 $0.00 $132 00 $1,761.60 $0.00 $1,76160 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained \\ ithin to be 1111e and correct, and :agrees that all provisions of Taws and/or regulations governing this hpe of a ork sill be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CKF Printed 13y: CKF Print Date: 6/17/02 ME SPOKE$ Cowl' PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOILINE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 3-lZk Se ryv. D(ruA-L Assessor's Tax Parcel Nutnber(s): Legal Descnption: CDT z 6 c K �( m (D Il-oP\E PtSrr 3n4 sq-s2Q Projectpescription: 13uilding Permit ❑ Change rn Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) O Other Department Use Only:.. 0 t\ppbcam Rater Diwrict/Puncynr. - .. ct/Puchor,a: - Sewer Di.tnn . . Road width 1 Setbacks Front:- - _ .��";n-, _,.Rat. _ Sch01)1 Distnct Fire Distrtcr .Zonng - OWNER/APPLICANT INFORMATION Imlrarfr »bo 4bnv4l be, nnnedel,ri,nhn rba pope.l 0 ( hoer Phone Pa. 0 t\ppbcam Plume 1'a Mailing Addres. NIatling Addre, Dimm„atons 6.0 x-31? Cut . St ate, Zip On, State, hp Ptm.htd basemt nt .ay ft. -0- CJ Colnacnn Plmnc 594-7733 &/- r I Pc 'rrZ 6)A." tom' /-9y% l 0 ,\tclinict/hntnee, Phone 1:a. I.idmg addre' , ( 6S7-0 £-. 56Cl2 9C-LO94r Hawing add rc.. I Ieat>ourco (litanc. gas, etc) 69-S fu. Suit/ip VeildilDCH,e i'vM 94037 Cu,, Stam %p \U\ State Contractor her nr = elircSt/OW /7 tion inn name. PROTECT INFORMATION ' Building Information •. Budding ht ,t;hn to pea 2q( # ofa Z Main Ili t.tl It ) bi7 Unfinished bast nicnt .y. (t: llsz Dimm„atons 6.0 x-31? 'total habitable. ace -21 3 (-I 1 2ati lh ior.y It 10 Z9 Ptm.htd basemt nt .ay ft. -0- ticcupanq group Const rucunn npe t w It. 91z Deck sq. fi Zllo frost of pngtct I Ieat>ourco (litanc. gas, etc) 69-S Manufactured Home x;13 1 Sign ". "; ' Width Length: What is the square footage of the sign face? I low high is the sign? Year Make: # of signs Area of canting signs Interiors: Are critical or haiarJous materials used or stored on sae? / 0 Yes No . Relocation Fire Safety: Previous address Fire Sprinkler — Paint booth Fire Alarm Tent Fireworks display Proposed use ,Special Inspections Required? .,, ` ' Non -Residential Energy Code Compliance?.a Pym Name Is your property in a designated wildlife habitat area? J 0 Don't know 0 Yes No Phone Is any pan of the property within a 100 yr flood plain? lips. ident�' on site plan es ZoIJja. ident�' on site plan 0 Maybe 0 Don't know 0 Yes No Are or will there be wells located on the property? /- IJjvt, idenli»j» on the site plan 0 Yes L4" Ido P1.m513mnaur Phone Interiors: Are critical or haiarJous materials used or stored on sae? / 0 Yes No . Address In\pccua Mime 0 Concrete 0 Welding 0 Bolting 0 Reinforcement /Wile:\\ DITIONAL SITE INFORMATION Are there structures on the property? 0 Yes No If res. ideuli» on side plan What is the current property sin? / (square feet or acres) / 3 2 - Is any part of the property within 250 feet of a shore ? flies. tdeni"n' on site plan 0 Yes Di No tl0 What is the current use of this properly? /tb It/'€ / Is your property in a designated wildlife habitat area? J 0 Don't know 0 Yes No Will the site be served by a septic system? 0 Yes no Is any pan of the property within a 100 yr flood plain? lips. ident�' on site plan es ZoIJja. ident�' on site plan 0 Maybe 0 Don't know 0 Yes No Are or will there be wells located on the property? /- IJjvt, idenli»j» on the site plan 0 Yes L4" Ido Are there any wetlands, streams or ponds within 200 et of the property? If yet. 'dentin. on site plan 0 Yes No Is there evidence of fill or excavation on the property? �� 0 Yes CJ No Are there slopes greater than 30% on the property? (304,6e in 100 ft) ( /%) 0 Yes No Are critical or haiarJous materials used or stored on sae? / 0 Yes No . DEPARTMENT USE ONLY 'lith"e property in a designated Stonnwater Coiitrol Area? • Is public sewer av:ulahle]to the site? : , ' 0' Yes . 0 :No; - :, Is the property inside the ASA?-,.. " 0 Yes 0 No . • 0 Yes 0 No Is public waver available to rhe sire? 0 .Yes, O. No' . Is the property inside rhe PSSA?, - 0 Yes 0 No - ' Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date ((wen cd Staff Rtpre\tn1ane MET] IOD OF PAYMENT VISA ❑ CASH 0 flli CK ❑ 9 9 DISCOVER FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1, ' D \'I'I: B -N KCARD NUU141±It A DTI IORI%IAD SI( NATURE: SURTO C\1. ' TOTAL FEE MINLtr(LN PERMIT FEE 15 IJSW PLE'SE ]L46P. CI ILCKS PAYABI E i 0 SPOKANE - COUNT' PEIl\I I r said ER 11 1)11 pipes 16 -LF. @ 3.00% E� In= 202E1.29 I.E. out = 2025.81 S0014'25"W This site plan Is being submitted for the purpose of obtaining a building pe mit and- s a buu 01,d wub representation of the p oposal. All known property lines/dimensions, curb Ines, structures and easements Mve'6i.4n tuLo bodies of water, McDONALDigned: Date: Curb Line tical areas. 26.98)TC 0 M L_ .I. 3 � ma- o '— `.o0 < cn = 0 c• 0 IO LO • .9 (NI D- AY pN C O E V w 0 O mE▪ m0C� .00 0 0.Z 0MN NH 20':Drainage and U 30' Building Setback Earth Berm Sta. 1+48 '25"W PLAT GRAPHIC SCALE (IN FEET) 0 10 20 40 I' = 20' This is not an as—built drawing. Any modifications to this plan aft the date on the, Engineers stamp VOIDS the Engineer's stamp. September, 2001 LOT 2, BLOCK 4 MIDILOME EAST 3rd ADDITION eimFancied ,we psora Engineers, Inc. CIVIL ENGINEERS & LAND SURVEYORS N.909 ARGONNE ROAD SPOKANE, WA 99212 PN 926-1322