2002, 07-08 Permit App 02005608 Residence, GarageProject Number: 02005608 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 18 Left: 5 Right: 5 Rear: 25
Site Information:
Plat Key: 005619 Name: THE GREENS AT MIDILOME District: F
DLte: 7/8/02 Page 1 o.
Parcel Number: 45331.4914 Block: 2
SiteAddress: 3819 S EAGLE LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Contact: SCHMITZ, CLIFFORD M & MARGO A
Address: 16520 E SECRETARIAT LN
C - S - Z: VERADALE, WA 99037
Phone: (509) 999-7733
Group Name:
Project Name:
Lot: 14
Owner: Name: SCHMITZ, CLIFFORD M & MARC
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037
Hold: ❑
Area: 6,498 Sq Ft Width: 69 Depth: 103 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
Sewer Review
Permits:
Released By:
[Released By: g
Released By:
�.- 0 2- ^ I Released By:
�ar
Operator: CKF Printed By: CKF
Print Date: 7/8/02
Project Number: 02005608 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/8/02 Page 2 of 3
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: 14 Stories: 1
Bldg W x D: 60 x 42 Building Sq Ft: 2980 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENTU R-3 VN 1,490 $18,327.00 1,490 $18,327.00
DECK R-3 VN 106 $829.98 106 $829.98
GARAGE U-1 VN 440 $5,280.00 440 $5,280.00
RESIDENCE R-3 VN 1,490 $98,340.00 1,490 $98,340.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 3,526 $122,776.98 3,526 $122,776.98
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,010.00
$4.50
$222.20
$1,236.70
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 3 NUMBER OF $30.00
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: CKF Printed By: CKF
Print Date: 7/8/02
Project Number: 02005608 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/8/02 Page 3 of 3
Plumbing Permit
Contractor: JIMMY'S PLUMBING Firm: JIMMY'S PLUMBING
Address: 1702 S MAMER Phone: (509) 928-8991
SPOKANE, WA 99216
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
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
FLOOR DRAINS 1 NUMBER OF $6.00
WATER PIPING - DWV 3 NUMBER OF $18.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,236.70
$105.00
$96.00
$1,437.70
Permit Total Fees: $96.00
Invoice Amount
$1,236.70
$105.00
$96.00
$1,437.70
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,236.70
$105.00
$96.00
$1,437.70
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 ot, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF
Print Date: 7/8/02
I h 1
lilk
444
fill
SPOKARE Cowry
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFO; vG l'IIfN
L -1
&..t I- L ��L �-
Projec escription: �j \ e"(Q
Building Permit
0 Relocation
❑ Owner:
Mailing Address,
City, State, Zip
x I 0 3
10 54
0 Change in Use
O Grading
O Manufactured Home Permit
0 Sign
O Tenant (New/Change)
O Other
3JSiFi� .�_ `�"r_ �,.. .,".a'_.�-.-....'�a�--� �""', �—���-`�•'��ay�,.�. R+. �+,���xa�:.�'
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Phone
Fax:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
O Applicant:
Phone:
Mailing Address:
Fax:
City, State, Zip
CI Contactor Phone �rj.-'7'%^S
�i� efit` Sc ttv tervur yq 1-q, c? 1
Mailing address
(n S U' £ • S t Gfzer.r-i c:./c
City, State Zip
c q 90 7
WA State Contactor license 1'
log +2C-
0 Architect/Engineer
Mailing address
City, State Zip
Contact name,.
Phone
Fax
PROJECT INFORMATION
•
uilding height to peak
LA
iinensions •
\k(f2
ccupancy group
>st of project
l of stories]
l
Total) habitablespace
2DV
Construction type
Main floorsq_
2"d floor sq_ h_
Garage sq_ It_4(0
Heat source (electric, gas, etc)
6
Unfinished basement sq. ft_
Finished basement sq_ ft.
Deck sq h_
/06
aeture
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year
Make:
1 of signs
Area of existing signs
Yc..
_ " SS-�' s.'v-
Ys`...7'v u
_ _ 7 - t ,E�Y --
a _ `�s.Jf£. 4-- - .. :.?_ _
�.'-''•- x- .mv- .J. ,
.... ...fi?,; _�_. _ �.. % .,tf-.�. Tv- fi.
_
Previous address
Fire Sprinkler Tent
_
Paint booth_ Fire Alarm Fireworks display
Proposed use
Value
_:=.��'-_'�'�,.3•,�- - ._ _'" � ter- F.."._.
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
ADfMTIONAL SITE INFORMATION
Are there structures on the property? 0 Yes if No
Ifyes, identi on site plan
What is the current propeny size?
(square feet or acres)
Is any pan of the property within 250 feet of a shoreli .
If yes, identify on site plan 0 Yes N�
What is the current use of this property? ,
�OY�
Is your property in a designated wildlife habitat area?/
0 Don't know 0 Yes [ No
Will the site be served by a septic system? 0 Yes No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe O Don't know 0 Yes No
Are or will there be wells located on the property?
Ifye , ident on the site plan O Yes o
Are there any wetlands, streams or ponds within 200 fe t of the
property?
Ifyes, ident on site plan 0 Yes El N -
Is there evidence of fill or excavation on the property? j
O Yes No
.
Are there slopes greater than 30% on the property?(3 t rise in 100 ft)
( / %) 0 Yes No
Are critical or hazardous materials used or stored on sit .
0 Yes No
DEPARTMENT USE ONLY
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Inc Received:
Staff Representative:
IETHOD OF PAYMENT
VISIT
] CASH ❑ CHECK ❑ INEMI❑
:` 1.CoVEk
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
.ATE: EXPIRES:
ANKCARD NUMBER:
SUBTOTAL
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obtain h9 a bu"4 "� Permit and is a true and correaf
rePgning 8t'on of the proposal. Afl known Pro"r=
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