2006, 01-04 Permit App: 06000023 Residence Project Number: 06000023 Inv: 1 Application Date: 01/04/2006 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: 5 Right: 5 Rear: 50 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: 3 Lot: 9
SiteAddress: 3803 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: 8,104 Sq Ft Width: 52 Depth: 124 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ." a
Review
Site Plan Review Released By:' '
Originally Released: 01/04/2006 By: cjjanssen
Plan Review Released By. s
Originally Released: 01/03/2005 By: TMELBOU
Sewer Review Released By:' -`
Operator: CJJ Printed By: CJJ Print Date: 01/04/2006
Project Number: 06000023 Inv: 1 Application Date: 01/04/2006 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 1,550 $133,873.50 1,550 $133,873.50
CARPORT OP R-3 VB 200 $3,000.00 200 $3,000.00
GARAGE U-1 VB 576 $12,672.00 576 $12,672.00
Totals: 2,326 $149,545.50 2,326 $149,545.50
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,273.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $509.50
Permit Total Fees: $1,787.75
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
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 3 NUMBER OF $30.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $77.00
Operator: CJJ Printed By: CJJ Print Date: 01/04/2006
Project Number: 06000023 Inv: 1 Application Date: 01/04/2006 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 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $84.00
Payment Summary: m.. ., r ::
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,787.75 $1,787.75 $0.00 $1,787.75
Mechanical Permit $77.00 $77.00 $0.00 $77.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,948.75 $1,948.75 $0.00 $1,948.75
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: 01/04/2006
Permit Center rr 17 F
�'
�e 11707 E Sprague Ave,S 0 �� l� �( �E ;) PERMIT NUMBER:
j,a �T Spokane Valley,WA ,•SIM
,, J/ PERMIT FEE:
�//� �'J (509)688-0036 FAX:(5�' ,1:8-0037
Community Development www.s..kanevalle .o .. •..
D
Residential Construction o kkw Con.g.0 ion o Accessory Bldg
Permit Application o Addition/Remodel o Deck
❑ Other:
SITE ADDRESS 3 0 3 5 . 0 e ie
ASSESSORS PARCEL NO: `–I S-2� S Cl 14 C' LEGAL DESCRIPTION: isT q 314'3 Pr A roc k ,042 AZ
Building Owner= - _ Contractnr7[�_ - -t:y1 - . ...
Name: 1+-rn-� Name: C LV r e.Ju` Sr
Address: Address: I (oSZO g,. SIG-G-ett -rti�✓t.
City: Zip: City: tiedVA10 qte, Zip: '9 03 9
Phone: Fax: Phone -7 733 Fax: iq /4y'1 )
Lic No: 640-Gl l01/e F Exp.Date: /"//'D 1)
CO 1tiCt PL'llt)' .,
j _> ,- __ City Business Lic No:
Name: C_J–I&A' S G. ,lek-i
Phone:'/ c -77 3 3
Describe the scope of work in detail:. Cost of Project: $
`gado i(i'Q i OPS,cE
i
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL TABLE SPACE:
MAIN FLOOR TO SQ. -2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: ��,l 0 AREA:
/ tit— �, (
FINISHED BASEMENT GARAGE S FTG: DECK/COV. PATIO SQ.FTG: 30%SLOPES ON
SQ. FTG: S'](o 0 0— . ?OD *R PROPERTY: 0
#OF BEDRCO 1S: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
3 1I C Sewer'
DISCLAIMER
The pennitee 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 properly owner in this transaction. 4) AN 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 City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordinances 6) Plans .r additional information may be required to be submitted,and subsequently approved before
this application can be . •'.-•P•.
joillill,"
Signature %/�/Lai/ Date i Z Z 0p''O 5'
// I
Method of Paym- (Faxed perm' applications will only be accepted with major bankcard)
0 Cash 0 Ch, k 0 Mastercard 0 VISA 0 Other
Bankcard It: Expires: VIN#:
Authorized Signature:
REVISED 8252005
.VFt.KM11 NUMkSZK:
�: _ Spokane Valley,WA 99206
8lL1eJ' (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development w sookanevallev.ora.cortl ❑ CommercialResideIItial
Mechanical Permit
Application
SITE ADDRESS: �'U 03 S • J f-400-a--
Building owner Fax:
Phone:
Name: State: �P�
City:
Address:
.Contractor- `I w'4-(AN7 10 G
Phone: Fax:
Name: Phone:
�D:
City
Address: City Business license No:
License No: - -
Centiet
Name: Phone.
DESCRIPTION OF WORK i OF UNITS X COST = TOTAL AMOUNT-
Equal to or less than 100,000 1 X $12.00
1 FUEL BURNING APPI.IfUJCE X $15.OD =
2 FUEL BURNING APPLIANCE More than 100,000
3 UNLISTED APPLIANCEFee) Equal to or less than 400,000 X $50.00
X $100.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000
00 50
$ .
-5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400.000 X x 3 0.00 =
'6 USED APPLIANCE(WSEC min.ARE rating) More than 400,000 =
1-100M BTU X $12.00
7 BOILERIREFRIGERATION X 320.00 =
8 BOILER/REFRIGERATION 101-500M BTU =
501-1,000M BTU X $25.00
9 BOILER/REFRIGERATIONX $35.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU
More than 1.750M BTU x $50.00
11 BOILER/REFRIGERATION I X $10.00 =
12 GAS LOG,GAS INSERT.GAS FIREPLACE X $10.00 =
13 RANGE X $10.00 =
14 DRYER 1 X $10.00 =
15 FUEL.BURNING WATER HEATER X =
16 MISC.FUEL BURNING APPLIANCE X $$10.000 =
17 GAS PIPING(each outlet) X $10.00. =
18 DUCT SYSTEMS .00 =
19 VENTILATING FANS X X $1$100.00 =
20 MR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM
Greater than 10.000 CFM X $15.00
21 MR HANDLER(DOES NOT include dud'a�Sl) X $10.00 =
22 EVAPORATIVE COOLERS X $50.00 =
23 TYPE I HOOD 1 X $10.00
24 TYPE II 1-100D - X $12.00 =
25 HEAT PUhP/AIR CONDITIONER 0-3 TON =
3-15 TON X $20.00
26 AIR CONDITIONER3-15
$2500
27 MR CONDITIONER 15-30 .
TON
• =30 50 TON X $35.00 .
28 AIR CONDITIONER X $60.00 =
29 AIR CONDITIONER More than 50 TON
X $10.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVEIINSERT X $25.001 =
32 WOOD STOVE-FREE STANDING X $15.00 =
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 SUBTOTAL
METHOD OF PAYMENT: DATE: PROCESSING FEE $35 00
OCASH ❑CHECK ❑VISA 0 MC EMPIRES: TOTAL PERMIT FEE DUE
CARD#:
REVISED 8/26/05AUTHORIZED SIGNATURE:
o ,ley
� 11707E Sprague Ave,Suite 106 PERMIT NUMBER:
i � Spokane Valley,WA 99206
./. (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development wwa,.ym);anevalley.ora.com
Plumbing Permit Application ❑ Commercial Residential
SrrE ADDRESS: 6 3 S • U
Building owner Name: Phone: Fax:
Address: City: State: Tap:
Contractor . . .
Name: Z Vvk.1'1VVi S 2 l- w Y) 8 /A.)G Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Coataet : .
Name: Phone:
DESCRIPTION OF WORK It OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS Z X $6.00 =
2 -URINALS X $6.00 =
3 TU I
X $6.00 . =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BULT I X $6.00 =
LAVSBASINS.BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY.UTILITY,JANITOR,PHOTO.
LI
( X $8.00 =
X-RAY,FOOD,PREP/CU.INARY MEAT �/{
6 DISHWASHER X $6.00 =
7 CLOTHES WASHER X $6.00
8 GARBAGE DISPOSAL 1 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 X $.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKINGX $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALEPSON.REPAIR
14 VENT,PLUMBING,REVERSAL X $6.00
15 SEWAGE EJECTOR GRINDER,SUMP PUMP _X $6.00 =
ICE AN/OR COFFEE MAKER HOSE BIB,
16 WATER USING DEVICE STH X $6.00 =
PROOFER.CARBONATOR,SWAMP COOLER
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 X =
20 FIXTURE
21 PRIVATE SEWAGE DISPOSAUSYS S X $20.00 =
INDUSTRIAL WASTE X $15.00
22 INTERCEPTOR
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
Card# EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED anwos