2003, 01-24 Permit App: 03000452 Residence Project Number: 03000452 Inv: I _ • Application D : 1/24/2003 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: SCHMITZ,CLIFFORD M&MARGO A
Address: 16520 E SECRETARIAT LN
C - S -Z: VERADALE,WA 99037-
Setbacks: Front 25 Left: 13 Right: 10 Rear: 45 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
M`» � � Q
Plat Key: Name: i 1 � � 3 r District: F
Parcel Number: 45342.1502 Block: 1 Lot: 2
SiteAddress: 3512 S WOODLAWN 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: 1,005.00 Acres Width: 85 Depth: 118 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
� , t
Site Plan Review Released By: - e'�-{�}q---"LCI 1-W1—) I, ' 2-1-1--.1 03
Plan Review Released B_y:. _ l" ---r-- '" /- 7--e.
Approach/Drainage Released By: I z,--7 0
0/36(,,,)c-1
Sewer Review eleased By: t „4. Fes = isr,),02
:„ m 3 — ❑ -
Permits: ..
Operator: CKF Printed By: CKF Print Date: 1/24/2003
t ,
,
Project Number: 03000452 Inv: 1 Application,, _ Date: 1/24/2003 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: 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 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
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 870 $10,440.00 870 $10,440.00
RESIDENCE R-3 VN 550 $36,300.00 550 $36,300.00
Totals: 3,351 $114,872.48 3,351 $114,872.48
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $970.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $213.40
Permit Total Fees: $1,187.90
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: CKF Printed By: CKF Print Date: 1/24/2003
Project Number: 03000452 Inv: / Application Date: 1/24/2003 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
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
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
WA1'hR USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $108.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,187.90 $1,187.90 $0.00 $1,187.90
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,380.90 $1,380.90 $0.00 $1,380.90
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: CKF Printed By: CKF Print Date: 1/24/2003
•
lOcil PROJECT APPLICATION WORK SHEET
21lIlSPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
AU.
= SPOKANE,WA 99260
509-477-3675
SPOKANF Conry
SPECIFIC SITE INFORMATION
Street Address: s c ( Z L ytbc A-0 L 0
Assessor's Tax Parcel Number(s): 1�
Legal Description: LOT Z g W c r _1 as- -
cJ
Proj t Description: P 5�I, 0j e R/
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor Sewer Dist ct/Purve or Road width Setbacks
605 (0 Front Rear
School District Fire District. . � � � � Zoning
Left Right:
OWNER/APPLICANT INFORMATION
0 Indicate who.thoiuld he contacted regarding this project
❑ (Tuner: Phone: ❑ Applicant: Phone:
Fax: Fax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
/
Fr Phone L Q 7 ❑ Phone
U Contractor c�i� ,�M viz �- �yZ��til��/ Architect/Engineer
C L 11 r 5 L4yn � F<ax Fel /-%ill I Fax
Mailing ddress Mailing address
I le S Z C) E. 5c(2'. -,-o l< —
Cin.,State Zipip �/J ( �,�• City,State Zip
0I ele-.4 1074�-A. LJ A q-Ll 9
VC A State Contractor license# Contact name:
--1 at Lf ee
PROJECT INFORMATION
Building Information
Building height to peak i #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Li �(0v Z5 to / 7 IS k63
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
70 /Z.A0
Cost of project I feat source(electric,gas,etc.)
G
•
Manufactured Home Sign
Width: Length: What is thesquare fr;otage 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?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes Cr No What is the current property size?
Ifyes,ident(on site plan (square feet or acres) ld
Is any part of the property within 250 feet of a shorede? What is the current use of this pfoperty? � .�Q
If yes,ident(on site plan O Yes D No /r�L.N`�
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 1714o
O Don't know O Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? /
Ifyes,identz on site plan Ifyes,identify on the site plan O YesNo
O Maybe O Don't know O Yes No
Are there any wetlands,streams or ponds within 200;ert of the property? Is there evidence of fill or excavation on the property?
If yes,ident'on site plan O Yes Cal Nu CI Yes LN'No
Arc there slopes greater than 30%on the property?(30 ft e in 100 ft) Arc critical or hazardous materials used or stored on site?
( /%) O Yes No O Yes C No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O 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?
OYes ONo
Date Received: Staff Representative:
METHOD OF PAYMENT
rV SUBTOTA1,
❑
CASH 0 CI❑:CK ❑ 0 . 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
{\PIAT?S: TOTAL FEE
BAN KCARD NUMBI':R: MINIMUM PERMIT FEE IS$35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
AUI I1012IZ ':l)SICNA1'URl:: COUNTY PERMIT CENTER
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WOODLAWN DRIVE
S00'14'25'W
__F -aill76) September, 2001
PLAT
LOT 2, BLOCK 1
GRAPHIC SCALE CIN FEET) MIDILOME EAST 3rd ADDITION
0 10 20 40 This is not an as–built drawing.
MINNAny modifications to this plan after Founded 1946
the date on the Engineer's stamp 1 LPSOf Engineers, Inc.
1' = 20' VOIDS the Engineer's stamp. CIVIL ENGINEERS & LAND SURVEYORS
N.909 ARGONNE ROAD
SPOKANE. WA 99212 PH 926-1322