2003, 02-19 Permit App 03000957 Residence, GarageProject Number: 03000957 Inv: 1 Application Date: 2/19/2003 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 CONSTRUCTION
Address: 16520 E SECRETARIAT
C - S - Z: VERADALE, WA 99037
Phone: (509) 999-7733
Group Name:
Site In ormatio Project Name:
Setbacks: Front 21
Plat K
Left: 8 Right: 10 Rear: 30
Parcel Number: 45331.4912 Block: 2
SiteAddress: 3825 S EAGLE LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR 3.5 Urban Residential 3.5
Water District:
District: F
Lot: 12
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
VERADALE, WA 99037
Hold: ❑
Area: 6,435 Sq Ft Width: 58 Depth: 110 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review
J
Released -�
Plan Review
Released B.
Approach / Drainage
Sewer Review
LRcicascd'BV.
Permits:
Operator: CKF Printed By: CKF Print Date: 2/19/2(103
Project Number: 03000957
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Building Characteristics
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Building Permit
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Description G�i Type Notes
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
STATE SURCHARGE
RESIDENTIAL SURCHARGE
RESIDENTIAL VALUATION
Date: 2/19/2003 Page 2 of 3
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
Su Ft Valuation Sq Ft Valuation
1,438 $17,687.40 1,438 $17,687.40
78 $610.74 78 $610.74
420 $5,040.00 420 $5,040.00
1,438 $94,908.00 1,438 $94,908.00
Totals: 3,374 $118,246.14 3,374 $118,246.14
Units
1
1
1
Contractor: BLUE FLAME HEATING & A/C
Address: 6011 E 9TH
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$4.50
$217.80
$990.00
Permit Total Fees: $1,212.30
Mechanical Permit
Firm: BLUE FLAME HEATING & A/C
Units
1
1
3
1
3
1
1
1
Phone:
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
(509) 536-0186
Fee Amount
$10.00
$12.00
$3.00
$20.00
$30.00
$10.00
$10.00
$10.00
$105.00
Operator: CKF Printed By: CKF
Print Date:
2/19/2003
Project Number: 03000957 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
3
1
1
1
1
1
1
3
Fee Amount
$1,212.30
$105.00
$84.00
Date: 2/19/2003
Page 3 of 3
Firm: JIMMY'S PLUMBING
Phone: (509) 928-8991
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,212.30
$105.00
$ 84.00
$1,401.30 $1,401.30
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$84.00
Amount Owing
$1,212.30
$105.00
$84.00
$1,401.30
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF Print Date: 2/19/2003
l
/IAN 1
SPOKE CURVY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
3s2$ s= t6 3Zs)
Legal Description: �1
fy\o,_k_ ti T tt-ck-e, C Ram 0-r1 Z G L.1:
Street Address:
Assessor's Tax Parcel Number(s):
Project Description: raes Liao()
/Builcling Permit
O Change in Use
0 Grading
O Manufactured Home Permit
0 Relocation
O Sign
0 Tenant (New/Change)
O Other
Department Use Only S g 1
x
11 CC>
Water District/Purveyor.
Sewer District/Purveyor
Ro d width
,, — l
�. tl
✓
Setbacks
Front
Left
J
Rear.
J g _
School District
Fire District
Zoning
OWNER/APPLICANT INFORMATION
Ei Indicate n'o should be rouhided re:ual nIbis prnirrt
❑ Owner: Phone:
Fax:
❑ Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip
City, State, Zip
li7 Contractor Phone elki 4'7—'7 3
L.L IrF 5C%�Yh ►TZ A5;T yl1-4t/71
0 Architect/Engineer
Phone
fax
Mailing address
1 5 Z.O F t S f-e-€e--rwe / -r
Mailing address
city, State Zip
city, State Zip
\VA State Contractor license #
(1_1.i .-C SC 4O&1 la
Contact name:
PROTECT INFORMATION
Building Information
Building height to p
( till
# of stories
I
Main Floor sq. f
1 L13f
Unfinished basement sq. ft.
1'i3g'
Ditpensions ..,
(
i
v
'Total habitable space
2"r1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
� % /
( Zo
Deck sq. ft.41-
Q
r) O
Cost of project
Heat source (electric, gns, etc)
manufactured riome !Sign
Width:
Length:
What is the square footage of the sign
face?
Flow high is the sign?
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
O Concrete
Cl
Welding
0 Bolting
0 Reinforcement
Address
DITIONAL SITE INFOR
Arc there structures on the property? 0 Ycs 6 No
I fie ident f on site plan
What is the current property size? J
(square feet or acres) 5
Is any part of the property within 250 feet of a shore?
If yes, ideniifp on site plan 0 Ycs P_( No
What is the current use of this property.
Is your property in a designated wildlife habitat area?
0 Don't know 0 Ycs �No
Will the site be served by a septic system? 0 Yes C 'No
Is any part of the property within a 100 yr flood plain?
If yes, identii on site plan
0 Maybe 0 Don't know 0 Ycs /No
Arc or will there be wells located on the property? /
Ilyes identi on the site plan 0 Ycs M. No
Are there any wetlands, streams or ponds within 2 cet of the property?
I fj�es identify on site plan 0 Yes No
Is there evidence of fill or excavation on the property? y
0 Ycs No
Are there slopes greater than 30% on the property? (30 fte in 100 ft)
( / %) 0 Ycs U No
Are critical or hazardous materials used or stored on site?
0 Ycs Ci No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑: Yes
❑ No
Is public sewer available to the site? 0 Yes :. 0 No
Is the property inside the ASA?
+
0 Yes
❑Yes
0 No
❑No
Is public water available to the site? 0 Yes ` ❑ No
Is the property inside the PSSA?
0 Yes
0 No
is the propertylocated within 1000 feet of a Natural Resource Area?
❑ 'Yes ❑ No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASH ❑ CHECK ❑1111.01❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
iLAi1t.-.
1)ATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FPS IS $35. Q0 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
3
This site plan is being submitted for the purpose oo'
obtaining a building permit and is a true and correct
representation of the proposal, All known property
lines/dimensions, curb lines, structures and eases!a'•;:3
have been idenii-, _ •'•• = -
.odies of r IA es or critical are:;:;.
Signed: _ IZ . A 1r-
Date: a, IF
ADDRESS 5
ZONE I >
ROAD WIDTH 3 O
FRONT Z.J FLANKING
COMMENTS REVIEWED � � J�
B•
.LAO