HomeMy WebLinkAbout2005, 07-22 Permit App: 05002492 ResidenceProject Number: 05002492 Inv: 1
Application
Date: 07/22/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 30 Left: 26 Right: 10 Rear: 28
Site Information:
Plat Key:
Contact: SCHMITZ, CLIFFORD & MARGO
Address: 16520 E SECRETARIAT LN
C - S - Z: SPOKANE VALLEY, WA 99037 -
Phone: (000) 000-0000
Group Name:
Project Name:
Name: SHELLEY LAKE 4TH ADD PUD
District: East
Parcel Number: 45244.3012
Block: 2
SiteAddress: 918 S SHELLEY LAKE LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,184 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 12
Owner: Name: SCHMITZ, CLIFFORD & MARGO
Address: 16520 E SECRETARIAT LN
SPOKANE VALLEY, WA 99037 -
Hold: ❑
Depth: 0 Right Of Way (ft): 32
Review
Site Plan Review
Plan Review
Released By:
Sewer Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 07/22/2005
Project Number: 05002492 Inv: 1
Application
Date: 07/22/2005 Page 2 of 3
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
Building Characteristics
Group: R-3 Type: VB
Total Area 3418
Building Height 24
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
2ND FLOOR R-3 VB 576 $43,015.68 576 $43,015.68
BASEMENT U R-3 VB 1,421 $21,315.00 1,421 $21,315.00
COV DECK R-3 VB 104 $1,560.00 104 $1,560.00
GARAGE U-1 VB 720 $13,680.00 720 $13,680.00
RESIDENCE R-3 VB 1,421 $106,120.28 1,421 $106,120.28
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 4,242 $185,690.96 4,242 $185,690.96
Units Unit Desc Fee Amount
1 SELECT $1,475.35
1 SELECT $4.50
1 SELECT $590.14
Permit Total Fees:
Mechanical Permit
$2,069.99
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509) 325-4505
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
Permit Total Fees: $95.00
Operator: K_C Printed By: K_C Print Date: 07/22/2005
Project Number: 05002492 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/22/2005
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Page 3 of 3
Firm: JIMMY'S PLUMBING
Phone: (509) 928-8991
Units Unit Desc
3 NUMBER OF
6 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF.
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$2,069.99 $2,069.99
$95.00 $95.00
$114.00 $114.00
Fee Amount
$18.00
$36.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$114.00
Amount Owing
$2,069.99
$95.00
$114.00
$2,278.99 $2,278.99 $0.00 $2,278.99
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C
Print Date: 07/22/2005
StiOkane
ITO
D
D
Bo1p PERMIT APPLICATION WORKSHEET
iof'Spokane ' el !y Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
`�1` , Spokane Valley, WA 99206
U [] 'k D t hod : (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description: Lt 1-
PER IT DESCRIPTION:
Building Permit
❑ Relocation
y7.
❑ Change in Use ❑ Grading
❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner:
Phone:
Address:
Fax:
City
Contractor:
Phone: ��
Address:
I/CJU-� Rt-;.
City
State
0 Applicant:
Phone:
Address:
Fax:
Zip Code City
State Zip Code
(1/1 �; I' 0 Architect:
Phone: Fax:
7=i;;• " Fax:
State
/2/:-(i;.,
Zip Code
`���
Address:
City
WA State Contractor License #: � •> - /N. ii%'>` Contact:
State Zip -Code
T -P
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:DIMENSION$:
ail'
/ )
/,, x° --,)
# OF STORIES:
7
MAIN FLOOR TO SQ. FTG:
Jg&I
2""' FLOOR SQ. FTG:
s)L,
UNFIN BASEMENT SQ. FTG:
!'�zi
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOUR
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
1/ ,
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? - ..!w
PLUMBING PERMIT APPLICATION.
SOkan.le Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Cali (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: Permit Use:
Owner. Phone (Daytime Contact):
Mailing Address:
Contractor:
Mailing Address:
City
State Zip Code
A) (, License It: Phone #:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
6 OF UMTS
X
COST
-
TOTAL AMQUNT
1
TOILETS
WATER CLOSET, BIDETS
a
X
18.00
=
•
2
URINALS
X
*6.00
=
3
TUBS
X
*6.00
=
4
SHOWERS (PER TRAP)
BATH. STALL. ON-SITE BUILT
I
X
*6.00
=
5
SINKS
LAVSBASNS. BAR. FLOOR, I0TCHEN,
LAUNDRY. UTILITY, JANITOR PHOTO.
PIGXI
X-RAY. FOOD. PRENARY TEAT
/
(fir
X
*6.00
=
8
DISHWASHER
1
X
16.00
=
7
CLOTHESWASHER
1
X
*6A0
=
8
GARBAGE DISPOSAL
1
X
*6.00
=
9
WATER SOFTENER
X
*6.00
=
10
ELECTRIC HOT MINTER TAMC
NOTE E GAS, SEE IECHANICAL
X
*6.00
=
11
FLOOR DRAINS
AREA. CASE, COIL, TRENCH, CONDENSATE
1
X
*6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
*600
=
,
13
FOUNTAINS. DRINKING
X
*6.00
=
14
WATER WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION. ALTERATION, REPAR,
REVERSALS
X
16.00
=
15
SEWAGE EJECTOR
GRINDER. SUMP PUMP
X
*6.00
=
16
WATER USING DEVICE
ICE AMOK COFFEE MAKER. HOSE BIB.
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
*6.00
=
18
INTERCEPTORS
GREASE TRAP. SAND TRAP.
CFEINCAL HOLDING TANK
X
*8.00
=
19
MEDICAL GAS (per cullet)
NITROUS, OXYGEN
X
18.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
16.00
=
21
PRIVATE SEWAGE
X
120.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
*15.00
=
METHOD OF PAYMENT:
0 CASH ❑ CHECK
DATE
SUBTOTAL
13VISA 0 MASTERCARD
PROCESSING FEE i
*25.00
EXPIRES:
11j
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
sg&ft
Project Address:
Owner.
Mailing Address:
MECHANICAL. PERMIT APPUCATION Community Development Department
Building Division
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 888-0054 Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Cay
Contractor: rt1 iii» i-fek:Ti Iv C, License #: Phone #:
State
Zoo Cod.
•
Do Code
M/OIIR1,s
AVVIfiW. -- --- Ga►
WORK
, SOF OF UNITS
X
COST
=
TOTAL AMOUNT
DESCRIPTOR OF
Equal to or less than 100,000
1 j
X
512.00
=
1
FUEL BURNING APPLIANCE
APPLIANCE
More than 100,000
X
515.00
=
2
FUEL BURNING
(Additional Fee)
Equal to or less than 400.000
X
550.00
=
3
UNUSTED APPLIANCE
16onal Fee)
More tan 400.000
X
5100.00
=
4
UNLISTED APPLIANCE (Ad
min. AFUE rating}
Equal to or Ness Ofan 400,000
X
550.00
=
5
USED APPLIANCE (WSEC
rein. AFUE rand
More than 400.000
X
5100.00
=
6
USED APPLIANCE (MEC
1-100M BTU
X
512.00
=
7
-
BOILER/REFRIGERATION
101 - 50061.13111
X
520.00
=
8
BOILER/REFRIGERATOR
501-1,004 BTU
X
525.00
9
10
BOILER/REFRIGERATION
1,001 - i.75MM BTU
X
535.00
=
'
BOILER/REFRIGERATION
More Stan 1,75064 BT11-
X
560-00
=
11
TION
GAS INSERT, GAS FIREPLACE
,
X
510.00
=
12
GAS LOG,
X
510.00
=
13
RANGE
X
510.00
=
14
DRYER
IN
FUEL BURNING WATER HEATER
f
1
, X
510.00
_
15
BURNING APPLIANCE
X
510.00
h =
16
MISC. FUEL
PIPING (each outlet)
j
X
51.00
=
17
GAS
DUCT SYSTEMS
X
510.00
=
18
VENTILATING FANS
/4
X
MOO
=
19
AIR HANDLER NOT include ducting)
FAN b or less than 10,000 CFM
Greaser than 10,000 CFM
X
X
512.00
515.00
=
=
20
(DOES
AIR HANDLER (DOES NOT include ducir9)
21
COOLERS
X ,
510.00
=
22
EVAPORATIVE
TYPE 114000
X
550.00
=
23
TYPE 8 HOOD
/
X
510.00
=
24
HEAT. PUMPMMR CONDITIONER
0-3 TON
X
512.00
=
25
26
AR COMMONER
3-15 TON
X
52000
=
27
AIR CONDITIONER
15.30 TON
- X
525.00
28
Alt COMMONER
30-50 TON
X
135.00
=
29
AR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET S TOVEIRT
X
510.00
=
WOOD STOVE - FREE STANDING
X
525.00
=
32
Ni ADDITIONS
•
X
515.00
=
33
RE'P'AIR
SYSTEMS
X
512.00
=
34
VENTILATION
MECHANICAL EXHAUST
'
X
$12-00
=
35
VENTILATION
X
510.00
=
38
INCINERATOR -RESIDENCE
COME RCIAL
X
522.00
=
37
INCINERATOR -
IWT14013 OF PAYMENT:
0 CASH 0 CHECK 0 VISA MC
o
DAIS
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
CARD F:
177'28'12"E 6.34'
1 0
8,513 S.F',.
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the propo al. All known property
lines/dimensions, curb li s, ru • ures d ease : nts
have been identifi in • ca - d Ire wet l . ds.
bodies of si. - i .` itical aAl:11/41-Miglia/ ArralallilijillIl21
nod: 0