2002, 02-01 Permit App: 02000650 Residence Project Number: 02000650 Inv: 1 R ate: 2/1/02 Page 1 of 3
j Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE-GAS Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
C- S-Z: VERADALE WA 99037
Setbacks: Front 30 Left: 6 Right: 10 Rear: Phone: (509)999-7733
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.1110 Block: 3 Lot: 10
SiteAddress: 12807 E 36TH AVE Owner:Name: CLIFF SCHMITZ CONSTRUCTION
SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT
Location::SPO VERADALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL Hold: ❑
Area: .00 Acres Width: 80 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Release
Plan Review Released By:
Approach/Drainage Released By: v -
OarA1 A 37
Sewer Review J _ {.! - Z'C� >l %) Released By: wILEJ .5 ehc C/
O I _ 14441(--64
/<7 S a.
Permits:
Operator: JAS Printed By: JAS Print Date: 2/1/02
}
Project Number: 02000650 Inv: 1 Application Date: 2/1/02 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: 24 Stories: 2
Bldg W x D: 46 x 63 Building Sq Ft: 2956 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN 473 $7,454.48 473 $7,454.48
BASEMENT U R-3 VN 728 $8,415.68 728 $8,415.68
COV DECK R-3 VN 100 $946.00 100 $946.00
GARAGE U-1 VN 920 $11,040.00 920 $11,040.00
RESIDENCE R-3 VN 1,755 $108,810.00 1,755 $108,810.00
Totals: 3,976 $136,666.16 3,976 $136,666.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,080.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $237.60
Permit Total Fees: $1,322.10
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 1 NUMBER OF $10.00
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: $117.00
Operator: JAS Printed By: JAS Print Date: 2/1/02
Project Number: 02000650 Inv: 1 Application Date: 2/1/02 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 5 NUMBER OF $30.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 1 NUMBER OF $6.00
Permit Total Fees: $90.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,322.10 $1,322.10 $0.00 $1,322.10
Mechanical Permit $117.00 $117.00 $0.00 $117.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,529.10 $1,529.10 $0.00 $1,529.10
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 contrued 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: JAS Printed By: JAS Print Date: 2/1/02
I
Idci PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
Ilk
SPOKANE,WA 99260
509-477-3675
SPoi< CouKii
SPECIFIC SITE INFORMATION
Street Address: 12-Vo ''? 6 6" 1
Assessor's Tax Parcel Number(s):
Legal Description:
M ID I'6rn0.-- elAST 2 n No i- 16 6 3
Project escription: PrIS t.9041 -
Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign In Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District Zoning
Left: Right
OWNER/APPLICANT INFORMATION
El Indicate mho rfmidd be contacted retiutdinp+this pro/al
❑ Owner:
Phone ❑ Applicant: Phone:
Pas:
Pax:
Mailing Address: Mailing Address:
City,State,Zip ��,�}}}} City,State,lip
IF Contractor
Phone Wel 7'73 ❑ Architect;'Gnlmu_ rr Phone
i
ehi FP 5� ` fax `i 1—q`[ .9 1 lax
(
Mailing address �� 71— Mailing address
Cit',State Zip City,State/ip
tie, W' q q6-.- Y7
WA State Contractor license# Contact name:
e Lipp se, «qtJz
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor a .ft. Unfinished basement sq.ft.
'
Z z 2- il'15 - Aigt �a
llimensio , Total habitable space d floor sg.ft.3ltivj Finished basement sq. ft.
Occupancy group Construction type Garage sq.ft. ! Deck sq.ft.
0&
cost of project I leaf source(electric,gas,etc.)
C'
•
Manufactured Home Sign ,
Width: Length: What is the square footage of the sign Flow 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 i Plans Examiner Phone
Inspectors: I Address
Inspector Phone
O Concrete O Welding O Bolting 0 Reinforcement Address
AI9.DITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes What is the current property size?
If yes,identij,on site plan (square feet or acres) /(J1
ne O00
Is ant part of the property within 250 feet of a shoreli ?' What is the current use of this property?J
If yes,idenkg on site plan 0 Yes P--N-o NO e
Is your property in a designated wildlife habitat area? /" Will the site be served by a septic system?0 Yes gr/No
0 Don't know 0 Yes VNo
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 planI_fyes,identi_fy on the site plan 0 Yes No
0 Maybe 0 Don't know 0 Yes o
Are there any wetlands,streams or ponds within 200 fefe• oof the property? Is there evidence of fill or excavation on the property?
Ifyes,identi,on site plan 0 Yes �No 0 Yes IBJ'No .
.Are there slopes greater than 30°.on the property?(30 ft ri in 100 ft) Are critical or hazardous materials used or stored on site?
( /°o) O Yeso 0 Yes o
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? O Yes 0 No Is public water available to the site? 0 Yes 0 No
OYes 0 N
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
CIV SUBTOTAL
Al.
VISA
0 CASH 0 CHNCK ❑ ❑ 0 '-
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:AII•:: IAPI RFS:
TOTAL FEE
R:ANKC.ARl)NUMBER:
MINIMUM PERMIT FEE IS$:35.00PLEASE
;ALAKE CHECKS PAY,ABl.fi'10 SPOKANE
AUIIIOIZI/.I?1)S1GNAT RI•_ COUNTY PERMIT CU ER
PLUMBING PERMIT APPLICATION
PROJECT PERMIT
ADDRESS: USE:
OWNER: PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: Ste' P ` , vy` '1 LICENSE:
MAILING ADDRESS: PHONE:
(Street) (City/State) (ZIp)
PLUMBING FIXTURES
#OF MULTI- COST/ AMOUNT
DESCRIPTION DETAIL UNITS PByD UNIT EQUALS
B02 TOILETS WATER CLOSETS,BIDETS 3 x $6 —
B03 URINALS x $6 —
B04 TUBS - - j , x $6
B05_ SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 —
B06 SINKS LAVS/BASINS,BAR,FLOOR, x $6 —
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD
(PREP/CULINARY/MEAT
B07 DISHWASHER - i x $6 —
B08 CLOTHES WASHER - Ix $6 —
B09 GARBAGE DISPOSAL/GRINDER - x $6
B10 WATER SOFTENER - x $6
1311 ELECTRIC ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 —
mechanical)
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x $6 —
CONDENSATE
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 —
(ea.)
B14 FOUNTAINS,DRINKING - x $6 —
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 —
VENT/PLUMBING REVERSALS REPAIR,REVERSALS
B16+ SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 —
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 —
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK S6 —
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 —
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 —
B21 MISCELLANEOUS FIXTURES $6 —
METHOD OF PAYMENT SUBTOTAL
NM= e., `; J VISA PLUS PROCESSING FEE $ 25.00
0 CASH 0 CHECK 0 WON 0 ❑ -
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE: _
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
MECHANICAL PERMIT APPLICATION
PROJECT PERMIT
ADDRESS: USE:
OWNER: PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: /J ale LICENSE:
MAILING ADDRESS: b//' PHONE:
(Street) (City/State) (Zip)
#OF MULTI- COST/ AMOUNT
PL7ED
DESCRIPTION OF WORK UNITS By UNIT EQUALS
B02 FUEL BURNING APPLIANCE —OR <100,.000 I X $12 — $
B03 FUEL BURNING APPLIANCE >100,000 X $15 _ — $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) —OR<400,.000 X $50 — $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 — $
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) —OR <400,.000 X $50 — $
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 — $
B08 BOILER/REFRIGERATION 1-100M BTU X $12 — $
B09 BOILER/REFRIGERATION 101-500M BTU X $20 — $
B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 — $
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 — $
B12 BOILER/REFRIGERATION +1,750M BTU X $60 — $
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - 1 X $10 — $
B14 RANGE - X $10 — $
B15 DRYER - X $10 — $
B16 FUEL BURNING WATER HEATER - / X $10 — $
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — $
B18 GAS PIPING(ea.Outlet) - X $1 — $
B19 DUCT SYSTEMS - X $10 = $
B20 VENTILATING FANS - X $10 $
B21 AIR HANDLER(DOES NOT include duct systems) —OR <10,000 CFM X $12 — $
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 — $
B23 EVAPORATIVE COOLERS - X $10 — $
B24 TYPE I HOOD - X $50 — $
B25 TYPE II HOOD - 1 X $10 = $
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS ) X $12 = $
B27 AIR CONDITIONER 3-15 TONS X $20 — $
B28 AIR CONDITIONER 15-30 TONS X $25 — $
B29 AIR CONDITIONER 30-50 TONS X $35 = $
B30 AIR CONDITIONER +50 TONS X $60 — $
B31 LPG STORAGE TANK - X $10 — $
B32 WOOD OR PELLET STOVE/INSERT - X $25 — $
METHOD OF PAYMENT SUBTOTAL
MEMCOV:VISA _
Z _ _'
❑ CASH ❑ CHECK ❑ El ` El '
PLUS PROCESSING FEE $ 25.00
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
IA6-7 - 7 ' )„\
ADDRESS
W89.53'11"J .
— --—ltrta-s`t rlfr;stsetng 4, • :•• ••_: • :1 ri �, ROAD W DTH, 0'
obtaining a building per ;it and is a true and correct « FLANK NG ,
representation of the p •posal.All known property CO E
linesidimensions,curb •nes,structures and easements __.- — ''',►
have been identifies. i r icat:d are wetlands,
REVS' �` — --
bodies of wate,s • -;•p's o/•cher critical areas.
Signed: Jett./
.•' �
Date:
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