2006, 09-25 Permit App: 06003868 Residence_ Permit Center
Spokane 11707 E Sprague Ave, Suite 106
�S Valle Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
Community Development www.spokanevalley.org.com
Residential Construction
Permit Application
uuL fa
ew Construction ❑ Accessory Bldg
❑ Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS 1 06 15 , /j f4- J)/a:' / /v
,,����[[ ! 1'/l /AYeo'�s /TG/
ASSESSORS PARCEL NO: #5(01 1 LEGAL DESCRIPTION: ki°r �" ,34.k
Building owner
Name:
Address:
City:
Zip:
Phone:
Fax:
Contact Person
Name: �`
Phone: -j / `/ �- 7''
Describe the scope of work in detail:
Contractor.
DIMENSIONS:
311x5 -(n
# OF STORIES:
i✓
/
Name: (? 4 i, s- 5c.//1 /rz
4'731 /072
Address: i �' 74' � .
� E'1• ' 7177-41
4-1—
City: U J 7 -1 -L
Zip: ' -, I L >
.)
Phone: .,i ; ".- 773 3
Fax: /– e)14-/ J
Lic No: /`'t 1.11 . L I d?'-ji j
Exp. Date: /---6 7
HEAT SOURCE:
S
City Business Lic No:
Cost of Project:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PTAK:
Z
DIMENSIONS:
311x5 -(n
# OF STORIES:
i✓
TOTAL HABITABLE SPACE:
4'731 /072
MAIN FLOOR TO S�Q.
FTG: �e►�� /D��
2Nu FLOOR SQ. FTG:
V +► I J m +,115
UNFIN BASEMENT SQ. FTG:
%1 ' 48
IMPERVIOUS SURFACE
AREA:
FINISHE BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
q �C7 co I4-
DECK/CQV. PATIO SQ. FTG:
410
30% SLOPES ON
PROPERTY:
# OF BEDRQOMS:
_3
CONSTRUCTION TYPE:
HEAT SOURCE:
S
SEWER OR SEPTIC?
-evo
DISCLAIMER
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 ordinance... PI ; s •r ad •' Tonal information may be required to be submitted, and subsequently approved before
this application cap be proc_.s-
Signature. A.
/ "
Method of Paym = 't: axed permit -T. plications will only be accepted with major bankcard)
❑ Cash ❑ Chec ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Date 9- 7J
❑ Other
Authorized Signature:
REVISED 8/252005
PLUMBING PERMIT APPLICATION
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City /State) (Zip)
CONTRACTOR:
LICENSE:
MAILING ADDRESS:
PHONE:
(Street) (City /State) (Zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNIT
S
MULTI-
PLIED
COST/
UNIT
EQUALS
AMOUNT
TOILETS
WATER CLOSETS, BIDETS
3'
x
$6
=
URINALS
-
x
$6
TUBS
-
l
x
$6
=
SHOWERS (per trap)
BATH, STALL, ON -SITE BUILD
x
$6
SINKS
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY. FOOD (PREP /CULINARY /MEAT
x
$6
=
DISHWASHER
-
I
x
$6
CLOTHES WASHER
-
I
x
$6
=
GARBAGE DISPOSAUGRINDER
1
x
$6
WATER SOFTENER
x
$6
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see mechanical)
x
$6
=
FLOOR DRAINS
AREA, CASE, COIL. TRENCH,
CONDENSATE
x
$6
=
ROOF DRAINS /OVERFLOW DRAINS (ea)
-
x
$6
FOUNTAINS, DRINKING
-
x
$6
=
WATER PIPING /DRAIN -IN WASTE-
VENT /PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
=
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
=
WATER USING DEVICES
ICE AND /OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLERS
x
$6
=
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE, AND
R.P_B.P_D- FOR : VATS, SUMPS, TANKS,
BOILERS, & SPRINKLER SYSTEMS
X
$6
=
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
x
$6
=
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
=
MISCELLANEOUS FIXTURES
-
X
$6
METHOD OF PAYMENT
SUBTOTAL
PLUS: NON - REFUNDABLE
PROCESSING FEE
25.00
• CASH • CHECK • VISA ■ MASTERCARD • DISCOVER
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
SUBTOTAL: MINIMUM PERMIT
FEE IS $35.00
PLUS: 16% REGIONAL PLANNING
SURCHARGE
BANKCARD NUMBER:
TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
Spokane County Department of Budding and Planning
1026 West Broadway Avenue * Spokane, WA 99260 -0050
Telephone No. (509) 477 -3675 * Fax No. 477 -7198 " TDD No. (509) 477 -7133
MECHANICAL PERMIT APPLICATION
PROJECT
ADDRESS: _
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City /State) (Zip)
CONTRACTOR:
S'Il I N4 L
LICENSE:
MAILING ADDRESS:
PHONE:
(Street) (City /State) (Zip)
DESCRIPTION OF WORK
# OF
UNITS
MULJ1-
PLIED
er
COST/
UNIT
EQUALS
AMOUNT
FUEL BURNING APPLIANCE
= OR <100,.000
1
X
$12
=
$
FUEL BURNING APPLIANCE
>100,000
X
$15
=
$
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
= OR <400,_000
X
$50
=
$
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
X
$100
=
$
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= OR <400,.000
X
$50
=
$
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
X
$100
=
$
BOILER /REFRIGERATION
1 -100M BTU
X
$12
=
$
BOILER /REFRIGERATION
101 -500M BTU
X
$20
=
$
BOILER /REFRIGERATION
501- 1,000M BTU
X
$25
=
$
BOILER /REFRIGERATION
1,001- 1,750M BTU
X
$35
=
$
BOILER /REFRIGERATION
+1,750M BTU
X
$60
=
$
GAS LOG, GAS INSERT, AND /OR GAS FIREPLACE
-
X
$10
=
$
RANGE
-
X
$10
=
$
DRYER
-
X
$10
=
$
FUEL BURNING WATER HEATER
-
f
X
$10
=
$
MISCELLANEOUS FUEL BURNING APPLIANCE
-
X
$10
=
$
GAS PIPING (ea. Outlet)
, •X
$1
=
$
DUCT SYSTEMS
-
X
$10
=
$
VENTILATING FANS
-
X
$10
=
$
AIR HANDLER (DOES NOT include duct systems)
= OR <10,000 CFM
X
$12
=
$
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
X
$15
=
$
EVAPORATIVE COOLERS
-
X
$10
=
$
TYPE I HOOD
-
X
$50
=
$
TYPE II HOOD
t
X
$10
=
$
HEAT PUMP /AIR CONDITIONER
0 -3 TONS
X
$12
=
$
AIR CONDITIONER
3 -15 TONS
X
$20
=
$
AIR CONDITIONER
15 -30 TONS
X
$25
=
$
AIR CONDITIONER
30 -50 TONS
X
$35
=
$
AIR CONDITIONER
+50 TONS
X
$60
=
$
LPG STORAGE TANK
-
X
$10
=
$
WOOD OR PELLET STOVE /INSERT
-
X
$25
=
$
METHOD OF PAYMENT
SUBTOTAL
PLUS: NON - REFUNDABLE
PROCESSING FEE
$ 25.00
❑ CASH • CHECK • VISA ❑ MASTERCARD • DISCOVER
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
SUBTOTAL: MINIMUM PERMIT FEE
IS $35.00
PLUS: 16% REGIONAL PLANNING
SURCHARGE
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
TOTAL PERMIT FEE DUE
Spokane County Department of Building and Planning
1026 West Broadway Avenue * Spokane, WA 99260 -0050
Telephone No. (509) 477 -3675 ' Fax No. 477 -7198 * TDD No. (509) 477 -7133
Released By: ,1/L ,/ 1/7_4/04
Project Number: 06003868 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER Contact: SCHMITZ, CLIFFORD M & MARGO A
Address: 16520 E SECRETARIAT LN
C - S - Z: VERADALE, WA 99037 -
Setbacks: Front Left: Right: Rear: Phone: (509) 999 -7733
Group Name:
Site Information: Project Name:
Plat Key: Name: University View District: Nort
Date: 9/27/2006 Page 1 of 2
Parcel Number: 45084.1302 Block:
SiteAddress: 10615 E BALDWIN AVE
Location:: CSV
Lot:
Owner: Name: SCHMITZ, CLIFFORD M & MARG
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037-
Zoning: UR -7 Urban Residential -7
Water District: Hold: ❑
Width: 0 Depth: 0 Right Of Way (ft): 0
Area: .00 Acres
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Flood Plain
Released By
Building Plan Review
Released By:
Driveway /Approach
Released By:
Landuse /Zoning/HE Conditions
Sewer Review
Released By:
Operator: AMB Printed By: AMB
Print Date: 9/27/2006
Project Number: 06003868 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/2006
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: University View
Page 1 of 4
VloWt
Contact: SCHMITZ, CLIFFORD M & MARGO A
Address: 16520 E SECRETARIAT LN
C - S - Z: VERADALE, WA 99037 -
Phone: (509) 999 -7733
Group Name:
Project Name:
District: Nort
Parcel Number: 45084.1302 Block:
SiteAddress: 10615 E BALDWIN AVE
Location:: CSV
Zoning: UR -7
Water District:
Urban Residential -7
Lot:
Owner: Name: SCHMITZ, CLIFFORD M & MARG
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037-
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,
Review
Flood Plain
Building Plan Review
Originally Released: 9/28/2006 By: amblake
eleased By:
Driveway /Approach
Originally Released: 9/29/2006 By: TMELBOU
Released By:
Originally Released: 10/2/2006 By: amblake
Landuse /Zoning/HE Conditions
Released By:
Originally Released: 9/27/2006 By: MBASINGE
Operator: AMB Printed By: AMB Print Date: 10/2/2006
Project Number: 06003868 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/2006 Page 2 of 4
Sewer Review
Permits:
Released By:
Originally Released: 10/2/2006 By: amblake
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
APPROACH -CONST IN ROW
Approach
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509) 922 -4297
VERADALE WA 99037
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
1 &2 FAMILY R -3 VB 1,068 $92,243.16 1,068 $92,243.16
2ND FLOOR R -3 VB 604 $45,106.72 604 $45,106.72
BASEMENT U R -3 VB 1,068 $16,020.00 1,068 $16,020.00
DECK OPEN R -3 VB 40 $600.00 40 $600.00
GAR WOOD U -1 VB 460 $8,740.00 460 $8,740.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 3,240 $162,709.88 3,240 $162,709.88
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: AMB Printed By: AMB
Fee Amount
$1,346.55
$4.50
$538.62
Permit Total Fees: $1,889.67
Print Date: 10/2/2006
Project Number: 06003868 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/2006 Page 3 of 4
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
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
Mechanical Permit
Firm: STURM HEATING
Phone: (509) 325 -4505
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
3
5
1
1
1
1
1
1
3
Operator: AMB Printed By: AMB
Fee Amount
$10.00
$12.00
$2.00
$40.00
$10.00
$74.00
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:
Fee Amount
$18.00
$30.00
$6.00
$6.00
$ 6.00
$6.00
$6.00
$ 6.00
$18.00
$102.00
Print Date: 10/2/2006
Project Number: 06003868 Inv: 1
Application Date: 10/2/2006 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: egmat .r
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
(A)111 THE BULDING OFFICIAL IS AUTHORIZED TO REQUIRE THE PERMIT APPLICANT TO
PROVIDE FEE REIMBURSEMENT TO THE CITY OF SPOKANE VALLEY FOR ANY
PROFESSIONAL SERVICES REQUIRED OUTSIDE OF CITY STAFF REVIEW.
(B) ❑SOME EXAMPLES OF POTENTIAL OUTSIDE RESOURCES INCLUDE PLAN REVIEW,
CONSTRUCTION INSPECTION AND SURVEYING.
Condition released (landscaping complete) on 2 -3 -06 by KEK.
ONLY 7 LOTS MAY RECEIVE BLDG PERMITS PRIOR TO COMPLETION OF LANDSCAPING
IN UNIVERSITY VIEW ESTATES AS PER PROMISORY LETTER DATED 12 -12 -05 FROM
WCE. KEK
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,889.67 $1,889.67 $0.00 $1,889.67
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$2,115.67 $2,115.67 $0.00 $2,115.67
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: AMB Printed By: AMB Print Date: 10/2/2006
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