2008, 08-14 Permit App: 08003162 Residence Project Number: 08003162 Inv: 1 Application Date: 8/14/2008 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In ormation:
Permit Use: NEW SFR W/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: Nort
Parcel Number: 45173.2409 Block: Lot:
SiteAddress: 9723 E SPRINGFIELD LN Owner:Name: SPRINGFIELD LANE JOINT VENT
Address: 13903 E SPRAGUE AVE
Location::CSV VERADALE,WA 99037
Zoning: R-3 SF Res District
Water District: 011 MODERN Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: w_ ..... : ....... ,tee.
Review
Building Plan Review Released By:
Originally Released: 8/14/2008 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 8/14/2008 By: mpalaniuk
Sewer Review Released By:
Operator: jmm Printed By: jmm Print Date: 8/14/2008
Project Number: 08003162 Inv: 1 Application Date: 8/14/2008 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
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,089 $103,444.11 1,089 $103,444.11
BASEMENT U R-3 VB 1,071 $16,065.00 1,071 $16,065.00
DECK OPEN R-3 VB 100 $1,500.00 100 $1,500.00
GARAGE U-1 VB 734 $13,946.00 734 $13,946.00
Totals: 2,994 $134,955.11 2,994 $134,955.11
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,189.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $475.90
Permit Total Fees: $1,670.15
Mechanical Permit
Contractor: C&K PLUMBING Firm: C&K PLUMBING
Address: PO BOX 18620 Phone: (509)939-2377
SPOKANE WA 99228
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 2 NUMBER OF $20.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $54.00
Operator: jmm Printed By: jmm Print Date: 8/14/2008
•
Project Number: 08003162 Inv: 1 Application Date: 8/14/2008 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: C&K PLUMBING Firm: C&K PLUMBING
Address: PO BOX 18620 Phone: (509)939-2377
SPOKANE WA 99228
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $108.00
FOR 212 N LOCUST,214 N LOCUST&216 N LOCUST(SHP-12-06),A 6-FOOT HIGH SIGHT-
OBSCURING FENCE,WALL OR LANDSCAPING MUST BE INSTALLED ON THE NORTH,
SOUTH AND EAST PROPERTY LINE PRIOR TO ANY BUILDING PERMITS.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,670.15 $1,670.15 $0.00 $1,670.15
Mechanical Permit $54.00 $54.00 $0.00 $54.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,832.15 $1,832.15 $0.00 $1,832.15
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: 8/14/2008
Permit Center 'EY PERMIT NUMBER:
�aT'' 11707 E Sprague Ave,Suite lli'
'-gyp�� a Spokane Valley,WA 99206 /4 -, ^ , '' 1111.) PERMIT FEE:
valley (509)688-0036 FAX:(509)688-0037
Develo ment w�vwspokanevallev.ora.com
7
Community P _- ---._
Residential Construction ew Construction o Accessory Bldg
Permit Application o Addition/Remodel o Deck
❑ Other:
SITE ADDRESS I • P a/i lk) F L
ASSESSORS PARCEL NO: IC f 3,0 ZZ LEGAL DESCRIPTION: L
5e 3. 2-si
ontractor _
Buildin owner - C .Ti�
Name: l �4 Sc n S -
Name: , I�
Address: -
Address: /�1,, Zip: 1'q3 7
Zip: City: lie-Z40 City: Fax:
Phone:
Phone: Fax:
Lie No: E .Date:
Contact perS011 - City Business Lie No:
Name:
Phone:
Describe the scope of work in detail:
Cost of Project: $ 0 bo 0
!Jett) !! e 11—',,A '
The followin_ MUST be com•lete: write N/A if nota• •licable **********************
************** TOTAL ABITABLE SPACE:
HEIGHT TO PEAK: DIMENSIONS:
#OF STO- ES:
MAIN FLOOR TO SQ. 2" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOU SURFACE
AREA:
FTG: Oji 0K /'„r /b 7/Q �/ ,tea
// DEC TIO SQ. FTG: 30%SLOPES ON
SQ.
6-
FINISHED BASEMENT GARAGE SQ. G75 f 0� PROPERTY: et-
FTG: ((n.[�t .� / SEWER OR SEPTIC?
#OF BEDRO•► S: CONSTRUCTION TYPE: HEA
•
DISCLAIMER is for
g,the
The permitee beifie acknowledgesby water.. 2)es by their Ownership of thisrC City of Spokane Valley tPermit construction
to the property owner.3) The
dwellingais/willis served by potableowner in this transaction. 4) All construction is to be done
signatory is the property owner or has permission to represent the property
Sfull compliance the City of)Spokane Valley Development Code.of Spokane Valley Permit Referenced not a permit or pproval'for any violation of federal,state or
Spokane ValleyoPermitoCenter. 5) Thisity Po
local laws,codes or ordinances) '1. s • ad�f ional information may be required to be submitted, and subsequently approved before
this application can be ••.oces -• �� �
can be
Date —/Z
Signature !ik
rif Method of Payment (F ed permit api ations will only be accepted with major ba k A)) ❑ Other
Mastercard 0
0 Cash 0 Check 0 Expires: VIN#:
Bankcard#:
Authorized Signature:
REVISED 8252005
. ,
SVoli-ane 11707 E Sprague Ave,Suite 106 PERMIT NUM3ER.:
.aso'ssaei*ValleY Spokane valley,wA 99206
(509)65g-0036 FAX:(509)6n-0037 PERMIT FEE:
CcrarnunitY Development www.sookanevaIle v.ors,
Mechanical Permit Application 0 Commercial VResidential
SITEADDRESS: q ') Z.3 6_. S Pkiat)(rF/0--D .
. _ . _. . . ..
Suilffirig&freer .
Name: Phone: Fax:
Address: City: State: Zip:
ifejt.4---/).,9
- . . .. .
.. . .
Nam= Phone: Fax
Address: City State: Zip:
License No: City Business Lic:
Contael ---1-:., 2,:•;:.-- •'" • ' • ' ' . - ' :r'2• -'. - ,`-L-• .--. '''I...i'_',, ..,"-?-:-.-,i. ' • ., .
. _
Name: Phonm
•,
DESCRIPTION OF WORKIt OF UNITS X COST IL, TOTAL AMOUNT
,
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 =
2 FUEL BURNING APPLIANCE More than 1600,000 . X $15.00 =
3 UNLISTED APPUANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,00D X $100.00 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400.000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
5 BOILER/REFRIGERATION 101-50DM BTU _ X $20.00 =
9 BOILER/REFRIGERATION 501-1,00DM BTU _ X $25.00 _
10 BOILER/REFRIGERATION 1,001-1,750M 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 I x $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 1-- X $1.00 =
15 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS la , 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 HOODX $50.00 =
24 TYPE II HOOD 1 X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER 15-30 TONX $25.00 =
25 AIR CONDMONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
3D IPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.03 =
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 $12.00 =
36 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 -
METHOD OF PAYMENT: SUBTOTAL
DCASH 0 CHECK 9 VISA D mc EXPIRES: PROCESSING FEE $35.00
VIN:
CARD ft: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 1/2.6105
rf.utPERNM!.I NUMBER;
ey Spok e Valley,WA 99206 _
- -
® (509)588-0036 FAX:(509)688-0037 ..
Corr unity D velaprnent ur tw coakanevalle•_ors PERMIT 1-LE: _
Plumbing Permit Application 11 Commercial KResidential
s:TE ADDS: .q74_5 t. SPa.i,t)C _/tLn
Building Ovrner
Naar: Phone: Fax:
ArIcimss: City State: Zip:
Contractor ,MK f'444046./A) l2 .
-Narre: Phone: Fax:
Address. City Stag Zip:
License No: City Business Lic:
Contact - -- _ _ .. - .. _ _ -
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X _ COST = TOTAL AMOUNT
1 TOILETS _ WATER CLOSET,BIDETS _ `? X $6.00 =
2URINALS X $6.00 , _
3 `TUBS z X $6A0 = .
4 SHOWERS(PER TRAP) BATH,STALL ONSITE BUILT / X , $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN.
5 SINKS LAUNDRY,UTILITY,JANITOR PHOTO, X $6.00 =
X-RAY,FOOD.PREP/CULINARY MEAT _ 5. ,
6 _ DISHWASHER X $6.00 =
7 CLOTHES WASHER X , $6.00 = .
B GARBAGE DISPOSAL / X $6.00 =
9 WATER SOFTENER - _ X_ $6.00 =
10 `ELECTRIC HOT WATER TANK - NOTE: IF GAS,SEE MECHANICAL __ X $6-00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE rX $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS _ _ X .. $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE. NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 __
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6-00 =
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P-B.P.D.FOR VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X _ $8.00 =
19 MEDICAL GAS(per outlet NITROUS.OXYGEN X $6.00 =
20 M1SCE_I ANEOUS PLUMBING FIXTURE _ - X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS _ X $20.00 =
22 _ INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT: _
PROCESSING FEE
DCASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8.r26/05
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PLANNING DEPT. APPROVED •
BY• iiiiare,/..,./
DATE: '/1i/Of
. For City Use Only
CITY OF 7-, • ' p. PLUS Project N rg_ ,.-.)---/ 6 ?
Project Address °�1�j •
pokklfle pr, (/ ri
alle °
y 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 g/ 19/0 sd
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.
IExtra 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