2006, 04-18 Permit App: 06001341 Residence Project Number: 06001341 Inv: 1 Application Date: 4/18/2006 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: single family dwelling,gas heat,on 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: Sout
Parcel Number: 453423008 Block: Lot:
SiteAddress: 3729 S VERCLER LN Owner:Name: GUS&TOM ENTERPRISES INC
Address: 3124 S REGAL
Location::CSV SPOKANE,WA 99223
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
, x
Building Plan Reviewset Bye, h n ,,; ry
Originally Released: 4/17/2006 By: TMELBOU
gi « cam ^a
m r
Driveway/Approach itr,
Originally Released: 4/18/2006 By: amblake
Landuse/Zoning/HE Conditions a ed Byod
Originally Released: 4/17/2006 By: KKENDAL
Sewer Review Rele ea By:
Operator: AMB Printed By: AMB Print Date: 4/18/2006
Project Number: 06001341 Inv: 1 Application Date: 4/14/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: single family dwelling,gas heat,on 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: Sout
Parcel Number: 45342.3008 Block: Lot:
SiteAddress: 3729 S VERCLER LN Owner:Name: GUS&TOM ENTERPRISES INC
Address: 3124 S REGAL
Location::CSV SPOKANE,WA 99223
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review Released By: 111 l 7 Q L J
Driveway/Approach Released By:
Landuse/Zoning/HE Conditions Released By: �%��.f �',t%KdYI /7 L
Sewer Review Released By:
Operator: AMB Printed By: AMB Print Date: 4/14/2006
Project Number: 06001341 Inv: 1 Application Date: 4/14/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
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:
Payment Summary: . : .
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: AMB Printed By: AMB Print Date: 4/14/2006
Project Number: 06001341 Inv: 1 Application Date: 4/18/2006 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
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
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
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 1,421 $122,731.77 1,421 $122,731.77
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
Totals: 3,418 $187,062.45 3,418 $187,062.45
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,486.55
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $594.62
Permit Total Fees: $2,085.67
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 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $75.00
Operator: AMB Printed By: AMB Print Date: 4/18/2006
Project Number: 06001341 Inv: 1 Application Date: 4/18/2006 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
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
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
INTERCEPTORS 3 NUMBER OF $18.00
Permit Total Fees: $114.00
Payment Summary: swagewassamessennommg,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $2,085.67 $2,085.67 $0.00 $2,085.67
Mechanical Permit $75.00 $75.00 $0.00 $75.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$2,324.67 $2,324.67 $0.00 $2,324.67
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: AMB Printed By: AMB Print Date: 4/18/2006
Permit Center PERMIT NUMBER: I
Sjjn°F negosteNtaemob11707 E Sprague Ave,Suite 106 54
Y"
......ova11ey anValley,WA 9PERMIT FEE:
(509)688Spoke 0036 FAX:9(590290)688-0037
Community Development www.spokanevalley.org.com
Residential Construction New Construction ❑ Accessory Bldg
Permit Application o Addition/Remodel o Deck
o Other:
Slit ADDRESS �.(7 2,q s , u,ese i-
ARCEL NO: I I S � 3 LEGAL DESCRIPTION: .401- q bLy 3 ' (,v(k iq.
4 ?
ASSESSORS P 3L 1 V b
uilding owner;_
BContractor,('I�t �� i�
Name: mi �sr
Name: 1 6 5 „}tom l-
( , -,, n Address: 4 ''�
Address: �ANPA-0 � n/� n
city: V4Z A-i_e Zip: `7Q)3/'/
City: Zip: �G���"7
Phone: Fax:
Phone:4' q 773 3 Fax:
7 j
Lic No:(f.1--4 c-F5C-/04 `Exp.Date: (--
Contact Person= City Business Lic No:
Name: et—.l t-F SC ry li-Z--
Phone: -! 9 q -�
in detail: Cost of Project:e the scope of work I $
Describe t
p
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO K: DIMENSION :I #OF STORIES:P3AB TABLE SPACE:
jTOTAL
FLOOR TO SQ. 2" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUSRSURFACE
A
EA:
FTG: 1 g Z i 5-1 6 l % 6-
FINISHED BASEMENT GARAGE ,S`C�- FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
I,,,,
1--I CI PROPERTY:
# FTG: SEWER ORS SEPTIC?
#OF BEDRO MS: CONSTRUCTION TYPE: HEAT SOURCE: a
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) This Cly of Spokane Valley Permit is not a permit or approval for any violation of federal,state
before
local laws,codes orordinanc-..6 Plan. or dditional„ information maybe required to be submitted, and subsequently app
this application ca be proc-,- -. 4 l
,i Date �—/Z"��
Signature ��
Method of Payment: F ID permit applic- •ns will only be accepted with major bankcard) Other
El Cash 0 Check ❑ Mastercard VISA ❑
Bankcard#:
Expires: VIN#:
Authorized Signature:
REVISED 8/252005
®'\ Permit Center
Spoko va' ® 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
ane Spokane Valley,WA 99206
�,/ ualle3' (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.sookanevallev.orr.com
Mechanical Permit Application /� I II Commercial Residential
SITE ADDRESS: S riZ( ' e ol"./�/re(i/-C .e
Building owner
Phone: Fax:
Name:
City: State: Zip:
Address:
.Contractor.. .
•
Name: 4').-c-u a--VIll -4e-Ck-ftM)( Phone: Fax:
State: Zip:
Address: City:
City Business License No:
License No:
...
Contact
Phone:
Name: =
#OF UNITS X COST TOTAL AMOUNT
DESCRIPTION OF WORK X $12.00 =
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 =
More than 100,000 X $15.00 =
2 FUEL BURNING APPLIANCE X $50.00 =
X
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 $10.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 =
X
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 $10 X $50.0000 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 =
1-100M BTU X $12.00
7 BOILER/REFRIGERATION X $20.00 =
8 BOILER/REFRIGERATION 101-500M BTU
9 BOILER/REFRIGERATION
501-1,000M BTU X $25.00
X $35.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU =
More than 1,750M BTU X $60.00 =
11 BOILER/REFRIGERATION ! X $10.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE /
13 RANGE X $10.00 =
X $10.00 =
l
14 DRYER r X $10.00 =
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $1.00 =
17 GAS PIPING(each outlet) X $10.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS X $12.00 =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM , X $15.00 =
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $10.00 =
X $
22 EVAPORATIVE COOLERS
23 TYPE I HOOD ( X $5 0.000.00 =
=
24 TYPE II HOOD =
TON X $12.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3
3-15 TON X $20.00 =
26 AIR CONDITIONER X $25.00 =
27 AIR CONDITIONER 15-30 TON =
30-50 TON X $35.00 =
28 AIR CONDITIONER X $60.00 =
29 AIR CONDITIONER More than 50 TON -
30 LPG STORAGE TANK X $10.00 =-
X $10.00 = ,
31 WOOD OR PELLET STOVE/INSERT
X $25.00 =
32 WOOD STOVE-FREE STANDING X $15.00 =
33 REPAIR&ADDITIONS X $12.00 =
34 VENTILATION SYSTEMS X $12.00 =
35 VENTILATION MECHANICAL EXHAUST X $19.00 =
36 INCINERATOR-RESIDENCE X $22.00 =
37 INCINERATOR-COMMERCIAL SUBTOTAL
METHOD OF PAYMENT:
DATE: PROCESSING FEE $35.00
❑CASH ❑CHECK ❑VISA ❑MC EXPIRES:
TOTAL PERMIT FEE DUE:
CARD
REVISED 826/05
AUTHORIZED SIGNATURE:
Permit Center
Siokane 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
* x j'ey Spokane Valley,WA 99206 PERMIT FEE:
'� VciLl (509)688-0036 FAX:(509)688-0037
Community Development w� spokanevallev.Ors.com Commercial Residential
Plumbing Permit Application
SITE ADDRESS: '.4s_ `• :Alf
Building owner Phone: Fax:
Name: City. State: Zip:
Address: --
Contractor Phone: Fax:
Name: ,.....1—I m rn 5 City: State: Zip:
Address: City Business License No:
License Na
Contact Phone:
Name:
8 OF UNITS X COST = TOTAL AMOUNT
DESCRIPTION OF WORK
WATER CLOSET,BIDETS
X $6.00 =
1 TOILETS X $6.00 =
2 URINALS e---- X $6.00 =
3 TUBS X $6.00 =
4 :::ERs
PER TRAP BATH,STALL,ON-SITE BUILT _
LAVSBR ASINS,BAR FLOOR,KITCHEN, X $6.00
5 LAUNDRY,UTILITY,JANITOR,PHOTO,
X-RAY,FOOD,PREP/CULINARY MEAT
X $6.00 =
6 DISHWASHER X $6.00 =
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER X $6.00 =
NOTE: IF GAS,SEE MECHANICAL
10 ELECTRIC HOT WATER TANK X $6.00
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE
ROOF DRAINS/OVERFLOW X $6.00 _
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING NSTALLATION,ALTERATION,REPAIR X $6.00 =
WATER PIPING/DRAIN-INPLUMBING,
EVERSASTE, REVERSALS
14 VENT,PLUMBING,REVERSAL X $6.00 =
GRINDER,SUMP PUMP
15 SEWAGE EJECTOR ICE AN/OR COFFEE MAKER,HOSE BIB, X $6.00 =
16 WATER USING DEVICE
STEAMER
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE, X $6.00 =
17 CROSS CONNECTION DEVICE AND R'PGREASE TRAP,SAND TRAP, X $6.00 =
18 INTERCEPTORS CHEMICAL HOLDING TANK
X $6.00
19 MEDICAL GAS i•r outlNITROUS,OXYGEN outlet NITROUS,
$6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE $20.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $X .00 =
INDUSTRIAL WASTE SUBTOTAL
22 INTERCEPTOR
METHOD OF PAYMENT: PROCESSING FEE $35.00
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
EXPIRES: TOTAL PERMIT FEE DUE:
Card#
REVISED Et/26/05AUTHORIZED SIGNATURE:
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