2005, 12-07 Permit App: 05004574 Residence Project Number: 05004574 Inv: I Application Date: 12/07/2005 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-GAS Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E.SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 25 Left: 10 Right: 32 Rear: 58 Phone: (509)922-4297
Group Name:
Site Information Project Name:
Mffifil
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: West
Parcel Number: 45345.9146 Block: 4 Lot: 1
SiteAddress: 3721 S VERCLER LN 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: Hold: ❑
Area: 9,569 Sq Ft Width: 50 Depth: 97 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: . _
Review
Site Plan Review Released'By
Originally Released: 12/05/2005 By: cjjanssen
Plan Review Released,
Originally Released: 12/07/2005 By: TMELBOU
Sewer Review Released..By:
Originally Released: 12/05/2005 By: cjjanssen
Permits: .z.: . ..m.
Operator: CJJ Printed By: KKZ Print Date: 12/07/2005
•
Project Number: 05004574 Inv: 1 Application Date: 12/05/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E.SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 25 Left: 10 Right: 32 Rear: 58 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: West
Parcel Number: 45345.9146 Block: 4 Lot: 1
SiteAddress: 3721 S VERCLER LN 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: Hold: ❑
Area: 9,569 Sq Ft Width: 50 Depth: 97 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan ReviewReleased1 �'ii�d���"��
y
Originally Released: 12/05/2005 By: cjjanssen
Plan Review
Released rIL99
Sewer Review [Released By:, ,
Originally Released: 12/05/2005 By: cjjanssen
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Operator: CJJ Printed By: CJJ Print Date: 12/05/2005
Project Number: 05004574 Inv: 1 Application Date: 12/05/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509)325-4505
SPOKANE,WA 99202
Plumbing Permit
Contractor: JIMMY'S PLUMBING Firm: JIMMY'S PLUMBING
Address: 1702 S MAMER Phone: (509)928-8991
SPOKANE,WA 99216
Notes :..:= 44. :mow .,. .._. _ _ r. .: .
�a� ��� �._� sur.. .m �.�
Payment
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: CJJ Printed By: CJJ Print Date: 12/05/2005
Project Number: 05004574 Inv: 1 Application Date: 12/07/2005 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
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 2ND FLOOR 770 $57,503.60 770 $57,503.60
BASEMENT U R-3 VB BASEMENT 444 $6,660.00 444 $6,660.00
UNFINISHE
D
GARAGE U-1 VB GARAGE 440 $8,360.00 440 $8,360.00
RESIDENCE R-3 VB MAIN 928 $69,303.04 928 $69,303.04
FLOOR
Totals: 2,582 $141,826.64 2,582 $141,826.64
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,228.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $491.58
Permit Total Fees: $1,725.03
Mechanical Permit
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509)325-4505
SPOKANE,WA 99202
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 4 NUMBER OF $40.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: CJJ Printed By: KKZ Print Date: 12/07/2005
Project Number: 05004574 Inv: 1 Application Date: 12/07/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: JIMMY'S PLUMBING Firm: JIMMY'S PLUMBING
Address: 1702 S MAMER Phone: (509)928-8991
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
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
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Payment Summary: ,.. � .nom :.: u .,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,725.03 $1,725.03 $0.00 $1,725.03
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$1,895.03 $1,895.03 $0.00 $1,895.03
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: CJJ Printed By: KKZ Print Date: 12/07/2005
Permit Center
Spokane 11707E Sprague A147 tell 0i1,...7,
I t0 '''ti Isc-' .ai PERMIT NUMBER:
Spokane Valley,WA fi9 06 __ PERMIT FEE:
,,jtley (509)688-0036 FAx:'. S09)688-0037
Community Development www.spokanevalley.org.c9m (--\5
Residential Construction ' - LADI 1-1 WI \--1:—Al
- l hl?Iew Construction o Accessory Bldg
Permit Application o Addition/Remodel o Deck
o Other:
SITE ADDRESS l3 1 Z I S , Ua.64 /,t�
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: LOT 1_ Q LK_ -1 pi ' /
Building owner - c. . .: Contractors .-_._ :
Name: C M V W\'-Z _ Name: e.,[:-„c:� s--,A. nit 1
Address: Address: I (o SZO E • 5 '/nU t eQ 4-
City: Zip: City U j J3'L-e- Zip: i Q 3
Phone: Fax: Phone: 04Q-1 9 3 3 Fax: V I giir]1
s Lie N titap Exp Date: )-Zpp r)
Coma... _ .- n �_. ._: • City .
No: �F �SG fD
,._._ Business Lic No:
Name: C, L\e i 5 C1•A-rek VIZ.
Phone: 4 qa-'7-7 33
Describe the scope of work in detail: Cost of Project: $
'Je lk) as to, c_e___
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO P DIMENSIONS: #OF STORIES: TOTAL ;,• :(TABLE SPACE:
Z- tom. 361 Z L-1- f2--
MAIN FLOOR TO SQ. 21"'FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
ill
/, l
FTG: 1 Z t`l % i - - 770 7 7� a/` AREA
t
FINISHED BASEMENT GARAGE SQ. FTG: DECK/CO PATIO SQ. FTG: 30%SLOPES O
SQ. FTG: O ,73* -, PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
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) City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordina . . .) • - - or-a a i• -I information may be required to be submitted,and subsequently approved before
this application can be p a Ara-1--/--a.
/'
Signature
�_4/ Date g-3 eS
Method of Paym- (Faxed perm'/pplications will only be accepted with major bankcard)
0 Cash 0 Ch' 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
ipotiane l ►►iu i n Sprague Ave,JUDE WO PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development w.w.a.spo evallev.org.conl
Plumbing Permit Application ❑ Commercial ❑Residential
SITE ADDRESS: (. 17 7 I
Building owner
Name: Phone: Fax:
Address: City. State: Zip:
Contractor . . '= I+'h YY1`I 5 ,a1.fila/A)6 .
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Contact „ • ,, ..
Name: Phone:
DESCRIPTION OF WORK $OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 4_3 X $6.00 =
2 _URINALS X $6.00 =
3 'TUBS X $6.00 , =
4 SHOWERS(PER TRAP) BATH.STALL,ON-SITE BUILT 6/` X $6.00 =
LAVSIBASINS.BAR,FLOOR KITCHEN. r
5 SINKS LAUNDRY,UTILITY,JANITOR PHOTO. 1 /. X $6.00 =
X-RAY,FOOD,PREP/CUUNARY MEAT 7
6 DISHWASHER , X $6.00 =
7 CLOTHES WASHER j X $6.00 =
8 GARBAGE DISPOSAL / X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL / X _ $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE l X $6.00 =
ROOF DRAINS/OVERFLOW
12 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 2 X $6.00 =
PROOFER,CARBONATOR SWAMP COOLER 3
VACUUM BREAKER,CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 =
GREASE TRAP.SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X , $6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAIJSYS X . $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA ❑ MASTERCARD $35.00
Card# EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 6r26ro5
Permit Center
- ne 11707E Sprague Ave,Suite 106' PERMIT NUMBER:
....*Valley Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development aww.snokanevallry.org.gpm
Mechanical Permit Application ❑ Commercial Residential
SITE ADDRESS: :3'1 7,I
Building owner .
Name: Phone: Fax:
Address: City: State: Zip:
.Contractor.. . 5' -f-'1't'1. s Rs .. . . .
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Coateet
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 = • ,
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 $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 , =
7 BOILER/REFRIGERATION 1-10DM BTU X $12.00 =
8 BOILER/REFRIGERATION 101-500M BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M 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 1 X $10.00 =
16 MISC.FUEL BURNING APPLIANCE , X $10.00 =
17 GAS PIPING(each outlet) T/ X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 11 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 $10.00 =
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 TON X , $25.00
28 AIR CONDITIONER 30-50 TON X $35.00 = ,
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 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 $12.00 =
36 INCINERATOR-RESIDENCE X $19.00 = .
37 INCINERATOR-COMMERCIAL X $22.00
METHOD OF PAYMENT: SUBTOTAL
()CASH 0 CHECK ❑VISA ❑MC DATE PROCESSING FEE $35.00
EXPIRES:
CARD TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 826/05