2007, 12-13 Permit App: 07004836 ResidenceProject Number: 07004836 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/13/2007 Page 1 of 3
Project Information:
Permit Use: NEW SFR -SEWER
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Phone: (509) 922-4297
Group Name:
Project Name:
District: East
Parcel Number: 55074.3902 Block:
Lot:
SiteAddress: 18215 E MICHIELLI AVE Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
Location:: CSV VERADALE WA 99037
Zoning: R-4 SF Res Urban District
Water District:
Hold:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 12/12/2007 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 12/12/2007 By: mbasinger
Released By:
Originally Released: 12/13/2007 By: jdavis
Operator: jmm Printed By: JD Print Date: 12/13/2007
Project Number: 07004836 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/13/2007 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description Grp Type Notes
1 &2 FAMILY R-3 VB
2ND FLOOR R-3 VB
BASEMENT U R-3 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
Contractor:
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
851 $77,747.36 851 $77,747.36
427 $31,888.36 427 $31,888.36
851 $12,765.00 851 $12,765.00
Totals: 2,129 $122,400.72 2,129 $122,400.72
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,122.55
$4.50
$449.02
$1,576.07
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
Permit Total Fees:
Plumbing Permit
THOMAS PLUMBING & HEATING Firm:
Phone:
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Units
2
3
2
1
1
1
1
3
Operator: jmm Printed By: JD
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$54.00
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
Print Date: 12/13/2007
Project Number: 07004836 Inv: I
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/13/2007 Page 3 of 3
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,576.07
$54.00
$84.00
Invoice Amount
$1,576.07
$54.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,576.07
$54.00
$84.00
$1,714.07 $1,714.07 $0.00 $1,714.07
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: JD Print Date: 12/13/2007
Permit Center RECEIVED BY
Yan�c� 0 -�/ OF SPOKANE VALLEY
.000
Valley ()o j ne Valley, WA 99206 DEC 1 1 2N1
'V .7 509 688-0036 FW
AX: (509)688 0037
Community Development www.spokanevallev.org.com
PERMIT CENTER
LEY
Lvokane • 11707 E Sprague Ave, Suite 10011Y
Residential Construction
Permit Application
BY:
PERMIT NUMBER:
PERMIT FEE:
ew Construction
o Addition/Remodel
o Other:
o Accessory Bldg
❑ Deck
18 1.6 ELCI
SITE ADDRESS is /
ASSESSORS PARCEL NO: SSO7 N .3' TZ LEGAL DESCRIPTION: L B I U4 ` " ii- 14
Building owner
Name: L. I-- i `C (
Name:
Address: /. 57,0
3,ie,f2./7,,i- iiir
Address:
Zip: gG/ t)
Phone: f 1C) 1 7 7
City:
Lie No:
Zip:
Phone:
Fax:
Describe the scope of work in detail:
¥ 4k) (?.-.6 (0('i ('1'
Contractor.
Name: L. I-- i `C (
5 C V I"I , TT foribT .,-l-)L
Address: /. 57,0
3,ie,f2./7,,i- iiir
City: Je)(j)
Zip: gG/ t)
Phone: f 1C) 1 7 7
3 3 Fax: / (i ,*/ -S60i)
Lie No:
Exp. Date:
City Business Lic No:
Cost of Project:
I$ / o%, Doo
**************The following MUST be complete: (write N/A if not applicable)
HEIGHT TO PEAK:
Z,_1
MAIN FLOOR TO SQ.
FTG:
FINISHED BASEMENT
SQ. FTG: e -
# OF BEDRO MS:
DIMENSIONS:1-4 1
2"u FLOOR SQ. FTG:
# OF STORIES:
UNFIN BA1SEMENT SQ. FTG:
o <<
GARAGE SQ. FTG:
85O 0
DECK/COV. PATIO SQ. FTG:
CONSTRUCTION TYPE:
A4
HEAT SOURCE:
GA'S
TOTAL HABITABLE SPACE:
ZIz'
IMPERVIOUS SURFACE
AREA:
-e
30% SLOPES ON
PROPERTY: e
SEWER OR SEPTIC?
Sew fit
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 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 ordinanc-s. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be
Signature
P
Date
Method of Payme t (Faxed pe it applications will only be accepted with major bankcard)
❑ Cash 0 Ch-ck 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/2512005
2-1 I-07
0 Other
Spokane
jUalleyR
For City Use Only
PLUS Project Number � `/ i'$L
Project Address / /
!1)(1)1«/11
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 /
/
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
v�3 VE uerV . ,••r •.. �.i cu�,�"c JUi LL IUD
Z r i Spokane Valley, WA 99206
t�QL� (509)588-0036 FAX: (509)688-0037
Coirz„iuni y Development wc3w.sookanevaTles.ore
Plumbing Permit Application
Commercial
PERMII NUMBER
PERMIT ±±E:
[-,)4 Residential
Sf 1 N ADDRESS:
fl-,tIVtU tiY
CITY OF SPOKANE VALLEY
Building Owner nEr ...1 2007
f
Name.: Phone: Fax ,D�. 1TcFNIFR
Addr^ss: City. 1 tate:
Zip:
Contractor
Narrc: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact _
Name:
Phone:
DESCRIPTION OF WORK
Ig OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
Z
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
Z
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
1
X
$6.o0
=
7
CLOTHES WASHER
1
X
$6.00
=
8
GARBAGE DISPOSAL
1
X
$6.00
=
9
WATER SOFTENER
-
X
$6.00
=
10
- ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA CASE, COIL, TRENCH,
CONDENSATE
1
X
$6.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE.
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
S6 DD
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$600
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS,
BOILERS
X
$6.oD
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
2D
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
_
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑CASH 0 CHECK ❑ VISA 0 MC
Card#
SUBTOTAL
EXPIRES:
PROCESSING FEE
$35.00
VIN:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
➢EVIS� S126/05
Sp"kane�'
Valley.
Co .county Development
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 49206
(509)688-0036 FAX: (509)688-0037
vwtiv. spolcanevaile v.oro
Mechanical Permit Application
srrE ADDRESS:
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential f FrEl kV)'77y OF SPOKANE VbY
AZLCY
? 2flt-
BniirEng Owner
" ',Am e
Name: Phone: Fax: - : IT GEitip:
Cry te:. j
Address: ------.--_
____._
,�,"
Contractor 5�. -IA (e r'% j--__ 1-'1W G . ... -. -
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contac -_
Name: Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$1200
=
2
FUEL BURNING APPLIANCE
More 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
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.0D
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1-10DM BTU
X
$1200
=
B
BOILER/REFRIGERATION
101 - 5DDM BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501-1,DDOM BTU
X
$25.00
=
1D
BOILER/REFRIGERATION
1,001 - 1,75DM BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
)
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.0D
=
17
GAS PIPING (each outlet)
Z
X
$1.00
=
16
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
Z.
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10.000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
(
X
$10.OD
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$1200
=
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDfONER
15-30 TON
X
525.00
=
26
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
3D
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
['CASH ❑ CHECK 0 VISA ❑ MC EXPIRES:
cnan : VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 626/05
TUE 7: 41_ PLANNING
.-FAX-509 _477 4703.. DEPT. OF BLDG & r•
05/01/2007
c__:/"._____:, . .C___,,7-/(4/ '71- 0
Spokane County Division of Utilities 7 rvl
CONNECTION PERMIT APPLICATION FORM is are valid for 12 ��
SEWER CONNE and . • cd, or a permit will not be issued. Sewer P� R interior and in its entirety. work per, or ape m or from the Pauli. Sewerright-of-vray. Lotion fuse must be ht -oiled out yapet
Y required for, any PLEASE NOTE Ibis app cc. A separate right-of-way Petnut s9 tM
plumbing
form the date ofwork requires separate permits. PRO INFORMATION
G
p,b�g,rcd electrical
T.tu6
job Address:
Paeoel Number
Frolect Name
UL1D Name. -
Residential )1 New
DryReg.]. r 0 Commercial 0 New
0 Temporary
0 Repair
❑ Addition CONTACT THEl7 mens CTORS OR HOME OWNERS PERRORMLIQ�G THE INSTALLATION MUST FIST
FIRST
RST TIME CONTRA �'
ES DIVISION BEFORE PERMITS) CAN BE ISSUID• f_ (, `{
UI'ILTTI i
SIGNATURE OF UTILITIES DIVISION PERSON CONTACIED:
Sate °anaactor license number.
Contact Name:
Pbone Number:
INTERIOR PLUMBING ALTERATIONS? (yes/a circle one
Fill arc the a it for w6& Wow r the"
0 County $2 City of Spokane Valley
Contactor (if different from above):
Business Address:
- 1
,,rJpp,�-Kis , Yom; �•' lA �.. ::. -
Number of Buildings moecting to sewer
• Foc s smm4 a�� fourplcs 'wigs spade (so by lot )Tis) miaow address ad scpmec sad,00e permit a rogac� per 4K a
• For a �-EydY ctde:dial wait, cos permit
ioriniso
inesboduplex, with
ownership., one puma is
• Foss
• Kul* burg (spar®mtS iodussml oomPk"a) 'midi single owoedR, one pemit regimcd Per IAuWmgc to the sewee
(FOR SITUATIONS NOT COVERED HERE,
CALL THE COUNTY DIVISION OF maims AT 477,3'604)
Is any of the work to be performed in t r o n th public 1g ft-of-way?
t o -w valla YesCity o
Phone
City/State/Zip
FEE INFORMATION
X (times) $100 (per bldg) = $
+$1000
SPO AVEC-OUNTY
LIGHT Or WAY PERMIT
APPLICANT SIGNATURE:
DATE
Method of Payment
O Cash O Check
0 Visa
Date:
Bankcard Number: t
Authorized Signature:
0 MasterCard Discover Card
F.+tiMC• D 1
Spokwe County Department of Balding and Planning
1026 West Broadway Awe * Spokane WA 99260
TeL No. (509) 477-33675 * Fax No. (509) 477-7198 * TDD N0. (509) 477-7133
NQ CP�E� EW
VALLEY
DEC 11 21
1117
eERM1T CENT -EE
P
N
--10' UTILITY I EASEMENT
0
�.oT Z ELK 3
6RW i)af,s U hL.LCy 6ST1 T S
APPROVED BY___1140.44-3,