2002, 05-21 Permit App: 02003916 Residence Project Number: 02003916 Inv: 1 , ti Application Date: 5/21/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project 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: 5 Right: 10 Rear: 20+ Phone: (509)922-4297
Group Name:
Project Name:
Site Information
Plat Key: 006185 Name: MIDILOME EAST 3RD District: F
Parcel Number: 45341.1903 Block: 5 Lot: 3
SiteAddress: 13026 E 36TH AVE Owner:Name: CLIFF SCHMITZ CONSTRUCTIO
SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT LN
Location:: SPO VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 999 UNKNOWN Hold: ❑
Area: 12,473 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
.................
Review Information:
Review
Site Ph Review Released By: >_ l J dd
q.1111° /a ..
Plan Review Released By: _
Ak damn
Approach/Drainage Released By WEif ll -
Sewer Rte' Rele sed By:
2.2)_.
Permits:
Operator: RMB Printed By: RMB Print Date: 5/21/2002
Project Number: 02003916 Inv: 1 Ajplication Date: 5/21/2002 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: 1 Occupant Load: 0 Building Height: 25 Stories: 2
Bldg W x D: 70 x 38 Building Sq Ft: 3365 Sprinklers: 0
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 1,029 $67,914.00 1,029 $67,914.00
BASEMENT U R-3 VN 1,168 $14,366.40 1,168 $14,366.40
DECK R-3 VN 216 $1,691.28 216 $1,691.28
GARAGE U-1 VN 1,292 $15,504.00 1,292 $15,504.00
RESIDENCE R-3 VN 1,168 $77,088.00 1,168 $77,088.00
Totals: 4,873 $176,563.68 4,873 $176,563.68
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,280.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $281.60
Permit Total Fees: $1,566.10
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
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
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: $115.00
Operator: RMB Printed By: RMB Print Date: 5/21/2002
1,
Project Number: 02003916 Inv: 1 , Application Date: 5/21/2002 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
TOILETSBIDETS 4 NUMBER OF $24.00
SINKS 7 NUMBER OF $42.00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL I NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $126.00
Notes:
Payment Summary: .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,566.10 $1,566.10 $0.00 $1,566.10
Mechanical Permit $115.00 $115.00 $0.00 $115.00
Plumbing Permit $126.00 $126.00 $0.00 $126.00
$1,807.10 $1,807.10 $0.00 $1,807.10
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: RMB Printed By: RMB Print Date: 5/21/2002
i 1 PROJECT APPLICATION WORK SHEET
, SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
La^" 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
�' 509-477-3675
SPOKARE CWNTY
SPECIFIC SITE INFORMATION
Street Address: G . 1302 Zla, N‘g-
Assessors Tax Parcel Number(s):
Legal Description:
LOT 6 Lk 5 M\07 LDrv\ Mar- P-00
Project Description: R-403 ) Q cfl)
C3 Building Permit O Change in Use 0 Grading 0 Manufactured Home Permit
O Relocation 0 Sign 0 Tenant(New/Change) O Other
Department Use Only
Water Distnct/Purveyor. Sewer District/Purveyor Road widthSetbacks`
sot Front Rear
School District. Fire District: Zoning Left Right
OWNER/APPLICANT INFORMATION 1 41 3
0 lreditule who should he enfiladed n;wrrdini fhb-pro/ed
❑(hence.
Phone: 0 Applicant: Phone:
Pas:
Fas:
Mailing Address: Mauling Address:
Cin,State,Zip Cin-,State,Zip
Phone
Contractor Phone q�-x'733 ❑Architect'I:n}7ntt•r
f Pf. 5 cilifrl lTZ a 117aa Sri /—11P7 71 Fax
Mailing address Mailing address
1&cz-0 6, 5f_e./-r -fa11 Ai—
(-,i,,,Gate Zip City,State Zip
t/(j ► 1I qqo 5r7
\\.-\State Contractor license ti Contact name:
GL ! S -ion/' /QF
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq. Unfinishedh��ement sq.ft.
'Total habitable space 2'"t Floor sly.It. Finished basement sq.ft.
Dimensions
7D x 3g 3 3(io I 049 t)eck s ft.
Occupancy group Constntetion ripe• Garage sq.ft. 4
Izgz zlb
Cost of project I feat source(electric,gas,etc.
Manufactured Home Sign
Width: Length: What is die square footage of the sign How 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 Compliancy?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
DITIONAL SITE INFORMATION
Are there structures on the property? O Yes o What is the current property size?
Ifyes,identify on site plan (square feet or acres)
Is any part of the property within 250 feet of a sho,r�,e� What is the current use of this property?
Des,identify on site plan CI Yes !LY No A/ /
Is your property in a designated wildlife habitat area? / Will the site be served by a septic system? Yes Ch'N/o
CI Don't know O Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifes,identffy on site plan Ifyes,ident/•on the site plan O Yes 04o-
0
oO Maybe ❑Don't know O Yes 34
Are there any wetlands,streams or ponds within 200Spet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan O Yes c No O Yes fLYl�lo
Are there slopes greater than 30%on the property?(30 ft ri n 100 ft) Are critical or hazardous materials used or stored on site?
%) ❑ &Yes No ❑ Yes o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes ❑ No
OYes 0 N
Is the property inside the ASA? O Yes O No Is public water available to the site? ❑ Yes O No
❑ Yes O No
Is the property inside the PSSA? O Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
_ CAW - SUK'I"Ol U.
VISA
❑ (::\SII ❑ (:1lI C: ❑ MIME ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:\"fl•:: 1{\PIRI?S:
TOTAL FEE
K:\NIK(,.\Rl)NUMBER: MINIMUMPERMl7FEEJSSL£ P1.1;11E
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' REVIEWEDThis site plan i- eing submitted for the purpose of
obtaining a s siding permit and is a true and correct
represe .tion of the proposal.All known property
lines : mensions,curb tines,structures and easements
h e seen identified.Al . indicated are wetlands,
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