2003, 05-14 Permit App: BD03-418 ResidenceCity of
SPOKANE VALLEY
Box 1 OWNER
OWNER'S ADDRESS •
PERMIT # b3-9/fC
BUILDING PERMIT APPLICATION
JOB LOCATION o r S
CITY PHONE
� fG� Aciell 5 7,
DESCRIBE JOB lLcs'lbcr C .. G.) -ems)
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME (1,1, I F 4' ,({yl1 lt? (1,x,1 PHONE 9q y'-77 3a
CONTRACTOR'S ADDRESS /(o YZ, e-• SteEt 774 , / &.r CITY U ee ga4e,e
CONTRACTOR'S REG.# Lai FFSr 1 QC( t2-5 EXPIRATION DATE II- 0
(CARD MUST BE PRESENTED AND COPIED OR VETRIFIED)
BOX 3 CONTACT PERSON OF PROJECT CI-. y c
PHONE Qaq -7-)'
ADDRESS .S.P)1 l% &s 43coe CITY
ZIP
BOX 4 SEWER AVAILABILITY WATER AVAILABILITY yQS
BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION co -c-- q /S& K 3 P t 0/ L DYn E °
EA -ST ��
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER
LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / )O� FLOOR
3RD FLO R / 11173 OTHER / BASEMENT FINISHED
BASEMENT UNFINISHED / find DECK / 100 GARAGE / Qza
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING
Z,Uj FT.
BOX 8 (') SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS ( NEWCONSTRUCTION
) EXISTING
( )COMMERCIAL / INDUSTRIAL ) ( )STING STRUCTURE
TOTAL AREA OF PROPERTY
( ) TENANT IMPROVEMENT
IMPERVIOUS SURFACE_:jj 7,jr
BOX 9 PLUMBING FIXTURES (Including rough -ins)
MECHANICAL APPLIANCES ,•
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size (if known) (
Also see BOX 4
BOX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
SQ. FT.
SQ. FT.
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNO LEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PE FO HE 0RK F. • WHICH THE APPLICATION IS MADE.
)
OWNER / AGENT
DATE 5-" /L/- 0 3 (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT 1\PPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES I AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
Site Information Project Information
Site Address: 3508 5 MCDONALD ST
SPOKANE, WA 00000
Parcel Number: 45342 1709
Subdivision:
Block: 3 Lot: 9
Zoning: UR -3 Urban Residential 3.5
Owner: SCHMITZ, CLIFFORD M & MARGO A
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037 -
Building Inspector: UV'".1
Water Dist:
Project Number: :ID03 — Inv:
Permit Use::, •
1 Issue Date: 5/13/2003
Applicant: CLIFF SCHMITZ CONSTRUCTION
16520 E. SECRETARIAT
VERADALE, WA 99037 Phone: (509) 922-4297
Contact: CLIFF SCHMITZ CONSTRUCTION
16520 E. SECRETARIAT
VERADALE, WA 99037 Phone: (509) 922-4297
Setbacks - Front:
Group Name:
Project Name:
CrIin
Left: Right: Rear:
BUILDINGS: OK
Permits
APPROVALS
PLANNING: Q) h „Lem i s-- l `-f -0D
ENGINEERS: Qf 1J L ottc% - Pto 0 2OU
SEWER• 0./.91 Art o ("0--- c72 -)n -e?‘ _AS L - Q (' "
FIRE'S
6
5s 7 30
(473 C' t- N,10
1aSie-i-1.1a
loo S /Leo
7_0 c ( 60
(-2.79-735-
ass. 7 2 `90
is -39.7a
7g -x m mC
)(9--°0 P1
5 .00
Ins -0.7a
moklist
III 9°
13,q°°
lavy\c'e-t
A ^d u
477 foc—'
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7gly3ci�
/LIh_�. 7_79
_4°.3
4000Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 ,
509-688-0037 - Fax
METHOD OF PA
❑CASH ❑C
DESCRIPTION OF WORK
PROJECT
ADDRESS:
X
PERMIT
USE:
`
OWNER
1
PHONE (Daytime Contact):
- OR<100,000
MAILING ADDRESS:
X
515
(street)
(city/state) (ZIP)
2
CONTRACTOR: Q 7 i�-moi
e 4,1/2nJ'//�4)6
LICENSE P: '
X
MAILING ADDRESS:
•
PHONE #:
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,090
(street)
(city/state) (ZIP)
550
-
4
METHOD OF PA
❑CASH ❑C
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE.
DESCRIPTION OF WORK
# OF OZVIIS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR<100,000
/
X
515
-
/5nO°
2
FUEL BURNING APPLIANCE
> 100,000
X
519
•
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,090
X
550
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
or <400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1- 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
528
-
9
BOILER/REFRIGERATION
501- 1,000M BTU
.
X
539
-
10
BOILERIREFRIGERATION
1001- 1,750M BTU
X
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
CAS LOC, GAS INSERT, GAS FIREPLACE
-
/
X
510
-
/D, 00
13
RANGE
-
X
510
•
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
_
X
510
/0. 00
16
MISC. FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-17
X
51
-
.3- vO
18
OKI' SYSTEMS
-
19
VENTILATING PANS
-
3
X
51030.00
•
20
AIR HANDLER (DOES NOT Include ducting)
- OR < 10,000CFM
X
512
•
21
AIR HANDLER (DOES NOT Include ducting)
> 10,000 CFM
X
519
•
22
EVAPORATIVE COOLERS
-
X
510
•
23
TYPE I HOOD
-
X
550
-
24
'NEE IIHOOD
-
/
X
510
•
/00c)
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
•
26
A1RCONDITIONER
3-15 TON
X
520
-
27
AOR CONDITIONER
15-30 TON
-
X
525
•
28
AIR CONDMONER
30-50 TON
X
535
•
29
AIR CONDITIONER
+50 TON
X
560
•
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE - FREE STANDING
-
X
525
•
r1ENIT
PC1(
f1 rElrill n
SUBTOTAL:
C
7 C
PLUS PROCESSING FEE:
$$35,00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE.
ETHOD OF
CASH
1TE'
•
*Wan ems'
000Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane'Valley, WA 99206
509-688-0037 - Fax
PROJECT
ADDRESS:
DESCRIPTION
-
PERMIT
USE:
OWNER
COST
EQUALS
PHONE (Daytime Contact):
MAILING ADDRESS
TOILETS
WATER CLOSET, BIDETS
(street)
X
(city/state) (ZIP)
CONTRACTOR: 7-i{?4411
5
/2-4 O A o//16
LICENSE R:
MAILING ADDRESS:
X
PHONE tl:
-
(street)
3
(city/state) (ZIP)
PLUMBING FIXTURES
NKCARD NUMBER
ITHORJZF.D SIGNATURE:
DESCRIPTION
DETAILS .
A OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
56
-
/ se
2
URINALS
X
56
-
-00
3
TUBS
ti
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
/
X
-
12.00
O r,
5
SINKS
LAVS/BASINS, BAR FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO; X-
RAY, FOOD, PREP/CULINARY/MEAT
X
$6
-
(O
3o. 00
6
DISHWASHER
X
$6
to O U
7
CLOTHES WASHER
X
$6
. `
O (J'
8
GARBAGE DISPOSAL
j
X
$6
-
/0 , 0 0
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
'
X
$6
-
l� / - o o
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN-IN
INSTALLATION, ALTERATION, REPAIR
REVERSALS
X
. -.$6
-
-
WASTE, VENT, PLUMBING
REVERSAL
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
S6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER PROOFER, CARBONATOR
SWAMP COOLER
3
X
$6
-
/ T p / CO
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
525
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$b
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT,
] CHECK
S
tJ.'asf.'ad..l
—
C.
SUBTOTAL:
/0 D c
PLUS PROCESSING FEE:
$35.00
•
LVTI O r
TOTAL PERMIT FEE DUE:
NKCARD NUMBER
ITHORJZF.D SIGNATURE:
35-06- 4 b �
30' Building Setback
20' Drainage and Utility Easement
0
N89.45'35'W
S00'14'25'1./
85.00
APPROVED B
3(o
.4 •
10'
• 24'a . -
d :
1 0
a —
a
' .'s
a'•
5' Sidewalk. . •
R/W Line
pp 55
-k-C\
\\`C�\\�,\\\\\\\\\\ \\\\`d
4
4
O.
in
PLAT
Swale Bottom, 2' wide
Curb Line
McDONALD . STREET
GRAPHIC SCALE CIN FEET)
0 10 20 40
1 ' = 2 0'
S00'14'25'1./
This is not an as—built drawing.
Any modifications to this plan after
the date on the Engineer's stamp
VOIDS the Engineer's stamp.
September, 2001
LOT 9, BLOCK 3
MIDILOME EAST 3rd ADDITION
tkrtpson Engineers, Inc.
CIVIL ENGINEERS & LAND SURVEYORS
N.909 ARGONNE ROAD
SPOKANE, WA 99212 PH 926-1322
Found.d 1948