2008, 02-26 Permit App: 08000653 ResidencePermit Center
r a _
) lle 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
Yiil�e� (509)688 -0036 FAX: (509)688 -0037
Community Development
www.s pokanevailey ora.com
Residential Construction
Permit Application
SITE ADDRESS 0
ASSESSORS PARCEL NO:
Buildin . owner
,(New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
LEGAL DESCRIPTION: '•1)T
Name:
Address:
City:
Phone:
Zip:
F
Describe the scope of work in detail:
* * * * * * * * * * * ** *The followiJP MUST be com
DIM NS ONS: Q i
HEIGHT TOP K:
MAIN FLOOR TO SQ_
1
FTG:
FLOOR SQ. FTG:
FINISHED BASE,I* ENT
SQ. FTG: .d'"
# OF BEDROOMS:
lete:
Contractor
Name: L c F
Address:
City:
1
eta
Zip: .003
Phone:
X11
Lic No:
City Business Lic No:
3 Fax:
Cost of Project:
write N/A if not a
# OF STOrIES:
UNFIN BASEMENT SQ. FTG:
E Date:
TOT
�3 Z
SQ. FTG
5 ►0
L HABITABLE SPACE:
IMPERVIOUS SURFACE
AREA:
30% SLOPES ON
PROPERTY:
SEWER OR SEP IC?
CONSTRUCTION TYPE:
DECKICOV. PATIO SQ. FTG:
HEAT SOURCE:
DISCLAIMER
C_ LAIMER
The permiee befie r acknowledges by potale and agrees O n' ship of this that 1) -If this permit is for construction of or on a
Spokane Valley Permit inure to the property owner. 3) The
dwelling is/will is the be served by potable water. 2) owner in this transaction. 4) All construction is to be done
signatory is the property owner or has permission to represent the property
in full compliance with the City of Spokane Valley Development Code. Referenced codes are approval available for r review at
fed City state or
I. s or . •ditional information may be required to be submitted, and subsequently approved before
Spokane Valley Permit Center. 5) T is City of Spokane Valley Permit is not a permit or app
local laws, codes or ordinanc- 6)
this application can be p i ed.
L
Signature �,✓
41 A 11111110
Method of Payme axed permit apications will only be accepted with major bankcard) )
❑ Check ❑ Mastercard ❑ VIN #:
❑ Cash Expires:
Bankcard #:
Date
Authorized Signature:
REVISED 8252005
❑ Other
Sepy
CoT mi:mity Development
Mechanical Permit
S TTE ADDRESS:
Building Owner
Name.
Address:
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 49206
(509)688 -0036 FAX: (509)688-0037
www. sookanevaile v.crQ
Application
11
PERMIT NUMBER
PERMIT FEE:
Commercial Residential
Phone:
City.
Fax:
State:
Cuitractar'
Name:
Address:
License No:
Contact
Name:
Phone:
City.
Fax
State:
Zip:
City Business Lic:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
2 FUH_ BURNING APPLIANCE
3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,00D
More than 400.000
Equal to or less than 100,000
More than 100,000
X
$120D
X
515.00
4 FISTED APPLIANCE (Additional Fee)
X $50.00
X $100.00
5 USED APPLIANCE (WSEC min AFUE rating)
6 USED APPLIANCE (WSEC min. AFUE rating)
7 BOILER/REFRIGERATION
Equal to or less than 400.000
More than 400,000
X
$50.00
X $100.00
1 -100M BTU
X
51200
g BOILERREFRIGERATION
1D1 - 500M BTU
x
520.00
9 BOILER/REFRIGERATION
501 1,000M BTU
X
525.00
10 BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11 BOILER/REFRIGERATION
More than 1,750M BTU
X 560.00
12 GAS LOG. GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
X
510.00
X
510.00
X
510.00
15 FUEL BURNING WATER HEATER
X
510.00
16 MISC. FUEL BURNING APPLIANCE
17 GAS PIPING (each outlet)
16
19
20
DUCT SYSTEMS
X
X
510.00
$1.00
X
510.00
VI7JTILATING FANS
X
510.00
AIR HANDLER (DOES NOT include dulling)
21 AIR HANDLER (DOES NOT include dulling)
22 EVAPORATIVE COOLERS
23 TYPE I HOOD
24 TYPE N HOOD
Equal to or less than 10,000 CFM
Greater than 10.000 CFM
X
512.00
X
515.00
X
510.00
X
550.00
X
$10.00
25 HEAT PUMP /AIR CONDITIONER
26 AIR CONDITIONER
0-3 TON
X
512.00
3-15 TON
X
$20.00
27 AIR CONDTIONER
15-30 TON
X
525.00
2B AIR CONDITIONER
30-50 TON
X
535.00
29 AIR CONDITIONER
3D LPG STORAGE TANK
More than 50 TON
X
X
560.00
510.00
31 WOOD OR PELLET STOVE/INSERT
32 WOOD STOVE - FREE STANDING
33 REPAIR & ADDITIONS
34 VENTILATION SYSTEMS
X
$10.00
X
X
X
525_00
515.00
512.00
35 VENTILATION MECHANICAL EXHAUST
36 INCINERATOR - RESIDENCE
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD r.
AUTHORIZED SIGNATURE:
REVISED snsros
EXPIRES:
VIN:
X
512.00
X $19.00
X
522.00
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
ey
Community Development
Plumbing Permit
cIT. E FCS:
� �� , auec iuo
Spo1:aae Valley, WA 99206
(509)588-0036 FAX: (509)6g3-0037
KrA-wsmkanevaile'•.oro
Application
1 1
Commercial
PhR 41T NIJMBER.
PERMIT FbE:
Residential
AUTHORIZED SIGNATURE:
REVISED E/26/05
Building Owner
_ . Phone: Fax:
Naar:
.4drs City: Stale Zip:
ass:
actor '1 � � � ry� ,,Q ., l
m' s -1�" 2JA y is t 1 v
T ! P}ionh Fax
Nom: hiP:
Wit,. State
Addrrss:
License No: City Business Lie:
._
Contact - - --- ...
Naar: Phone
OF WORK
S OF UNITS
X i COST I
=
TOTAL AMOUNT
DESCRIPTION
WATER CLOSET. BIDETS
3
X
$6.00
=
1
TOILETS
13
X
X
$6.00
S6.00
=
_
2
URINALS
3
TUBS
T RAP)
BATH, STALL ON-SITE BUILT
X
S6.00
=
4
5
SHOWERS (PER
SINKS
LAVSBASINS. BAR, FLOOR KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO.
X-RAY, FOOD, PREP /CULINARY NEAT
J j
X
$6.00
=
)
X
$6.00
=
6
DISHWASHER
WASHER
X
S6.OD
=
7
CLOTHES
DISPOSAL
X
X00
=
B
GARBAGE
SOFTENER
-
X
X
X
56 OD
$6.0O
S6-OO
=
=
=
9
WATER
HOT WA i tK TANK
NOTE IF GAS, SEE MECHANICAL
1D
t ELECTRIC
DRAINS
AREA CASE, COIL, TRENCH.
CONDENSATE
11
12
FLOOR
DRAINS
X
$6.00
=
ROOF DRAINS/OVERFLOW
DRINKING
X
$6.00
=
13
FOUNTAINS,
WATER PP1NG/DRAIN-IN WASTE_
PLUMBING. REVERSAL
NSTALLATIONP� TIION, REPAIR,
X
X
$6.DD
$6-00
_--
-
14
15
16
VENT.
SEWAGE EJECTOR
GRINDER, SUMP PUMP
WATER USING DEVICE
ICE AN/OR COH-ht MAKER, HOSE BB,
STEAMER
PROOFER CARBONATOR, SWAMP
COOLER
X
$6-00
17
18
CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR VATS, TANKS,
BOILERS
X
X
X
$6.00
$6.00
56.00
_
=
=
CROSS
INTERCEPTORS
MEDICAL GAS (per outlet)
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
NITROUS, OXYGEN
19
PLUMBING FIXTURE
X
X
56.00
$20.00
=
2D
21
MISCELLANEOUS
SEWAGE DISPOSAUSYS
X
515.00
=
PRIVATE
WASTE INTERCEPTOR
22
INDUSTRIAL
METHOD OF PAYMENT:
DCASH ❑ CHECK D VISA 0 MC EXPIRES:
- . _ VIM-
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED E/26/05
Project Number: 08000653 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2008 Page 1 of 3
Project Information:
Permit Use: SFR W/ ATT GAR
Setbacks: Front 20 Left: 12 Right: 10 Rear: 20
Site Information:
Plat Key:
Name: Range
Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
C - S - Z: SPOKANE VALLEY WA 99037
Phone: (509) 999 -7733
Group Name:
Project Name:
District: East
Parcel Number: 55073.1451 Block:
SiteAddress: 17101 E AUGUSTA CT
Location:: CSV
Lot:
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
SPOKANE VALLEY WA 99037
Zoning: R -3 SF Res District
Water District: 134 CONSOLIDATED ID #19
Area: 114,597 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway /Approach
Originally Released: 3/5/2008 By: tmelbourn
Released By:
Originally Released: 3/6/2008 By: jdavis
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 2/29/2008 By: kkendall
Released By:
Operator: JD
Originally Released: 3/3/2008 By: jdavis
Printed By: JD
Print Date:
3/6/2008
Project Number: 08000653
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2008 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Building Characteristics
Building Height 24
Description
1&2 FAMILY
2ND FLOOR
BASEMENT U
GARAGE
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Grp Type Notes
R -3 VB
R -3 VB
R -3 VB
U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
VENTILATING FANS
HOOD -TYPE II
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
846 $80,361.54 846 $80,361.54
432 $32,261.76 432 $32,261.76
846 $12,690.00 846 $12,690.00
440 $8,360.00 440 $8,360.00
Totals: 2,564 $133,673.30 2,564 $133,673.30
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
2
3
1
Operator: JD Printed By: JD
Fee Amount
$1,184.15
$4.50
$473.66
$1,662.31
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$64.00
3/6/2008
Project Number: 08000653 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2008
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Plumbing Permit
Units
3
4
3
1
1
1
1
3
Page 3 of 3
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922 -4297
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
FLORA ESTATES -REFER TO ADE -19 -06 FOR LOT WIDTH/FRONTAGE -MH
FLORA ESTATES -SEE FILE ADE -19 -06 FOR LOT FRINTAGE/WIDTH -MH
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,662.31 $1,662.31
$64.00 $64.00
$102.00 $102.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,662.31
$64.00
$102.00
$1,828.31 $1,828.31 $0.00 $1,828.31
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: JD Printed By: JD
Print Date: 3/6/2008
Spokane
Valley
For City Use Only
PLUS Project Number
Project Address k
C
11703 E Sprague Ave Suite B -3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter @spokanevalley.org
As part of our on -going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
-7.
c
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re- submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre - Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick -up. Information regarding fees and pre - construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE — APPLICANT PINK — BUILDING FILE
REV 9/07
PLANNING DEPT. APPROVED
DATE
eLOC/K 1
k)0�
FL82-1 2a.DG-L
;65.54'
i
10_V10'1 8
6, 525 SF
,
0
V
E_ ;f
gusto
1
0i Q 862 SF
0
0
8.98 8.37
• •
10' iiity Easement
AUGUSTA COURT