2006, 01-23 Permit App: 06000163 ResidenceProject Number: 06000163 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/23/2006 Page 1 of 2
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 34 Left: 7 Right: 15 Rear: 89 Phone: (509) 922-4297
Group Name:
Site Information: Project Name:
Plat Key: 002677 Name: TRENTWOOD ORCHARDS
District: H
Parcel Number: 45031.0710
Block:
SiteAddress: 13625 E HEROY AVE
Location:: CSV
Zoning: UR -3.5
Water District
Urban Residential 3.5
Area: ,360.00 Acres Width
Lot:
Owner: Name
Address
CLIFF SCHMITZ CONSTRUCTIO
16520 E SECRETARIAT
SPOKANE VALLEY, WA 99037
Hold: ❑
0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Permits:
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description
1&2 FAMILY
BASEMENT U
DECK OPEN
GARAGE
Grp Type Notes
R-3 VB
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,277 $110,294.49 1,277 $110,294.49
1,265 $18,975.00 1,265 $18,975.00
200 $3,000.00 200 $3,000.00
480 $10,560.00 480 $10,560.00
Totals: 3,222 $142,829.49
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: CJJ Printed By: CJJ
3,222 $142,829.49
Fee Amount
$1,234.55
$4.50
$493.82
Permit Total Fees: $1,732.87
Print Date:
01/23/2006
JAN 23 2006 13:00 FR
TO 3241567 P.02'04
Project Number: 06000163 Inv: 1 Application Date: 01/23/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect ,information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 34 Left: 7 Right: 15 Rear: 89
Site Information:
Contact CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z. VERADALE, WA 99037
Phone: (509) 9224297
Group Name:
Project Name:
Plat Key: 002677 Name: TRENTWOOD ORCHARDS
Parcel Number. 45031.0710 Block:
SiteAddress: 13625 E HEROY AVE
Location:: CSV
Zoning: UR -3S Urban Residential 3.5
Water District:
Lot:
District: H
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
SPOKANE VALLEY, WA 99037
Hold: 0
Area: ,360.00 Acres Width: 0 Depth 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Permits:
AMMO
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 9224297
Mechanical Permit
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509) 3254505
SPOKANE, WA 99202
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Plumbing Permit
Firm JIMMY'S PLUMBING
Phone: (509) 928-8991
Seivaye system desinned for a namitmu + o
bedrooms, otga ons per day.
OCCUPANCY NOT ALLOWED until system
Installation has SRI -ID approval.
Operator: CJJ
Win1
Printed By: CJJ
Print Date: 01/23/2006
Project Number: 06000163 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/23/2006
Contractor: STURM HEATING
Address: 1112 N NELSON
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Mechanical Permit
Page 2 of 2
Firm: STURM HEATING
Phone: (509) 325-4505
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
1 NUMBER OF $12.00
3 NUMBER OF $30.00
1 NUMBER OF $10.00
1 NUMBER OF $10.00
Permit Total Fees:
Plumbing Permit
$72.00
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
3 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$18.00
$78.00
Notes:
Payment Summary:
Permit Type
Building Permit .
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,732.87
$72.00
$78.00
$1,732.87
$72.00
$78.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,732.87
$72.00
$78.00
$1,882.87 $1,882.87
$0.00 $1,882.87
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: CJJ Printed By: CJJ
Print Date: 01/23/2006
Community Development
Permit Center
11707 E Sp
Spokane Va
(509)688-00 (509)688F0037rte
vnanv.spokanevallev.orclirom 1 3 L(J
f \
9T2ob 0� V E D
Residential Construction
Permit Application
D
D
Mad
PERMIT NUMBER: 01 ID 3
PERMIT FEE:
onstruction o Accessory Bldg
o Addition/Remodel
o Deck
o Other:
SITE ADDRESS
(3(as- 14,2oy
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Bunning owner,-- _
Name.
Address:
City:
Zip:
Phone:
Fax:
�ContacYPerson
Name: C C - F SCly \'CZ.
Phone: ej q q
Describe the scope of work in detail:
(zp� denct
_Contractor.aann =_€-_'- _: ' ._.:. _ .. ,•
Name• C14\71:1/_-�C.�DD&M")
s� fi�
1.
L
Address: 'CO Sao 1. 5 IG(.��G7 o I ki
City: UPI Z4°rOP'Lt Zip: q,q 0- %
xi /� c9 V7j
Phone: WQ' 2rrgV�,
//3����Fax:
Lic No: ( C/OVt Exp. Date: / - /9-d' /
City Business Lic No:
Cost of Project:
*::u::=—nineIouowmglviva1 L/C ,.umpl\.tA..kn,.w•‘.aauv --t-r- _ ,
HEIGHT TO PEAK:7
p4
DIMENSIONS:
4.4 z XS0
# OF STORIES:
l
TOTALHAB TILE SPACE:
MAIN FLOOR TO SQ.
FTG:AREA:
I Z... in 00_e
2' FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
-ate
arosioit
FINISHED BASEMENT
SQ. FTG:
T
GARAG S9 FG:
O a�
DECK/COV. PATIO SQ. FTG:
Zr, o
30% SLOPES
PROPERTY:
ON rs
.��
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOU E:
SE ER
SEPTIC?
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 perrnission 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 or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard It: Expires: VIN#:
Date
Authorized Signature:
REVISED 8252005
0 Other
PermitCenter
S=^ liane� 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:
�C (509)6Spokane Valley, WA 99206
' �aliey (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Cormnunity Development wwwnpokanevallev ora.com eSldeIItial
6
Mechanical Permit Application LL Commercial
SITE ADDRESS: 12 i 3 6 7,< , 14ray
A W
Building owner
Name:
Address: Tu...k .lam/;
Contractor - 5 I ...k Hc`�h iv 6
Name:
Address:
License No:
Contact. ' -
Phone:
City
Phone:
City.
Fax:
State:
City Business License No:
Fax:
State:
Zip:
Zip:
CARD #.
REVISED 8r26/05
AUTHORIZED SIGNATURE:
r „un,-
Name:
DESCRIPTION OF WORN
Equal to or less than 100.000
More than 100,000
Equal to or less than 400,000
than 400.000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
# OF UNITS
1
X
X
X
X
X
X
X X
COST
$12.00
515 00
550 00
5100.00
E50 00
5100.00
512 0
-
-
=
=
=
=
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
2
FUEL BURNING APPLIANCE
3
UNLISTED APPLIANCE (Additional Fee)
4
onal Fee)
UNLISTED APPLIANCE (Additional
5
USED APPLIANCE (WSEC min. AFUE rating)
6
USED APPLIANCE (WSEC min. AFUE rating)
7
g
BOILER/REFRIGERATION
BOILER/REFRIGERATION
101 - 500M BTU
501 - 1,000M BTU
X
X
520 00
525.00
9
BOILER/REFRIGERATION
X
535.00
1,001 - 1,750M BTU
_
10
BOILER/REFRIGERATION
X
560.00
=
More than 1,750M BTU
11
BOILER/REFRIGERATION
1
X
510.00
=
12
GAS LOG, (ZAS INSERT, GAS FIREPLACE
'
X
X
X
X X
X
510.00
$10.00
$10 00
00
510. 10.51.00
510.00
=
_
=
=
=
=
13
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
3X
X
51000
=
19
VENTILATING FANS
NOT include ducting)
Equal to or less than 10,000 CFM
512.00
=
20
AIR IiANDLER (DOES
NOT include ducting)
Greater than 10,000 CFM
X
512.00
=
=
21
AIR HANDLER (DOES
X
$10.00
22
EVAPORATIVE COOLERS
X
$SD 00
=
23
TYPE I HOOD
1
{
X
550 00
=
24
TYPE It HOOD
0-3 TON
X
512.00
25
HEAT PUMP/AIR CONDITIONER
315 TON
X
520.00X
=
26
AIR CONDITIONER
15-30 TON
525.00
=
27
AIR CONDITIONER
30-50 TON
X
535.00
=
28
AIR CONDITIONER
More than 50 TON
X
560 00
29
AIR CONDITIONER
X
510.00
=
30
LPG STORAGE TANK
STOVEANSERT
X
$10.00
=
31
WOOD OR PELLET
FREESTANDING
X
525.00
=
32
WOOD STOVE -
X
515.00
=
33
REPAIR & ADDITIONS
X
512.00
=
34
VENTILATION SYSTEMS
EXHAUST
X
512.00
=
35
VENTILATION MECHANICAL
X
$19.00
=
36
INCINERATOR -RESIDENCE
COMMERCIAL
X
522.00
=
37
INCINERATOR -
METHOD OF PAYMENT:
DATE:
❑CASH 0 CHECK ❑ VISA 0 MC EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
CARD #.
REVISED 8r26/05
AUTHORIZED SIGNATURE:
•'/mss Permit Center
S O�Re 11707 E Sprague Ave, Suite 106
p •S,[ y7Spokane Valley, WA 99206
® VAll7eY (509)688-0036 FAX: (509)688-0037
Commrmity Development ,, W.sookanevallev.or2 corn
Plumbing Permit Application
3(02. 6 14(20y
Commercial
PERMIT NUMBER:
desidential
PERMIT FEE:
SITE ADDRESS:
Building owner
Name:
Address:
ContractordUm
Name: T 1 wnmei
Address:
license No:
COOtlCt .
Name:
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
DESCRIPTION OF WORK
TOILETS
URINALS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECTRIC HOT WATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW
DRAINS
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL GAS (per oWet)
MISCELLANEOUS PLUMBING
FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
INTERCEPTOR
METHOD OF PAYMENT:
0 CASH
Card#
0 CHECK
AUTHORIZED SIGNATURE:
Phone:
City.
State:
Fax:
Zip:
/LiG Phone:
City :
State:
City Business license No:
Phone:
WATER CLOSET, BIDETS
BATH. STALL, ON-SITE BUILT
LAVSBASINS. BAR. FLOOR KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
NOTE: IF GAS. SEE MECHANICAL
AREA, CASE, COIL, TRENCH. CONDENSATE
NSTALLATION, ALTERATION. REPAIR.
REVERSALS
GRINDER. SUMP PUMP
ICE AN/OR COFFEE MAKER HOSE BIB,
STEAMER
PROOFER, CARBONATOR. SWAMP COOLER
VACUUM BREAKER, CHECK VALVE.
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS, OXYGEN
0 VISA 0 MASTERCARD
EXPIRES:
II OF UNITS
3
t
1
1
3
Fax:
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Zip:
COST
$6.00
56.00
56.00
56.00
56.00
56.00
56.00
56 00
56.00
56.00
56.00
$6.00
5600
56.00
56 00
56 00
$6.00
56.00
$6.00
$6.00
520.00
515.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
TOTAL AMOUNT
535.00
REVISED 511605
ea,L
vas.. -5 •
`3 /vC, - tinTf�
icut;''1L0&3V.
.
APPLICATION FOR�PERMIT TO INSTALL
Name Q�Li nigt) �%(--n4d^•)
z — LocT2T / g vzy SSSS
COUNTY HEALTH DISTRICT
E. O. PLOEGER, M. D.. M.P.N., HEALTH OFFICER
N. 919 Jefferson Street C�
Spokane, Washington 99201
No 06522 I
OR RECONSTRUCT SEWAGE DISPOSAL FACILITIESCI
1 w
Address X3`r�-r ne 14.704. (S 7dazt
Address of Proposed Site `(n / -No 2 -Y":-
1/4 --X1
$ '
Type of Use -.P1/1-121,-. �-4-^ S_171-- Is sement for building planned?
Number of Bedr
Water Supply
ilding Capacity Cao' Capacity
(City. Well. Spring).
Other
Drywell '�-
Septic tank capacity 7..571 -gals Style of tank
Length of disposal field 73-6 Absorption Pits trach Bed
(1) Show relative location of:•Proposed horse,. eeptic tank.
disposal field. well. garage and other out buildings.
(2) Makte note of any heavy elope er swampy area or any
other important topographic details.
•
Installer
.A4'EXCAUATI.rI(e. --,
Final Inspection Date 71-12.--240
Remarks.
CONTRACTOR
140 .rr.vutrx
For spoken. County Health District ' 1'i
4g 90tI Ltd,