2001, 01-29 Permit App: 01000503 Residence ,
Project Number: 01000503 Inv: 1 Applicatipn Date: 1/29/01 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: 5722 N VISTA GRANDE CIR
C-S-Z: OTIS ORCHARDS,WA 99207
Setbacks: Front 30 Left: 13 Right: 10 Rear: 47 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.1303 Block: 5 Lot: 3
SiteAddress: 3505 S VIRGINIA RD Owner:Name: CLIFF SCHMITZ CONSTRUCT
SPOKANE,WA USA 99216 Address: 16520 E SECRETARIAT
Location::SPO VERADALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,433 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Department Review
BUILDING Site Plan ReviewraviN4,-d By:
Hold Reasons: Le5 (.MVV -;010'1P"� �- "-- --' Z4
Peimit Conditions:
BUILDING Plan Review Released BY:
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage Released By: 1- 9 ' O
Hold Reasons:
Permit Conditions: 0 1 FN
UTILITIES Sewer Review Released By:
Hold Reasons: H LO 5-_ _ — JL4 re. j 55 GL
Permit Conditions:
Permits:
•
Project Number: 01000503 Inv: 1 Application Date: 1/29/01 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: 0 Building Height: 16 Stories: 1
Bldg W x D: 41 x 59 Building Sq Ft: 2771 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
BASEMENT U R-3 VN 1,362 $15,744.72 1,362 $15,744.72
GARAGE U-1 VN 676 $8,112.00 676 $8,112.00
RESIDENCE R-3 VN 1,409 $87,358.00 1,409 $87,358.00
Totals: 3,447 $111,214.72 3,447 $111,214.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $955.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $210.10
Permit Total Fees: $1,169.60
Mechanical Permit
Contractor: CLIFF SCHMITZ CONSTRUCTION Firm: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Item Description Units Unit Desc Fee Amount
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $87.00
Project Number: 01000503 Inv: 1 Application Date: 1/29/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: CLIFF SCHMITZ CONSTRUCTION Firm: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 1/29/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,169.60 $1,169.60 $0.00 $1,169.60
Mechanical Permit $87.00 $87.00 $0.00 $87.00
Plumbing Peu,ut $78.00 $78.00 $0.00 $78.00
$1,334.60 $1,334.60 $0.00 $1,334.60
Notes:
t
I i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
10U SPOKANE,WA 99260
SPOKANE COUI�IT 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 3 5----c s— s L) , (c) % 1��U( 0 gei
Assessor's Tax Parcel Number(s): id
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Legal Description:
Projectescription: 'i A L (,CS e
Building Permit 0 Change in Use ❑ Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
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OWNER/APPLICANT INFORMATION v`� /oI a 33
El Indicate who should be contacted regarding this project
0 Owner: Phone: 0 Applicant: Phone:
Fax: Fax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
0 C�ontract� Phone Cj �Z—t-1 Z.--—"77 0 Architect/Engineer Phone
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Mailing address Mailing address
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City,State Zip City,State Zip
Use if47i-i)87_,,' "y e709
WA State Contractor licensedr,rContact name:
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PROJECT INFORMATION
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Building height to peak d of stories Main floor sq.ft. Unfinished basement sq.ft.
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Dimensions Total habitable space 2nd floor sq.fr. Finished basement sq.ft.
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Occupancy group Construction type Garage sq.ft. Deck sq.fr.
Heat souJ[rcce(electric,gas,etc.)
Cost of project
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Widths Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
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Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete CI Welding O Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes o What is the current property size?
If yes,identify on site plan (square feet or acres) U�_2�'C1
Is any part of the property within 250 feet of a shorelij ? What is the current use of this e.
property?
If yes,ident f on site plan 0 Yes O'No /1.,/01•...-e..--
Is your property in a designated wildlife habitat area. Will the site be served by a septic system?0 Yes o
0 Don't know 0 Yes D'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 CI Yes o
0 Maybe CI Don't know O Yes No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? ,
property? / 0 Yes at/No
If yes,identify on site plan 0 Yes f No
Are there slopes greater than 30%on the property?(30 rise in 100 ft) Are critical or hazardous materials used or stored on sit
( /%) O Yes No CI Yes No
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DEPARTMENT USE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
� 1C YE. SUBTOTAL
VISA❑ CASH El CHECK ill ! ❑ : p
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
s TOTAL FEE°
BANKCARD NUMBER:
I FAKE CHECKt 1'AYA$I '10 RcA ANE -.`
AUTHORIZED SIGNATURE: CCSCtI i;'xFIR CEI [>R
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