2002, 08-14 Permit App: 02006963 Residence Project Number: 02006963 Iriv: 1 Application Date: 8/14/02 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-GAS Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
C-S-Z: VERADALE WA 99037
Setbacks:Front 30 Left: 15 Right: 10 Rear: Phone: (509)999-7733
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.0905 Block: 1 Lot: 5
SiteAddress: 3512 S VERCLER DR Owner:Name: CLIFF SCHMITZ CONSTRUCTION
SPOKANE,WA USA 99216 Address: 16520 E SECRETARIAT
Location::SPO VERADALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL Hold: ❑
Area: 12,750 Sq Ft Width: 85 Depth: 150 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwwellinn: 1
Review Information:
Review
Site Plan Review Release By: _J
t _s c v f/
Plan Review Released By _ `-"'"`"--
Approach
_, -_.Approach/Drainage Released By: VP's*, 1LJPili
r t�
Sewer ReviewL= _ Released By: �' — 1
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Permits:
Operator: JAS Printed By: JAS Print Date: 8/14/02
Project Number: 02006963 Inv: 1 Application Date: 8/14/02 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 798 $52,668.00 798 $52,668.00
BASEMENT F R-3 VN 463 $7,759.88 463 $7,759.88
BASEMENT U R-3 VN 550 $6,765.00 550 $6,765.00
COV DECK R-3 VN 120 $1,208.40 120 $1,208.40
GARAGE U-1 VN 870 $10,440.00 870 $10,440.00
RESIDENCE R-3 VN 550 $36,300.00 550 536,300.00
Totals: 3,351 $115,141.28 3,351 $115,141.28
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $975.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $214.50
Permit Total Fees: $1,194.00
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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: JAS Printed By: JAS Print Date: 8/14/02
Project Number: 02006963 Inv: 1 ,Application Date: 8/14/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: JIMMY'S PLUMBING Firm: JIMMY'S PLUMBING
Address: 1702 S MAMER Phone: (509)928-8991
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
TUBS 2 NUMBER OF $12.00
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: $102.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Peiuiit $1,194.00 $1,194.00 $0.00 $1,194.00
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,381.00 $1,381.00 $0.00 $1,381.00
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 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 laws or ordinances.
Signature:
Operator: JAS Printed By: JAS Print Date: 8/14/02
•
441 1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
SPOMM COUNTY _ 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 3s.-- I z S , ,r Lr J n
Assessor's Tax Parcel Number(s):
Legal Description:
&-L 1 Y\ \O l LUr C S T z"-10(
400
Project Description: 13- c c 0,
"Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) O Other
ka aw,
OWNER/APPLICANT INFORMATION
RI Indicate who should be contacted regarding this project
O Owner Phone: O Applicant. Phone:
Fax: Fax:
Mailing Address: Mailing Address:
City,State,Zip City,Stale,Zip
'Contractor Phone �'�4 `� "3 O Architect/Engineer Phone
l..-�-- t-l— s c \TZ C- 1—
5F el __qv 7/ Fax
Mailing address Mailing address
U'czx £- e.
City,State Zip City,State Zip
(N./a 0 Cr✓n 414,031
WA State Contractor license# Contact name:
sc,101
PROJECT INFORMATION
*�_ -` =, ,, -; � :
`c�. g � �' 4 'saY� �.,r ''`
Budding height to peak d of stories Main floor sq.ft. Unfinished basement sq_ft.
Dimensions Total habitable space 2°d floor sq.ft. Finished mens sq.ft_
(Oil h/o) —) 9
Dccupancy group Construction type Garage sq.ft? Decck sq.ft.
lost ofro ea
p ) Heat sourceanus,etc)
#�. ,: - �� �'.
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: N of signs Area of existing signs
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm _ Fireworks display
Proposed use Value
T �r
_ .> -.,�_ 3 ._�..� s ' -:cv �s�'j"t' � `a�u' c �3 � " a�� 5` c :
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 YesNo What is the current property size? e�
If yes,identJy on site plan (square feet or acres) t Z� ),C1
Is any part of the property within 250 feet of a shorel e? What is the current use of this property?
I If yes,ident i on site plan 0 Yes (No O
Is your property in a designated wildlife habitat area?/ Will the site be served by a septic system?0 Yes g`No
0 Don't know 13 Yes Sri No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes property? /
0 Maybe O Don't know O Yes H/No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property-?/
property? / O Yes ® No
Ifyes,identifyon site plan 0 Yes f3 No
Are there slopes greater than 30%on the property?(394t rise in 100 ft) Are critical or hazardous materials used or stored on si ?
( -%) D Yes No O Yes No
DEPARTMENT USE ONLY
W.� .��> ""-�'�' ,� �' ���'j"'k-i cp s� � "� � _-� -c�•s�"�4'�,-�=-t'�r� 3�.,�� stn .,�:-
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Date Received: Staff Representative:
METHOD OF PAYMENT
MEM
"lftOl SUBTOTAL
❑ CASH ❑ CHECK ❑ MEM ❑ ._ - ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE EXPIRES
BANK CA RD NUMBER , „
4UTHORIZED SIGNATURE: __ � �ttJNl P RMI E7 tt .:
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VERCLER REVIEWED BY _ DRIVE
rL --i-- — — — — — — — —
APRIL 8, 1999
This is not an as—built drawing. Fpundid 1946
Any modifications to this plan after LOT 5, BLOCK 1 §impson Engineers, Inc.
VOIDSthe Engineer'ststam stamp MIDILOME EAST 2ND ADDITION CIVIL ENGINEERS9A & LAND SURVEYORS
Engineer p N.909 ARGONNE ROAD
SPOKANE. WA 99212 PH 926-1322