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2007, 08-16 Permit App: 07003185 ResidenceProject Number: 07003185 Inv: I Application Date: 8/16/2007 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: SINGLE FAMILY RESIDENCE -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 District: East Parcel Number: 55074.4005 Block: Lot: SiteAddress: 18211 E SHANNON AVE Owner: Name: CLIFF SCHMITZ CONSTRUCTIO Address: 16520 E SECRETARIAT Location:: CSV SPOKANE VALLEY WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Re)eased'By: Originally Released: 8/16/2007 By: TMELBOU Landuse/Zoning/HE ConditionseTea$eBy Sewer Review Originally Released: 8/15/2007 By: cjjanssen Released by: Originally Released: 8/16/2007 By: JLMain Permits: >. ..= Operator: jmm Printed By: jmm Print Date: 8/16/2007 Project Number: 07003185 Inv: I Application Date: 8/16/2007 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit — - - — -- — Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO Address: 16520 E SECRETARIAT Phone: (509) 922-4297 VERADALE WA 99037 Description Grp Type Notes 1&2 FAMILY R-3 VB 2ND FLOOR R-3 VB BASEMENT U R-3 VB DECK OPEN R-3 VB GARAGE 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<=I00,000BTU GAS PIPING VENTILATING FANS HOOD -TYPE II Permit Total Fees: $54.00 Operator: jmm Printed By: jmm Print Date: 8/16/2007 Page 2 of 3 This Application: Total Project: Sp Ft Valuation So 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 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) 9224297 Units Unit Desc Fee Amount 1 NUMBER OF $10.00 1 NUMBER OF $12.00 2 # OF UNITS $2.00 2 NUMBER OF $20.00 1 NUMBER OF $10.00 Permit Total Fees: $54.00 Operator: jmm Printed By: jmm Print Date: 8/16/2007 Page 2 of 3 Project Number: 07003185 Inv: 1 Application Date: 8/16/2007 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 Plumbing Permit _- -- —""-- - Firm: CLIFF SCHMITZ CONSTRUCTIO Phone: (509)922-4297 Units Unit Desc Fee Amount 2 NUMBER OF $12.00 3 NUMBER OF $18.00 2 NUMBER OF $12.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 3 NUMBER OF $18.00 Permit Total Fees: $84.00 Notes:, a. Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,709.35 $1,709.35 $0.00 $1,709.35 Mechanical Permit $54.00 $54.00 $0.00 $54.00 Plumbing Permit $84.00 $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: 07003185 Inv: I Application Date: 8/14/2007 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: VQWAVXVST Permit Use: SINGLE FAMILY RESIDENCE -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: r"& -. . Plat Key: Name: Range District: East Parcel Number: 55074.4005 Block: Lot: SiteAddress: 18211 E SHANNON AVE Owner: Name: CLIFF SCHMITZ CONSTRUCTIO Address: 16520 E SECRETARIAT Location:: CSV SPOKANE VALLEY WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 0 Sq Ft 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: (► _� _] Landuse/Zoning/HE Conditions Released By: Sewer Review Released By;. � Permits its: Operator: jmm Printed By: jmm Print Date: 8/14/2007 Ptoject Ndmber: 07003185 Inv: 1 Application Date: 8/14/2007 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 DECK OPEN R-3 VB GARAGE 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 W $78,386.88 858 $78,386.88 z 7 4M $32,187.08 431 $32,187.08 8-5-9 $12,870.00 858 $12,870.00 40 $600.00 40 $600.00 X52 &N $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) 9224297 Units Unit Desc Fee Amount 1 NUMBER OF $10.00 1 NUMBER OF $12.00 2 # OF UNITS $2.00 2 NUMBER OF $20.00 1 NUMBER OF $10.00 Permit Total Fees: $54.00 Operator: jmm Printed By: jmm Print Date: 8/14/2007 Project Number: 07003185 Inv: I Application Date: 8/14/2007 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 Plumbing Permit Firm: CLIFF SCHMITZ CONSTRUCTIO Phone: (509) 9224297 Units Unit Desc Fee Amount 2 NUMBER OF $12.00 3 NUMBER OF $18.00 2 NUMBER OF $12.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 3 NUMBER OF $18.00 Permit Total Fees: $84.00 Notes:.. x 9... Payment Summary: v� �a >:_ a� z s sx AAAV, Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,709.35 $1,709.35 $0.00 $1,709.35 Mechanical Permit $54.00 $54.00 $0.00 $54.00 Plumbing Permit $84.00 $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: 8/14/2007 Project Number: 07003185 Inv: 1 Application Date: 8/14/2007 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: SINGLE FAMILY RESIDENCE -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: x Plat Key: Name: Range District: East Parcel Number: 55074.4005 Block: Lot: SiteAddress: 18211 E SHANNON AVE Owner: Name: CLIFF SCHMITZ CONSTRUCTIO Address: 16520 E SECRETARIAT Location:: CSV SPOKANE VALLEY WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ., Review Building Plan Review Landuse/Zoning/HE Conditions Sewer Review Permits: M .. ZzMenm Operator: jmm Printed By: jmm Print Date: 8/14/2007 .Project Number: 07003185 Inv: I Application Date: 8/14/2007 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: CLIFF SCHMITZ Address: 16520 E SECRETARIAT VERADALE WA 99037 Building Permit Firm: CLIFF SCHMITZ CONSTRUCTIO Phone: (509) 922-4297 Contractor: CLIFF SCHMITZ Address: 16520 E SECRETARIAT VERADALE WA 99037 Item Description GAS WATER HEATER GAS APPLIANCE<=I00,000BTU GAS PIPING VENTILATING FANS HOOD -TYPE II Permit Total Fees: $1,709.35 Mechanical Permit Firm: CLIFF SCHMITZ CONSTRUCTIO Phone: (509) 922-4297 Units Unit Desc This Application: Total Project: Description Grp Type Notes SQ Ft Valuation Sg Ft Valuation 1&2 FAMILY R-3 VB NUMBER OF 858 $78,386.88 858 $78,386.88 2ND FLOOR R-3 VB 431 $32,187.08 431 $32,187.08 BASEMENT U R-3 VB 858 $12,870.00 858 $12,870.00 DECK OPEN R-3 VB 40 $600.00 40 $600.00 GARAGE U-1 VB 820 $15,580.00 820 $15,580.00 Totals: 3,007 $139,623.96 3,007 $139,623.96 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,217.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $487.10 Contractor: CLIFF SCHMITZ Address: 16520 E SECRETARIAT VERADALE WA 99037 Item Description GAS WATER HEATER GAS APPLIANCE<=I00,000BTU GAS PIPING VENTILATING FANS HOOD -TYPE II 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 Permit Total Fees: Fee Amount $10.00 $12.00 $2.00 $20.00 $10.00 $54.00 Operator: jmm Printed By: jmm Print Date: 8/14/2007 11 Project Number: 07003185 Inv: I Application Date: 8/14/2007 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 Plumbing Permit Firm: CLIFF SCHMITZ CONSTRUCTIO Phone: (509)922-4297 Units Unit Desc Fee Amount 2 NUMBER OF $12.00 3 NUMBER OF $18.00 2 NUMBER OF $12.00 1 ' NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 3 NUMBER OF $18.00 Permit Total Fees: $84.00 Notes: Payment Summary,:, Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,709.35 $1,709.35 $0.00 $1,709.35 Mechanical Permit $54.00 $54.00 $0.00 $54.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1,847.35 $1,847.35 $0.00 $1,847.35 Disclaimer. Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 8/14/2007 Its Valley Project Transmittal City of Spokane Valley Community Development Department 11703 E. Sprague Ave, Suite B3 Spokane Valley, W:1 99206 Phone: 509.688.0036 New project Previous pre -app meeting El Plan revisions 11 Transmittal Date: Tuesday, August 14, 2007 Site Address: 18211 E SHANNON AVE Project Number. 07003185 Parcel Number: 55074.4005 Zoning: UR -3.5 Water District: CONSOLIDATED ID #19 Fire District: FD 01 Applicant: CLIFF SCHMITZ CONSTRUCTION 16520 E. SECRETARIAT VERADALE, WA 99037 (509) 922-4297 e-mail: CLIFFS@CET.COM Contact: CLIFF SCHMITZ CONSTRUCTION 16520 E. SECRETARIAT VERADALE, WA 99037 (509) 922-4297 e-mail: CLIFFS(a)CET.COM Owner. CLIFF SCHMITZ CONSTRUCTION 16520 E SECRETARIAT SPOKANE VALLEY WA 99037 e-mail: Occupant: e-mail: Contractor: CLIFF SCHMITZ CONSTRUCTION Arch / Engineer: 16520 E SECRETARIAT VERADALE WA 99037 (509) 922-4297 e-mail: Project SINGLE FAMILY RESIDENCE -SEWER Description: Please send all plan review and project comments via e-mail to the highlighted individuals. RECEIVE© BY aa _ Permit Center CITY OF SPOKANE VALLEY. PERMIT NUMB C� ��T''"` 11707 E Sprague Ave, Suite 106 2007 ,j#6 ane Spokane Valley, WA 99206 AUG 1 PERMIT FEE: .,;,00Va11ey (509)688-0036 FAX: (509)68$, ENTER Community Development «����'•s okanevalle .ori a 1' Residential Construction ❑ New Construction ❑ Accessory Bldg Permit Application ❑ Addition/Remodel ❑ Deck ❑ Other: SITE ADDRESS 19 Z l ASSESSORS PARCEL NO: Building owner Name: Address: City: Zip: Phone: Fax: Contact Person Name: /— Phone- q77-7-2-3-3 Describe the scope of work in detail: LEGAL DESCRIPTION: Cost of Project: $ 0`0 0 ___J NrrTcrr hP emmnlipte- (write N/A if not applicable)********************** 1 uc AV" HEIGHT TO PEAK: TV— ---- - DIMEN ION�S:Z # OF STO IES: TOTAL HABITAB� SPACE: MAIN FLOOR O SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: •, AREA: FINISHED BASEMENT GARAG SQ. FTG: C� DECK/COV. ATIO SQ. 0 FTG: r `" 30% SLOPES ON PROPERTY: SQ. FTG' CONSTRUCTION TYPE: HEAT SOURC : SEWER OR SEPTIC? # OF BEDROOMS: DISCLAIMER The permitee vera ies, 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 ordinances. 6v P ns r additional information may be required to be submitted, and subsequently approved before this application cin be pr e se9yl /� Signature Method of P ❑ Cash Bankcard #: Authorized Signature: REVISED 8/25/2005 Date �—/ /—Cr? :ed per applications will only be accepted with major bankcard) Other ❑ C k ❑ Mastercard ❑ VISA ❑ Expires: VIN#: Project Transmittal City of Spokane Valley Community Development Department 11703 E. Sprague Ave, Suite B3 Spokane Valley, WA 99206 Phone: 509.688.0036 New project Previous pre -app meeting Plan revisions Transmittal Date: Tuesday, August 14, 2007 Site Address: 18211 E SHANNON AVE Project Number. 07003185 Parcel Number. 55074.4005 Zoning: UR -3.5 Water District: CONSOLIDATED ID #19 Fire District: FD 01 Applicant: CLIFF SCHMITZ CONSTRUCTION 16520 E. SECRETARIAT VERADALE, WA 99037 (509) 922-4297 e-mail: CLIFFS@CET.COM Contact: CLIFF SCHMITZ CONSTRUCTION 16520 E. SECRETARIAT VERADALE, WA 99037 (509) 922-4297 e-mail: CLIFFS(a)CET.COM Owner. CLIFF SCHMITZ CONSTRUCTION 16520 E SECRETARIAT SPOKANE VALLEY WA 99037 e-mail: E C F rI V/ 11D Occupant: AUG 1 e-mail: 7ill)j Contractor: CLIFF SCHMITZ CONSTRUCTION Arch/Engineer: 16520 E SECRETARIAT VERADALE WA 99037 (509) 922-4297 e-mail: Project SINGLE FAMILY RESIDENCE -SEWER Description: Please send all plan review and project comments via e-mail to the highlighted individuals. 11707 E Sprague .Ave, Suite 105 PERIVHT IvU�'BER: Tally SpoY.ane Valley,'hrA 919205--1 V (509)588-0036 FAX: (509)6MI 88-0037 PERT FEE: Community Development v c+tiz snoY.anc, allev.ors Mechanical Permit Application ❑ Commercial esidential ) V 7! 1 /,-. C A 4 r\ o"h^ AUTHORIZED SIGNATURE: REVISED 626/05 Building Ovrner CRY C � �"�`f� 1/:�! Phone: Fax: LE Name: City. State: Address: Contractor - I Irl1 Phone: F Name. City. State: Address: City Business Lic: License No: Contact Name: Phone: it OF UNITS X COST = TOTAL AMOUNT DESCRIPTION OF WORK 1 FUEL BURNING APPLIANCE Equal to or less than 10D,ODD X S12 -DD = 2 FUEL BURNING APPLIANCE More than 100,0DD X 3 UNLISTED APPLIANCE Additional Fee Equal to or less than 40D,ODD X $SD.OD = 4 UNLISTED APPLIANCE Additional Fee More than 4DD,OOD X $100.DD = 5 USED APPLIANCE SEC min. AFUE ratio Equal to Dr less than 4DD.DDD X $50.00 = 6 USED APPLIANCE SEC min. AFUE ratio More than 4DD.DDD X $100.1)1 = 7 BOILER/REFRIGERATION 1 - loom BTU X $12.00 = 8 BOILERIREFRIGERATIDN 101 - 5DDM BTU X $20.00 9 BOILER/REFRIGERATIDN Sol - 1,ODDI✓i BTU X $25.00 = 1D BOILERIREFRIGEP.ATIDN 1,0D1 - 1,75DM BTU X $35.DD = 11 BOILERJREFRIGERATIDN More than 1,750M BTU X 12 GAS LOG, GAS INSERT,.GAS FIREPLACE X $10.00 = X $10.00 = 13 RANGE X $1D.D0 = 14 DRYER 15 FUEL BURNING WATER HEATER X $10.0D = 16 MISC. FUEL BURNING APPLIANCE X 17 GAS PIPING each outlet X $1.DD = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER DOES NOT include ductin Equal to or less than 10,000 CFM X $12.01 = 21 AIR HANDLER PDES NOT indude duciin Greater than 10.DDD CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.OD = 23 TYPE I HOOD X $50.00 = 24 TYPE 11 HOOD X $10.DD = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $2D.DD = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.0D = 29 AIR CONDITIONER More than 50 TON X $60.DD = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVEnNSERT X $1D.DD = 32 WOOD STOVE - FREE STANDING X $25.OD = 33 REPAIR & ADDITIONS X $15.OD = 34 VENTILATION SYSTEMS X $12.DD = 35 VENTILATION MECHANICAL EXHAUST X $12.DD = 36 INCINERATOR - RESIDENCEX $19.00 = 37 INCINERATOR - COMMERCIAL X $22.01 = METHOD OF PAYMENT: SUBTOTAL DCASH D CHECK ❑ VISA D MC EXPIRES: PROCESSING FEE S35.DD - -^ VIN: TOTAL PERMIT FEE DUE: I __ AUTHORIZED SIGNATURE: REVISED 626/05 t fives uic� Jr �; �� Iva PEkP3rilT Iq)M,BER Spoi:a-.)e Valley, WA °9206 (509)588-0D36 FAX' (509)69F,-003-/PExZMI"T FEE: Co Tmnuni`y Dwe}opment «.3�kane�alle Plumbing Permit Application ❑Commercial Residential Building Owner Name: = B PhDDe: F Y - _ f r Addis: City. ! :, h Contractor AUG 007 Name: Phone: Fax: Addrrss: City: t tate lipciItip: License No: City Business Lic: �. cvutict ?dame: Phone: DESCRIPTION OF WORK S OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X X 14 2 URINALS 3 TUBS X S6 -DD = SEWAGE EJECTOR GRINDER SUMP PUMP 4 SHOWERS ER TRAP BATH, STALL. ONSTTE BUILT X $6.0D = ICE AN/OR COFFEE MAKER, HOSE BIB, 5 LAVS/BASINS, BAR, FLOOR, KITCHEN, SINKS LAUNDRY, LML17Y, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $5 -DO = 5 DISHWASHER X S6.D0 = $6_0o 7 CLOTHES WASHER X S6.DD = 8 GARBAGE DISPOSAL X S6.OD = AND R_P.B.P.D. FOR VATS, TANKS, 9 WATER SOFTENER X S6.OD = CROSS CONNECTION DEVICE BOILERS 1 D ELECTRIC HOT WATER TANK NOTA IF GAS, SEE MECHANICAL X $6 DD = AREA, CASE, COIL, TRENCH, 1 i FLOOR DRAINS CONDENSATE X 56.00 18 12 ROOF DRAINS/OVERFLOW DRAINS X 13 FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, NSTALLATION, ALTERATION, REPAIR X 14 VENT, PLUMBING, REVERSAL REVERSALS X $6 DD - 15 SEWAGE EJECTOR GRINDER SUMP PUMP X S5.D0 = ICE AN/OR COFFEE MAKER, HOSE BIB, 15 WATER USING DEVICE STEAMER PP,OOFER, CARBONATOR, SWAMP X $6_0o COOLER J VACUUM BREAKER, CHECK VALVE, AND R_P.B.P.D. FOR VATS, TANKS, 17 CROSS CONNECTION DEVICE BOILERS X 18 INTERCEPTORS GREASE TP.AP, SAND TRAP, CHEMICAL. HOLDING TANK X $6.DD = 19 MEDICAL GAS (2er Outlet NITROUS, OXYGEN X S6. DD = 20 MISCELLANEOUS PLUMBING FR URE X 56.00 - 21 PRIVATE SEWAGE DISPDSAUSYS 22 1 INDUSTRIAL WASTE INTERCEPTOR X S15.DD = METHOD OF PAYMENT: SUBTOTAL Dr -ASH ❑ CHECK ❑ VISA ❑ MCPROCESSING F�PIP,ES. FEE Care $35.Do VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 626105 SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 SPORE cbmy Site Information Site Address: 18211 E SHANNON AVE Parcel Number: 55074.3605 Subdivision: RANGE Block: Lot: Zoning: UNK Unknown Owner: CLIFF SCHMITZ CONSTRUCTION INC Address: 16520 E. SECRETARIAT VERADALE, WA 99037 Building Inspector: Water Dist: Sewer Connection Permit Project Information Project Number: 07005471 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: Rear: Group Name: Project Name: Permits ['nntrartor: 11, 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, rrrrr r rnTXT(' TuncF RFI .ATFD TO TRENCH SAFETY. Total Fees AmountPaid AmountOwine $100.00 $100.00 $0.00 Payment Summary Tran Date Receipt # Payment Amt 8/14/2007 4655 $100.00 Processed By: Hargrove, Heidi PERMIT Printed By: Lemley, Linda Page 1 of 1 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 • Road cuts for utilities or driveways, Division of Engineering & of Building & Planning Roads - 48-HOUR NOTICE REQUIRED 477-3675 477-3600 or State Department of Transportation • Construction in a flood plain, Division of Engineering & Roads 456-3000 477-3600 • Sewer connection, Division of Utilities • Electrical wiring, State Department of Labor and Industries 477-3604 324-2640 or City Public Works Department 625-6300 • On-site waste disposal system, Spokane Regional Health District 324-1560 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 I pr 819611 L RECEIVED BY � S AMY OF SPOKANE VALLEY LO 1" 5 AUG 13 2007 9,4843 S 4PER MkTCENTER CD 44 C-) CD Ln CD co PL 0, R 18211 E, SHANNON AVE PLANNING DET. APPROVE, K 4-/ BYLL...j_ 4-e j ; �%_ r `�p pn .0-1 DATE: 5''' -�� cl s PROJECT #: 07003185 18211 E SHANNON AVE F� - .:�