2008, 02-26 Permit App: 08000589 Residence,spokane
.000 Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
88 0037
(509)688 -0036 FAX: (509)688-0037
s••kanevalle .ora.com
Residential Construction
Permit Application
SITE ADDRESS _191/2_
ASSESSORS PARCEL NO:
Buildin6 owner
Name:
Address:
City:
Phone:
Contact Person
ew Construction
❑ Addition/Remodel
n Other:
❑ Accessory Bldg
❑ Deck
Zip:
Fax:
Describe the scope of work in detail:
* * * * * * * * * * * ** *The followin
DIM NSIONS-
Ox
Contractor
Name: F
Address:
City:
alit
1 r•
Zip: e v 3
Phone:
Lic No:
t •
City Business Lic No:
3 Fax:
Cost of Project:
E .. Date:
5 i 00
MUST be com
HEIGHT TO PEAK:
MAIN FLOOR TO SQ
FTG:
3
FINISH D BASEMENT
SQ. FTG:
# OF BEDROOMS:
2 FLOOR SQ. FTG:
•
lete: (write N/A if not a
# OF STORIES:
UNFIN BASEMENT SQ. FTG:
GARAGE SO .
CONSTRUCTION TYPE:
11
licable)
* * * * * * * * * * * * * * * * * * * * **
TOTA
>
IMPERVA IOUS SURFACE
AREA: �y
ZO- 53 7
OV. PATIO SQ. FTG:
HABITABLE SPACE:
30% SLOPES ON
PROPERTY:
SEWER OR SEPTIC?
DISCLAIMER agrees by their signature that 1) If this permit is for construction of or ono owner. 3) The
The png is/will l beifie r acknowledges potable and . Y
dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Ith s transaction. 4) All property
construction is to be done
signatory is the property owner or has permission to represent the property
Valley Permit is not a permit or approval for any violation of federal, state or
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review t approved City
o before
Spokane Valley Permit Center. 65) ) T is City of Spokane
local laws, codes or ordinanc- � 6) "•I, s or dditional information may be required to be submitted, and subsequently
this application can be p e .ed.
Signature
Method of Payme
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8252005
Date [' z4
axed permit ap !cations will only be accepted with major ba kcard)
❑ Check El Mastercard
❑ VIN #:
Expires:
❑ Other
SV6kane 11707E Spray Ave,Suite 106 PERMIT NUMBER
T alley Spokane Valley,WA 99206
F/cE is E (509)588-0036 FAX:(509)688-0037 PERMIT r EE:
Co r- unity Developm°st www.s>okanrrailev.ore
Mechanical Permit Application [1 Commercial Residential
SITE ADDRESS:
BuilrEng OWLET - - -
Phone: Fax:
Nam=:
City: State: ZIP:
Address: �p *� `,
Contractor 6,Tv !-i `4G Phone: F • -
Nam=
City: State: Zip:
Address:
License 14o: City Business Lic:
•
<.. .-_._. °- Phone:
Name:
DESCRIPTION OF WORK S OF UNITS X COST = TOTAL AMOUNT
ao or less 100,DDD X $1200 =
1 FUEL BURNING APPLIANCE � l t $1S_oD =
2 FUEL BURNING APPLIANCE More than 100.000 X =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400.000 X $50.00 =
X $100.00
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 - -
5 USED APPLIANCE(WSEC min.AFUE ra than ting) Equal to or less an 400.000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000
X $iDD.I)D =
7 SOLER/REFRIGERATION 1-100M BTU X $1200 =
B BOILER/REFRIGERATION 101-500M BTU _ X $20'00 .
,
_
501 1000M BTU X $25.00
9 BOILER/REFRIGERATION
10 BOILER/REFRIGERATION 1.001-1,750M BTU X $35-00 _
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = .
12 GAS LOG,GAS INSERT.GAS FIREPLACE
X $10.00 =
X $10.00 =
13 RANGE
X $10.00 =
14 DRYER
X $10.00 _
15 FUEL BURNING WATER HEATER 1
1 $10.00 =
X $10
16 MISC.FUEL BURNING APPLIANCE Z X $1. 0 =
17 GAS PIPING(each outlet) X $100 =
18 DUCT SYSTEMS
X $10.00 =
19 VENTILATING FANS X $10.00 =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM
(DOES NOT include dueling) Greater than 10.000 CFM X $15.00 =
- 21 AIR HANDLER(DO
X $10.00 =
22 EVAPORATIVE COOLERS =
X $50.00 -
23 TYPE I HOOD
X $10.00 =
24 TYPE II HOOD X $12.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON
=
-
26 AIR CONDITIONER
3-15 TON X $20.00
15-30 TON X $25.00 =
27 AIR CONDITIONER
30-50 TON X $35.00 =
2B AIR CONDITIONER X $50.00 =
29 AIR CONDITIONER More than 50 TON
X $10.00 -
3D LPG STORAGE TANK $10.00 _-
31 WOOD OR PELLET STOVFJINSERT X X $20.00 =
32 WOOD STOVE-FREE STANDING X $15.00 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X $12.00 =
35 VENTILATION MECHANICAL EXHAUST X $12.00 =
36 INCINERATOR-RESIDENCE X $22.00 =
37 INCINERATOR-COMMERCIAL SUBTOTAL
METHOD OF PAYMENT:
EXPIRES: PROCESSING FEE $35.0O
❑CASH ❑CHECK El VISA 0 MC
VIN: TOTAL PERMIT FEE DUE:
CARD r
AUTHORIZED SIGNATURE:
REVISED 8126105
P1:K1V T NUM3ER: - }
t'" y eY (509)5 Valley,WA (509)6g3-0037 _
YdtJ± �so�>ss�oars FAX: PERMIT r.hE:
CD-rai unity D_°velopm nt K,;.x.s okznevaik'..ors
Plumbing Permit Application 1 j Commercial ' Residential
SCR ADDRESS: _
Bi ilthng Owner - - -`
Phone: Fax:
- City State: Zip:
Ads: City:
/� ) ry� .�l
Cnutr-actor. 5 -t`LL4 n Ic i,v 6
h Fax:
Nom: F
City: Static lip.:
License No: City Business Lic:
Contact - =
Name: Phone
1 1 DESCRIPTION OF WORK S OF UNITS X COST 1 =_1 TOTAL AMOUNT I
TOILETS WATER CLOSET,BIDETS 3 X $6.00 =
x $s_0D =
2 URINALS
3 , TUBS J X WOO =
4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT X $-00
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, t / X $6.00 =
X-RAY,FOOD.PREP/CULINARY MEAT ., t,/j _
6 DISHWASHER 1 X $6.00 =
-
7 CLOTHES WASHER I X $6.00 =
B I GARBAGE DISPOSAL I ) _ X $6.00 =
9 W A H S O F T E N E R - _ X $6.00
1D - ELECTRIC HOT WATER TANK NOTE: IF GAS.SEE MECHANICAL X $6.00 =
AREA.CASE,COIL TRENCH,
11 FLOOR DRAINS
CONDENSATE X $6-00
12 j ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 f FOUNTAINS,DRINKING X $6.00 =
EPA!
N ALTERATION REPAIR,NSTALLATK) .
WATER PL�iNG/DRAM-IN WASTE.
14 VENT.
PLUMBING.REVERSAL _
REVERSALS X S6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X _ $6.00 =
ICE AN/OR COH-ht MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER.CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR VATS,TANKS,
17 CROSS CONNECTION DEVICE _ BOILERS _ X ., $6•00 =
GREASE TRAP,SAND TRAP.
15 I INTERCEPTORS _ CHEMICAL HOLDING TANK _ X $5.00 =
19 MEDICAL GAS •- ou90 NITROUS,OXYGEN X $6-00 =
20 MISCELLANEOUS PLUMBING FIXTURE _ X r 56.00 =
ISPRIVATE SEWAGE DISPOSAL/SYS — X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR _ X $15.00 =
SUBTOTAL
METHOD OF PAYMENT_
PROCESSING FEE
DCASH D CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
P.E-VIS:D 5/26105
Project Number: 08000589 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/4/2008 Page 1 of 3
Project Information:
Permit Use: SFR W /ATT GAR
Setbacks: Front 20 Left: 12 Right: 6 Rear: 22
Site Information:
Plat Key:
Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Phone: (509) 922 -4297
Group Name:
Project Name: FLORA RIDGE LOT 5 BLK 1
Name: Range
District: East
Parcel Number: 55073.1451
Block: Lot:
SiteAddress: 17112 E AUGUSTA CT
Location:: CSV
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIATE
VERADALE, WA 99037
Zoning: R -3 SF Res District
Water District: 134 CONSOLIDATED ID #19 Hold: ']
Area: 114,597 Sq Ft
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 3/3/2008 By: tmelbourn
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 2/28/2008 By: mpalaniuk
Released By:
Originally Released: 3/3/2008 By: jdavis
Operator: JD Printed By: JD
Print Date: 3/4/2008
Project Number: 08000589
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/4/2008 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Building Characteristics
Building Height 23
Description
1&2 FAMILY
BASEMENT U
DECK OPEN
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: STURM HEATING
Address: 1112 N NELSON
SPOKANE, WA 99202
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
1,119 $106,293.81 1,119 $106,293.81
507 $7,605.00 507 $7,605.00
80 $1,200.00 80 $1,200.00
783 $14,877.00 783 $14,877.00
Totals: 2,489 $129,975.81 2,489 $129,975.81
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
2
3
1
Operator: JD Printed By: JD
Fee Amount
$1,161.75
$4.50
$464.70
$1,630.95
Firm: STURM HEATING
Phone: (509) 325-4505
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
3/4/2008
Project Number: 08000589 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/4/2008 Page 3 of 3
Plumbing Permit
Contractor: THOMAS PLUMBING & HEATING
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Units
3
4
2
1
1
1
1
1
3
Firm:
Phone:
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 FRINTAGETWIDTH -MH
Payment Summary: ,,;...
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,630.95
$64.00
$102.00
$1,796.95
$1,630.95
$64.00
$102.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,630.95
$64.00
$102.00
$1,796.95
$0.00 $1,796.95
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: 3/4/2008
0 T 5 (2D1_,\(--,
6,795 SF
O i o Zc�
1 E
'r" :2 O�
PLANNING DEPT. APPROVED
DATE: z/z 2 /ooy