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2002, 02-01 Permit App: 02000649 Residence Project Number: 02000649 Inv: 1 Applicatioh te: 2/1/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E. SECRETARIAT C - S -Z: VERADALE,WA 99037 Setbacks: Front 30 Left: 10 Right: 5 Rear: 53 Phone: (509)922-4297 Group Name: Site Information: Project Name. Plat Key: 071 Name: MIDILOME EAST 2ND District: F r _ Parcel Number: 45342.1109 Block: 3 Lot: 9 'SiteAddress: 12811 E 36TH AVE Owner: Name: MIDILOME,INC. SPOKANE,WA USA 00000 Address: 3124 S REGAL ST Location::SPO SPOKANE,WA 99223-4733 Zoning: UR-3.5 Urban Residential 3.5 Water District: 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 Released =,r: ' ic;?N? _,r Plan Review Released By: et Approach/Drainage Released By: G Sewer Review Released By: RtO, N5C,-- - Com``:/ �% Operator: DMD Printed By: DMD Print Date: 2/1/2002 Project Number: 02000649 Inv: 1 Application Date: 2/1/2002 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: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 26 Stories: 2 Bldg W x D: 53 x 37 Building Sq Ft: 2889 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 911 $56,482.00 911 $56,482.00 BASEMENT U R-3 VN 989 $11,432.84 989 $11,432.84 DECK R-3 VN 208 $1,530.88 208 $1,530.88 GARAGE U-1 VN 880 $10,560.00 880 $10,560.00 RESIDENCE R-3 VN 989 $61,318.00 989 $61,318.00 Totals: 3,977 $141,323.72 3,977 $141,323.72 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,105.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $243.10 Permit Total Fees: $1,352.60 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 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: $104.00 Operator: DMD Printed By: DMD Print Date: 2/1/2002 Project Number: 02000649 Inv: 1 A PP:,1lcatioll Date: 2/1/2002 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 2 NUMBER OF $12.00 Permit Total Fees: $96.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,352.59 $1,352.59 $0.00 $1,352.59 Mechanical Permit $104.00 $104.00 $0.00 $104.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $1,552.59 $1,552.59 $0.00 $1.552.59 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 grill he complied with. Subsequent issuance of a permit shall not he 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: DMD Printed By: DMD Print Date: 2/1/2002 , t , .. i i PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILIDING&CODE ENFORCEMENT AA 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 1 509-477-3675 SPoKANgCouNrY 0.2 - Le `{q SPECIFIC SITE INFORMATION Street Address: 1 z% )1 36,IA Assessor's Tax Parcel Number(s): 453(f< l V/� , r 1 o i Legal Description: CA iD ) y? -'T 2 /O 1) 63 Project scription: b )oe-4 et Building Permit ❑ Change in Use El Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks SD Front: 3C) Rear. School District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION 0 Indicate who should he contacted n;{ardin;This/se ect ❑ (honer: Phone: ❑ :Applicant Phone: Pax: Pax: Mailing Address Mailing Address: Cm,State,Z p City,State,Zip Phone Ci'( i l(�(,J 1J Contractor —7?v CI Architect;linginccr Phone oticp 5e lipi jv 57 ?I j-11P2 I Iax Mailing address Mailing address tlob e 5fe . ....F Cite,State Zip Cite,State Zip U& &u kid 3 9 V\A State Contractor license# Contact name: Lk,1 iCSC ion' k i PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.tt. Unfinished basement sq.ft. 9 39 9 en Dimensions Total habitable space 2°`1 tloo sg.tt. Finished basement sq. It. 2 Z-g i C-111 .--(9 — Occupancy group Construction type Garages .ft. Deck s..tt. V 2 O Cost of project I feat source(electric,gas,etc.) Manufactured Home E Sign Width: Length: 3: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 Plans Examiner Phone Inspectors: - Address Inspector Phone 0 Concrete O Welding O Bolting O Reinforcement Address DITIONAL SITE INFORMATION Arc there structures on the property? O Yesin No What is the current property size? Ifyes,identify on site plan (square feet or acres) /t? O 00 Is any part of the property within 250 feet of a shoreh ? What is the current use of this eroperty? Ifyes,identify on site plan 0 Yes Ll N o AjZ A f Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes C+3�No 0 Don't know 0 Yes leVslo Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifj�es,identzt on site planI fyes,identify on the site plan O Yes C1-40 Maybe 0 Don't know O Yes No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes,identify on site plan 0 Yes IAo 0 Yes L'YNO Arc there slopes greater than 30%on the property?(30 ft ri_ge in 100 ft) Are critical or hazardous materials used or stored on site? %) 0 Yeso O Yeso DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No OYes 0 N Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No O Yes O No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Arca? 0 Yes 0 No Date Received: Staff Representative: METHOD OF PAYMENT C 1tf; SUBlOF:AI. VISA 0 (:ySl I 0 Cl ll:cK ❑ 0 0 -- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: TOTAL FEE B:\NKC:\Rl)NU1\1BI'.R: MINIMUM PERMIT FEE IS135.001't E-esE VI_AKE CHECKS P VAMBLE TO SPOKANE ALM TORI/ED:1)Sl(;N ATUR F: COCA IA PERMIT CENTER Lit MECHANICAL PERMIT APPLICATION PROJECT PERMIT ADDRESS: USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: JL i l+L �J l�/') ,,^ LICENSE: MAILING ADDRESS: C• �/ ( PHONE: (Street) (City/State) (Zip) #OF MULTI- COST/ AMOUNT PLED DESCRIPTION OF WORK UNITS By UNIT EQUALS B02 FUEL BURNING APPLIANCE —OR <100,.000 1 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 — $ Bil 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 - ' X $10 — $ B14 RANGE - X $10 — $ B15 DRYER - X $10 — $ B16 FUEL BURNING WATER HEATER - I X $10 = $ B17 MISCELLANEOUS FUEL BURNING APPLIANCE - t X $10 — $ B18 GAS PIPING(ea.Outlet) - X $1 — $ B19 DUCT SYSTEMS - X $10 — $ B20 VENTILATING FANS - 1 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 - f X $10 — $ B24 TYPE I HOOD - X $50 — $ B25 TYPE II HOOD - X $10 = $ B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS j 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 TONSX $60 — $ B31 LPG STORAGE TANKX $10 — $ B32 WOOD OR PELLET STOVE/INSERT - X $25 — $ METHOD OF PAYMENT SUBTOTAL VISA "J V, PLUS PROCESSING FEE $ 25.00 0 CASH 0 CHECK 0 =Mg 0 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 PLUMBING PERMIT APPLICATION PROJECT PERMIT ADDRESS: USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: c -L (i ?6) )6 LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES #OF MULTI- COST/ AMOUNT PLIED DESCRIPTION DETAIL UNITS BY UNIT EQUALS B02 TOILETS WATER CLOSETS,BIDETS 5 x $6 — B03 URINALS x $6 — B04 TUBS - 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 - x $6 — B08 CLOTHES WASHER - ,1 x $6 — 1309 GARBAGE DISPOSAL/GRINDER - 3 x $6 — B10 WATER SOFTENER - x $6 — B11 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, S x $6 — HOSE BIB,STEAMER,PROOFER, I CARBONATOR,SWAMP COOLERS B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 — 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 VISA 'l 011119 0 CASH 0 CHECK 0 0 . 0 -= 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 i 1 I I { l�9.53't1 J _ — .——-- — 80.00 Th site plan is being submitted for thepu Jose of ob ining a building permit and is a true an' correct ! I �'—� re, -sensation of the proposal.All known . operty ie ! : lin dimensions,curb lines,structures ant easem-f is ♦�r �j ___ --- ha been identified.A'•o die et:• a • w: lands, :Ts) AD, bo, -s of wa •r, -,ee. si. es or :l area . ,/ } ROAD\ 'lp l'`' Sig -d: i L-�u�� w COMMEP4 i' ,' g'% ,�/ 'A Da �� EVIEWVED ` . � � / • R Q T °� tl W V 10 LaS ;:,. 9. ..., a. in o v = o CU 0 .P Z o v — C 3 i 16 N5U-cid • cotsO (4.‘, cv .r - o _ • e• •� • • • 4 M 0A (y\ O w • O o • • • 4 4 • Q• N O • 24' . jo, • • 80.00 ... e A — r— — `4'..'--Property Line------.. • • - d t— Curb Line Pr In - 36th AVENUE• —— —— 81489'51'11'Wss'i�•v APRIL. 8, 1999 rLOT 9, BLOCK 3 MIDILOME EAST 2ND ADDITION GRAPHIC SCALE (IN FEET) o 10 20 40 This is not on as--built drain after Any modifications to this pl �► ,.... $ttt�fltell'S, IpC. Naos dote on the Engineer's stamp t & LANDtte ss' e DS the Engneer s stomp. NA00 ARGONNJE ROAD 1' n 20• SPOKANE,rN 9212 Pit 02s-1322 1