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2001, 12-14 Permit App: 01010831 Residence Project Number: 01010831 Inv: 1 ' Application Date: 12/14/01 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-GAS Contact: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT C-S-Z: VERADALE WA 99037 Setbacks:Front 30 Left: 9 Right: 10 Rear: 50+ Phone: (509)922-4297 Group Name: Project Name Plat Key: 006071 Name: MIDILOME EAST 2ND District: F Parcel Number: 45342.1204 Block: 4 Lot: 4 SiteAddress: 12814 E 36TH AVE Owner:Name: CLIFF SCHMITZ CONSTRUCTION SPOKANE,WA USA 99216 Address: 16520 E SECRETARIAT Location::SPO VERADALE WA 99037 Zoning: UNKN Unknown Water District: 007 MODEL Hold: ❑ Area: 1,000 Sq Ft Width: 80 Depth: 125 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: _ ,:<- ., . . .ate_ ..,, ..:a ., a . ..- e* Review 1 -- 67- Site Plan Review Releases " 1 Plan Review Released By: n(' • pproach/Drainage ` 1- Released By: ►' �/ �;7 _121 g� ol_Fhl S Se :' iew / ' Released By: . J Permits: �a . Operator: JAS Printed By: JAS Print Date: 12/14/01 P Project Number: 01010831 Inv: 1 Application Date: 12/14/01 Page 2 of 3 THIS ISNOT 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: 26 Stories: 2 Bldg W x D: 50 x 37 Building Sq Ft: 2983 Sprinklers: El 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 851 $52,762.00 851 $52,762.00 BASEMENT U R-3 VN 1,066 $12,322.96 1,066 $12,322.96 COV DECK R-3 VN 60 $567.60 60 $567.60 GARAGE U-1 VN 528 $6,336.00 528 $6,336.00 RESIDENCE R-3 VN 1,066 $66,092.00 1,066 $66,092.00 Totals: 3,571 $138,080.56 3,571 $138,080.56 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,090.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $239.80 Permit Total Fees: $1,334.30 Mechanical Permit Contractor: BLUE FLAME HEATING&A/C Finn: 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 5 NUMBER OF $50.00 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: $105.00 Operator: JAS Printed By: JAS Print Date: 12/14/01 Project Number: 01010831 Inv: 1 Application Date: 12/14/01 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 6 NUMBER OF $36.00 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 1 NUMBER OF $6.00 Permit Total Fees: $102.00 Notes. off. : ag s art n ra :Mor, # Payment Summary: a a .. : p. ... :..4 :. :.. :. :. :. - _ ." Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,334.30 $1,334.30 $0.00 $1,334.30 Mechanical Permit $105.00 $105.00 $0.00 $105.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,541.30 $1,541.30 $0.00 $1,541.30 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 a • correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subseq J t'ssua ce of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the provisions oft de f .tt state or local laws or ordinances. l ,f Signature: 7 �I w eijair Operator: JAS Printed By: JAS Print Date: 12/14/01 l PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SpokANE COWTY SPECIFIC SITE INFORMATION Street Address: j Z c) (_ C � 3(D� Assessor's Tax Parcell Number(s): Legal Description: i 001 A 411—(01 i f 1 T i h e( 1 0 r Project ascription: ISS 1 De41 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 District Fire District Zoning Left. Right OWNER/APPLICANT INFORMATION Inelhute who should he contorted regarding tfii.r prayed ❑Owner Phone: ❑ :Applicant: Phone Pas: I ax Mailing Address: Mailing Address: Cite,State,Zip City,State,Zip Phone p Phone .int�c 9Z Z—q ei ❑ Architect/I ingineer Mailing address 11.1ailing address ) (Sz-o >~ Sf-e City,State Zip City,State Zip E.Xr q \CA State Contractor license# Contact name e,4- 1 Se—i01'1 �2 F PROJECT INFORMATION Building Information Building height to peak, #of stories Main floor Sc.ft. Unfinished basement sg.ft. z (Q to lb(oto Dimensions Total habitable space 2nd floor sg.ft. Finished basement sg.ft. Cb >0 3 vi Constructiontype Garage sy.ft. Deck a{.ft. Occupancy groupn f1 Cost of project I!cat source(elec/I trric,gas.etc.) Manufactured Home _§-tkrn Width: Length: What is the square footage of the sign I low high is the sign? face? Year: Make: #of signs gn 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? 0 Yes or No What is the current property size? If yes,ident on site p/an (square feet or acres) /4000 Is any part of the property within 250 feet of a shore e? What is the current use of this propert} If fees,identify on site plan O Yes Q No y�e� Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes B No O Don't know 0 YesNo 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 I_fyes,identi_/,on the site plan 0 Yes IV< 0 Maybe 0 Don't know 0 Yes 'o Are there any wetlands,streams or ponds within 200 f t of the property? Is there evidence of fill or excavation on the property? Ifyes,identify on site plan 0 Yes No 0 Yes Er No Are there slopes greater than 30010 on the property?(30�ft rn 100 ft) Are critical or hazardous materials used or stored on site? ( °s) 0 Yes B No 0 Yes C3No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No DYes 0 N Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? DYes 0 N Date Received: Staff Representative METHOD OF PAYMENT MM. 'sr v SUBTOTAL VISA❑ 0 ❑C:1S11 ❑ (:III?CK0 :- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DVIE: I:XPIRI{S: TOTAL FEE B:ANKC:ARI)NUMBIiR: MINIMUM PERMIT FEE IS$35.00 PLEASE SEL CHECKS Pd1-At3LE TU SPOKANE \Ul l ROU/ID SIGN.VI LE!:: COUNTY PERtrrctvrEli PLUMBING PERMIT APPLICATION PROJECT PERMIT ADDRESS: USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES #OF MULTI- COST/ AMOUNT PLIEDESCRIPTION DETAIL UNITS ay UNIT EQUALS B02 TOILETS WATER CLOSETS,BIDETS 3 x $6 B03 URINALS x $6 B04 TUBS - Z — x $6 B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD j x $6 —B06 SINKS LAVS/BASINS,BAR,FLOOR, x $6 — KITCHEN,LAUNDRY,UTILITY, /_ JANITOR,PHOTO,X-RAY,FOOD (Q (PREP/CULINARY/MEAT B07 DISHWASHER - ( x $6 — B08 CLOTHES WASHER - / x $6 — B09 GARBAGE DISPOSAL/GRINDER - / 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, I x $6 HOSE BIB,STEAMER,PROOFER, 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 fC ,r: VISAPLUS PROCESSING FEE $ 25.00 0 CASH 0 CHECK 0 man= 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 MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: 1 Z g j f USE: e 3 614' E OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: /�L `, _ � 6. LICENSE: MAILING ADDRESS: �'/ PHONE: (Street) (City/State) (Zip) #OF MULTI- COST/ AMOUNT DESCRIPTION OF WORK UNITS pBYD UNIT EQUALS B02 FUEL BURNING APPLIANCE —OR <100,.000 / 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 - ` X $10 - $ B14 RANGE 7 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) - 3 X $1 = $ B19 DUCT SYSTEMS - X $10 — $ B20 VENTILATING FANS - 'j 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 - I 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 i‹C �Ii' 0 CASH ❑ CHECKVISA PLUS PROCESSING FEE $ 25.00 0 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 , 46V ))1' 'irtISCZ k zat-9Le Nd LtLe6 WA Winer 6 r ,0e _ •i avow 3NNO4I1V 608'N •dwO}e 6 ja8u±6u3 a41 S010A sao.3nans oNV1 At 8833NION3 iWodumas s�aaul6u3 ay} uo o}op ®43iiiii �ltj 'SdaBitt�1l,� fLOS }Io uoid sly} o} suonooy!pow ,tot 03 OZ OL 0 ....MOO./ 'bw*OJp Iiinq—so uo lou tit bike (1333 NI) 31V3S 3IHdV219 NOillaad aNZ 1Sd3 3140110111 i )10038 'i 101 6661 `9 1I Jd' Al M„11,t5.68N _.?c) 1 � '8f 00'08 ADDRESS I ` ZONE ROAD WIDTh 56; 17 FRONT36_. 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