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2002, 10-28 Permit App: 02009603 Residence Project Number: 02009603 Inv: 1 Application Date: 10/28/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE -NATURAL GAS Contact: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT C-S -Z: VERADALE,WA 99037 Setbacks: Front 25 Left: 10 Right: 14 Rear: 59 Phone: (509)999-7733 Group Name: Site Information: Project Name: Plat Key: 006185 Name: MIDILOME EAST 3RD District: F Parcel Number: 45342.1703 Block: 3 Lot: 3 SiteAddress: 3513 S WOODLAWN AVE Owner: Name: CLIFF SCHMITZ CONSTRUCTIO SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT Location::SPO VERADALE,WA 99037 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 10,412 Sq Ft Width: 85 Depth: 122 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review }� '( 1 1 Site Plan Review Released By: f -` _ 0 Plan Review Released By: Z)� 12 Approach/Drainage Released By: it) - 749 -4:D.2 - oa FScA)Goo Sewer Review .� ReleR, cl , Permits: Operator: CKF Printed By: CKF Print Date: 10/28/2002 Project Number: 02009603 Inv: 1 Application Date: 10/28/2002 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:' 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 So Ft Valuation So Ft Valuation 2ND FLOOR R-3 VN 1,029 $67,914.00 1,029 $67,914.00 BASEMENT U R-3 VN 1,168 $14,366.40 1,168 $14,366.40 DECK R-3 VN 216 $1,691.28 216 $1,691.28 GARAGE U-1 VN 912 $10,944.00 912 $10,944.00 RESIDENCE R-3 VN 1,168 $77,088.00 1,168 $77,088.00 Totals: 4,493 $172,003.68 4,493 $172,003.68 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,260.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $277.20 Permit Total Fees: $1,541.70 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 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 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $107.00 Operator: CKF Printed By: CKF Print Date: 10/28/2002 Project Number: 02009603 Inv: I Application Date: 10/28/2002 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 6 NUMBER OF $36.00 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 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $114.00 Notes .. .... .. . Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,541.70 $1,541.70 $0.00 $1,541.70 Mechanical Permit $107.00 $107.00 $0.00 $107.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $1,762.70 $1,762.70 $0.00 $1,762.70 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: 10/28/2002 1 1 PROJECT APPLICATION WORK SHEET �z SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 11��Ill 509-477-3675 SPOKAM COMFY SPECIFIC SITE INFORMATION Street Address: 3 c 3 1J�.1` ,c ,)L e ill) Assessor's Tax Parcel Number(s): �1J Legal Description: LC),-. g LK ,S 01 i-0 ' c -r 3 0 v Proj t Description: 1`.-eS l bei +& Building Permit 0 Change in Use 0 Grading O Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other Department Use Only ,-3 X 1 2 Water District/Purveyor. Sewer District/Purveyor Road width Setbacks c o Front ,2. Rear. School District Fire District Zoning Left Right. OWNER/APPLICANT INFORMATION 0 Indicate aho.should be eonladed re aro nR lie pro/ed 0 Owner. Phone: 0 Applicant Phone: Fax: Fax: Mailing Address: Mailing Address: City,State,Zip City,State,Zip " ntrac`torr�,�^ ��,/y� i ,�j,�� _Phone cm 7 733 ❑Architect/Engineer Phone , ll�l c F' .SC C I/ r'( 1TZ 'L%ON,/}ax / i"q N ) Fax Mailing addressd ,,_PA {� Mailing address ( City,State Zip City,State Zip Uri 0 ArIlL uJ0 qq 63 e? TA State Contractor licence# Contact name: 2 (' SC' iag 2J PROJECT INFORMATION Building Information Building height ak #of stories Main floor sq„ft; y Unfinished bascYrtcrtt sq.ft. !(/(/lf" J)0_t�7 Dimensions "Dotal habitable space 2"4 floor sq.ft. Finished basement sq.ft. 3 cl >c 2C) 3.S COS-" /Ute/ Occupancy group Construction type Garage sq.f Deck sq.ft. Cost of project I leat source(electric,gas,etc.) 61 Manufactured Home r - 'Sign Width: Length: What 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? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone ❑ Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? ❑ Yes iiir No What is the current property size? If yes,ident1b,on site p/an (square feet or acres) I 0, iiiz. ' Is any part of the property within 250 feet of a shore' c? What is the current use of this property? Ifyes, ideat6,on site plan 0 Yes Fr No Ott v Is your property in a designated wildlife habitat area? \WAill the site be served by a septic system?0 Yes tIN0 0 Don't know 0 Yes 1No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identi.fy on site plan Ifyes,identify on the site p/an 0 Yes [+j No 0 Maybe 0 Don't know 0 Yes No Are there any wetlands,streams or ponds within 200t of the property? Is there evidence of fill or excavation on the property? If yes,identify ouz site p/an Cl Yes R No 0 Yes ®'No Arc there slopes greater than 30%on the property?(30 ft in 100 ft) Are critical or hazardous materials used or stored on site? / ( %) Cl Yes No 0 Yes o ' DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? Cl Yes 0 No ❑ Yes ❑ No Is the property inside the ASA? 0 Yes Cl No Is public water available to the site? 0 Yes 0 No ❑ Yes ❑ No Is the property inside the PSSA? 0 Yes Cl No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes ❑ No Date Received: Staff Representative: METHOD OF PAYMENT df11i SUBTOTAL VISA ❑ cASI I ❑ cl ll CK ❑ =MIN ❑ . ❑ , FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DAT\.:: EXPIRES: TOTAL FEE B:\NK(::\RD NUMBER: MINIMUM PERMIT FEE IS S3S AO PLEASE SLAKE CI IECKS PAVAI3LE TO SPOKANE !WTI 1ORI%1:D SIGN:\TURF: COUNTY PERMIT CENTER S00'14'25'W WOODLAWN DRIVE N O t'') . �— Curb Line --.,..., ' Swale Bottom, 2' wide . e . !—Property Line--,...., k�.`� \\\ V .� V4:,: a 'D° V • 05.00 .e JJ . ° ci - L e : .o d a ' dad e. 6' Sidew01k . . - a •. . y• a_ • .a ,:-:4.,.. . -e .. in N . . Driveway -----A' a:-° <24' a° 10' • 3 a° v �'7 ] s . c N --->) 4 m _ W co c D m 'o c 3 ° In o ^ 3 0 /I ..._5 M u� m jfy (Ucti i-0 z co C7 o co Z This s to p!an is tieing submitted for the purpose of .y g- S' N obtaining a b:;dd:ng permit and is a true and correct W C'1 0 d representation of the proposal.All known property -*/- � / ..+ C� 'A `2, d 4r LFe7FE s. J / 1 ., r G ' • -4tSigned: ' ti �, .. ^" .4\\"','"i Date: 6 ii! /�7 arm l i liixpliam 7/17/©3 J i _ v 85.00 , S00'14'25'W �••���s yIss, 1September, 2001 P� � � 1, ,,4 LOT 3, BLOCK 3 MIDILOME EAST 3rd ADDITION GRAPHIC SCALE CIN FEET) 44 0 10 20 40 This is not an asbbuilt drawing. . Any modifications'le this plan after Faiidad 1946 the date on the Engineer's stamp einapson Engineers, Inc. 1' = 20' VOIDS the Engineer's stamp. CIVIL ENGINEERS do LAND SURVEYORS N.909 ARGONNE ROAD SPOKANE, WA 99212 PH 926-1322