2006, 09-26 Permit App: 06003847 Residencer � Permit Center
S okane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevalley.org.com
Residential Construction
Permit Application
,--� SEP 2 5
PT UMBER: 3c
//U 0['o)D
zXew Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS
10621 E. _6ALDIA)/k)
ASSESSORS PARCEL NO:450* at LEGAL DESCRIPTION: I-VT P .x/ lJlf_4J ESQ
Build' owner
City:
Zip:
Phone:
Fax:
Contact Person:
Name:
Phone:
Describe the scope of work in detail:
Contractor.:
Name: C-4-,FC Sc% 'a;1/TE
Address: /gyp 52-0 : 5 r
City: ue i Zip: q'963 7
Phone: OW-7233 Fax: Ii/- 6iV7/
Lic No: &//4/.'Q 0Vi Exp. Date: / - 7
City Business Lic No:
Cost of Project:
* * * * * * * * * * * ** *The followinw MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
z_�
DIMENSIONS:
>c 3
# OF �
STORIES: I +7
t 1 /z
SPACE:
TOTAL HABITABLE K
G-✓ 1 i 0 c-
MAIN FLOOR TO SQ.
FTG:
N110
2 FLOOR SQ. FTG:
y3 f O c,--
UNFIN BASEMENT SQ. FTG:
D °IL--
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
'- L �t,0 d (-
DECK/CO`V, PATIO SQ. FTG:
1'1 1 1 o fr--
30% SLOPES ON ,
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT S_OOU`'RCE:
6),ii-
SEWER � C?
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 ordin - . 6 P ans , r additional information may be required to be submitted, and subsequently approved before
this application can b- pr' sse• 1
Signature
Date 4-03---10 3-10 6
Method of Payme Faxed perm' . pplications will only be accepted with major bankcard)
D Cash ❑ Che ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
❑ Other
Authorized Signature:
REVISED 8/25/2005
MECHANICAL PERMIT APPLICATION
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
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City /State) (Zip)
(
l L t RJn .4 N /
p)
LICENSE:
MAILING ADDRESS:
PHONE:
(Street) (City /State) (Zip)
DESCRIPTION OF WORK
# OF
UNITS
MULn-
PLIED
By
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
X
$10
=
$
MISCELLANEOUS FUEL BURNING APPLIANCE
-
X
$10
=
$
GAS PIPING (ea. Outlet)
-
0.i
X
$1
=
$
DUCT SYSTEMS
-
X
$10
=
$
VENTILATING FANS
-
3
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
-
,
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
• CASH • CHECK • VISA • MASTERCARD • DISCOVER
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
SUBTOTAL
PLUS: NON-REFUNDABLE
PROCESSING FEE
$ 25.00
SUBTOTAL: MINIMUM PERMIT FEE
IS $35.00
PLUS: 16% REGIONAL PLANNING
SURCHARGE
BANKCARD NUMBER:
TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
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
PLUMBING PERMIT APPLICATION
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City /State) (Zip)
CONTRACTOR: ` s
t, mu/s Pte►edut
LICENSE:
MAILING ADDRESS:
PHONE:
(Street) (City /State) (zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNIT
S
aou�n
PLIED
BY
COST/
UNIT
EQUALS
AMOUNT
TOILETS
WATER CLOSETS, BIDETS
Z.
x
$6
=
URINALS
-
x
$6
=
TUBS
-
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
-
1
x
$6
=
CLOTHES WASHER
-
(
x
$6
=
GARBAGE DISPOSAUGRINDER
-
x
$6
WATER SOFTENER
-
x
$6
=
ELECTRIC HOT WATER TANKS
(NOTE: it gas water tank see mechanical)
x
$6
=
FLOOR DRAINS
AREA, CASE, COIL. TRENCH,
CONDENSATE
1
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
2
3
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:
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
Project Number: 06003847 Inv: 1
Application Date: 9/26/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
mmuswit
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: University View
Contact: SCHMITZ, CLIFFORD M & MARGO A
Address: 16520 E SECRETARIAT LN
C - S - Z: VERADALE, WA 99037-
(509) 999 -7733
Phone:
Group Name:
Project Name:
District: Nort
Parcel Number: 45084.1301 Block:
SiteAddress: 10621 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: ❑
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
Released By:
Building Plan Review
Released
Driveway /Approach
Released By:
Landuse /Zoning/HE Conditions
Sewer Review
Released By:
Operator: AMB Printed By: AMB
Print Date: 9/26/2006
4'5
MapOptix 4.2 Interface
Tools tD air
Layers
Query
Page 1 of 1
Street Address
Selection Method:
O
Street Address:
110621 e baldwin
Optional Zipcode:
Note: Street Address are generalized and
only represent an approximate location.
Buffer
Markup
Tool Help
Disclaimer
'Results Window
n
10614
45089.1404
http: / /dorado /mox42 /index.cfm? action= mox42_if prism &screenHeight= 846 &screenWidt... 9/26/2006