2007, 06-25 Permit App: 07002417 Residence Project Number: 07002417 Inv: 1 Application Date: 6/25/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
$ bttk „+.�."...,
Permit Use: SFR W/ATT GAR Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E.SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 33 Left: 13 Right: 13 Rear: 49 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
MMINSENWISTAIS
Plat Key: Name: Range District: Sout
Parcel Number: 45342.2813 Block: Lot:
SiteAddress: 3726 S VERCLER LN Owner:Name: SCHMITZ,CLIFFORD M&MARG
Address: 16520 E SECRETARIAT LN
Location::CSV VERADALE,WA 99037-
Zoning: UR-3.5 Urban Residential 3.5
Water District: 101 SPO CO WATER DIST#3B Hold: ❑
Area: 8,060 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lv'm4: i�iS9SR '+,„„ ,„;„ ^u9w'k.:a;..a°aa;7JJS7tla71H'”� dk7:e' xvz.:.-ddAaa'GNarnY:�'Y%::�
Review
Building Plan Review Released
Originally Released: 6/25/2007 By: TMELBOU
Driveway/Approach Released By:
Landuse/Zoning/HE ConditionsReleased By: 'fit .en
Sewer Review Released By:
Operator: JD Printed By: JD Print Date: 6/25/2007
Project Number: 07002417 Inv: 1 Application Date: 6/25/2007 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
Building Height 24
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 929 $84,873.44 929 $84,873.44
2ND FLOOR R-3 VB 771 $57,578.28 771 $57,578.28
BASEMENT U R-3 VB 929 $13,935.00 929 $13,935.00
DECK OPEN R-3 VB 18 $270.00 18 $270.00
GARAGE U-1 VB 440 $8,360.00 440 $8,360.00
Totals: 3,087 $165,016.72 3,087 $165,016.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,363.35
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $545.34
Permit Total Fees: $1,913.19
Mechanical Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
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 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: JD Printed By: JD Print Date: 6/25/2007
Project Number: 07002417 Inv: 1 Application Date: 6/25/2007 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 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
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Notes:
Payment Summary: a- : -,, .. :. r -sem;
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,913.19 $1,913.19 $0.00 $1,913.19
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$2,094.19 $2,094.19 $0.00 $2,094.19
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: JD Printed By: JD Print Date: 6/25/2007
Permit Center EHWE i T NUMBER: ��
+nom' 11707 E Sprague Ave,Suite 106 D (�
�Y��e Spokane Valley,WA 99206 �' IT FEE:
j�Taliey (509)688-0036 FAX:(509)688 3 :iris? —
Community Development ww spokanevallev.ora.com_
D. Inn R ��� ❑ Accessory Bldg
746 PJImt it IP;
Construction
Permit Application o Addition/Remodel o Deck
❑ Other:
SITE ADDRESS Att J f.,' 'AGD f �1�� �-j ? J Dt
+ � �n�
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION L (J 1
_..
Building owner Contractor - QST• r.-4\g—
Address:
Name: (I t S fi'llTL
Name:
Address: I (v SZo 6... sa a.. n +-
Address:
City: Ve..f' '9lq-L2 Zip: 7O 7
Zip: ��( -q LI-)l
City: 9qg-?7 3 3 Fax:
Phone:
Fax: Phone:
Lic No: Exp.Date:
Contact Person City Business Lic No:
Name:: � LH SC.-(+ %n
Name:
Phone: 01 d/ey,---7-2 33
Describe the scope of work in detail: Cost of Project: I $ ;/ �� OO
0 I
N £i '
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT Tz_LPEAK: DIMENSIONS:Z #OFSTORIES:
TOTAL HABITABSPACE:
MAIN FLOOR TO SQ.
2"u FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMP RVIOUS SURFACE
9 2'7
AREA'
'7/ 9ja-Z,
�- 7 •
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV ATI S . FTG: 30% SLOP
OPYki
S ON�
SQ. FTG: -0— �q� C!L ZZ��
� '�— SEW ER OR SEPTIC?
3I
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: 5e 4
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 Vallis valley Permit in r to
4the
All conprostruction ownewn sr to The done
signatory is the property owner or has permission to represent the property
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. ; Plans or additional information may be required to be submitted, and subsequently approved before
this application can be , . ess:;. i
alb
Date frZV- 17
Signature �I1/ =1%,
Method of Paym • (Faxed pe applications will only be accepted with major bankcard)
Cash 0 Ch k 0 Mastercard 0 El
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 625/2005
S I r e 11707 E Sprague Ave,Suite 106 PERMIT N-Lil ER:
Spokane Valley,WA 99206
(509)686-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development uww.spokanevallev.ore
Mechanical Permit Application [ Commercial P i ' esidential s
Si!1s ADDRESS: •
Building Ofter - - • - . .
Name: Phone: Fax:
Address: City: State: Zip:
Contractor;•. -• : 1Z-m f `l
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
•
ContacE = _ _ _ .r....
Name: ?Bone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I X 112.00 =
2 FUEL BURNING APPLIANCE More than 100,00D 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 1-100M BTU X $12-00 =
B BOILER/REFRIGERATION 101-50DM BTU , X $20.00 _=
9 BOILER/REFRIGERATION 501-1,ODOM BTU X $25.00 =
10 BOILER/REFRIGERATION 1,001-1,75DM BTU X , $35.00 = .
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = •
12 GAS LOG.GAS INSERT,GAS FIREPLACE I 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) .3 X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 41 _ 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 MR CONDITIONER 15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 MR 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 $12.00 =
36 INCINERATOR-RESIDENCE X $19.0D =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 CHECK 0 VISA D MC EXPIRES: PROCESSING FEE $35.00
VIN:
CARD ftTOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED B26/05
-,ri.v.i....1 vL,,1114: l vU PERMIT NUMBER -
(509 -
" t y� Spokane Valley,WA °9206
rcLli (509)5E8-0036 FAX:(509)685-0037 PERMIT rr.E: :.., _.1.
CornmunitY IY_ve}°pmert w c,,ve-aokanevaTTev_ors n Commercial eSFI EII�LaI
Plumbing Permit Application
SITE ADDRESS:
Building(}caner
Phone: Fax:
Name:
City. State: ZP:
Adds-ss:
Contractor c...kK. pi u M 1, 6,
Fax
Phone:Nam:
City. State ZiP:
Address:
License No: City Busmen Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X I COST = , TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X , $6.00 =
X $6.00 =
2 URINALS _ _
3 TUBS X $6.00
4 SHOWERS(PER TRAP) BATH,STALL.ON-SITE BUILT X $6.00 =
LAVS/BASINS,BAR,FLOOR KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO. /y' X $6.00 =
X-RAY,FOOD.PREP/CUUNARY MEAT
6 DISHWASHER I X $6.00 =
7 CLOTHES WASHER I X $6.00 =
B GARBAGE DISPOSAL _ I 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 CONDENSLTT TRENCH,
X $6.00 =
11 _ FLOOR DRAINS _ _
12 ROOF DRAINS/OVERFLOW DRAMS _ X $6.00
13 FOUNTAINS.DRINKINGX $6.00 =
WATER PIPING/DRAN-IN WASTE, NSTALLATION,ALTERATION,REPAIR
14 VENT,PLUMBING,REVERSAL REVERSALS X $-00 = —
15 SEWAGE EJECTOR GRINDER SUMP PUMP X _ $6.00 , = ,
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $5.00 =
PROOFER,CARBONATOR.SWAMP43
COOLER
VACUUM BREAKER,CHECK VALVE,
AND RP.B_P.D.FOR VATS,TANKS,
17 CROSS CONNECTION DEVICE 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 _ _
20 MISCELLANEOUS PLUMBING FIXTUREX
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 , =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = ,
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
DCASH 0 CHECK D VISA ❑MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 826x5
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