2007, 07-02 Permit App: 07002538 RemodelSpokane
jValley
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
ww
Community Development
Residential Constr
Permit Application
SITE ADDRESS:
� ;- )11' 4dditionIRemode1
f1 �i (] [, r ((� 'Other:
PERMIT NUMBER: 01 —
5
PERMIT FEE:
i ew Construction
Accessory Bldg
Deck
38
/o9 ,V 4r4- e s 'd �reenC�cres
14JA g9 d 1(v
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
L /C. -
Name: / 11 k6 JCV1tAt,c Jy\fl�'�
Name: J 1, , s- at
Address:`; t4 El qty Avc_
2Nu FLOOR SQ. FTG:
0�
Address :' aDq N A +1 es
leci
Phone: Fax:
City: +,fie rGi� rPS
State: 4»
Zip:& Kb 1 ,
Phonejs,v9), , e3_.. _07625
Fax:
HEAT SOURCE:
G-,og �.�
Contact Person
Name: jet ek 1 e, & .Tohnsof --
Phone: (-cc) a (o 3 - 5 a 5-
Contralcttoor: Gdri 1��`C VA ItklA Pi tJ. -.tv,/
L /C. -
Name: / 11 k6 JCV1tAt,c Jy\fl�'�
TOTAL HABITABLE SPACE:
Address:`; t4 El qty Avc_
2Nu FLOOR SQ. FTG:
0�
City: 5 ��[�,e State: LJA
' v
Zipggi74 7
Phone: Fax:
GARAGE SQ. FTG:
NIA
Contractor Lic No: Exp Date:
30% SLOPES ON
PROPERTY:
City Business Lic. No:
CONSTRUCTION TYPE:
Sp \�� \Q<1>L.\
Describe the scope of work in detail: Cost of Project: $°°
evo od r7) 'C y.�1n 2r>O ' VIA-c e Sir. k
Proposed Use:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:a)
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
0�
UNFIN BASEMENT SQ. FTG:
��
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: SOO
GARAGE SQ. FTG:
NIA
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
Sp \�� \Q<1>L.\
HEAT SOURCE:
G-,og �.�
SEWER OR SEPTIC?
Sep�- c,
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be •roces; ed.
SIGNATURE:
Method of Payr'ent:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: -7-- -2_-0
❑ VISA
VIN #:
11703 E Sprague Ave Suite B -3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • cityhall®spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and /or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8 ") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Permit Center
TA„ 11703 E Sprague Ave, Suite B -3
Spo��1.�kane Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
��Valley www.spokanevalley.ore
Community Development
Plumbing Permit Application
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
n Commercial 11 Residential
Building Owner
Name: k.i e � �
Phone( q )71,-54)215
Fax:
Address: _sox 11.4 )q i4 ^,R j Z-S tot
f'1 CJl
City: s 1, cr V� t
State:
/�
�-T
Zip: cci U 1G
l
Contractor
Name: / k P_ h tAtc vvtun
Phone:
Fax:
Address:L /ivy / E. c "flt Air
City: S env. {
State: (.AA
Zip: q9/� /Z
„
License No:
City Busiine`ss"Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
(
X
$6.00
5
SINKS
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
3
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS /OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
ISO
1x1
4x
C \0
111
ex-
1
.00 it-cr
o
0
I
3
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Trades a Licensing
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License
SCHUEPL955J6
Licensee Name
SCHUERMAN PLUMBING LLC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602466430 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
LIMITED LIABILITY COMPANY
Address 1
4004 E 9TH AVE
Address 2
City
SPOKANE
County
SPOKANE
State
WA
Zip
99202
Phone
5095330918
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
WATER CONDITIONING EQUIPMENT
Effective Date
4/26/2005
Expiration Date
4/26/2009
Suspend Date
Separation Date
Parent Company
Previous License
SCHUEP *023K2
Next License
Associated
License
https:// fortress .wa.gov /lni/bbip /Detail.aspx ?License= SCHUEPL955J6 7/2/2007
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Business Owner Information
Name
Role
Effective
Date
Expiration
Date
SCHUERMAN,
MIKE
PARTNER /MEMBER
04 /26/2005
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
STATE
FARM
FIRE a
CAS CO
98CT58049
04/26/2005
Until
Cancelled
$6,000.00
04/26/2005
Savings Information
No Matching Information
pInsurance Information
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
#3
STATE
FARM
FIRE AND
CAS CO
98GT16021
05/01/2007
05/01/2008
$250,000.00
03/28/2007
#2
STATE
FARM
FIRE Et
CAS CO
98E244278
05/01/2006
05/01/2007
$250,000.00
04/12/2006
#1
STATE
FARM
FIRE Et
CAS CO
98E236878
04/26/2005
05/01/2006
$250,000.00
04/26/2005
Summons / Complaints Information
No Matching Information
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https: // fortress. wa. gov /lni/bbip /Detail.aspx ?License= SCHUEPL955J6 7/2/2007