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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 . 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