2001, 04-23 Permit App: 01002777 ResidenceProject Number: 01002777 Inv: 1 Application Date: 4/23/01 Page 1 of 3
THIS IS NOT A. PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED Contact: CLIFF SCHMITZ CONSTRUCTION
AIR GAS Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 30 Left: 11 Right: 30 Rear: 42 Phone: (509) 922-4297
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.1201 Block: 4 Lot: 1
SiteAddress: 12802 E 36TH AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 11,539 Sq Ft Width: 93
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: CLIFF SCHMITZ CONST
Address: 16520 E SECRETARIAT
VERADALE, WA 99037
Hold: ❑
Depth: 125 Right Of Way (ft): 50
Review Information:
Department Review
BUILDING Site Plan Review Released Bv: ,f C� _I
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Hold Reasons:
[Released By. Z,._....-�--- —-�,
Permit Conditions:
ENGINEER Approach / Drainage Released By:
Hold Reasons: -
--
PermitConditions: _&i+ YW At .'Zi-(_-
UTILITIES Sewer Review [Released By: — -
Hold Reasons LLT UTLc ?W&V A�-(-
Permit Conditions: --- — - ---
Perm its:
Permits:
i
Project Number: 01002777 Inv: I Application Date: 4/23/01 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:
0 Building Height: 27
Stories:
2
Bldg W x D: 48 x 54 Building Sq Ft:
3129 Sprinklers: ❑
Req Parking: 0 Handicap Parking:
0 Critical Materials: 171
This Application:
Total
Project:
Description Grp Type Notes
SSC Ft Valuation
Sq Ft
Valuation
2ND FLOOR R-3 VN
1,089 $67,518.00
1,089
$67,518.00
BASEMENT U R-3 VN
1,020 $11,791.20
1,020
$11,791.20
DECK R-3 VN
350 $2,576.00
350
$2,576.00
GARAGE U-1 VN
720 $8,640.00
720
$8,640.00
RESIDENCE R-3 VN
1,020 $63,240.00
1,020
$63,240.00
Totals:
4,199 $153,765.20
4,199 $153,765.20
Item Description Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION 1
Y OR BLANK
$1,165.00
STATE SURCHARGE 1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
Y OR BLANK
$256.30
Permit Total Fees:
$1,425.80
- - - Mechanical Permit -
-
-- ---- — -
Contractor: CLIFF SCHMITZ CONSTRUCTION
Firm: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
Phone: (509) 922-4297
VERADALE WA 99037
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 5
NUMBER OF
$50.00
CLOTHES DRYER 1
NUMBER OF
$10.00
GAS LOG OR GAS INSERT 1
NUMBER OF
$10.00
Permit Total Fees:
$95.00
Project Number: 01002777 Inv: I Application Date: 4/23/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
— - - Plumbing Permit —
Contractor: CLIFF SCHMITZ CONSTRUCTION Firm: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT Phone: (509) 922-4297
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Units
Unit Desc
Fee Amount
4
NUMBER OF
$24.00
5
NUMBER OF
$30.00
1
NUMBER OF
$6.00
3
NUMBER OF
$18.00
1
NUMBER OF
$6.00.
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
2
NUMBER OF
$12.00
Permit Total Fees: $114.00
Payment Summary:�,�
Operator: RMB
Printed By: RMB
Print
Date:
4/23/01
Permit Type
Fee Amount Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,425.80
$1,425.80
$0.00
$1,425.80
Mechanical Permit
$95.00
$95.00
$0.00
$95.00
Plumbing Permit
$114.00
$114.00
$0.00
$114.00
$1,634.80
$1,634.80
$0.00
$1,634.80
Notes: u-....��•�
r
f - t
I ALH
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING 8& CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
SPOIW 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: i a �,k' Z L 3 .t- PeJ '2�
Assessor's Tax Parcel Number(s): 4 ,C " 11 E Z f 6 ,
Legal Description: `) l 7)
Proje t Description:
7
Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation I O Sign I O Tenant (New/Change) D Other
OWNER/APPLICANT INFORMATION
to
❑ Owner:
Phone:
❑ Applicant: Phone:
Building height to peak +
Fax:
Fax:
Mailing Address:
Dimensio s
q
Mailing Address:
City, State, Zip
Finished basement sq. ft.
City, State, Zip
Contractor
Phone— /
. G t
❑ Architect/Engineer Phone
(�T-101—
T-1
Fax
Cost of project
Mailing address
`
Mailing address
177)
City, State Zip
�)
City, State Zip
WA State Contract/or license N
Contact name:
nu rliL'r-"7' 7ATi7llR AA A'Tr(1w
u
^s�:hvfi x--H=B;" {a'��, "•�r ,.<�.
Met 9�s is X7` Kir i :_ 0
. xyi5y�,�.2
��='6'�_,`v" �..g9'+x �
.se;
.�'2`
.3i
' "v
�y p:'
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'.x �"�;` i` J i .aaie.
Lt s , R-1
Building height to peak +
H of stories Main floor sq. ft. Unfinished basement sq. ft.
L Z-4) 141,
Dimensio s
q
Total habitable space
�
2"d floor sq. f -
CC'
Finished basement sq. ft.
Occupancy group
Construction type
Garage s . ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
As
_ =a
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: H of signs Area of existing signs
I Firm Name
Inspectors:
Examiner Phone
Inspector
O Concrete O Welding O Bolting O Reinforcement ' Address
ADDITIONAT. STTF. INFORMATION
Are there structures on the property? O Yes O No
What is the current property size?
I es, 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?
I es, identify 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
O 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?
If yes, identify on site plan
If yes, identify on the site plan O Yes O No
O Maybe O Don't know O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property?
O Yes O No
I yes. identify on site plan O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100ft)
Are critical or hazardous materials used or stored on site?
% O Yes O No
O Yes O No
DEPARTMENT USE ONLY
Date Received: Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
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SPOKANE, WA 99212 PH 926-132
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APRIL 8, 1999
LOT 1, BLOCK 4
GRAPHIC SCALE CIN FEET) MIDILOME EAST 2ND ADDITION
0 10 20 40 This is not an as—built drawing.F—d d 1946
Any modifications to this plan after6+
the date on thq Engineer's stamp timpEngineers, Inc.
VOIDS the En ne�'s.stam. CIVIL ENGINEERS do LAND SURVEYORSIe
1' = ZQ' g p N.909 ARGONNE ROAD
SPOKANE, WA 99212 PH 926-132