2007, 08-30 Permit App: 07003350 Residence Project Number: 07003350 Inv: 1 Application Date: 8/30/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR Contact: SCHMITZ,CLIFFORD M&MARGO A
Address: 16520 E SECRETARIAT LN
C-S-Z: VERADALE,WA 99037-
Setbacks:Front 33 Left: 7 Right: 7 Rear: 48 Phone: (509)999-7733
Group Name:
Site Information: Project Name:
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PUD District: Sout
Parcel Number: 45342.2812 Block: Lot:
SiteAddress: 3728 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: 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: mai �xm �_ . ua mss. . FPr. c�,, . i
Review
Building Plan Review Ffeleased y " ' G,
Originally Released: 8/30/2007 By: TMELBOU
Landuse/Zoning/HE Conditions Released Joy"'"'"
Originally Released: 8/28/2007 By: mharnois
Sewer Review Released By "
Operator: JD Printed By: jmm Print Date: 8/30/2007
Project Number: 07003350 Inv: 1 Application Date: 8/24/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR Contact: SCHMITZ,CLIFFORD M&MARGO A
Address: 16520 E SECRETARIAT LN
C-S-Z: VERADALE,WA 99037-
Setbacks:Front 33 Left: 7 Right: 7 Rear: 48 Phone: (509)999-7733
Group Name:
Site Information: Project Name:
moi, "T.'c.»A 3-.. . .'a MY.^.."aW..3iN LYe:l±kf"'rX§ ':i*et"}.4:*4M S'#d' .G'ba,r .'444rv"..°''*44*NRim%r$ i4 4'+£'P,b4fl9Xa.'* a #``944449aF•'ffi., ::
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PUD District: Sout
Parcel Number: 45342.2812 Block: Lot:
SiteAddress: 3728 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: Hold: ❑
Area: 8,060 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
v,tBuilding Plan Review Released Icy '�.
Driveway/Approach Releast Byre `g
Landuse/Zoning/HE Conditions Rasea � ,�` ,.,'
Sewer Review Ree e '
Perm its: *449 49* 44494w4lt Sw r.t x,,a.4sw,3 u 9944., .
Operator: JD Printed By: JD Print Date: 8/24/2007
Project Number: 07003350 Inv: 1 Application Date: 8/24/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: SFR W/ATT GAR Contact: SCHMITZ,CLIFFORD M&MARGO A
Address: 16520 E SECRETARIAT LN
C-S-Z: VERADALE,WA 99037-
Setbacks:Front 33 Left: 7 Right: 7 Rear: 48 Phone: (509)999-7733
Group Name:
Site Information: Project Name:
§A2^,h:48 45.444449" 's:_;r8* _ ares',8.44*8848*5' `3 _S.,Ykadb49+!1.4K 4'44 sa".-`,:'"m„58aN,s 88*R u43•mi..,4 T'"85.*55 A,. t' t4.P"`i,' _ ..�..
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PUD District: Sout
Parcel Number: 45342.2812 Block: Lot:
SiteAddress: 3728 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: 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: .monatonsto firMUMENIMMAW.thESMSPBMVAMMONMMUNNSIMENSMIPANOS
:..
Review
Building Plan Review Released By, 3�t
Driveway/Approach .eleas
Landuse/Zoning/HE Conditions Released"$ ';
Sewer Review
Relessed��y:�`
Operator: JD Printed By: JD Print Date: 8/24/2007
Project Number: 07003350 Inv: I Application Date: 8/24/2007 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 `1Y/ 445- $40,655.20 445 $40,655.20
2ND FLOOR R-3 VB '/1( $57,428.92 769 $57,428.92
- $9,160.00 458 $9,160.00
BASEMENT U R-3 VB 01< 445 $6,675.00 445 $6,675.00
GARAGE U-1 VB 860 $16,340.00 860 $16,340.00
Totals: 2,977 $130,259.12 2,977 $130,259.12
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,167.35
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $466.94
Permit Total Fees: $1,638.79
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: JD Printed By: JD Print Date: 8/24/2007
Project Number: 07003350 Inv: 1 Application Date: 8/24/2007 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: CLIFF SCHMITZ Finn: 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 Su Ft Valuation
1&2 FAMILY R-3 VB 445 $40,655.20 445 $40,655.20
2ND FLOOR R-3 VB 769 $57,428.92 769 $57,428.92
BASEMENT F R-3 VB 458 $9,160.00 458 $9,160.00
BASEMENT U R-3 VB 445 $6,675.00 445 $6,675.00
GARAGE U-1 VB 860 $16,340.00 860 $16,340.00
Totals: 2,977 $130,259.12 2,977 $130,259.12
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,167.35
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $466.94
Permit Total Fees: $1,638.79
Mechanical Permit
Contractor: STURM HEATING Finn: 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: JD Printed By: JD Print Date: 8/24/2007
Project Number: 07003350 Inv: 1 Application Date: 8/24/2007 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
-
Contractor: LIGHTNING MECHANICAL INC Firm: LIGHTNING MECHANICAL INC
Address: 7110 E 6TH AVE Phone: (509)533-9089
SPOKANE VALLEY WA 99212
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
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: $84.00
Notes: smaurnmee —w .,... . -, :. r, 5 a ._ .,-,--„weepriwarrwaseaur
Payment Summary: urr,,, • •k• - ,a • • ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,638.79 $1,638.79 $0.00 $1,638.79
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,796.79 $1,796.79 $0.00 $1,796.79
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: 8/24/2007
Project Number: 07003350 Inv: I Application Date: 8/30/2007 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: LIGHTNING MECHANICAL INC Firm: LIGHTNING MECHANICAL INC
Address: 7110 E 6TH AVE Phone: (509)533-9089
SPOKANE VALLEY WA 99212
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
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: $84.00
molmmetzmamemommusumm
Payment Summary: r �s x :< ar,� k, a r�A.aa, a.a .i�. x•. .
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 $74.00 $74.00 $0.00 $74.00 •
Plumbing Permit $84.00 $84.00 $0.00 $84.00 •
$2,071.19 $2,071.19 $0.00 $2,071.19
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: jmm Print Date: 8/30/2007
Permit Center RECEIVED BY PERMIT NUV,BER: ��~ 1
'GT'' 11707 E Sprague Ave,Suite 106rCITM OF SPOKANE VALLEY
'� � � Spokane Valley, 9PERMIT FEE:
Ya, ley (509)688-0036 FAXWA:(509)6889206 -0037 AUG 2 4 2001
Community Development www-sokanevalle .or�.com
PFRRMIT.OENTER
3Y:�/ 1
Residential Construction "fi ►ew Construction o Accessory Bldg
Permit Application o Addition/Remodel o Deck
❑ Other:
SITE ADDRESS 3O_ 5 , J / ' ' t
14
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: 0,3T 1 Z 6 LK I P 1 "e'ru"' e.-10� Z
_
Contractor
Buildin owner; �, "
Name:CL1 FIC SC H/Y11 °6070ST7-i�)( -
Name: ���
Address: I (052..0 6, S�%'-(2P,1�^-r 'r
Address: � 2�49-/� Zip: 99o.3r7
City: Zip: City: Lf�/Phone: 99q 77.33 Fax: g5/'nl (fi
/
Phone: Fax:
Lic No: Exp.Date:
Contact Person - City Business Lic No:
Name li 1. l FF SC'.L- ' T7
PhonCV
e•
Describe the scope of work in detail:
Cost of Project: 000' I
N " S/d
**************The following MUST be complete: (write N/A if not applicable)**********************
N #OF STORIES: TOTAL HABITABLE SPACE:
HEIGHTzOiPEAK: DIME' SIGN'LS: 7-1 I
NU I-19 11 q
MAIN FLOOR TO SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVI41 i-NS- AREA:
OUS SURFACE
FTG: Li LIME 3� GE SQ. FTG: DECK/COV. ATO SQ. FTG: 30%SLOPES ON
FINISHED BASEMENT 8 GARAGE
SQ. FTG: ';� i15-8g & PROPERTY:
Y:
#OF BEDRO• 5: CONSTRUCTIONTYPE: HEATRCE: SEWER OR
SEPTIC?
e6/ s _AP
DISCLAIMER
by their
e that 1) If this
is for
he
The linislwi verifies,acknowledgespoble water.
2)Ownership of this rCity of Spokane Valley tPermit constructionuro the property owner.n3)tThe
dwellingai is be servedby p
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
le for review at the City of
Sfull compliancewith the City o5) This City of SpokaneSpokane Valley opment Code. Referenced Valley Permit is not a permit or approvaldes are 'for any violation of federal,state or
Spokane Valleyoe Permit Center. }
local laws,codes or ordinances_--) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be • • •ss-•.
A�i'S.I r Date O-Z- -a'�
Signature 1 jI4•-�
Method of Pay - (Faxed pe t applications will only be accepted with major bankcard) Other
Ch ck ❑ Mastercard ❑ VISA
❑ Cash Expires: VIN#:
Bankcard#:
Authorized Signature:
REVISED 825/2005
Permit Center RECEIVED BY PERMIT NUMBER: ,,,, C�
' '' 11707 E Sprague Ave,Suite 106C OF SPOKANE VALL
opo Te Spokane Valley,:,7 A 99206 PERMIT FEE:
YalleJ (509)688-0036 X: (509)688-0037 AUG 2 4 ZOUl
Community Development w w.s okanevalle .or°_com
p MIT.OEN T ER
TResidential Construction ew Construction o Accessory Bldg
Permit Application o Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS 392A? S ' J '"e t 'C (nit
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: LoT l 2 �6 LK I P! '�' '_1106-e Z
Buildin owner
Contractor.
Name:6L i FF SCHM 1-ca °�ArvSTr �
Name: ���
Address: I I0SZO S v.-RP
'r
Address: � /���41.–e..._ Zip: 9go3r7
City: v X12-4
city: Zip: g�1/-9t/'7/
Phone: Q99-7 7 33 Fax:
Phone: Fax:
Lie No: Exp.Date:
Contact PerSOf City Business Lie No:
Name: CLIFF s - •1a f
Phone: 4 q 0,-7) 3
�
Describe the scope of work Cost of Project:
In detail: I $ ) 0C OdU
**************The following MUST be complete: (write N/A if not applicable)**********************
TOTAL HABITABLE SPACE:
HEIGHT T01PEAK: DIME SIONS: #OF STORIES: Z.� I
N�y� 4Sk*/No`�Z
MAIN FLOOR TO SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUSREA. OU SURFACE
FTG ` � �'�'�� E�-kG:7/ DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ
-e--
FINISHED BASEMENT 1 GARAG8 6 0 O�-- $ PROPERTY: e'
SQ. FTG: — SEWER OR SEPTIC?
#O E O S: CONSTRUCTION TYPE: HEAT6SOnUSRGE: 3&
DISCLAIMER
The pnverifies,acknowledges
water.
agreessignatureValley permit
is for constructiondwelling,
signingislwile erved bpotable wa e . 2) Ownership of this City of Spokane Permitinure to the property owner3) The
signatory isthe
property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
s are
S full compliancealleywith the City oThis City of SpokanSpokane Valley e Valley Permit ipment Code. Referenced
not a permit orappro al forble for review at the City of
any violation of federal,state or
Spokane Valley Permit Center. 5)
local laws,codes or ordinances_ -,) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be • • •ss-/
JjP.
Date 0Z.- -/).'")Signature if4 t "S '4
Method of Pay - : (Faxed pe it applications will only be accepted with major bankcard)
❑ Other
❑ Cash 0 Ch ck ❑ Mastercard ❑ VISA
Expires: VIN#:
Bankcard#:
Authorized Signature:
REVISED 8252005
,,
VO-1.
O- rge 11707 E Spragae Ave,Suite 106 PERMIT NUMBER_: I
..„,,OVaiiey
Spokane Valley,WA 99206 {
(509)588-0036 FAX:(509)688-0037
CoTnrnunity Ds relopmmt vet w.spokanevailev.ora PERMIT FEE:
Mechanical Permit Application U Commercial Residential
S:TF ADDRESS: 3 9 Z S, cJe(e?ltP,2 -
Buiith.g owner � F >1 ��' Yeti .
Name:
Phone: Fax CITY OFS 'Ci C,�i4E 1,/''�.I ,_.Y
Zip:
Address:
City State: AUG La!
t'
Phone: Fax: PE IT CENTEH
Name St Zip:
City.
Aaan�:
License No: City Business Lic:
Name: Phone:
_ DESCRIPTION OF WORK #OF UNITS X COST = ; TOTAL AMOUNT
Equal to or less than 100,000 I. X $12.00 , =
1 FUEL BURNING APPLIANCE _ -
More than 100,000 . X $15.00 -
2 FUEL BURNING APPLIANCE _
3 UNLJS I tU 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 =-
Equal to or less than 400.000 X $50.00
5 USED APPLIANCE(WSEC min.AFUE rating) q =
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 101-500M BTU X $20.00 =
501-1,000M BTU X $25.00 =
9 BOILER/REFRIGERATION
10 BOILER/REFRIGEP.ATION 1,001-1,75DM BTU X $35.00 =
11 I BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = ,
12 f GAS LOG,GAS INSERT..GAS X $10.00AS FIREPLACE -
13 1 RANGE X $10.00 =
X $10.00
14 DRYER � _
15 FUEL BURNING WATER HEATER
X $10.00
-
16 MISC.FUEL BURNING APPLIANCE . 7 X $10.00 =
C, X $1.00
17 GAS PIPING(each outlet) =
X $10.00 -
is DUCT SYSTEMS i X $10.00 =
�'1
19 VENTILATING FANS -
Equal to or less than 10,000 CFM X $12.00 -
2D AIR HANDLER(DOES NOT include ducting) _
(DOES NOT include ducting) Greater than 10.000 CFM X $15.00 -
- 21 AIR HANDLER 9)
X $10.00 -
22 _ EVAPORATIVE =COOLERS x $50.00 =
23 TYPE I HOOD I =
24 TYPE II HOOD x $10.00 X $12.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON
25 AIR CONDITIONER
3-15 TON X $20.00 =
_
15-3D TON X $25.00 =
27 AIR CONDITIONER
30-50 TON X $35.00 =
25 AIR CONDITIONER
29 AIR CONDITIONER
More than 50 TON X $60.00 =x $10.00
30 LPG STORAGE TANK
X $10.00 _
31 WOOD OR PELLET STOVE/INSERT _ X $25.00 =
32 WOOD STOVE-FREE STANDING X $15.002 =
33 REPAIR&ADDRIONS X $12.00
34 VENTILATION SYSTEMS X $12.90
35 VENTILATION MECHANICAL EXHAUST X $19.00 =
35 INCINERATOR-RESIDENCE X $22.00 =
37 INCINERATOR-COMMERCIAL SUBTOTAL
METHOD OF PAYMENT:
EXPIRES: PROCESSING FEE $35.00
DCASH 0 CHECK 0 VISA OMC
VIN: TOTAL PERMIT FEE DUE:
CARD+=.
AUTHORIZED SIGNATURE:
REVISED&26/05
saL ,p,c.,....-.^�,,,,J4! AUO
�',u Spokane WA 9:9206PE.A/lI l I�Zl ^SER - - 1
Valley (509)58&-0036 FAX:(509)655-0037
Cozn�.znityfDvelopn�Dt 11,-.;�..._saokanevaiie�'.ore /
PERMIT rt E: ----- -,.:;,.'4•=..,-,-.,..f.
Plumbing Permit Application Commercial 1 Residential
•
SITE A DPETS-
E Bili/ding 0-vfnEf - spp' "f
i
Name: Phone_ Fax: i
c 2
AUG
A.dCti'^.SS: City-. ) 4� Sete: +�'1:..
Ga.atcact" L 1 G fin/IN 6 ME'(. /l) ICA PtRNill ' 'cis!"f� �
AZ' i
Nam: Phone IZ'
--
Address: City: State_ lip:
License No: City Business Lic:
Contact
I
Name: Phone:
DESCRIPTION OF WORK &OF UNITS X COST = I TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.O0 =
2 URINALS X $6-00 =
3 TUBSX S6.OD =
4 I SHOWERS(PER TRAP) BATH.STALL,ONSITE BUILT X 56.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
S SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, UX $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER _1 X $6.00 =
7 CLOTHES WASHER I X S6_DD =
B GARBAGE DISPOSAL l x $6.00 =
9 WA$ti<SOFTENER . _ X S6.00 =
10 - ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL X I $6.00 =
AREA.CASE,COIL TRENCH,
11 FLOOR DRAINS CONDENSATE I X $6.00 = I
12 ROOF DRAINS/OVERFLOW DRAINS X $6_60 =
13 FOUNTAINS,DRINKINGX $6.00 = I
14 I WA I.EN PIPING/DRAJN-IN WASTE. NSTALLATION,ALTERATION,REPAIR —
VEJNT.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 =
['ROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE.
AND R.P_B.P.D.FOR VATS.TANKS,
17 CROSS CONNECTION DEVICE BOILERS X S6.00 =
GREASE TRAP,SAND TRAP,
is INTERCEI- I ORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS.OXYGEN X $6.00 =
20 MISCELLANEOUS 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 D CHECK 0 VISA D MC EXPIRES: 535.06 I
Card# VIN: I TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
RE_VGtD srz61135
New project•
Project Previous pre-app meeting ElT%'
ane Transmittal Plan revisions ❑
City of Spokane Valley Transmittal Date:
40000 Val leY
Community Development Friday,August 24,2007
Department
11703 E.Sprague Ave,Suite B3
Spokane Valley,WA 99206
Phone: 509.688.0036
Site Address: 3728 S VERCLER LN Project Number: 07003350
Parcel Number: 45342.2812
Zoning: UR-3.5 Water District:
Fire District: FD 01
Applicant: SCHMITZ, CLIFFORD M & MARGO Owner: SCHMITZ, CLIFFORD M & MARGO
16520 E SECRETARIAT LN 16520 E SECRETARIAT LN
VERADALE, WA 99037- VERADALE, WA 99037-
(509) 999-7733
e-mail: e-mail:
Contact: SCHMITZ, CLIFFORD M & MARGO Occupant:
16520 E SECRETARIAT LN
VERADALE, WA 99037- e-mail:
(509) 999-7733
e-mail:
Contractor: CLIFF SCHMITZ CONSTRUCTION Arch/Engineer:
16520 E SECRETARIAT
VERADALE WA 99037
(509) 922-4297
e-mail:
Project SFR W/ATT GAR
Description:
Building Landuse Engineer Utilities Health Fire Dist Assessor
APPLICATION
SITE PLANS \
t.i
PLANS /t
REV SIGN OFF
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Project•eC 1, New project 0
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poKane Transmittal Plan revisions
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City Spokane Valley Transmittal Date:
CommununisityDevelopment Friday,August24,2007
Department
11703 E.Sprague Ave,Suite B3
Spokane Valley,WA 99206
Phone:509.688.0036
Site Address: 3728 S VERCLER LN Project Number: 07003350
Parcel Number: 45342.2812
Zoning: UR-3.5 Water District:
Fire District: FD 01
Applicant: SCHMITZ, CLIFFORD M & MARGO Owner: SCHMITZ, CLIFFORD M & MARGO
16520 E SECRETARIAT LN 16520 E SECRETARIAT LN
VERADALE, WA 99037- VERADALE, WA 99037-
(509) 999-7733
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e-mail: e-mail: E C 11 \�l 17 \
Contact: SCHMITZ, CLIFFORD M & MARGO Occupant:
16520 E SECRETARIAT LN AUG 2 1: 007
VERADALE, WA 99037- a-mail:
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(509) 999-7733 n �
e-mail: U o QLD Q
Contractor: CLIFF SCHMITZ CONSTRUCTION Arch/Engineer:
16520 E SECRETARIAT
VERADALE WA 99037
(509) 922-4297
e-mail:
Project SFR W/ATT GAR
Description:
Building Landuse Engineer Utilities Health Fire Dist Assessor
APPLICATION ' I
SITE PLANS \ .I
PLANS
REV SIGN OFF
Please send all plan review and project comments via e-mail to the
highlighted individuals.
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15,00' 65. 0S i
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CITY OF SPOKANE VALLEY
N8 AUG 242007
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