2002, 03-20 Permit App: 02001750 Residence Project Number: 02001750 Inv: 1 • Application Date: 3/20/02 Page 1 of 3
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: CLIFF SCHMITZ CONST
Address: 16520 E SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks: Front 30 Left: 10 Right: 10 Rear: 70 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.0904 Block: 1 Lot: 4
SiteAddress: 3504 S VERCLER DR Owner: Name: CLIFF SCHMITZ CONST
SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT
Location::SPO VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,750 Sq Ft Width: 85 Depth: 150 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review f Released By: i .'L.t l-it-!U 3 - 2_U
Plan Review Released By: AC; _ .3_- Y�c
- -
Approach/Drainage Released By: 3 0.4041
aWA.. i � y
Sewer Review Rel e /By:
1
� _ et* 14/10."04L -AC)]
Permits:
Operator: CKF Printed By: CKF Print Date: 3/20/02
mi
Project Number: 02001750 Inv: 1Application Date: 3/20/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: CLIFF SCHMITZ CONSTRUCTION Firm: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT Phone: (509) 922-4297
VERADALE WA 99037
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 26 Stories: 2
Bldg W x D: 40 x 60 Building Sq Ft: 3349 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 1,029 $63,798.00 1,029 $63,798.00
BASEMENT U R-3 VN 1,152 $13,317.12 1,152 $13,317.12
DECK R-3 VN 216 $1,589.76 216 $1,589.76
GARAGE U-1 VN 912 $10,944.00 912 $10,944.00
RESIDENCE R-3 VN 1,168 $72,416.00 1,168 $72,416.00
Totals: 4,477 $162,064.88 4,477 $162,064.88
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,210.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $266.20
Permit Total Fees: $1,480.70
Mechanical Permit
Contractor: BLUE FLAME HEATING&A/C Firm: BLUE FLAME HEATING&A/C
Address: 6011 E 9TH Phone: (509)536-0186
SPOKANE,WA 99212
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 6 NUMBER OF $60.00
HOOD-TYPE I 1 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $155.00
Operator: CKF Printed By: CKF Print Date: 3/20/02
Project Number: 02001750 Inv: 1 Application Date: 3/20/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: S T PLUMBING CO INC Firm: S T PLUMBING CO INC
Address: P.O.BOX 1817 Phone: (509)244-5575
AIRWAY HEIGHTS,WA 99011
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 4 NUMBER OF $24.00
SINKS 7 NUMBER OF $42.00
SHOWERS 1 NUMBER OF $6.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $132.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,480.70 $1,480.70 $0.00 $1,480.70
Mechanical Permit $155.00 $155.00 $0.00 $155.00
Plumbing Permit $132.00 $132.00 $0.00 $132.00
$1,767.70 $1,767.70 $0.00 $1,767.70
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 be 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 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 By: CKF Print Date: 3/20/02
-
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOT COUKTY
SPECIFIC SITE INFORMATION
Street Address: 3 SO 1 / s /g zc'Le(�
Assessor's Tax Parcel Number(s): J Y ✓G� O' -.-314 2, Oqp
9
Legal Description:
LOT / .SLK 1 m 101 Lbrn Z-"- 4-J6
Project Description: /C.t S I O L'Jl/ ,5 Q
Building Permit O Change in Use O Gradin ( �i 0 Manufactured Home Permit
0 Relocation 0 Sign O T ew/�hange) 0 Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
rJ 5 - 150't (�/\ Rear.
School District Fire District` Zoning `� �„J ^.J`j
Left Right:
OWNER/APPLICANT INFORMATION
Indicate who should be contacted renardin,t this project
❑ Oww net: Phone: ❑ Applicant Phone-
Fax: l•as:
Mailing;Address: Mailing Address:
(Cin,State,Zip City,State,Lip
Il (;ontractor Phone z e- Z 9 0 Architect'Engineer Phone
CL JPF s -(-611 rr-e emosrFa, 9 /-1Ve7
Mailing address Mailing address
1(0 5-2-0 e. 5 6 eiz E TA-2//1'r
Cite,State Lip City,State Zip
194 q go3,9
V\:A State Contractor license# Contact name:
C-L IPic 56 01/ 2r
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
I 1 6% 11 Ca
DimensionsTotal habitable space' 2"ct floor sq. ft. Finished basement sq.ft.
° �o 3 3161 IOZ61 -&
Occupancy group Construction type Garage sq.fy. Deck sq.tt.
) Z
Cost of project I teat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign Flow high is the sign?
face?
Year: Make: .#of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone ; Plans Examiner Phone
Inspectors: Address
Inspector Phone
Concrete O Welding O Bolting O Reinforcement Address
JADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes Vg No What is the current property size?
Lfj�es,ident'on site plan (square feet or acres) 2) 5Q
Is any part of the property within 250 feet of a shoreli e? What is the current use of this property?
Ifyes,identO'on site plan O YesNo
Is your property in a designated wildlife habitat area? � Will the site be served by a septic system?O Yes Cl No
O Don't know 0 Yes �a No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I_f yen,ident t on site plan If yes,identify on the site plan 0 Yes o
0 Maybe 0 Don't know 0 Ycs 04
Are there any wetlands,streams or ponds within 200 et of the property? Is there evidence of fill or excavation on the property? ��
If yes,identi_bt on site plan O Yes LTJ No 0 Yes L�No
Arc there slopes greater than 30°%on the property?(30 ft e in 100 ft) Are critical or hazardous materials used or stored on site?
0 Yes rD No O Yes o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
0 Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Da EC Received: Staff Representative:
METHOD OF PAYMENT
11CoVf SUBTOT.Al.
❑
CAS!! ❑ ClI?CK El 0 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I:XP1RI:S: TOTAL FEE
BANK( ARD NMINIMUM PERMIT FEE IS 535.000LE1SE
MAKE CHECKS PAYABLE TO SPOKANE
\UTI IORIXED SIGNATURE: COLN rY I'FItyurr CENTER
•
PLUMBING PE1 MIT APPLICATION
PROJECT PERMIT
ADDRESS: USE:
OWNER: PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: ST p LIA L 1 LICENSE:
MAILING ADDRESS: l 1 PHONE:
(Street) (City/State) (Zip)
PLUMBING FIXTURES
#OF MULTI- COST/ AMOUNT
DESCRIPTION DETAIL UNITS perp UNIT EQUALS
B02 TOILETS WATER CLOSETS,BIDETS 3 x $6 —
B03 URINALS x $6 —
B04 TUBS - Z. x $6 —
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD ( x $6 —
B06 SINKS LAYS/BASINS,BAR,FLOOR, x $6 —
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD
(PREP/CULINARY/MEAT
B07 DISHWASHER - I x $6 —
B08 CLOTHES WASHER - I x $6 —
B09 GARBAGE DISPOSAL/GRINDER - I x $6 —
B10 WATER SOFTENER - x $6 —
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 —
mechanical)
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, ' x $6 —
CONDENSATE
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 —
(ea.)
B14 FOUNTAINS,DRINKING - x $6 —
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 —
VENT/PLUMBING REVERSALS REPAIR,REVERSALS
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 —
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 —
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 —
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 —
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 —
B21 MISCELLANEOUS FIXTURES $6 —
METHOD OF PAYMENT SUBTOTAL
MEM '1C PLUS PROCESSING FEE $ 25.00
❑ CASH 0 CHECK 0 0 ,' 0
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
MECHANICAL PERMIT-APPLICATION
ROECT ADDJRESS: 3 SV ti S • (if-112-82..-6/12_ PERMIT
USE:
OWNER: PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE:
£Lu PLj1-mf_
MAILING ADDRESS: PHONE:
(Street) (City/State) (Zip)
#OF MULTI- COST/ AMOUNT
PLIED
DESCRIPTION OF WORK UNITS BY UNIT EQUALS
B02 FUEL BURNING APPLIANCE = OR <100,.000 / X $12 — $
B03 FUEL BURNING APPLIANCE >100,000 X $15 — $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) —OR <400,.000 X $50 — $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 = $
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =OR <400,.000 X $50 — $
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 — $
B08 BOILER/REFRIGERATION 1-100M BTU X $12 = $
B09 BOILER/REFRIGERATION 101-500M BTU X $20 — $
B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 — $
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 — $
B12 BOILER/REFRIGERATION +1,750M BTU X $60 — $
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - t X $10 — $
B14 RANGE - X $10 — $
B15 DRYER - X $10 — $
B16 FUEL BURNING WATER HEATER - / X $10 — $
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — $
B18 GAS PIPING(ea.Outlet) - X $1 — $
B19 DUCT SYSTEMS - X $10 — $
B20 VENTILATING FANS - LI X $10 = $
B21 AIR HANDLER(DOES NOT include duct systems) —OR <10,000 CFM X $12 — $
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 — $
B23 EVAPORATIVE COOLERS - X $10 = $
B24 TYPE I HOOD - X $50 — $
B25 TYPE II HOOD - 1 X $10 — $
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS f 4 X $12 = $
B27 AIR CONDITIONER 3-15 TONS X $20 — $
B28 AIR CONDITIONER 15-30 TONS X $25 — $
B29 AIR CONDITIONER 30-50 TONS X $35 = $
B30 AIR CONDITIONER +50 TONS X $60 — $
B31 LPG STORAGE TANK - X $10 — $
B32 WOOD OR PELLET STOVE/INSERT - X $25 - $
METHOD OF PAYMENT SUBTOTAL
................. . .
V JC V{ PLUS PROCESSING FEE $ 25.00
❑ CASH 0 CHECK 0 MENN1 ❑ 0 -
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
FROM :NEIL THOMPSON FAX ND. :9219728 , Mar. 05 2002 02:56PM P1
� s
This site Dian is being submitted for the purpose
obtai . . _ := •. 1 , dame N00'06'49'E
rearekentatIon Of "e prnpdhel.All known property i I 85.00
ures.aad_.Mem_ents ,_,,..113.1 ,
have
(inesTditt�ertaFl§t ktl itsuot — '�o w
hLa�v'e been idthiih@�, i o+n tea ` are wetlands, 4231 ' 0.4 t• .
bodies of "at'i § : .o s, - ®i'• i areas. r LY
1171 1 'L
U 'A , 15' Utility Easement �l V I '
Date: •
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GRAPHIC SCALE CIN F' 'f) ,I„N 1
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.cDDRESS \ree -•
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FRONT 0 FLANKING 5. ;riL:-.t-
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Curb Line Ji Curb Ramp
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VERCLER DRIVE
APRIL 8, 1999
This is not an as—built drawing. LST 4 LOCK ''
Any modifications to this plan aft , Inc.
the date
Engineer's etarrtp.stamp MIDILOME EAST 2ND ADDITION °"" AR EYOAS
SPOKANE.WA 20212 PN 0211-1322