2003, 02-11 Permit App: 03000833 ResidenceProject Number: 03000833 Inv I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: SCHMITZ, CLIFFORD M & MARGO A
Address: 16520 E SECRETARIAT LN
C - S - Z: VERADALE, WA 991137 -
Setbacks: Front 30 Left: 111 Right. 15 Rear 64 Phone: (5119) 999-7733
Group Name:
Site Information: Project Namc
)JJ rrrr
Plat Key: Namci��II f /1 District: F
iR Lot: 7
Date 2/11/20113 Page 1 of 3
Parcel Number: 45342.17117 Block: 3
SiteAddress: 3520 S MCDONALD ST
SPOKANE, WA USA 00000
Location.: SPO
Zoning. UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: SCHMITZ, CLIFFORD M & MARC
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037 -
Hold ❑
Area: 10,423 Sq Ft Width 85 Depth. 123 Right Of Way (f)• 50
Nbr of Bldgs' 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Relcased:Bv
Plan Review
'Released Bv:_/,.,_/-?-
Approach / Drainage
Released By•
-2-t1-a3
osismAyit
Sewer Review
Released Bv: 4i Lcr:21 ' 9
Permits: ......
Operator. CKF Printed By' CKF
Print Date 2/11/2003
�3
Project Number: 03000833
Inv: 1
' Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date- 2/11/2003 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address:
16520 E SECRETARIAT
VERADALE WA 99037
Building Characteristics
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Const Category: New Group:
Nbr Of Dwellings: Occupant Load
Bldg W x D: s Building Sq Ft.
Req Parking: Handicap Parking:
Description Grp TN pe Notes
2ND FLOOR R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE_
RESIDENTIAL SURCHARGE
Contractor
Address:
Type:
Building Height:
Sprinklers: ❑
Critical Materials: ❑
This Application:
Stories:
Total Project:
Sq Ft Valuation So Ft Valuation
1,029 $67.914.00 1,029 $67,914.00
1,168 $14.366.40 1,168 $14,366.40
216 $L691.28 216 $1,691.28
912 $10.944.00 912 $10,944.00
1,168 $77,088.00 1,168 $77,088.00
Totals: 4.493 $172,003.68 4,493 5172,003.68
Units Una Desc
1 Y OR BLANK
1 Y OR BLANK
I Y OR BLANK
BLUE FLAME HEATING & A/C
6011 E 9TH
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS APPLIANCE<=l0O,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Fee Amount
$1.260.00
$4.50
$277.20
$1,541.70
Firm: BLUE FLAME HEATING & A/C
Phone: (509) 536-0186
Units Unit Desc
1 NUIb1BER OF
1 NUMBER OF
3 #OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
512.00
$3 00
520.00
$40.00
$10.00
$10.00
$10.00
$115.00
2/11/2003
Project Number 03000833 Inv: /
Application
TFIIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/11/2003 Page 3 of 3
Plumbing Permit
Contractor: JIMMY'S PLUMBING Firm: JIMMY'S PLUMBING
Address: 1702 S MAMER Phone: (509) 928-8991
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISE[ WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
3 NUMBER OF
6 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$1.541 70
$115 00
$114.00
Permit Total Fees:
Invoice Amount
$L541.70
$115.00
$114.00
$1.770.70 $1,77070
Fee Amount
$18.00
$36.00
$6.00
$12.00
$6 00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$114.00
Amount Owing
$1,541.70
$ 115.00
$114.00
$0.00 $1.770 70
Disclaimer:
Submittal of this application certifies the owner (or person(%) authorized by the owner) has both examined and finds the information
contained within to he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed 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 Ions or ordinances.
Signature:
Operator: CKF Printed By. CKF
Print Dale: 2/11/21)03
ILI
n
SpoKA3 COUNJY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VES1' 13ROADWAl' AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 3c2.3 C r ,-n.Lr ./10 et—(Cl
Assessor's Tax Parcel Number(s):
Legal Description: r
/&T7 81..1: 3 !/11 l pL 6/n.e E4'r 3'4 f}tOD
ProjccyDescription:
V.051 Dei► rte_
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant(New/Change)
El Other
Depatunent Use_Only
❑ Appl¢ant
Phone.
Pa.
Mailing Add....
Mmling Addre..
Water lhana/Pun
r
Scu cr Dmnet/Vun-eyor
1 'nllshe.l l sems n .y n
-0--
Road uidth
o Architect/Engineer
.J
Setbacks-
:Left
.. :, • -
-'R+ghr"
School Urstnct .
in, State Zip
J --2 w4 ter'
J'ire Di.tnce. _
'%,..,q..Zi
n.+
.;
'.'.
OWNER/APPLICANT INFORMATION
Iad:cale n'/w should be ,onlaIed nearrlu: din Pno
❑ t n. ner Phone
I'a.
❑ Appl¢ant
Phone.
Pa.
Mailing Add....
Mmling Addre..
Dron.tons
w
(cox 3f
State, Zip
Cep, Siam, Zip
1 'nllshe.l l sems n .y n
-0--
,..(:m,
/
td"fm aevn Ph+m-q ¶t? 77 33
rr
ltec S Ct 7? trier 'S; /-94171
o Architect/Engineer
Vhnn..
ra,
hladmg addre.,
/ 6'S £. S¢Ecaq nc r
Mailing addre..
1 Icat s,urce (electric, gas. etc.)
in, State Zip
J --2 w4 ter'
q+ty, State Zip
e,lz- DA qr 03 7
WA State Contracim 1icen.e 0
GLlam'Sctoti 2r
Coma na+ne
PROTECT INFORMATION
• Building -Information
Rodding hcrLht to peak
ZSi
# of stone
\Ian flour sq. t��
N (
Unln�s ed aaemcnt ss. ft.
fa/
Dron.tons
w
(cox 3f
if ini habitable space
33 %S--
1°I fl
2oor q ft
/07A
1 'nllshe.l l sems n .y n
-0--
occupancy group
Construction type
Garage sq. fl.
qiz
Deck sq ft.
V
Cost of project
1 Icat s,urce (electric, gas. etc.)
Manufactured Home -
Sign ,
\Chdth
Length.
What is the square footage n( the sip'
(ace?
I low high is the sign?
Year
Make
# of signs
Arca of existing signs
1ircworks display
_
Address
Proposed use
Relocation-, .
Fire Safety.
Kai Name
Is any part of the property within 250 feet of a shorell c?
If )ss, Identify on site pion 0 Yes L7 No
Previous address
0 No
0 No
Paint booth
Fire Spookier
Tent
lire Alarm
1ircworks display
_
Address
Proposed use
Value
Are there slopes greater than 30% on the property (30 ft e in 100 ft)
( /"/o) 0 Yes No
Are critical or hvardous materials used or stored on site.
0 Yes
No
Special Tnspections Required? '
. Non=Res-ideritial Energy; Code Compliance?'
Kai Name
Is any part of the property within 250 feet of a shorell c?
If )ss, Identify on site pion 0 Yes L7 No
Pham
0 No
0 No
Plan. Examiner
Mont
In.prun.r.
Is
Is any part of the property within a 100 yr fluid plain?
IJ 'es. identr(1, on site plan
0 Maybe 0 Don't knew 0 Ycs No
Are or will there be wells locoed on the property?
Mrs, itlentnb on the sate plan O YesSrNo
Address
Is there evidence of fill or excavation on the property?
0 Yes
No
Are there slopes greater than 30% on the property (30 ft e in 100 ft)
( /"/o) 0 Yes No
Are critical or hvardous materials used or stored on site.
0 Yes
No
Inspector
Phone
0 Concrete
0 Welding
O Bolting
0 Reinforcement
Address
DDITIONAL SITE INFORMATION
Ale there structures on the property? 0 Yes L "No
Ups. nlrun(p on site plan
What is the current propel y size?
(square feet or acres) in trZ3
Is public sewer available to.the site? • -.O Yes 0 N_ o - ,
-. .
Is any part of the property within 250 feet of a shorell c?
If )ss, Identify on site pion 0 Yes L7 No
\\'hat is the current use of this property
,t) 0 &re_
0 No
0 No
Is your property in a designated wildlife habitat arca? C'J No
0 Don't know O Ycs
V(511 the site be senvcd by a septic system? 0 Ycs
o
Is
Is any part of the property within a 100 yr fluid plain?
IJ 'es. identr(1, on site plan
0 Maybe 0 Don't knew 0 Ycs No
Are or will there be wells locoed on the property?
Mrs, itlentnb on the sate plan O YesSrNo
Are there any wetlands, streams er ponds within , _ t 00 of the property?
If yes, rrlentijp on site plan 0 Yes No
Is there evidence of fill or excavation on the property?
0 Yes
No
Are there slopes greater than 30% on the property (30 ft e in 100 ft)
( /"/o) 0 Yes No
Are critical or hvardous materials used or stored on site.
0 Yes
No
DEPARTMENT USE ONLY
is the property in a designated Srormwarer Control Arca?
D Yes
O No.
Is public sewer available to.the site? • -.O Yes 0 N_ o - ,
-. .
Is the property inside the ASA? 0 \'es
.. -O'Veit
0 No
0 No
- Is public water available to the site? "O , \•es O. No ."
-
:: -
tls the property inside the PSSA? - 0 Yes
-
0 No
-
is the property located within 1000 feet of a Natural Resource Arca?.
O Yes O No
Dale Hefeied
Staff Repre.emati.e.
METIIOD OF PAYMENT
VISA
❑ cAsii ❑ CIR'a,l•: ❑
(17
❑Ise ❑
DIJCOVER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:\'I'Ib
ESDI It :S
BANI:(:ARD NUMBER:
\U I'I IORI/N[) SIGN;\ 1'0121-.
SURA( )1:11
`.
TOTAL FEE
,117N/MUD/ PERMIT FEE IS $35.Ltl PI LASE
.MAID! G 111 KS t AYAlil.11'1115POKANE
'f,UCN II' P1 It\I ' CI:N'I ER
e'31/4
Cita
a �� aOQe
ocasego
S00'1411�t ss5. 352-0 LW 'lbllLlc
S9s a a\,,
F
\ac`-.., c0 ecc° es ea
ep ..$Y 0‘ \S‘ ficc
ca
oQ
s
6
30' Building Setback
20' Drainage and Utility Easement
N89'45'35'W
e5.ctIONE �
L( 3 - S
ROAD !'+ IRT14JO
'FRONT_ I -C) FLANKING
COMMENTS -
REVIEWED BY & k 7ttoh2
7
4
e
OW -
�/— Driveway
a '5•:Sidew.alk
N89'45'35'W
a .
PLAT
Swale Bottom, 2' wide
McDONALD
GRAPHIC SCALE (IN FEET)
0 10 20 40
1'= 20'
STREET
S00'14'25'W
This is not an os—built drawing.
Any modifications to this plan after
the date on the Engineer's stamp
VOIDS the Engineer's stamp.
September, 2001
LOT 7, BLOCK 3
MIDILOME EAST 3rd ADDITION
ramd.a 1944
Vimpson Engineers, Inc.
CIVIL ENGINEERS & LAND SURVEYORS
11.909 ARGONNE ROAD
SPOKANE, WA 99212 PH 926-1322