2008, 07-22 Permit App: 08002738 ResidenceProject Number: 08002738 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:h.,,
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
Date: 7/22/2008 Page 1 of 3
OF Pr
District: East
Parcel Number: 55074.3809 Block:
SiteAddress: 18116 E MICHIELLI AVE
Location:: CSV
Lot:
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Area: 7,154 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: LI
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
7/18/2008 By: tmelbourn
Released By:
Sewer Review
Permits:
Originally Released:
7/22/2008 By: cjjanssen
Released By:
Originally Released: 7/16/2008 By: jdavis
Operator: jmm Printed By: jmm Print Date: 7/22/2008
Project Number: 08002738
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/22/2008 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description
1&2 FAMILY
2ND FLOOR
BASEMENT U
COV DECK
GARAGE
Grp lug Notes
R-3 VB
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
Contractor: STURM HEATING
Address: 1112 N NELSON
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
HOOD -TYPE II
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
851 $80,836.49 851 $80,836.49
427 $31,888.36 427 $31,888.36
851 $12,765.00 851 $12,765.00
40 $600.00 40 $600.00
850 $16,150.00 850 $16,150.00
Totals: 3,019 $142,239.85 3,019 $142,239.85
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,234.55
$4.50
$493.82
$1,732.87
Firm: STURM HEATING
Phone: (509) 325-4505
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$54.00
7/22/2008
Project Number: 08002738 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/22/2008 Page 3 of 3
Plumbing Permit
Contractor: THOMAS PLUMBING & HEATING
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary::.. ... ..._
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
3
2
1
1
1
1
3
Fee Amount
$1,732.87
$54.00
$84.00
Firm:
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,732.87
$54.00
$84.00
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$84.00
Amount Owing
$1,732.87
$54.00
$84.00
$1,870.87 $1,870.87 $0.00 $1,870.87
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: jmm Printed By: jmm
Print Date: 7/22/2008
1crn
Permit Center
11707E Sprague Ave, Suite106
e
Valley Spokane Valley, WA 99206
09 688 0 i
(509)688-0036 FAX:
«Rv�_A .s okane. atley.or'.com
Community Development _ oka --- --
Residential Construction
Permit Application
SITE ADDRESS
ASSESSORS PARCEL NO: fi may, c/ 7 y . 3?� LEGAL DESCRIPTION:
Contractor-
L.
O or +
L, CP
New Construction
o Addition/Remodel
o Other:
PERMIT NUMBER::
PERMIT FEE:
t73
o Accessory Bldg
❑ Deck
Building owner
Name:
Address:
City:
Phone:
Contact Person=;
Name:
Phone:
L
♦✓ t.
Fax:
SC-
Zip:
G
Zip:
Describe the scope of work in detail:
**************The followin
HEIGHT TO PEAK:
MAIN FLOOR TO SQ.
FTG: 1 DV ---
FINISHED
—FINISHED BAS5HENT GARAG
SQ. FTG: -
# OF BEDI OMS: CONSTRUCTION TYPE:
DISCLAIMER is
The permitee
/wi verifies, acknowledgesby water.
.agreesOwnership of th this that 1) -If this
Spokane Valley Pefrmiit inure o the property owner.ction of or on a ng, the
3) The
dwelling i is be servederty w er potable 2) owner in this transaction. 4) All construction is to be done
signatory is the property owner or has permission to represent the property
royal for any violation reiew fed City state or
in full compliance with the City of Spokane Valley Development
Vae Permit Referenced ot a permit or app available for review at the City of
Spokane ,Valley Permit Center. 5) T is City of SpokaneY
y approved before
local laws, codes or ordinanc- �_ 6) ;�i�s or :.ditional information may be required to be submitted, and subsequent)
this application can be p. e .ed. ,r;
DI4
" FLOO'
Lic No:
City Business Lic No:
Cost of Project:
Exv. Date:
MUST be com lete: (write N/A if not a
# OF STyRIES:
UNFIN BASEMENT SQ. FTG:
NSIONS:
•-
Q. FTG:
FTG:
licable)**********************
TOTAL HABITABLE SPACE:
OUB'
DEC COV. PATIO, Q. FTG:
.. #
HEAT SOU•
IMPERVIOU SURFACE
AREA:
30% SLOPES ON
PROPERTY:
SEWER OR SEPTIC?
Signature
Method of Payme
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8252005
axed permit ap
❑ Check I
Date � /
ications will only be accepted with major ba k )
A
0 Mastercard ❑ VIN#:
Expires:
❑ Other
Spo..001\•
Valley®
For City Use Only
PLUS Project Number
Project Address
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
'
Your application review TARGET DATE is 1
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE —APPLICANT PINK — BUILDING FILE REV 9/07
Co nmi y Development
Mechanical Permit
sff ADDRESS:
Suiiding Owner
Nam=:
Contractor
Name:
Address:
License No:
Contact - =:
Name:
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
www. pokanevallev.0r2
Application
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
2 FUEL BURNING APPLIANCE
3 UNLJS I ) APPLIANCE (Additional Fee)
4 UNLISTED APPLIANCE (Additional Fee)
5 USED APPLIANCE (WSEC min. AFUE rating)
6 USED APPLIANCE (WSEC min. AFUE rating)
7 BOILER/REFRIGERATION
BOILER/REFRIGERATION
9 BOIL ERlREFRIGERAT1ON
10 BOILER/REFRIGERATION
11 BOILER/REFRIGERATION
12 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
15 FUEL BURNING WATER HEATER
16 MISC. FUEL BURNING APPLIANCE
17 GAS PIPING (each outlet)
16 DUCT SYSTEMS
PERMIT NUMBER;
PERMIT FEE:
Commercial ► Residential
Phone:
City.
Phone:
City.
City Business Lic:
Phone
More than 100,000
E,rual to or less than 400,000
More than 400,000
Eouai to or less than 400.000
More than 400.000
1 - 100M BTU
101 - 500M BTU
501 - 1,000M BTU
1,001 -1,750M BTU
More than 1,750M BTU
19 VENTILATING FANS
20 AIR HANDLER (DOES NOT include dulling) Eriral to or less than 10.000 CFM
Greater than 10.000 CFM
21 AIR HANDLER (DOES NOT include ducting)
22 EVAPORATIVE COOLERS
23 TYPE I HOOD
24 TYPE II HOOD
25 HEAT PUMPIAIR CONDITIONER
26 AIR CONDITIONER
27 AIR CONDITIONER
25 AIR CONDITIONER
29 AIR CONDmONER
30 LPG STORAGE TANK
31 WOOD OR PELLET STOVEJINSERT
32 WOOD STOVE - FREE STANDING
33 REPAIR & ADDITIONS
34 VENTILATION SYSTEMS
35 VENTILATION MECHANICAL EXHAUST
36 INCINERATOR - RESIDENCE
37 INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA 0 MC
CARD
AUTHORIZED SIGNATURE:
REVISED V26r05
03 TON
3-15 TON
15-30 TON
30-50 TON
More than 50 TON
EXPIRES:
VIN:
1
7_
Fax:
State:
Fax.:
State:
X
X
X
X
$1200
$15.00
$50.00
$100.00
$50.00
X $100.00
X
x
X
X
$1200
$20.00
$25.00
$35.00
X $60.00
X
X
X
X
X
X
X
X
X
X
X
x
X
X
X
X
X
X
X
X
X
X
x
X
X
X
$10.00
$10.00
$10.00
$10.00
$10.00
51.00
510.00
510.00
$12.00
$15.00
510.00
S50_00
$10.00
51200
520.00
525.00 =
$35.00
560.00
510.00
510.00
525.00
515.00
512.00
512.00 =
519.00
522.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
Zip:
Zip:
S35.D0
JF`v""�� Spokane Valley, vlA 99206
(509)588-0036 FAX: (509)688-0037
Co-iTIcmiy DwelopmyrtK ,; a•-cookane�aiks oro
Plumbing Permit Application
Valley
crrE ADDRESS: -
I
PERMI I NUMBER:
}
PERMIT F1 E:
Commercial Residential
Building Ower
Name:
Phone_
Fax:
Address:
City.
Stat.
Zrp:
Ceutrador
-7- i
40 ! i I
1 iJ
-PCeUM'S l "4 Q ..
Phi
Fax
Nam:
Address:
City
State:
Zip:
License No:
City Business Lic:
Contact
Name:.
Phone:
T
r
1
DESCRIPTION OF WORK
TOILETS
S OF UMTS
X
WA ER cLOSET. BIDE s
2 UPJNALS
3
r—�
4
TUBS
Z
X
COST
56.00
$6.00
S6.00
TOTAL AMOUNT
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
56.00
5
SINKS
LAVSJBASINS, BAR. FLOOR. KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO.
X-RAY, FOOD. PREP/CULINARY MEAT
X
$6.00
DISHWASHER
X
5
CLOTHES WASHER
GARBAGE DISPOSAL
X
$6.00
S6.00
9 WA tK SOFTENER
$6.00
S6.00
10
- ELECTRIC HOT WATER TANK
NOTE IF GAS. SEE MECHANICAL
X
56.00
11 FLOOR DRAINS
AREA. CASE, COIL TRENCH,
CONDENSATE
X
56.00
12 ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
WAPIPING/DRAIN-IN WASTE
14 VENT. PLUMBING. REVERSAL
NSTALLATION, ALTERATION. REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER. HOSE BIB,
STEAMER
PROOFER,CARBONATOR,SWANP
COOLER
3
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER. CHECK VALVE,
AND RP.B.P.D. FOR VATS. TANKS,
BOILERS
X
56.00
15
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19 MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
$6.00
21
PRIVATE SEWAGE DISPOSALISYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑CASH D CHECK D VISA D MC
Card#
AUTHORIZED SIGNATLJIRE:
➢,t'�IS� Ef2611)5
EXPIRES:
AN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEt DUE:
PLANNING DEPT. APPROVED
BY:C<SCL� L�
DATE.�.,��
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