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2002, 08-23 Permit App: 02007281 ResidenceProject Number: 02007281 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/23/02 Page 1 of 3 Proiect Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 30 Left: 10 Right: 12 Rear: 48 Site Information: Plat Key: 006185 Name: MIDILOME EAST 3RD District: F Contact: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT C - S - Z: VERADALE WA 99037 Phone: (509) 999-7733 Group Name: Project Name: Parcel Number: 45342.1704 SiteAddress: 3519 S WOODLAWN DR SPOKANE, WA USA 99216 Location:: SPO Zoning: UNKN Unknown Water District: 007 MODEL Block: 3 Lot: 4 Owner: Name: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT VERADALE WA 99037 Hold: ❑ Area: 0 Sq Ft Width: 85 Depth: 122 Right Of Way (ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Approach / Drainage Sewer Review Permits: rJs.a eADjw Release Released By: Released By: Nvoimmarearisoomensu Operator: JAS Printed By: JAS Print Date: 8/23/02 Project Number: 02007281 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/23/02 Page 2 of 3 Contractor: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT VERADALE WA 99037 Building Characteristics Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description BASEMENT F BASEMENT U DECK GARAGE RESIDENCE Building Permit Firm: CLIFF SCHMITZ CONSTRUCTION Phone: (509) 922-4297 Group: Occupant Load: Building Sq Ft: Handicap Parking: Grp "Inc Notes R-3 VN R-3 VN R-3 VN U-1 VN R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Stories: Sprinklers: Critical Materials: 10 This Application: Total Project: Su Ft Valuation Sq Ft Valuation 473 $7,927.48 473 $7,927.48 728 $8,954.40 728 $8,954.40 100 $783.00 100 $783.00 920 $11,040.00 920 $11,040.00 1,755 $115,830.00 1,755 $115,830.00 Totals: 3,976 $144,534.88 3,976 $144,534.88 Units Unit Desc Fee Amount 1 Y OR BLANK $1,120.00 1 Y OR BLANK $4.50 1 Y OR BLANK $246.40 Contractor: BLUE FLAME HEATING & A/C Address: 6011 E 9TH Phone: (509) 536-0186 SPOKANE, WA 99212 Permit Total Fees: Mechanical Permit $1,370.90 Firm: BLUE FLAME HEATING & A/C Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS GAS LOG OR GAS INSERT HOOD -TYPE II Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: JAS Printed By: JAS Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $3.00 $12.00 $30.00 $10.00 $10.00 $97.00 Print Date: 8/23/02 Project Number: 02007281 Inv: 1 • a Application Date: 8/23/02 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 TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Units 3 5 2 1 1 1 1 1 3 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount Invoice Amount $1,370.90 $1,370.90 $97.00 $97.00 $108.00 $108.00 $1,575.90 $1,575.90 Fee Amount $18.00 $30.00 $12.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $108.00 Amount Owing $1,370.90 $97.00 $108.00 $0.00 $1,575.90 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: 8/23/02 SroxnKCourTr PkOJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INF • RMATION Street Address: 1 J (9_6 Assessor's Tax Parcel Number(s): Legal Description: ki>7 C.LK 3 &N.`0f 3 Project Description: R S l bin Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit 0 Relocation ❑ Sign O Tenant (New/Change) O Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear: Left Right School District Fire District Zoning OWNER/APPLICANT INFORMATION 0 Indicate ntn, should be contacted re ardinp this firojrrl 0 (Tuner. Phone: Fax: 0 Applicant. Phone: Fac Unfinished�-•basement sq. ft. Mailing Address: Total habitable space Zgs-to Mailing Address: Finished basement sq. ft. 1-1')3 Occupancy group City, State. Zip Garage sq. ftQ ( City, State, Zip Cost of project licit source (electric, s»ns, etc) 6 Contractor 1... t wF SG Phone Lj qii - 7 7 3 3 0.-z ayko tai y'i /-41 Y 1 1 0 Architect/Engineer Phone Fax r Mailing address 1 45. Zip 6 . C,rt4-- w Mailing address (:its, State Zip d w 1Pt q'403 ') City, State Zip \\A State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to oak # of stories Main floor sq. ft. _ ci. Unfinished�-•basement sq. ft. Dimensions 14(0JV3 Total habitable space Zgs-to 2", floor sq. ft Finished basement sq. ft. 1-1')3 Occupancy group Construction type Garage sq. ftQ ( Deck sq. ft. OD Cost of project licit source (electric, s»ns, etc) 6 Maiiufacttired, Hone- ,• : y „ . Sign- Width: Length: * What is the square footage of the sign face? How high is the sign? Year. Make Fireworks display # of signs Area of existing signs Proposed use Value Relocation What is the current property size? (square feet or acres) f Q, q ) 2. -- Eire -Safety Firm Name Previous address Phone Is any part of the property within a 100 yr flood plain? IIfy s, ident on site plan 0 Maybe 0 Dont knmv 0 Yes o Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display _ _ Proposed use Value Special Inspections Required? ' What is the current property size? (square feet or acres) f Q, q ) 2. -- I Grit esielittal Energy Code,Compltanc? Firm Name Is your property in a designated wildlife habitat arca? 0 Don't know CI Ycs No Phone Is any part of the property within a 100 yr flood plain? IIfy s, ident on site plan 0 Maybe 0 Dont knmv 0 Yes o Arc or will there be wells located on the property? Ilya, ident on the site plan 0 Ycs io Plans Farmer Phone Inspectors: Are ordeal or hazardous materials used or stored on site? O Yes No Address Inspector Phone O Concrete 0 Welding 0 Bolting 0 Reinforcement Address DITIONAL SITE INFORMATION Are there structures on the property? 0 Yes a No I(yts, idrnti(y on site plan What is the current property size? (square feet or acres) f Q, q ) 2. -- Is any part of the property within 250 feet of a shoot-e)ne? Is If yes, identify onsite plait 0 Ycs 11 No What is thc current use of this property? }� T .t ttp t\1 V —e Is your property in a designated wildlife habitat arca? 0 Don't know CI Ycs No will the site be served by a septic system? O Yes No Is any part of the property within a 100 yr flood plain? IIfy s, ident on site plan 0 Maybe 0 Dont knmv 0 Yes o Arc or will there be wells located on the property? Ilya, ident on the site plan 0 Ycs io Are there any wetlands, streams or ponds within 200 t of he property? If yes, identify on site plan O Ycs No Is there evidence of fill or excavation on the property? O Ycs No Arc there slopes greater than 30% on the property? (30 ft in 100 ft) (/%) O Ycs P% Are ordeal or hazardous materials used or stored on site? O Yes No EPARTMENT USE ONLY Is the property in a designated-Stormwater Coht[olAreFt?4s ❑• Yes` r-' ,Is public;scwer available tktbe site? O Yes ONo Is the property inside the ASA?' O Yes. OYes` O..No ONo" , .Is'publje water available p the'site? . ❑ Ycs O No Is thc property inside the PSSA? O YtS ,Is the property located within 1000 feet df a NaiurafResource Area? O^'Yes O No , Dare Receive& Stair R Inc cntatnt METHOD OF PAYMENT VISA 0 CASH 0 CHECK 0 ® ❑ `±I ' ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH 'AYMENT OF A MAJOR CREDIT CARD DATE: EXI)IRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL TOTAL FEE MINIMS PERMIT PEE IS$rtMPLEASE ALAI'S O IECIS PAYAE F. TO SPOKANE COUNTY PERMIT CENTER Curb Inlet, Type 1 Spokane County Standard Sta. 37+75, I.E. 2030.83 500'14'25'W WOODLAWN \I V Double Barrel Drywell,Type "B" with MetarErame &-Grate, type 4 Spokane County Standard, Sta.38+00 27' Rt of CL of Woodlawn Top of Grate, 2030-40 0 Swale ;6' Sidewalk Driveway DRIVE Curb Line Bottom. 5.5' wide R/W Line 24' a./ • • N89'45'35'W or 0 U) v, V9 / 99. m m m Ty) 00 Z 0 m 7D m rn GO Drainage and Utility Easement Building Setback EXPIRES 7/17/ 0 3 '4GC,p y�,',.pdr r G, G J y�-o S% 4. 4,$) s, z ��I ,Oto<'4e00,i'`,,,,,,..000. :� ' (G die✓9/0/.1')0 J !QG /a�.! .0 9'-/ y'e, ''G ��is, d.7 85.00 °'ems G'6 ad' 00'14'25' W PLAr GRAPHIC SCALE CIN FEET) 0 10 20 40 1' = 20' 411/4 PJ�G,�'��. This is not an as—built drawing. Any modifications to this plan after the date on the Engineer's stamp VOIDS the Engineer's stamp. September, 2101 LOT 4, BLOCK 3 MIDILOME EAST 3rd ADDITIC Forded 1948 impson Engineers, Inc. CIVIL ENGINEERS & LAND SURVEYORS N.909 ARGONNE ROAD SPOKANE, WA 99212 PH 926-1322