2008, 08-27 Permit App: 08003359 ResidenceProject Number: 08003359 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/27/2008 Page 1 of 3
Project Information:
Permit Use: NEW SFR -SEWER Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55073.3111
SiteAddress: 1607 N BELL RD
Block: Lot:
Owner: Name: FLORA SPRINGS JOINT VENTUR
Address: 13903 E SPRAGUE AVE
VERADALE, WA 99037
Location:: CSV
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Area' .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Building Plan Review
Released By: - - -
Originally Released: 8/27/2008 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 8/27/2008 By: CJJANSSE
Released By:
Permits •
Operator: jmm Printed By: JD Print Date: 8/27/2008
Project Number: 08003359
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/27/2008 Page 2 of 3
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
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: C & K PLUMBING
Address: PO BOX 18620
SPOKANE WA 99228
Item Description
GAS WATER FIEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
HOOD -TYPE 11
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,109 $105,343.91 1,109 $105,343.91
1,197 $17,955.00 1,197 $17,955.00
903 $17,157.00 903 $17,157.00
Totals: 3,209 $140,455.91 3,209 $140,455.91
Units Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,223.35
$4.50
$489.34
$1,717.19
Firm: C & K PLUMBING
Phone: (509) 939-2377
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$54.00
8/27/2008
Project Number: 08003359 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/27/2008 Page 3 of 3
Contractor
Address:
C & K PLUMBING
PO BOX 18620
SPOKANE WA 99228
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Plumbing Permit
Firm: C & K PLUMBING
Phone: (509) 939-2377
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
FLORA ESTATES -REFER TO ADE -19-06 FOR LOT WIDTH/FRONTAGE-MH
FLORA ESTATES -SEE FILE ADE -19-06 FOR LOT FRINTAGE/WIDTH-MH
Payment Summar,:
Permit Type Fee Amount
Building Permit $1,717.19
Mechanical Permit $54.00
Plumbing Permit $108.00
Invoice Amount
$1,717.19
$54.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,717.19
$54.00
$108.00
$1,879.19 $1,879.19 $0.00 $1,879.19
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: jmin Printed By: JD Print Date: 8/27/2008
IN/E
Permit Center VT -G KAD VALLEY
A LEY
pUrkafle 11707E Sprague Ave; Caltte l 06 S „ 200t
40000 7 y Spokane Valley, WA 99206 �C
ie(509)688-0036 FAX: (509)688-0037 tT CENSER
Community Development wwvs spokanevalley.or,.corf-�oFRM
gY:
Residential Construction
Permit Application
New Construction
o Addition/Remodel
o Other:
PERMIT NUMBER: .-33 S" 1
PERMIT FEE: 1/0'1°1 + I�
o Accessory Bldg
o Deck
SI1 E ADDRESS ( tocn TCJt' (Ea4&
;pL(9i
ASSESSORS PARCEL NO: 5 5-013 • l 1'%`f (O LEGAL DESCRIPTION: Ur- .1, ISL K 4. (Z 06 €.
Building owner _
Name:
Address:
City:
Zip:
Phone:
Fax:
:.CoIltaCt'Per"son:
Name: 6.-L1 4G11'r Z. -
Phone: ttig ''j % 3
Describe the scope of work in detail:.
€)&) l ex,
Contractor: F,.F
DIMENSIONS:
,..
Name: LI-- k1F F S GE1Yri rr . b tWS'F T.n)C-�
Address: 1 (0S-� 6
�j
. g.C.1Z Q^ (� a
,
City: UE AZ19 0)' Lt
Zip: q
) 3 -)
.
Phone: gel cj---77
Fax: 111
5600
Lic No:
Exp. Date:
HEAT SO RC •
G�
City Business Lic No:
Cost of Project:
$ 10,000
**************The following MUST be complete: (write N/A if not applicablel**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOG TO SQ.
FTG: 1 ► _ ,., i 4
' 2" FLOOR SQ. FTG:
v
UNFIN BASEMENT SQ. FTG:
� / 7
lM R IOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: ��3-
GARAGE SQ. FTG:
" 703
DECK/COV. PATIO SQ. FTG:
. -
30% SLOPES ON
PROPERTY: i9--
# OF BEDROOMS:
3
CONST C ION TYPE:
1d.
HEAT SO RC •
G�
SEWER OR SEPTIC?
Se 2
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) •1f 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. nc . 6 J P1. ns o additional information may be required to be submitted, and subsequently approved before
this application .n •e p
Signature
Date
Method of Paymen / : axed permit app cations will only be accepted with major bankcard)
❑ Cash 0 Check i 0 Mastercard 0 VISA 0 Other
Bankcard #: i Expires: VIN#:
i
Authorized Signature:
REVISED 8/252005 1
Yl3.L�
Spokane Valley, TWA 99206
�'ey (509)58S-0036 FAX: (509)658-0337
Cournunity Development sxkanrvallc, are
Plumbing Permit Application
PERWT NUMBER
PERMIT FEE:
Commercial 111 Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Maness:
Civ.
Sate:
Zip:
Contractor
/S 1/r —('{
i * c Y�
ll__ `\
IAi �j
I
Narz:
Phone:
Fax:
Address:
City.
State:
Zip:
License No:
City Busies Lic:
Contact '
.... - _ .
Naar:
Phone:
DESCRIPTION OF WORK
II OF UNRrS X COST
I TOTAL AMOUNT
TOILETS
WATER CLOSET. BIDETS
3
X
56.00
2
URINALS
X
56.00
3
TUBS
4
SHOWERS (PER TRAP)
BATH, STALL ONSITE BUILT
3
X
S6.O0
X
S6.DD
5
SINKS
LAVS/SASWS. BAR, FLOOR, KITCHEN.
LAUNDRY, UTILITY. JANITOR, PHOTO.
X-RAY, FOOD. PREP/CULINARY MEAT
x
5
DISHWASHER
1
X
56.00
CLOTHES WASHER
l
X
56.00
5
GARBAGE DISPOSAL
X
56.D0
0
WATER SOFTENER
X
55.00
10
ELECTRIC HOT WATER TANK
NOTE IF GAS. SEE MECHANICAL
X
56.00
11
FLOOR DRAINS
AREA CASE, COIL TRENCH,
CONDENSATE
X
5600
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
13
FOUNTAINS, DRNKING
X
56.00
14
WA 1:X PIPING/DRAIN-IN WASTE.
VENT, PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, St1MP PUMP
X
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER HOSE BIB.
STEAMER
PROOFER CARBONATOR, SWAMP
COOLER
3
x
5500
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS.
BOILERS
x
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
x
56 00
19
MEDICAL GAS per outlet)
NITROUS, OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
X 56.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X 515.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA ❑ MC EXPIRES:
Card#
AUTHORIZED SIGNATURE:
REvLSED rums
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
�Olanem 11707 E Sprague Ave, Suite 106
-'Jalley Spokane Valley, WA 99205
(509)558-0036 FAX: (509)6S8-0037
Corrsnunity Drvelop:n_nt www mol;anrvallcv.o g
Mechanical Permit Application
SITE 1' DRESS:
Commercial
PERMIT NUM ER:
PERMIT FEE:
Residential
Building Ovrner
.
Name:
Phone:
Fax:
Address:
city
State:
Zip:
Gontractgr
0'4(lpky1�
Name.
Phone:
Fax:
Address:
City.
State:
Zip:
License NO:
City Business Lic:
Contact'w•
.....
-
_ ;e ...,-
: :e
.
Name:
Phon
.
DESCRIPTION OF WORK
A OF UNITS
x
COST
= 1 TOTAL AMOUNT
1
FUR BURNING APPLIANCE
anal to or less tan 100.000
X
512.00
2
FUEL BURNING APPLIANCE
Mose than 100.000
X
$15.00
3 UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4 UNLISTED APPLIANCE (.Additional Fee)
More than 400.000
X
5100.00
5 USED APPLIANCE (WSEC min. AFUE rating)
6 USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400.000
X
550.00
More than 400,000
5100.00
7 BOILERJREFR1GERATION
1 - 100M BTU
x
512_00
B BOILERREFRIGERATION
101 -500M BTU
x
520.00
. 9 BOILER/REFRIGERATION
501 -1,000M BTU
X
525.00
10 SOILEPJREFRIGEP.ATION
1,001 - 1,75DM STI!
X
535.OD
11 BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
12
GAS LOG, GAS INSERT..GAS FIREPLACE
X
510.00
13 RANGE
X
510.00
14 DRYER
X
510.00
15 FUEL BURNING WATER HEATER
X
510.130
16
MISC. FUR BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
1
X
51.00
X
510.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT induce dudinc) Equal to or fess than 10.000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10.000 CFM
x
515.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
X
550.00
24
TYPE fl HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
15.30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
MR CONDITIONER
More than 50 TON
X
560.00
3D
IPG STORAGE TANK
X
510.0D
31
WOOD OR PELLET STOVE/1NSERT
X
510.00
32 WOOD STOVE - FREE STANDING
X
525.00
33
X
S15.00
34 VENTILATION SYSTEMS
X
35 VENTILATION MECHANICAL EXHAUST
X
512.00 =
512.60 =
36 INCINERATOR - RESIDENCE
X
519.00
37 INCINERATOR - COMMERCIAL
X
522.06
METHOD OF PAYMENT:
❑CASH ❑;CHECK D VISA DMC
CARD
AUTHORIZED SIGNATURE:
P.EVISED &x26+05 1
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
.(C 1 fa(o
DoT
6,456 SF
RQ.Atie.
30
0 Uu W
L k-
----
_ z Q,
5 00' _... � ......
BELL BOAC
1609 N. Rzetc)
PLANNING DEPT. APPROVED
BY
DATE: glD-4 1c8