2007, 05-15 Permit App: 07001894 Residence��, � Permit Center r (, E p W
Sn okane 11707 E Sprague Ave, Suite 106
Y Spokane Valley, WA 99206
'� Val1e,7 (509)688-0036 FAX: (509)68 1 8 2007
Community Development wwVw.spokanevalley.ora.corn
Residential Construction
Permit Application
PERMIT NUMBER: 1 C't
PERMIT FEE:
co' New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS / Q c % (f �, �j (DI iiN
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: h T 7 64 K 1 14 ie j ,1 q lice)
Building owner
Name:
Address:
City:
Zip:
Phone:
Fax:
Contact Person
Name:
Phone:
Describe the scope of work in detail:
i► l'�S) rte►
Contractor
DIMENSIONS:
=,1��
i
# OF STORIES:
/
TOTAL HABITABLE SPACE:
/L
MAIN FLOOR SQ.
FTG:
Name: 61. 1 ric selbr ( 1Z (21)-r/5 T -PA /C
Address: / 6.--g..-0
- See-/) "7 /:2c; ,I—
City:
l j`ff! -) t
Zip:
' '/o 3
7
Phone:
44 -7 73 3
Fax: 5/
/-
/77/
Lic No:
Exp. Date:
4-03
City Business Lic No:
Cost of Project:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
:
�
G
DIMENSIONS:
=,1��
i
# OF STORIES:
/
TOTAL HABITABLE SPACE:
/L
MAIN FLOOR SQ.
FTG:
' 2Nu FLOOR SQ. FTG:
kr
UNFIN BASEMENT SQ. FTG:
, _
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: e---
GARAGE SQ. FTG:
3 =5'
DECK/COV. PATIO SQ. FTG:
-e
30% SLOPES ON
PROPERTY: e-
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
HEAT SOURCE:
G fixS
SEWER OR SEPTIC?
5 e
DISCLAIMER
The permitee verges, 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 ordinances. 6) Plans o additional information may be required to be submitted, and subsequently approved before
this application can be pro - -ed
Signature
Date
Method of Payme , ` axed pe applications will only be accepted with major bankcard)
❑ Cash ❑ Ch • ck El Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
11 Other
Authorized Signature:
REVISED 625/2005
ey
Corununity Development
Mechanical Permit
SITE ADDRESS:
Building Ovrner
Name:
Address:
Contiactur
Name:
Address:
License No:
Contact
Name:
Spokane Valley, WA 99205 _
(509)68B -0036 FAX: (509)688 -0037 PEWIT NUMBER:
u �tii.SDOkane-ailev oro
PERMIT FEE:
Application
I Commercial r7rResidential
Phone:
Fax:
Th.fe-rn
City.
State:
Phone:
Zip:
Fax
City.
State:
_r.
City Business Lic:
Zip:
2
3
4
5
6
7
a
9
10
11
12
13
DESCRIPTION OF WORK
Phone:
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
S OF UNITS
Equal to or less than 100,000
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
More than 1,750M BTU
More than 100,000
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
101 - 50DM BTU
501 - 1,00DM BTU
1,001 - 1,75DM BTU
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
16
MSC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
19
VENTILATING FANS
20
21
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
X
X
X
COST
$12.DD
$15.00
$50.00
TOTAL AMOUNT
X 1 $100.00
X
$50.0D
X ( $100.00
X
X
x
X
X
X
$12.00
$20.00
525.00
$35.00
$50.00
$10.00
X 1 $10.00
X
X
$10.00
$10.00
X 1 $10.DD
X
X
$1.00
$10.DD
X
X
$10.00
$12.00
Greater than 10,000 CFM
22
EVAPORATIVE COOLERS
23
TYPE I HOOD
24
TYPE II HOOD
X
515.00
X 1 $10.OD
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
26
27
AIR CONDITIONER
AIR CONDmONER
3-15 TON
15-30 TON
28
AIR CONDITIONER
30-50 TON
29
AIR CONDmONER
More than 50 TON
3D
LPG STORAGE TANK
31
WOOD OR PELLET STOVE/INSERT
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDmONS
34
35
VENTILATION SYSTEMS
VENTILATION MECHAN)CAL EXHAUST
36
37
INCINERATOR - RESIDENCE
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD t",.
AUTHORIZED SIGNATURE:
REVISED X26/05
EXPIRES:
VIN:
X
X
X
X
X
X
X
$50.00
$10.00
$12.00
$20.00
525.00
$35.00
$60.00
X ( $10.00
X
X
$10.00
$25.00
X 1 $15.00
X
X
X
X
SUBTOTAL
512.00
512.00
519.00
522.00
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
• •. c.eA-, y •,yur an: Valley, WA 99206 vv
CDrILTIIIIllty Development (SO9)588 -0d36 FAX: (S09)688 -0037
Plumbing Permit Application
SITE ADDRESS:
Banding Owner
Name:
Address;
Commercial
Residential
Name:
Address:
License No:
E3nJ
Phone:
City.
Fax_
State:
Phone:
City
City Business Lic:
Fax
State:
Zip:
LAVS/BASINS, BAR, FLOOR, " r
LAUNDRY, UTIUf7Y KITCHEN,
JANITOR, PHOTO,
X-RAY, FOOD, PREP /CLULINARY MEAT
ICE AN /OR COFFEE HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BRECK
AND RP.B,P_D. FOR: VATS, TANKS,
BOILERS
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Cards FIRES:
VIN:
AUTHORIZED SIGNATURE:
REVISED E126/45
Project Number: 07001894 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2007 Page 1 of 3
Project Information:
Permit Use: SFR W /ATT GAR
Setbacks: Front 33 Left: 5 Right: 5 Rear: 45
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:
District: Nort
Parcel Number: 45084.1307 Block:
SiteAddress: 10519 E BALDWIN AVE
Location:: CSV
Zoning: UR -7
Water District:
Area: 5,561 Sq Ft
Urban Residential -7
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 By:
Driveway /Approach
Released By:
Landuse /Zoning/HE Conditions
Released B
)t
Sewer Review
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 5/22/2007
Project Number: 07001894 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2007 Page 2 of 3
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
Building Characteristics
Building Height 24
Description Grp
1 &2 FAMILY R -3
BASEMENT U R -3
GARAGE U -1
4:143 s
Approach
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922 -4297
Units Unit Desc
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922 -4297
Type Notes
VB
VB
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:
Su Ft Valuation Su Ft Valuation
ot- 1,133 $103,510.88 1,133 $103,510.88
0 ,e.- 520 $7,800.00 520 $7,800.00
o "- 533 $10,127.00 533 $10,127.00
1,6
Totals: 2,186 $121,437.88 2,186 $121,437.88
Units Unit Desc Fee Amount
1 SELECT $1,116.95
1 SELECT $4.50
1 SELECT $446.78
Permit Total Fees:
Mechanical Permit
$1,568.23
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922 -4297
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$64.00
5/22/2007
Project Number: 07001894 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2007
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes: ,-
Plumbing Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922 -4297
Units
2
3
2
1
1
1
1
3
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
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: ,,. „.
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,568.23
$64.00
$84.00
Invoice Amount
$50.00
$1,568.23
$64.00
$ 84.00
$1,766.23 $1,766.23
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,568.23
$64.00
$84.00
$0.00
$1,766.23
Page 3 of 3
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: 5/22/2007
City of
2001 WSEC.Residential Compliance Form
Prescriptive (Chapter 6) Options for all R Occupancies, Climate Zone 2 0; 1
Heat source: ALL
SPOKANE VALLEY BUILDING DEPARTMENT
11707 F. Sprauge Avenue, #106, Spokane Valley, Washington 99206 - Tel 509-921-1000 - Fax 509 - 921 -1008
SITE ADDRESS: j -5— ' e 1 PERMIT NO. DATE: /5--4r?
INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form. Your building must match the selected option requirements without
-exceptions or substitutions.
2) Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below_
GLAZING AREA CALCULATION:
s
SF_
TOTAL WINDOW AREA
NOTE: Use rough opening (RIO) for window area. Include all half -lite and full -lite door glazing in this
calculation_
CANT COMPLY? If none of the Prescriptive (Chapter 6) Options below are acceptable, consider systems analysis
(Chapter 4) or, Component Performance (Chapter 5) Approach. The main advantage is flexibility to juggle individual U-
factors (R- values) as long as an overall maximum value isn't exceeded. Note that the overall performance requirements
are no less stringent than the Prescriptive requirements. Calculations may be performed by hand or, using an acceptable
computer software program. Helpful forms and other resources can be downloaded at http: / /www.eriergy.wsu_edu/
buildings.
SF_
HEATED FLOOR AREA (ALL FLOORS) =
%r
% OF GLAZING
0_ Nominal R -slues are for wood fL sa l assemblies only or assemblies bu8t in accordance with Section 601.1
1 iviinirrum requirements for each option fisted. For example. if a proposed design has a glazing ratio to the conditioned floor area of 13 %, it
shalt corn ply with aft of the requirements of the 15% glazing option (or higher)_ Proposed designs. which cannot meet the specific
requirements of a fisted option above, may calculate compliance by Chapters 4 or 5 of this Code.
Z Requirement applies to all ceilings except single rafter or joist-vaulted ceilings. 'Ad,/ denotes Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings_
4. Below grade walls shall be insulated either on the exterior to a rrinirnum level of R-1Z or on the interior to the same level as walls above
grade. Exterior insulation installed on below grade walls shall be a water resistant material, marurfadured for its intended use, and installed
acrnrding to the manufacturer's specifications. See Section 602.2
5. Floors over crawl spaces or exposed to ambient air conditions.
6: Required stab perirreter insulations shall be a water resistant rraterial,7renufactured for its intended use, and installed according to
manufacturer's specifications. -
7. Int_ denotes standard frarring 16 inches on center with headers insulated with a minimum or R -5 insulation_
8. This wail insulation requirement denotes R -19 wall cavity insulation plus R -5 foam sheathing.
9. Doors. including all fire doors. stall be assigned default U- factors from Table 10-6C.
10. Where a iraxirnun glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned boor area
shaft be Less than or equal to that value. Overhead glazing with U- factor of t>=4.40 or less is not included in glazing area limitations_
11- Overhead glazing shall have tl.factors deterrr red in.acmrdance. with NFRC 100 or as specified in Section 5021.5.
12. Log and solid timber walls with a minimum average thickness or 3.5 are exempt form this insulation requireman t
Form 5- 050 801-200 1 Rcsidcntial Comp Form
Option
Glazing
Area': % of
Floor
Glazing U -Fact. ,
poor'
U- factor
Ceiling
2
Valuted
Ceili '
Wall
Above
Grade
Wall' int'
Below
Grade
Wall'
ext.
Below
Grade
.
,
Floor
Slab` on
Grade
Vertical
Overtread"
Gr L
u ,.-
10%
0.40
0.58
0-20-
R -38
R-30
R21
inn,
R -21
R -12 R -30 R -10
15%
0.40
0.58
0.20
R-38
R -30
R-10 -4-
R-5°
R -21
R -12 R -3o R-10
❑ Ill-
17%
0.37
0.58
0.20
R-38
R30
R-19 +.
R 5e
R-21
R -12 R -30 R -10
N-
Unlimited
Group R -3
- 0.35
0.58
0.20
R38
R -30
R -21
int7
R -21
R -12
R -30
R -10
■
ox> v
Only
0_ Nominal R -slues are for wood fL sa l assemblies only or assemblies bu8t in accordance with Section 601.1
1 iviinirrum requirements for each option fisted. For example. if a proposed design has a glazing ratio to the conditioned floor area of 13 %, it
shalt corn ply with aft of the requirements of the 15% glazing option (or higher)_ Proposed designs. which cannot meet the specific
requirements of a fisted option above, may calculate compliance by Chapters 4 or 5 of this Code.
Z Requirement applies to all ceilings except single rafter or joist-vaulted ceilings. 'Ad,/ denotes Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings_
4. Below grade walls shall be insulated either on the exterior to a rrinirnum level of R-1Z or on the interior to the same level as walls above
grade. Exterior insulation installed on below grade walls shall be a water resistant material, marurfadured for its intended use, and installed
acrnrding to the manufacturer's specifications. See Section 602.2
5. Floors over crawl spaces or exposed to ambient air conditions.
6: Required stab perirreter insulations shall be a water resistant rraterial,7renufactured for its intended use, and installed according to
manufacturer's specifications. -
7. Int_ denotes standard frarring 16 inches on center with headers insulated with a minimum or R -5 insulation_
8. This wail insulation requirement denotes R -19 wall cavity insulation plus R -5 foam sheathing.
9. Doors. including all fire doors. stall be assigned default U- factors from Table 10-6C.
10. Where a iraxirnun glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned boor area
shaft be Less than or equal to that value. Overhead glazing with U- factor of t>=4.40 or less is not included in glazing area limitations_
11- Overhead glazing shall have tl.factors deterrr red in.acmrdance. with NFRC 100 or as specified in Section 5021.5.
12. Log and solid timber walls with a minimum average thickness or 3.5 are exempt form this insulation requireman t
Form 5- 050 801-200 1 Rcsidcntial Comp Form
PLANNING DEPT. APPROVED
DATE: Jam-1 a2
o 27_0
fi
O