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2002, 04-01 Permit App: 02002103 Residence • Project Number: 02002103 Inv: 1 Application Date: 4/1/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: CLIFF SCHMITZ CONSTRUCTION AIR GAS Address: 16520 E. SECRETARIAT C - S -Z: VERADALE,WA 99037 Setbacks: Front 30 Left: 10 Right: 19 Rear: 76 Phone: (509)922-4297 Group Name: Site Information: Project Name: Plat Key: 006071 Name: MIDILOME EAST 2ND District: F Parcel Number: 45342.0907 Block: 1 Lot: 7 SiteAddress: 3602 S VERCLER DR Owner: Name: SCHMITZ,CLIFFORD M & MARG SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT LN 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): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Rev'jwed By. jf ' imr Plan Review Released By: { Approach/Drainage [Released By: f `"e_e— Qar-NM►(55 Sewer Re ' Released By: 11 Permits: _ . Operator: RMB Printed By: RMB Print Date: 4/1/2002 Project Number: 02002103 Inv: 1 Application Date: 4/1/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit --- Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO 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: 0 Building Height: 24 Stories: 2 Bldg W x D: 54 x 41 Building Sq Ft: 2361 Sprinklers: [- Req Parking: 0 Handicap Parking: 0 Critical Materials: - This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 798 $49,476.00 798 $49,476.00 BASEMENT F R-3 VN 463 $7,296.88 463 $7,296.88 BASEMENT U R-3 VN 550 $6,358.00 550 $6,358.00 DECK R-3 VN 100 $736.00 100 $736.00 GARAGE U-1 VN 860 $10,320.00 860 $10,320.00 RESIDENCE R-3 VN 550 $34,100.00 550 $34,100.00 Totals: 3,321 $108,286.88 3,321 $108,286.88 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $940.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $206.80 Permit Total Fees: $1,151.30 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 5 NUMBER OF $50.00 CLOTHES DRYER 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $95.00 Operator: RMB Printed By: RMB Print Date: 4/1/2002 Project Number: 02002103 Inv: 1 Application Date: 4/1/2002 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 TOILETSBIDETS 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 1 NUMBER OF $6.00 Permit Total Fees: $90.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,151.30 $1,151.30 $0.00 $1,151.30 Mechanical Permit $95.00 $95.00 $0.00 $95.00 Plumbing Permit $90.00 $90.00 $0.00 $90.00 $1,336.30 $1,336.30 $0.00 $1,336.30 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 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: RMB Printed By: RMB Print Date: 4/1/2002 1dcl PROJECT APPLICATION WORK SHEET ik SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE ___= SPOKANE,WA 99260 509-477-3675 SPOKE COUNTY SPECIFIC SITE INFORMATION Street Address: 3 607 0_a s i uta '�'! �- e ,e /2 Assessor's Tax Parcel Number(s): l�'e Legal Description: Lo 1— ^ 6 L I< I /11 t o /L tyyl K, 0 ,445451- _1- 7/. [Q,f,O Project Description: /C-+rS 10 ec?ee_ CY Building Permit Cl Change in Use El Grading ❑ Manufactured Home Permit El Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor, Road width Setbacks / s/� Front 3b Rear. School District Fire District: . Zoning. V Left Right OWNER/APPLICANT INFORMATION S'5 050 / /Q, 75D tl Indicate why should be contacted relardinr ibis pr jed ❑ Owner: Phone: ❑ Applicant: Phone: Pas: I as: Mailing Address: Mailing Address: CAT,State,Zip City,State,Zip Contractor Phone q qq.�7733 ❑ Architect .nldneer Phone £L4piF5CAW 17- . Sr 1r'9/- r4i"7I Mailing address Mailing address 1 b CZ U C. S e-i2_e_7`.q t tigg-r— Cite,State Zip City,State Zip ve 24 ei9U3t7 WA State Contractor license 4 Contact name e L 174' sC- I01( ie PROJECT INFORMATION Building Information Building height to peak #of storieslMain floor sq.ft. Unfinished baser}ent sq.ft. Dimensions 41 Total habitable space 20s1 Ili ior s� (Finished basementfsq.ft. Sf/CV i 2 3 I -7 q e Li 63 Occupancy group Construction type Garage sq.4. Deck sq.ft. n10 0 Cost of proiect I(eat source(electric,gas,etc.) Manufactured Home , Sign Width: Length: ,W4hat is the square footage of the sign I low 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? hem Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address /D DITIONAL SITE INFORMATION O Arc there structures on the property? Yes No What is the current property size? If yes,identtfi on site plan (square feet or acres) ( Z Is any part of the property within 250 feet of a shore wc? What is the current use of this property?' �� ,p If yes,identi on site plan 0 Yes No /L)� ' ,i- Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes CH No O Don't know 0 Yes PWN10 Is any part of the property within a 100 yr flood plain? .Are or will there be wells located on the property?011.': � If yes,identi1,on site plan Ifyes,identify on the site plan 0 Yes L�No Maybe 0 Don't know 0 Yes L7 No Are there any wetlands,streams or ponds within 200 f t of the property? Is there evidence of fill or excavation on the property? If yes,identify on site plan 0 Yes 0' o O Yes CYNo Arc there slopes greater than 30%on the property?(30 ft ri in 100 ft) Arc critical or hazardous materials used or stored on site? O Yes O o 0 Ycs o DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No OYes 0 N Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? O Yes O No Date IZUCCiNed: Staff Representative: METHOD OF PAYMENT MM. iC*VF:. SUBTOTAL VISA ❑ C ❑ CIII:Cic ❑ ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I:\PIRI(S: TOTAL FEE BAN KCARD NLIMBI'.R: MINIMUM PERMIT FEE IS$35.00 PLEASE AtAKP.CHECKS PAYABLE TO SPOKANE AUTHOR]ZFD SI( N:A I L.RI.: COUNTY PERMIT CENTER • ADDRESS Jlif)07 VGi1 ' FRONT 0 FLANKING .-- N00°06'49'. COMMENTSra 8 .00 In REVIEWED i:3Y ir — 11,111 —pL.7g E. S I w; �1�1�,� 15' Utility Easement GRAPHIC SCALE CIN FEET) U I ZOt 0 10 20 40 ?IiIIMM= I ^6�Q 99671 '' `� I_ 15_ 1' = 20' �`FcrS� • n I ` `�SIONAL / pp 7 is site plan is being submitted for the purpose o' +� , _. o►taining a budding permit and is a true and correct rooresentetion of the proposal.All known property Iipesldimensions,curb l fine .structures and easernen s I✓ ve been identifiediAfSoiindicated are wetlands, t dies of water',steep slopes or other critical areas. f7 fined: , � i s,c ,,,-o„ [ate: 1"1-2—(7...,, V/ ciin 6 Wco 2 I -t:, a cn 4.- o� 0 15' Utilit Easement C 1A+ m cn b b G g.e,ittt- M N 111111 ' e • ♦ ° D > a ° < a e 0 Driveway 4 10' • 24' t>, 10' n • Property Line — t'''. ' _ 85.00 • sl 1 a N00.06'49'E °. • ' . Curb Line In CoN VERCLER DRIVE �-.-'- - - - - - - - - APRIL 8, 1999 This is not an as—built drawing. Founded1944 LOT 7, BLOCK 1 S im son Engineers, Inc. Any modifications to this plan after � the date on the Engineer's stamp CIVIL ENGINEERS & LAND SURVEYORS VOIDS the Engineer's stamp. MI1) LOME EAST 2ND ADDITION N.909 ARGONNE ROAD SPOKANE, WA 99212 PH 926-1322