2008, 02-26 Permit App: 08000652 ResidencePermit Center
3 a` kane 11707 E Sprague Ave, Suite 106
p Spokane Valley, WA 99206 0037
�� Valley (509)688 -0036 FAX:
Community Development Rww s�okanetalley.ora.com
Residential Construction
Permit Application
SITE ADDRESS 1
ASSESSORS PARCEL NO: 5 ` r1al '5 LEGAL DESCRIPTION:
ew Construction
❑ Addition/Remodel
❑ Other:
Buildin0 owner
Name:
Address:
City:
Phone:
Fax:
Zip:
❑ Accessory Bldg
❑ Deck
Describe the scope of work in detail:
* * * * * * * * * * * ** *The followin MUST be com
DIM �ONS:
2 ' FLOOR SQ. FTG:
HEIGHT TO PEAK:
MAIN FLOOR TO SQ.
FTG:
9,red /0.3
.�i
FINISHED BA MENT
SQ. FTG:
# OF BEDROO S:
GA ' E SQ.FTQ: b
lete:
CON RUCTION TYPE:
Cost of Project:
write N/A if not a
# OF STORIES:
UNFIN BASEMENT SQ. FTG:
DS DO
licable) * * * * * * * * * * * * * * * * * * * * **
Or 4111,
DECK/COV. PATIO SQ. FTG:
HEAT OURCE:
Gi
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE
AREA:
30% SLOPES ON
PROPERTY:
SEWER OR SEPTIC?
DISCI? their signature that 1) If this permit is for construction of or on a dwelling, the
The png is/will verifies,
beifie r acknowledges by potale and agrees by 9
owner. 3) The
potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property
dwelling i is the be served by po 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 comp approval for any for review at
federal, City of
or
Hance with the City of Spokane Valley Development
kanle Valley Permit Referenced not a permit codes app available for review at the City o
may approved before
Spokane Valley Peron Center. 5) T is City of Spokane
local laws, codes or ordinanc- 6) "I s or . • ditional information ma be required to be submitted, and subsequently app
this application can be p
Signature
Method of Payme
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8252005
.ed. JAW I
axed permit aP• cations will only be accepted with major bankcard)
❑ Check ❑ Mastercard ❑ VISA yiN #:
Expires:
Date 2 ` Z!a'
❑ Other
S p o k a n e Valley
Chi -ruin lity 1 e vel opinnt
Mechanical Permit
SITE ADDRESS.:
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
W WW- snokane vailev.crs
Application
PERMIT NUMBER:
PERMIT 1-EE:
Commercial VResidential
Building Ovrner
Name:
Phone_
Fax:
Address:
City.
State:
Zip:
coot r I I•
Name:
Address:
License No:
Phone:
City
City Business Lic:
Fax:
State:
CoftacE ' --
Name:
1
3
4
5
6
6
10
11 ,
12
13
14
15
16
17
16
19
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min_ AFUE ra
USED APPLIANCE (WSEC min. AFUE ra
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFPJGERAT1ON
BOILER/REFRIGERATION
20
21
23
24
25
26
27
26
29
30
31
32
33
35
36
37
GAS LOG, GAS INSERT. GAS FIREPLA
RANGE
DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include dud
AIR HANDLER (DOES NOT include dud
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE 11 HOOD
HEAT PUMP /AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVEJINSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
VENTILATION SYSTEMS
VENTILATION MECHANICAL EXHAU;
INCINERATOR - RESIDENCE
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA D M
CARD
AUTHORIZED SIGNATU:
REVISED 67261D5
Phone
X OF UNITS
X
COST
= I
TOTAL AMOUNT
Equal to or less than 100,000
1
X
512_00
Jj
More than 100,000
X
515.00
=
Equal to or less than 400,00D
X
550.00
=
More than 400,000
X
5100 -00
=
ling)
Equal to or Is than 400.000
X
$50.00
=
Ting)
More than 400,000
X
5100.00
=
1 -100M BTU
X
51200
=
101 - 500M BTU
X
520.00
=
501 - 1,00DM BTU
i
X
525.00
=
1,001 - 1,750M B7U
X
535.00
=
More than 1,750M BTU
X
$60.00
X
510.00
=
CE
X
510.00
=
510
=
X
-00
1
X
510.00
=
X
510.00
=
Z.
X
51.00
=
X
$10.00
=
,
3
x
510.00
=
inq)
Equal to or Tess than 10,00D CFM
X
512.00
=
irg)
Greater than 10.000 CFM
X
515.00
=
X
510.00
=
X
550.00
=
=
=
1
x
510.00
512.00
03 TON
X
3-15 TON
X
$20.00
=
15-30 TON
X
525.00
=
30-50 TON
X
$35.00
=
More than 50 TON
X
560.00
=
X
510.00
X
$10.00
=
X
$25.00
=
X
515.00
=
X
512.90
=
.T
X
512.00
=
X
$19.00
=
x
$22.00
=
J SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
VIN:
TOTAL PERMIT FEE DUE:
., ,.,. ., _.Y,c .-.'c, JUl1L 1VD
eYs c�
Spokane Valley, WA 99206
(509)58 &-0036 FAX: (509)688 -0037
CD Thntm.ity D velapmert K -Aw sookarevaiket•.ore
Plumbing Permit Application
SITE ADDRESS:
Commercial
PERYHT NUMBER;
PERMIT F1 E:
Residential
AUTHORIZED SIGNATURE:
REVISED EI26/05
Building Owner
Phone_ Fax:
Nam:
City Sate: gyp:
Address:
CQUtractor -1-t}oSriii ' s p4Lu is 10
_ y non= Fax:
non=
Nom:
hP:
Add,-sss:
License No: City Business Lie:
Contact - - r • . f.. _ - .. .. - . .— ... - - _ .- - - ..- -:.
Name:
OF WORK
S OF UNITS
3
X
X
COST 1
S6.OD
= i TOTAL AMOUNT
=
DESCRIPTION
TOILETS
WATER CLOSET, BIDETS
1
Z
X
X
X
X
X
S6.00
56.00
S6.D0
$6.00
S6.00
=
=
=
2
URINALS
3
TUBS
(PErR TRAP)
BATH, STALL ON-SITE BUILT
4
5
SHOWERS
SINKS
LAVSiBASINS, BAR. FLOOR, KITCHEN.
LAUNDRY, UTTLI Y, JANITOR, PHOTO.
X-RAY, FOOD, PREP /CULINARY MEAT
t
X
S6.00
=
6
DISHWASHER
WASHER
7
CLOTHES
GARBAGE DISPOSAL
J
j
X
X
�_oo
56.00
=
=
B
SOFTENER
-
X
S6.00
9
WA, ttt
HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
X
56.00
$6.00
=
=
1D
- ELECTRIC
FLOOR DRAINS
AREA. CASE. COIL, TRENCH,
CONDENSATE
11
ROOF DRAINS/OVERFLOW DRAMS
12
DRINKING
_
X
X
X
X
$6.00
S6 DD
$6 -00
$6.00
=
=
=
13
FOUNTAINS,
WATER PIPING/DRAIN -IN WASTE
VENT. PLUMBING, REVERSAL
NSTALLATFON, ALTERATION. REPAIR
REVERSALS
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
15
16
WATER USING DEVICE
ICE AN/OR CO} -FE MAKER. HOSE BB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R_P_B_P_D. FOR: VATS, TANKS,
BOILERS
X
X
WOO
$6.00
=
17
16
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
X
X
X
X
woo
$6.00
S20_00
$15.00
=
=
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
19
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
20
21
22
INDUSTRIAL WASTE INTERCEPTOR
SUBTOTAL
METHOD OF PAYMENT:
❑CASH D CHECK 0 VISA 0 MC EXPIRES:
,._tea V11.1-
PROCESSING FEE
535.110
TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
REVISED EI26/05
Project Number: 08000652 Inv: 1
"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: 6 Right: 19 Rear: 21
Site Information:
Plat Key:
Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
C - S - Z: SPOKANE VALLEY WA 99037
Phone: (509) 999 -7733
Group Name:
Project Name:
Name: Range
District: East
Parcel Number: 55073.1451
Block: Lot:
SiteAddress: 17111 E AUGUST AVE
Location:: CSV
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: 3/6/2008 By: jdavis
Printed By: JD
Print Date:
3/6/2008
Project Number: 08000652
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
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Description Grp Tyne Notes
1 &2 FAMILY R -3 VB
BASEMENT U R -3 VB
GARAGE 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
1,083 $102,874.17 1,083 $102,874.17
1,064 $15,960.00 1,064 $15,960.00
638 $12,122.00 638 $12,122.00
Totals: 2,785 $130,956.17 2,785 $130,956.17
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,167.35
$4.50
$466.94
Permit Total Fees: $1,638.79
Mechanical Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units
1
1
2
3
1
Operator: JD Printed By: JD
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$64.00
Print Date: 3/6/2008
Project Number: 08000652 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2008 Page 3 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Plumbing Permit
Units
3
4
2
1
1
1
1
1
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
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$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 Fee Amount Invoice Amount
Building Permit $1,638.79 $1,638.79
Mechanical Permit $64.00 $64.00
Plumbing Permit $102.00 $102.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,638.79
$64.00
$102.00
$1,804.79 $1,804.79
$0.00 $1,804.79
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
For City Use Only
PLUS Project Number
Project Address 1 i I AV GLA
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.
Drq
Your application review TARGET DATE is
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
0
89.13' ° PA
0
Alt 0t i
! c
�9.
10' Dry Utility
Easement
o 10 to
1 1
�� -70'
E. 17111
Augusta Ct.
Lo-v- (1--OnC
8,515 SF ��.,,bc4A
PLANNING DEPT. APPROVED