2007, 08-16 Permit App: 07003177 ResidenceProject Number: 07003177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/16/2007 Page 1 of 3
Project Information:
Permit Use: SINGLE FAMILY RESIDENCE -SEWER
Setbacks: Front 33 Left: 9 Right: 8 Rear: 36
Site Information:
Plat Key:
Name: Range
Parcel Number: 55074.4003
Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Phone: (509) 922-4297
Group Name:
Project Name:
District: East
Block: Lot:
SiteAddress: 18119 E SHANNON AVE
Location:: CSV
Owner: Name: CLIFF SCHMITZ CONST INC
Address: 16520 E SECRETARIAT
SPOKANE VALLEY WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: ❑
Review Information:
IIIMASAMMAIMINOMMUCSEit
Review
Building Plan Review
Rete
Originally Released: 8/16/2007 By: TMELBOU
Landuse/Zoning/HE Conditions
Originally Released: 8/15/2007 By: cjjanssen
Sewer Review
Rely
Originally Released: 8/16/2007 By: JLMain
Permits:..
Operator: jmm Printed By: jmm Print Date: 8/16/2007
Pxoject Number: 07003177 Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/16/2007 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description
1&2 FAMILY
2ND FLOOR
BASEMENT U
DECK OPEN
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: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
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:
Sp Ft Valuation Sq 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
40 $600.00 40 $600.00
850 $16,150.00 850 $16,150.00
Totals: 3,019 $139,150.72 3,019 $139,150.72
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,217.75
$4.50
$487.10
$1,709.35
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
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
8/16/2007
Project Number: 07003177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/16/2007 Page 3 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes: NEERNOMBIZMOMISf
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
3
2
1
1
1
1
3
Fee Amount
$1,709.35
$54.00
$84.00
Finn: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
Invoice Amount Amount Paid Amount Owing
$1,709.35 ' $0.00 $1,709.35
$54.00 $0.00 $54.00
$84.00 $0.00 $84.00
$1,847.35 $1,847.35 $0.00 $1,847.35
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: 8/16/2007
Project Number: 07003177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/14/2007 Page 1 of 3
Project Information:
Permit Use: SINGLE FAMILY RESIDENCE -SEWER
Setbacks: Front
Left: Right: Rear:
Site Information:ammeg , n s ;
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:
g. riSNSMINISM
District: East
Parcel Number: 55074.0622 Block:
SiteAddress: 18119 E SHANNON AVE
Location:: CSV
Zoning: UR -3.5
Urban Residential 3.5
Lot:
Owner: Name: CLIFF SCHMITZ CONST INC
Address: 16520 E SECRETARIAT
SPOKANE VALLEY WA 99037
Water District: 134 CONSOLIDATED ID #19
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: ❑
Review Information:
;•3
Review
Building Plan Review
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Operator: jmm Printed By: jmm Print Date: 8/14/2007
Project Number: 07003177
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/14/2007 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description
1&2 FAMILY
2ND FLOOR
BASEMENT U
DECK OPEN
GARAGE
Grp Type
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
Notes
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
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:
Sq Ft Valuation Su Ft Valuation
858 $78,386.88 858 $78,386.88
431 $32,187.08 431 $32,187.08
858 $12,870.00 858 $12,870.00
40 $600.00 40 $600.00
820 $15,580.00 820 $15,580.00
Totals: 3,007 $139,623.96 3,007 $139,623.96
Units Unit Desc Fee Amount
1 SELECT $1,217.75
1 SELECT $4.50
1 SELECT $487.10
Permit Total Fees: $1,709.35
Mechanical Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: jmm
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
Permit Total Fees: $54.00
Print Date:
8/14/2007
Project Number: 07003177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
vrmitsgsmommtemompousestrami
Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Phone: (509) 922-4297
Group Name:
Project Name:
Date: 8/14/2007 Page 1 of 3
Project Information: mvormaxgop.Auz:wirsomatrat
Permit Use: SINGLE FAMILY RESIDENCE -SEWER
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
------------------
Parcel Number: 55074.0622
SiteAddress: 18119 E SHANNON AVE
Block:
District: East
Lot:
Owner: Name: CLIFF SCHMITZ CONST INC
Address: 16520 E SECRETARIAT
SPOKANE VALLEY WA 99037
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Depth: 0
Hold: ❑
Right Of Way (ft): 0
Review
Building Plan Review
Landuse/Zoning/HE Conditions
Sewer Review
Permits: AT, .:�>.
Reteatei
Printed B mm Print Date: 8/14/2007
Operator: jmm y� �
Project Number: 07003177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/14/2007 Page 3 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
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
Plumbing Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$1,709.35
$54.00
$ 84.00
Permit Total Fees:
Invoice Amount
$1,709.35
$54.00
$84.00
$1,847.35 $1,847.35
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$ 84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,709.35
$54.00
$84.00
$1,847.35
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: 8/14/2007
Project Number: 07003177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/14/2007 Page 3 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes: tRN:.. : <:
Payment Summary: ..;,,:..
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$1,709.35
$54.00
$ 84.00
Permit Total Fees:
Invoice Amount
$1,709.35
$54.00
$84.00
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
.z a M_' .x"ktill' . =4L"'atI`... T IMLI
$1,847.35 $1,847.35
Amount Paid Amount Owing
$0.00 $1,709.35
$0.00 $54.00
$0.00 $84.00
$0.00 $1,847.35
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: 8/14/2007
Sfialre\''eft
...••01;ValleY
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
Site Address: 18119 E SHANNON AVE
Parcel Number: 55074.0622
Zoning: UR -3.5
Fire District: FD 01
Ivew project
Previous pre -app meeting El
Plan revisions 0
Transmittal Date:
Tuesday, August 14, 2007
Project Number: 07003177
Water District: CONSOLIDATED ID #19
Applicant:
e-mail:
Contact:
e-mail:
Contractor:
CLIFF SCHMITZ CONSTRUCTION
16520 E. SECRETARIAT
VERADALE, WA 99037
(509) 922-4297
CLIFFS@CET.COM
CLIFF SCHMITZ CONSTRUCTION
16520 E. SECRETARIAT
VERADALE, WA 99037
(509) 922-4297
CLIFFS(a�CET.COM
CLIFF SCHMITZ CONSTRUCTION
16520 E SECRETARIAT
VERADALE WA 99037
(509) 922-4297
Owner: CLIFF SCHMITZ CONST INC
16520 E SECRETARIAT
SPOKANE VALLEY WA 99037
e-mail:
Occupant:
e-mail:
Arch / Engineer:
e-mail:
Project SINGLE FAMILY RESIDENCE -SEWER
Description:
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
APPLICATION
CONSTRUCTION PLANS
f
SITE PLAN
1
REV SIGN OFF
i
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Project
Scrry [
Transmittal
City of Spokane Valley
ValIey Community Development
.0000Valle
Depai tment
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
Site Address: 18119 E SHANNON AVE
Parcel Number: 55074.0622
Zoning: UR -3.5
Fire District: FD 01
New project
Previous pre -app meeting 0
Plan revisions 0
Transmittal Date:
Tuesday, August 14, 2007
Project Number: 07003177
Water District: CONSOLIDATED ID #19
Applicant:
e-mail:
Contact:
e-mail:
Contractor:
CLIFF SCHMITZ CONSTRUCTION
16520 E. SECRETARIAT
VERADALE, WA 99037
(509) 922-4297
CLIFFS@CET.COM
CLIFF SCHMITZ CONSTRUCTION
16520 E. SECRETARIAT
VERADALE, WA 99037
(509) 922-4297
CLIFFSa.CET.COM
CLIFF SCHMITZ CONSTRUCTION Arch / Engineer:
16520 E SECRETARIAT
VERADALE WA 99037
(509) 922-4297
Owner: CLIFF SCHMITZ CONST INC
16520 E SECRETARIAT
SPOKANE VALLEY WA 99037
e-mail:
Occupant:
e-mail:
e-mail:
i,_u [1(fli
1007.
ahLi
0
Project SINGLE FAMILY RESIDENCE -SEWER
L/eb-crn,Juun.
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
\
APPLICATION
CONSTRUCTION PLANS
,2
I
SITE PLAN
REV SIGN OFF
1
Please send all plan review and project comments via e-mail to the
highlighted individuals.
�paka
,.rne
P Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106AUG 1 3 2007
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)68819g
spokanevalley.org.2
RECEIVED BY
CITY OF SPOKANE VALLEY
Residential Construction
Permit Application
SITE ADDRESS
ASSESSORS PARCEL NO:
Buildin
Name:
Address:
City:
Phone:
CENTER
ew Construction
o Addition/Remodel
o Other:
LEGAL DESCRIPTION: LIDT
Describe the
iuet-L.
Contractor.
o Accessory Bldg
o Deck
Name: ej. tEIE SC14111 117- 604ST y /V '
Address: 1 � S ZU �C ' `��L'gn ,1
Zip: "�q03
City: /P
Phone: qq -77 Fax: $i ('q
%J
Lic No: Exp. Date:
City Business Lic No:
Cost of Project: 1 $ /D ti ®O®®U
**************The following MUST be complete: (write N/A if not app
# OF STORIES:
i/7/
UNFIN BASEMENT SQ. FTG:
HEIGHT TO PEAK:
MAIN FLOOR TO SQ.
FTG:
FINISHED BASEMENT
SQ. FTG:
# OF BEDROOMS:
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. 'lan or additional information may be required to be submitted, and subsequently approved before
this application can be
DIM IONS:
NU K L� �
2 FLOOR SQ. FTG:
27
GARAGE SQ. FTG:
CONSTRUCTION TYPE:
licabler*********************
TOTAL HABIT SPACE:
Z/2 j
DECK/COV,(PATIO SQ. FTG:
HEAT SOURCE:
IMPERVIOUS SURFACE
AREA:
30% SLOPES ON
PROPERTY: 9
SEWER OR SEPTIC?
Signature
Method of Paym
0 Cash
Bankcard #:
s fah
(Faxed pe Vit applications will only be accepted with major bankcard)
❑ Ch • ck 0 Mastercard 0
VISA
Expires: VIN#:
Date
Authorized Signature:
REVISED 6/25/2005
``e7
0 Other
I
•
SpQaiie
�Va1 ey
Cor- rnunity Development
Mechanical Permit
11707 E Sprague Ave, Suite 105
Spokane Valley, WA 09205
(509)6SS-0036 FAX:(509)655-0037
u-tiv. spolc ane,'alle v.ors
Application
Il
PERMIT NUMBER:
PERMIT FEE:
Commercial vResidential
SITE h ADDRESS:
1 1 K L . ' Vt/ n v
CE -IVCD BY
• ..
(
CRY 0
Building OVrner
Phone: Fax:
Name: a
Address: City: State: •
Coiifa actor , y
L.
; 1,, 1
Fax
Name:
Phone:
City. State: • p:
Address:
License No: City Business Lic:
Contatf
Name: Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
BURNING APPLIANCE
Equal to or less than 100,00D
X
$12.0D
=
1
FUEL
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
2
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 40D,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
AFUE rating)
Equal to or less than 400.000
X
$50.00
=
5
6
USED APPLIANCE (WSEC min.
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
•
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
5
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.0D
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
10
BOILER/REFRIGERATION
1,001 - 1,75DM BTU
X
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
0
13
RANGE
X
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
!
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
Zo—
X
16
DUCT SYSTEMS
X
19
VENTILATING FANS
X
$ 0
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10.000 CFM
X
' •
22
EVAPORATIVE COOLERS
X
$10.0D
23
TYPE I HOOD
X
$50.0D
24
TYPE it HOOD
r
r
X
'
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.0D
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
25
AIR CONDITIONER
30-50 TON
X
$35.00
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
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.0D
36
INCINERATOR — RESIDENCE
X
$19.00
=
37
INCINERATOR — COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
DCASH 0 CHECK 1:1VISA ❑ MC EXPIRES:
I,APN1 VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 526/05
i✓�J 4li'.S.LLI�YIi
Valley
Community Development
Spokane Valley, WA 99206
(509)58g-0036 FAX:(5D9)688-003
WWW cookanev aliee.ore
Plumbing Permit Application
ll
PERIVil I NUMBER:
PERMIT FEE:
Commercial Residential
SITE ADDRESS:
•
V
Building Ower
Name: Phone: Fax:
Address: /+
City: RECEIVED ani Zip,
E
/�
Contractor �\ p/. �/�'`6 in.)6 iVl� t �f ��31�fs,i�ltVQ7!_Li
0,4l ' `, ,�,,
Na;rn: Phone: Fax:AUG 1 3 rLUU 1
.Address: City State: Zip:
License No: City Business Lic: PC WI- CENTER i
Cont.:Act - - - - iiia+
Name:
Phone:
DESCRIPTION OF WORK
X OF UNITS
X COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
Z—
X $5.00
=
2
URINALS
X
$6.00
=
3
TUBS
2.—
X
56.00
=
4
SHOWERS IPER TRAP)
BATH, STALL, ONSITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
56.00
5
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
x
S6.00
=
6
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOF I LNER
X
56.00
=
^ f �^
RIC HOT WATER TANK
NOTE IF GAS. SEE MECHANICAL
11 FLOOR DRAINS
AREA CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
X
$6.OD
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
14
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
X
S6.D0
S6.DD
15 SEWAGE EJECTOR
16 WATER USING DEVICE
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
3
X
55.00
17 CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS,
BOILERS
16 j INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS /per outlet)
NITROUS, OXYGEN
X
X
$6.00
$6.00
2D
MISCELLANEOUS PLUMBING FIXTURE
21
PRIVATE SEWAGE DISPOSAUSYS
22 j INDUSTRIAL WASTE INTERCEPTOR
X
X
$6.00
$20.00
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK D VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
PEV 6� E26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
SPOKE Couvr
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
1
Site Address: 18119 E SHANNON AVE
Parcel Number: 55074.4003
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: PAKIBA LLC
Address: PO BOX 935
OTIS ORCHARDS, WA 99027 -
Building Inspector:
Water Dist:
Project Number: 07005470 Inv: 1 Issue Date: 8/14/2007
Permit Use: SEWER CONNECTION - GREENACRES VALLEY
ESTATES
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: Left: Right:
Group Name:
Project Name:
Rear:
1
Permits
1
Sewer Connection Permit
Contractor: J L HAWKINS EXCAVATING License #: JLHAWE'222LE
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
1
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
8/14/2007
Processed By: Hargrove, Heidi
Printed By: Lemley, Linda Page 1 of 1
Receipt #
4655
Payment Amt
$100.00
PERMIT
NOTICE
It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and
requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's
or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-
way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of
right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely
with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the
owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 -hours notice. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan)
required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site
drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy; completed
inspection record card must be available on site. Manufactured Homes must comply with the manufacturer's installation instructions.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected
prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24-HOUR NOTICE
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Department
of Building & Planning
477-3675
• Construction in a flood plain, Division of Engineering & Roads
477-3600
• Electrical wiring, State Department of Labor and Industries
324-2640
• On-site waste disposal system, Spokane Regional Health District
324-1560
• Road cuts for utilities or driveways, Division of Engineering &
Roads - 48-HOUR NOTICE REQUIRED
477-3600
or State Department of Transportation
456-3000
• Sewer connection, Division of Utilities
477-3604
or City Public Works Department
625-6300
PERMIT EXPIRATION AND REFUNDS
Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for
a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a
minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year
of the date of expiration for one-half the original fee, subject to certain limitations—please call us if you have any questions.
All refund requests must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment.
Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized
more than 180 days after fee payment.
MISTAKE?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please
bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to
the Department of Building and Planning at the below address.
Spokane County Department of Building & Planning
1026 West Broadway Avenue
Spokane, WA 99260
Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133
FORM 30-050202 BLDG PERMIT