2002, 11-12 Permit App: 02010077 ResidenceProject Number. 02010077 Inv' 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Dale- 11/12/2002 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - GAS Contact' CLIFF SCHMITZ CONSTRUCTION
Address' 165211 E SECRETARIAT
C - S - Z VERADALE, WA 99037
Setbacks: Front 30 Left 31) Right: 5 Rear: 52 Phone. (509) 999-7733
Group Name'
.Site Informations Project Name:
Plat Kev 1106185 Name: MIDILOME EAST 3RD District: F
Parcel Number. 45341.1909 Block: 5
SiteAddress: 3507 S MCDONALD ST
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -3.5
)Vater District:
Urban Residential 3.5
Lot' 9
Owner. Name: CLIFF SCHMITZ CONSTRUCTIO
Address 165211 E SECRETARIAT
VERADALE, WA 991137
Hold' ❑
Area- .1111 Acres Width. 71 Depth. 105 Right Of Way (ft): 50
Nbr of Bldgs. 1 Nbr of Dwellings 1
Review Information:
Review
Site Plan Review
Plan Review
Releised'By:_�5�6. G.yl/`/3 0.2.-
Approach / Drainage
Released By.
o a_Fe s La) &so
Sewer Review
Permits:
e o -/007
Operator- DMD Printed By DMD
-Releised-Bv:-
Print Date 1 I/12/20112
Project Number: 02010077
Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2002 Page 2 of 3
Contractor. CLIFF SCHMITZ
Address:
16520 E SECRETARIAT
VERA DALE WA 99037
Building Characteristics
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone
Const Categon'. New Group.
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Rcq ParkingHandicap Parking
Description Grp TN pe Notes
2ND FLOOR R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U -I VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
(509) 922-4297
Type:
Building Height: Stories:
Sprinklers ❑
Critical Materials'
This Application: Total Project:
Sq Ft Valuation S0 Ft Valuation
1.020 $67.320.00 1,020 $67,320.00
1.233 $15,165.90 1,233 $15,165.90
364 $2.850 12 364 52,850.12
1,146 $13,752.00 1,146 $13,752.00
1.233 581,378.00 1,233 581,378.00
Totals: 4,996 $180,466 02 4.996 $180,466 02
Units Unit Desc
Contractor: BLUE FLAME HEATING & A/C
Address: 6I11 E 9TH
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100.000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE 11
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$1,300.00
$4.50
5286.00
Permit Total Fees: $1,590.50
Mechanical Permit
Firm BLUE FLAME HEATING & A/C
Phone
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator. DMD Printed By: DMD
Permit Total Fees:
(509) 536-0186
Fee Amount
$10.00
$12.00
$300
$12 00
$40.00
$10 00
$10.00
510.00
$107.00
Print Dale: 11/12/2002
Project Number: 02010077 Inv: 1
Application
TI -IIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date 11/12/2002 Page 3 of 3
Contractor
Address.
JIMMY'S PLUMBING
17(12 S MAMER
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary:
Permit Tvpe
Building Permit
Mechanical Permit
Plumbing Permit
Units
3
6
2
1
1
1
3
Fcc Amount
$ 1,590.5(1
$107 00
l
$114011
Plunthing Permit
Firm: JIMMY'S PLUMBING
Phone: (509) 928-8991
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
51,59(1 50
$107 00
$114.00
$1,811.50
$1,811.50
Fee Amount
$18.00
$36110
$6.00
$12 00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.011
$0.00
$11400
Amount Owing
$1.590 50
$107.00
$114.00
$000 $1.81150
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 he true and correct, and agrees that all provisions of laps and/or regulations governing this type or ork will be
complied with. Subsequent issuance of a permit shall not he construed to he 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 DMD Printed By: DM 1)
Print Date: 11/12/211(12
IC -4%
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMEN31
1026 WEST BROADWAY AVENUE
0
//
SPOKANE,
477`36A 759260 e 0 11
SPECIFIC SITE INFORMATION
Street Address: 3s -on < rn e 0 c.)/0/4L-0
Assessor's Tax Parcel Number(s):
Legal Description:
1,--39/.1907
,LCA,- 1L,,K 5 lrncOl OmE �.P►ST 3rg AODI
Project Description:
LA2 3-5
EST Building Permit
O Change in Use
O Grading
❑ Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Onl
~:,*;. ;,�:: =
# of stories
Phone:
Fan:
; :.
'Total habitable space
3480
� floor sq. 4-
Into
Water Ihetrict/Purveyor
semi fT trier/Pun'eyo(
I
_ <
° ji'rt„' <
.a.g'r
Road ath
-
�.,7
Setbacb
1'mnc R
-
{ ..,�..4..
r:
School District
r -
• rite D,stncrN
Zip
ue2A-3f}La uthat gg0-3'-)
r State Li
City, p
:'loomS -
w
M ZFIY
OWNER/APPLICANT INFORMATION
Ei Indicate nim should be cwrincRd rrRrrdine I/>irrrq'nt
0 Oaner. Phone
Far.
0 Applicant:
# of stories
Phone:
Fan:
Mailing AAInrs-
Mailing Address
'Total habitable space
3480
� floor sq. 4-
Into
C i . Seta, Zip
City, Stam, Zip
Construction type
Garage s* ft.
.I u ID
Phone one �-
7733
0-- t Pe S C HYv ATT—Ta. 0 t - 59/ /
0 Archneet/E
neer
rhnne ,
Fax
Mailing addrr-s
E e 5 Cge i-e..r1�T
/a
Mailing akins
Zip
ue2A-3f}La uthat gg0-3'-)
r State Li
City, p
„'A Stair Contractor Iictrta 4
Citi lPP5eIoq/ 2F
Contact name.
PROTECT INFORMATION
Building Infoinlatiom..
-
Budding height to peakI
# of stories
\lain floor sq. ft.
(7,33
Unfinished basement sq. ft.
l 133
D.,,,,,, ow:
S&Tb
'Total habitable space
3480
� floor sq. 4-
Into
Finished basement sq. ft. •
-o—
1 )ccupancy group
Construction type
Garage s* ft.
.I u ID
eck
D3 yt Iii
..4
1/O'
of project
I teat source (electric, gas, etc)
Manufactured Home ._ .
Sign,";
Is any part of the property within 250 feet of a shot Ise?
If pts, :dent on site plan 0 Yes No/
If
Width
Length:
What is the .square footage of the sign
facc?
I low high is the sign?
Year.
Make:
St of signs
Area of cxuting signs
Proposed use -
Value
'
Relocatiorl -
Fii Safety:
Is any part of the property within 250 feet of a shot Ise?
If pts, :dent on site plan 0 Yes No/
If
Previous address
Firm Name
Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks dnplav
Inspector.
Arc there slopes greater than 30% on the property? (30 ft in 100 ft)
( /%) CI Ycs No
Proposed use -
Value
'
;Special Inspectioris:Retinired? . ,'-^ :i'. `"=;.;. > ": ' .'
Non-Residexitial"Eiierg
Is any part of the property within 250 feet of a shot Ise?
If pts, :dent on site plan 0 Yes No/
If
r Code Compliance?
Firm Name
Will the sire be served by a septic system? 0 Ycs No
Phone
flans l xarnincr
Phone
Inspector.
Arc there slopes greater than 30% on the property? (30 ft in 100 ft)
( /%) CI Ycs No
Are critical or hazardous materials used or stored on site? /
O Yes B/ No
Address
'
In.pcetor
Phone
O Concrete
0 Welding
O Bolting O Reinforcement
Address
DITIONAL SITE INFORMATION
Are there stmcmres on the properly? 0 Ycs alf No
If yes, hien/ y on site p/an
What is the current pmperty size? �'
(square feet or acres)
Is any part of the property within 250 feet of a shot Ise?
If pts, :dent on site plan 0 Yes No/
If
l
What is the current use of this property? ��
/ °A
Is your property in a designated wildlife habitat arca? O
❑ Don't know 0 Yes No
Will the sire be served by a septic system? 0 Ycs No
Is any part of the property within a 100 yr Flood plain? /
Ilyrs, iden4fr on site platd/
O'Naybe 0 Don't know 0 Yes No
Are or will there be wells located on the property? /
Ilyes, idrnl� an the site plan 0 Yes re'No
Arc there any wetlands, streams or ponds within 200 6 of the property?
If yes, identify on site plan 0 Ycs No
Is there evidence of fill or excavation on the property?
0 Yes 11'No
Arc there slopes greater than 30% on the property? (30 ft in 100 ft)
( /%) CI Ycs No
Are critical or hazardous materials used or stored on site? /
O Yes B/ No
DEPARTMENT USE ONLY
r Is the property in a designated Stormwater Cohtiol Area? ;,, - - : -
.. . •O' Ye':. O' No . -
li public sewer available to the site? ❑ Yes 0 No
., " .
Is the property inside the ASA? 0 Yes -- 0 -No.."
Is public water available to the site? - 0 Ycs 0 No
Is the property inside the PSSA? 0 Yes -� 0 No - _
.- -
, Is the property located within 1000 feet of a Natural Resource Area?.
Date Recce ed
Staff Repno.mae. e:
METHOD OF PAYMENT
❑ f::\SII
nining
VISA
0 CI HICK ❑ CM 0
LAI=wa.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1'.SI'IRES:
BANKC.\RD NUNIBER:
:\UTI IOItIZEI) SIGNATURE:
swift YrA1.
TOTAL FEE
MINIMUM PERMIT FEE IS S.ESWPLE SE
MACE CI IIiCIS 1'ASAmJB TO SPOKANE
, - COL'N I' I'tRNI'r CILVI ER
.
Z3 L -9Z6 Hd ZIZ66 VM '3NVN0dS
OVOH 3NNOOHV 606'N
SHOA3AHOS ONVI 'P SH33NION3 11 /00
'aw 'saaugeag uosdvu
061 P^PU^^J '-
NOIIIGG ' Pa2 Ey] 3W01IGIW
5 N0010 '6 101
L002 '-tagwa}dwDpREss
NE
dwD}s s Jaaulbu3 8111 SGIOA
dwo;s sjaaurbu3 ay; uo a}op ay;
Ja})o uold sly} 01 SUOI}D01)IpOw KUV
-6uIMDJp ;Ilnq—so uD }0U Si s!ql
OZ =
04 OZ Ol 0
(133J NI) 31VOS JIHdVel9
.117d
,SZ,ti LOOS
—X5'1.6
'LUL
rn-V c
N❑_ x°
O+
NJ Na rU
O n C•
up
(a C
UI �
'< N
> N
< D .D
P U
o (n
D ru
N
Fl
,SZ
,9 L
NJ
o
m
O
0
N
O
O
3.,S£,St.62S
o N 013
C
To -0
0 A
00 0 o W
pq ❑
N9Ct„s0
�c
rcn
O
or D Co
c
II
s being sybmitted for thepurpose of
c \ ir; a 71 ildrng perrl it and Is a true and correc
rb, -• entatiol) of the pr+lLposal. All known prop:A .
ISli Imensiilns, curb Imes.TsTrucTures and'easemehts
h- t � een idertifi ..d !so •odic -ted are wetla ds, a a
Is. of 1. r, �. i0p sol cntical areas' V
>jooq}aS 6wppno ,02
20' Drainage and Utility Easement
OL
90'0ZOZ = ;nb '3'1
9Z17ZOZ = I '3'1
%9•S ® 'd 1 SL
ad!d 3dGH „bL
1
a
31
Z'LZOZ 91DJO •/1913
' g+lb 'o;s
pJopuo}S X}uno3 0HDMOdS
a}DJO 1D;atry Z adR1
awDJJJ Io}aw L ad(1
gum L ack lam a}anouo
aplM ,Z
'wo;;og aloMS
aul9 9JnO
aP!M ,z
woil 09 9IDMS NJ
133 LS 07VN000141
M„ SZ,4 LOOS