2001, 04-03 Permit App: 01002097 Residence Project Number: 01002097 Inv: 1 ApplicatiOn Date: 4/3/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: ,
Permit Use: RESIDENCE W/GARAGE-NATURAL GAS Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16420 E SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 30 Left: 30 Right: 10+ Rear: 30+ Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: 005828 Name: MIDILOME EAST 1ST ADD District: F
Parcel Number: 45342.0408 Block: 3 Lot: 8
SiteAddress: 13024 E 33RD CT Owner:Name: CLIFF SCHMITZ CONSTRUCT
SPOKANE,WA USA 00000 Address: 16420 E SECRETARIAT
Location::SPO VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,009 Sq Ft Width: 97 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation: :
Department Review
.1,_ , ,
BUILDING Site Plan Review Released By: _ .t
Hold Reasons:
Permit Conditions:
BUILDING Plan Review iReleased BY: _ -4/_'!'"- -/_ �/_ j
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage ,Released By: ® .� '" --
Hold Reasons:
Permit Conditions: 2J-f`14 g4-- _-__
1
UTILITIES Sewer Review Released By: r 0(11 1
Hold Reasons:
Permit Conditions:
a
Project Number: 01002097 Inv: 1 - Application Date: 4/3/01 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: Building Height: 17 Stories: 1
Bldg W x D: 52 x 38 Building Sq Ft: 2552 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,276 $14,750.56 1,276 $14,750.56
GARAGE U-1 VN 397 $4,764.00 397 $4,764.00
RESIDENCE R-3 VN 1,276 $79,112.00 1,276 $79,112.00
Totals: 2,949 $98,626.56 2,949 $98,626.56
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $886.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $194.98
Permit Total Fees: $1,085.73
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 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: $95.00
4•
Project Number: 01002097 Inv: 1 Application Date: 4/3/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
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: $102.00
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 4/3/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,085.73 $1,085.73 $0.00 $1,085.73
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,282.73 $1,282.73 $0.00 $1,282.73
DO NOT ISSUE SEWER PERMITS WITHOUT APPROVAL OF UTILITIES
PER ROGER 12/3/97 OK TO ISSUE SEWER PERMITS FOR PORTIONS
OF PLAT-SEE MAP IN PLAT FILE PER BILLY 4/24/98
OK TO ISSUE SEWER PERMIT FOR LOT 2 -BLOCK 3 ONLY PER MIKE
FLUGEL 9/30/98
1 , t PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1111 SPOKANE, WA 99260
SPOK{N COUIVY 509-477-3675
SPECIFIC SITE INFORMATION
•
Street Address: 13 --4_1 1
Assessor's Tax Parcel Number(s):
Legal Description: (�_uY) /' I T I s fi'/ "t yr L1 v L 3
Project Description: 1' s(Ce l i moi. (
Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
❑ Relocation 0 Sign 0 Tenant (New/Change) 0 Other
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.fir � r kf i � * � t Y ire,w
'9', ?em ° • V644.46-^:',. ..,.,
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OWNER/APPLICANT INFORMATION
Cil Indicate who should be contacted regarding this project
0 Owner: Phone: 0 Applicant: Phone:
Fax: Fax:
Mailing Address: Mailing Address:
City,State,Zip ,d City,State,Zip
LrJ (/o'Antractor L y)yy� y /�j �[Phone 9e ?4 '92 0 Architect/Engineer Phone
t!L i, .�?lii'i J/G 'JO•)5rFa j-gL1 '7/ • Fax
Mailing address Mailing address
City,State Zip City,State Zip
Pieeezvte w9 49o32
WA State Contractor license# Contact name:
el,/IepsC/O92F'
PROJECT INFORMATION
�"'. #I' s ag..-. .*v '��'-+.. -. ry e: tt - ;3..5tS ,:... '`��` "a'1 ° 1 4gi,� :`X a+.- i.Zit
$���_,�.....s.. �:. .......-,� ' rte._, ,a ,_. .�.... .--- >,..-., .,.. _ . ._, ._ _ '. .._ _. ., � ..._. .m
Building height to peak #of stories Main floor sq.h. Unfinished basement sq.ft.
j91
/ Iz 'I to /z'I tv
Dimensions Total habitable s ace 2'floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq. / Deck sq.ft.
t fi-, 1 . 3q� / zo
Cost of project Heat source(/electric,gas,etc.)
45
',--,-,545,',. - � � �Via. �«s�.� "< ix n-: - ." `� � WM �. �..F;-�
� , � ..::',.7Width. 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 _ � :< ;_•s
Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Firm Name Phone Plans Examiner "
Phone
Inspectors:
Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes C No What is the current property size?
If yes,identify 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?
If yes,identify on site plan 0 Yes 0 No i}�,
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?/ 0 Yes No
0 Don't know 0 Yes 0 N
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,identifyon the site plan 0 Yes No
0 Maybe 0 Don't know 0 Yes t� No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? /
property? !
If yes,ident l
on site plan O Yes N 4 Yes 0/No
Are there slopes greater than 30%on the property?(30 t rise in 100 ft) Are critical or hazardous materials used or stored on sit_
( %)
0 Yes No O Yes CT No
DEPARTMENT USE ONLY
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Date Received: Staff Representative:
METHOD OF P AYMENT I
VISA - afc If< SUBTOTAL
ElCASH ❑ CHECK 111 . ❑ Z-V-i-,
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FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE EXPIRES: 1 IOTA 'fes
BANKCARD NUMBER:
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