2001, 11-15 Permit App: 01010114 Addition t
Project Number: 01010114 Inv: 1 Application Date: 11/15/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE ADDN-FAMILY RM,BATHRM, Contact: CLIFF SCHMITZ CONSTRUCTION
MASTER BEDRM & GARAGE Address: 16520 E. SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front EXI Left: 12+ Right: 26+ Rear: 80 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F
Parcel Number: 45284.1621 Block: Lot:
SiteAddress: 12003 E 30TH AVE Owner:Name: STORZ,ERIC
SPOKANE,WA 99206 Address: 12003 E 30TH AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review
1
Site Plan Review Released By: g ,}ti'lh .\„C
Plan Review
Released By:
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Permits: ❑1'L�,k:.C;,t.k. . ..::.: : .... .........................
Operator: MKC Printed By: MKC Print Date: 11/15/2001
Project Number: 01010114 Inv: 1 Application Date: 11/15/2001 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: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 15 Stories: 1
Bldg W x D: 60 x 24 Building Sq Ft: 1440 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 864 $10,368.00 864 $10,368.00
RES ADD R-3 VN 576 $35,712.00 576 $35,712.00
Totals: 1,440 $46,080.00 1,440 $46,080.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $550.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $121.00
Permit Total Fees: $675.50
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
DUCT SYSTEMS 2 NUMBER OF $20.00
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $5.00
Permit Total Fees: $35.00
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
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $5.00
Permit Total Fees: $35.00
Operator: MKC Printed By: MKC Print Date: 11/15/2001
Project Number: 01010114 Inv: 1 Application Date: 11/15/2001 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $675.50 $675.50 $0.00 $675.50
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$745.50 $745.50 $0.00 $745.50
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. Subsequ• t iss ance of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the co de o i any i th• state I local laws or ordinances.
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Signature:
I
Operator: MKC Printed By: MKC Print Date: 11/15/2001
0 . /O/ IL/
1;1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
A SPOKANE,WA 99260
509-477-3675
SPOK N1 COUNTY
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Numbcr(s):
Legal Description:
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Project Description: I,l-('� S�f.7{J.�►'1 `�� Pe- ►'1"> fr �b..))
,Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor. Road width Setbacks
Front Rear:
School Dist'
vac CAV Fire District: Zoning
/N I3• 5 Left Right
OWNER/APPLICANT INFORMATION
1 Indicate who should be contacted rekarding this profta
❑ Owner: Phone: ❑ Applicant: Phone:
Fax: Fac
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
K. Phone `r'yy-'77..�3 ❑ Architect/Iinginecr Phone
(,int;act
C, 1~f ' S CLA/6 .e:)', 89/-'/y')) Fax
Mailing address Mailing address
r
/ '; 0 6 . S F 6't t:el 4r <T
City,State Zip City,State Zip
Ue )”,...0-- QIP 99e)31'.2
WA State Contractor license# Contact name:
d L`1 PsC /dy F
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
/5- - / Iv --630'
Dimensions Total habitable space 2°�l floor sq.ft. Finished basement sq.ft.
&O Z q - /W(? .rte '
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I!cat source(electric,gas,etc.)
6 " J
Z
3b
a �
Manufactured Home ' Sign
Width: Length: i What is the square footage of the sign I Iow 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 O No What is the current property size?
Ifyes,identib on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identib on site plan O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
0 Don't know O Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identib on site plan Ifyes,identify on the site plan 0 Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identzf on site plan O Yes 0 No 0 Yes 0 No
Arc there slopes greater than 30°%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) O Yes 0 No 0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
OYes 0N
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Received: Staff Representative:
METHOD OF PAYMENT
�C4Vf r SUBTOTAL
VISA
❑ c.vsii ❑ (A WCK ❑ ,,.,,: ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES: TOTAL FEE
B:ANKC.ARD NLIMBER: MINIMUM PERMIT FEE 15S35.0iPF.EASE
AI KE CHECKS e v ABLE TO SPOKANE
\U11lOR]'/.1 LD Sl(;N.ATURI' COUNtYPERMIT C1 NlE_R
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This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All (mown property
lines/dimensions, curb in res and easements
have been id nd are wetlands,
bodies of t , s oso • tical areas.
R A rj