2001, 07-11 Permit App: 01005607 Residence Project Number: 01005607 Inv: 1 Application Date: 7/11/01 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 CONST
Address: 16520 E SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 30 Left: 10 Right: 5 Rear: 47 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.1206 Block: 4 Lot: 6
SiteAddress: 12824 E 36TH AVE Owner:Name: CLIFF SCHMITZ CONST
SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT
Location::SPO VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 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: ,.. ,. . 441x- . , tRoMa ORROR
Department Review
BUILDING Site Plan Review f Released B C- k #
Hold Reasons:
Permit Conditions:
BUILDING Plan Review Released By: j. _' o j
Hold Reasons:
Permit Conditions:
`ENGINEER Approach/Drainage Released By: ® 7` 11"5 f
Hold Reasons:
Permit Conditions: 0J PA/A 5/.j
UTILITIES Sewer Review Releas v:
Hold Reasons: ' —'' levvEA
Peimit Conditions:
Permits•
Project Number: 01005607 Inv: 1 Application Date: 7/11/01 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: 26 Stories: 2
Bldg W x D: 65 x 38 Building Sq Ft: 3249 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: LI
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 949 $58,838.00 949 $58,838.00
BASEMENT U R-3 VN 1,150 $13,294.00 1,150 $13,294.00
DECK R-3 VN 216 $1,589.76 216 $1,589.76
GARAGE U-1 VN 696 $8,352.00 696 $8,352.00
RESIDENCE R-3 VN 1,150 $71,300.00 1,150 $71,300.00
Totals: 4,161 $153,373.76 4,161 $153,373.76
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: 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
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
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: $117.00
r T
Project Number: 01005607 Inv: 1 Application Date: 7/11/01 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
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
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: $108.00
Operator: CKF Printed By: CKF Print Date: 7/11/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Peiiiiit $1,425.80 $1,425.80 $0.00 $1,425.80
Mechanical Permit $117.00 $117.00 $0.00 $117.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,650.80 $1,650.80 $0.00 $1,650.80
1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
24— 1026 WEDVSPOKANESTBROA,WAWAY 99260AENUE
HI
SPOIL IIS COUNTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 1 /8 )Ar (A•
Assessor's Tax Parcel Number(s): `�
Legal Descri tion 6 C oL(, K 0?L
iE DTZ"d ��
Proje escription: & a i.L.Q,"L
Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) O Other
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OWNER/APPLICANT INFORMATION
Indicate who should be contacted regarding this project
inOwner: Phone:
Fax: ElApplicant: Phone:
Fax:
Mailing Address: Mailing Address:
�Cityy,State,Zip City,State,Zip
tJ Contractor 61.41,1,1-(z_ Phone 9ZZ..•l4/g9 ❑ Architect/Engineer Phone
1 PP5 l&"-Fax F I -IL/"1/ Fax
Mailing address / t Mailing address
City,,tate Zip City,State Zip
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WA State Contactor license X Contact name:
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PROJECT INFORMATION
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Building height to peak I #of stories Main floor sq.ft. Unfinished basement sq.ft.
C� � Il 05
Dimensions Total habitable space 2 a floor s .ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft.
Deck sq.ft.�
Heat source(electric,gas,etc.)
Cost of project
<.e =, CWO Cc In ig s
Width: 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 Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
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:na k,. �� N. $a ® �+"'
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Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete Cl Welding Cl Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O 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,identifyon site plan O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?El 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,identifyon 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
If yes,identify on site plan O Yes O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) O Yes O No O Yes O No
DEPARTMENT USE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
ZIA IC JE SUBTOTAL
VISA
❑ CASH ❑ CHECK ❑ fiffinni ❑ ❑ `
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES: :
BANK CA RD NUMBER: 4144%Thi
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