2006, 03-24 Permit App: 06001034 ResidencePermit Center
sr�. n[l 11707 E Sprague Ave, Suite 106
►�'- �'''jY�"� Spokane Valley, WA 99206
�11ey (509)688 -0036 FAX: (509)688 -003Q
Community Development www.s.okanevalle .ora.c.•ct
Residential Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:
Cons t tion o Accessory Bldg
q ;Add,ititnJRemodel o Deck
r Other:
SITE ADDRESS
ASSESSORS PARCEL NO:.' 1`4
. At_tDc.:iA
LEGAL DESCRIPTION:
Building owner
Name:
Address:
City: Zip:
ruUuc.
Fax:
Contactkersfln
Name: (7, L 1 f::--. `_j C (r{--yr % n—
Phone:
�--i L -i— ') `1 13
Describe the scope of work in detail:
2-V) I 1)Pn 0.42, 61/4_ &t.))
i
r. niue ;1r% tip
L 3LK 5
Contractor Name:L(\FP SC:
Address: 1
City: Ve
t 0L:
Q 773'3
Phone:
L ya i .r - 6 '3C-
S>C ?Cft'i cf
Zip: q 96 o-7
Fax:
Lic No: (t, L (ii: 5C 1t9 xp. Date: 1— c " 7
City Business Lic No:
Cost of Project:
1
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
# OF STORIES: TOT HAB TABLE SPACE:
UNFIN BASEMENT SQ. FTG:
HEIGHT TO PEAK:
MAIN FLOOR TO SQ.
FTG: ! W,, I 0 y�
FINISHED BASEMENT
SQ. FTG:'
# OF BEDROOMS:
DISCLAIMER
The pnr is/will l befie served acknowledges and
potable wa a rg2) eOwnership o th signature
that 1) If this permit is for construction of or on a
Spokane Val ey Perrniit inu o the property owner. 3) The
swelling i s th p erty w er or owner in this transaction. 4) All construction is to be done
signatory is the property owner or has permission to represent the property
S full compliance Permit the City of) Thjs City y of Spokane Development
Va I y Permit is not a permit or pp oval available for review at the City of violation of federal, state or
Spokane Valley Permit Center. 5) Th ty Po approved before
local laws, codes or ordinan ce$. an or • n 'tonal information may be required to be submitted, and subsequently app
DIMENSIONS:
7
2" FLOOR SQ. FTG:
GARAGE SQ. FTG:
5-3-3 8'
CONSTRUCTION TYPE:
5b7
DECK/COV_ PA 10 O G:
47
HEAT SOURCE:
IMPERVIO SURFACE
AREA:
30% SLOPES ON
PROPERTY:
SEWER OR SEPTIC?
5ew-e S_-
this application can bee proc
Signature =' ✓ ��
Method of Payment: ('R�e e Ch it a r plications will only be accepted with major ba k A )
Cash jj Mastercard ❑
❑ Expires: VIN #:
Bankcard #:
Date - __' --
Authorized Signature:
REVISED 8(25/2005
❑ Other
Permit Center
Spo° kan" e 11707E Sprague Ave, Suite 106 PERMIT NUMBER:
Spokane Valley, WA 99206
VcEI (509)688-0036 FAX (509)688 -0037 PERMIT FEE:
Community Development w w.spokanevallev.ore.com
Mechanical Permit Application 1 1 Commercial Residential
SITE ADDRESS:
CARD
REVISED 826/05
AUTHORIZED SIGNATURE:
Building owner
Phone: Fax:
Name:
City State: Zip:
Address: tt;,,, �
-D (..Ll / 1'a I"!"C..L.'w 4- 1 hj. `u''
Contractor -f=
Phone: Fax:
Name:
City State: Zip:
Address:
No: City Business License No:
License
..: . <
Contact
Name: Phone: �--
OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
DESCRIPTION
APPLIANCE
Equal to or less than 100.000
X
$12.00
=
1
FUEL BURNING
BURNING APPLIANCE
More than 100,000
X
$15.00
=
2
FUEL
Fee)
Equal to or less than 400,000
X
$50.00
=
3
UNLISTED APPLIANCE (Additional
Fee)
More than 400,000
X
$100.00
=
4
UNLISTED APPLIANCE (Additional
APPLIANCE min. AFUE rating)
Equal to or less than 400,000
X
550.00
=
=
5
USED (WSEC
min. AFUE rating)
More than 400,000
X
5100.00
-
6
USED APPLIANCE (WSEC
1 - 100M BTU
X
512 -00
_
=
7
8
BOILER/REFRIGERATION
BOILER/REFRIGERATION
101 - 500M BTU
501 - 1,000M BTU
X
X
520.00
525.00
=
9
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
10
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
11
BOILER/REFRIGERATION
GAS INSERT, GAS FIREPLACE
X
510.00
=
12
GAS LOG,
X
510.00
=
13
14
RANGE
X
510.00
=
DRYER
WATER HEATER
f
{
x
$10.00
=
15
FUEL BURNING
BURNING APPLIANCE
X
510.00
=
=
16
MISC. FUEL
X
51.00
=
-
17
GAS PIPING (each outlet)
X
$10.00
=
-
18
DUCT SYSTEMS
FANS
X
$10.00
=
19
VENTLATING
NOT include ducting)
Equal to or less than 10.000 CFM
X
$12.00
-
20
AIR HANDLER (DOES
NOT include ducting)
Greater than 10,000 CFM
X
515.00
=
21
AIR HANDLER (DOES
COOLERS
X
$10.00
-
22
EVAPORATIVE
X
550.00
_
23
TYPE I HOOD
)(
$10.00
24
TYPE II HOOD
CONDITIONER
0-3 TON
X
512.00
25
HEAT PUMP /AIR
315 TON
X
520.00
=
26
AIR CONDITIONER
1530 TON
X
.
$25 00
27
AIR CONDITIONER
30-50 TON
30-
X
535'00
28
AIR CONDITIONER
More than 50 TON
X
$60. 00
_
=
29
AIR CONDITIONER
TANK
X
510.00
_
=
-
30
LPG STORAGE
PELLET STOVE/INSERT
X
$10.00
-
31
WOOD OR
FREE STANDING
X
525.00
=
32
WOOD STOVE -
X
515.00
_
-
33
REPAIR & ADDfIIONS
SYSTEMS
X
512.00
=
34
VENTILATION
MECHANICAL EXHAUST
X
X
$12.00
519.00
=
=
35
VENTILATION
RESIDENCE
36
37
INCINERATOR-
INCINERATOR - COMMERCIAL
X
$29.00
=
METHOD OF PAYMENT:
DATE:
❑CASH ❑CHECK ❑VISA ❑ MC EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
CARD
REVISED 826/05
AUTHORIZED SIGNATURE:
Spbk ems'
Valley
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
wv w . spolan eval l ev. or Z. con
Application
Commercial
PERMIT NUMBER: /03f—
PERMIT FEE:
Residential
Building owner
Name:
Address:
Phone:
City
State:
Fax:
Zip:
Contractor j I. IA\ l�
Name:
Address:
License No:
Contact
Name:
Phone:
Fax:
City :
State:
City Business License No:
Zip:
Phone:
METHOD OF PAYMENT:
❑ CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
DETS
# OF UNITS
COST
$6.00
$6.00
TOTAL AMOUNT
E BUILT
R, KITCHEN,
OR, PHOTO,
NARY MEAT
CHANICAL
,CONDENSATE
ION, REPAIR.
PUMP
R, HOSE BIB,
WAMP COOLER
IECK VALVE,
TANKS, BOILERS
JD TRAP,
IG TANK
GEN
X $6.00
$6.00
❑ VISA ❑ MASTERCARD
EXPIRES:
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$20.00
X $15.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
DESCRIPTION OF WORK
BI
1
TOILETS
WATER CLOSET,
2
URINALS
3
TUBS
4
SHOWERS (PER TRAP)
BATH. STALL, ON-SIT
LAVSBASINS. BAR FLOC
5
SINKS
LAUNDRY, UTILITY, JANIT
X -RAY, FOOD. PREP /CULI
6
DISHWASHER
7
CLOTHES WASHER
8
GARBAGE DISPOSAL
9
WATER SOFTENER
NOTE: IF GAS, SEE ME
10
ELECTRIC HOT WATER TANK
AREA, CASE, COIL, TRENCI-
11
FLOOR DRAINS
ROOF DRAINS /OVERFLOW
12
DRAINS
13
FOUNTAINS, DRINKING
ALTERAT
WATER PIPING/DRAIN -IN WASTE.
NSTALLATION.
REVERSAL:
14
VENT, PLUMBING. REVERSAL
15
SEWAGE EJECTOR
GRINDER. SUMP
ICE AN /OR COFFEE MAKI
16
WATER USING DEVICE
STEAMER
PROOFER. CARBONATOR, I
VACUUM BREAKER, CI-
FOR: VATS,
17
CROSS CONNECTION DEVICE
AND R.P B P.D.
TRAP. TS
18
INTERCEPTORS
CHEMICAL HOLDII`
19
MEDICAL GAS (per outlet)
NITROUS, OXY
MISCELLANEOUS PLUMBING
20
FIXTURE
21
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
22
INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
DETS
# OF UNITS
COST
$6.00
$6.00
TOTAL AMOUNT
E BUILT
R, KITCHEN,
OR, PHOTO,
NARY MEAT
CHANICAL
,CONDENSATE
ION, REPAIR.
PUMP
R, HOSE BIB,
WAMP COOLER
IECK VALVE,
TANKS, BOILERS
JD TRAP,
IG TANK
GEN
X $6.00
$6.00
❑ VISA ❑ MASTERCARD
EXPIRES:
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$20.00
X $15.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Project Number: 06001034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/4/2006 Page 1 of 3
Project Information:
:.V...ri ✓:pia r . f..'»"-'i.s`
Permit Use: SFR, GAS HEAT, SEWER
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: University View
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:
SAW
District: Nort
Parcel Number: 45084.1308 Block:
SiteAddress: 10515 E BALDWIN AVE
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
•
Lot:
Owner: Name: SCHMITZ, CLIFFORD M & MARG
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037-
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released B
Originally Released:
Driveway /Approach
4/4/2006 By: TMELBOU
eletised`;By:
Originally Released: 4/3/2006 By: amblake
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 4/3/2006 By: Mharnois
Released By:
Operator: AMB Printed By: AMB
Print Date: 4/4/2006
Project Number: 06001034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/4/2006
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
APPROACH -CONST IN ROW
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description Grp Type Notes
1&2 FAMILY R -3 VB
BASEMENT U R -3 VB
DECK OPEN R -3 VB
GARAGE 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
Approach
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Page 2 of 3
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,095 $94,575.15 1,095 $94,575.15
507 $7,605.00 507 $7,605.00
60 $900.00 60 $900.00
533 $10,127.00 533 $10,127.00
Totals: 2,195 $113,207.15 2,195 $113,207.15
Units
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,072.15
$4.50
$428.86
$1,505.51
Firm: STURM HEATING
Phone: (509) 325 -4505
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
Operator: AMB Printed By: AMB
Fee Amount
$10.00
$12.00
$2.00
$30.00
Permit Total Fees: $54.00
Print Date: 4/4/2006
Project Number: 06001034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/4/2006
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
Notes:
Plumbing Permit
Page 3 of 3
Firm: JIMMY'S PLUMBING
Phone: (509) 928 -8991
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Condition released (landscaping complete) on 2 -3 -06 by KEK.
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$ 84.00
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: ow
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,505.51
$54.00
$ 84.00
Invoice Amount
$50.00
$1,505.51
$54.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,505.51
$54.00
$84.00
$1,693.51 $1,693.51
$0.00 $1,693.51
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: 4/4/2006
Project Number: 06001034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/27/2006
Project Information:
Page 1 of 2
Permit Use: SFR, GAS HEAT, 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 -
Phone: (509) 999 -7733
Group Name:
Project Name:
District: Nort
Parcel Number: 45084.1308 Block:
SiteAddress: 10515 E BALDWIN AVE
Location:: CSV
Zoning: UR -7
Water District:
Urban Residential -7
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: SCHMITZ, CLIFFORD M & MARG
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037-
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Release
Driveway /Approach
Landuse /Zoning/HE Conditions
Sewer Review
Permits:
Released By:
I Released By: 7211A," #3,42.4.
Released By:
Operator: AMB Printed By: AMB Print Date: 3/27/2006
Project Number: 06001034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/27/2006 Page 2 of 2
Approach
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509) 922 -4297
VERADALE WA 99037
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509) 922 -4297
VERADALE WA 99037
Mechanical Permit
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509) 325 -4505
SPOKANE, WA 99202
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Notes: mu
Plumbing Permit
Firm: JIMMY'S PLUMBING
Phone: (509) 928 -8991
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:
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: 3/27/2006