2006, 10-23 Permit App: 06004197 Residence , Project Number: 06004197 Inv: 1 Application Date: 10/23/2006 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR,GAS HEAT,ON SEWER Contact: SCHMITZ,CLIFFORD M&MARGO A
Address: 16520 E SECRETARIAT LN
C-S-Z: VERADALE,WA 99037-
Setbacks:Front Left: Right: Rear: Phone: (509)999-7733
Group Name:
Site Information: Project Name:
e,# '«:::d. ':T':.er',`'`<t-:a'` Ric_"; ., mi`:.... $ `sEu ..i.,_.': .,»,f n-..:.:_._ ib`_?..'.,_ :.. A" .. •%s.'.:.:+fi
Plat Key: Name: Range District: Sout
Parcel Number: 45342.2810 Block: Lot:
SiteAddress: 3804 S VERCLER LN Owner:Name: SCHMITZ,CLIFFORD M&MARG
Address: 16520 E SECRETARIAT LN
Location::CSV VERADALE,WA 99037-
Zoning: UR-22 Urban Residential-22
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: h- - 'T , ",-.":024NIEVEV7 IdIRSAINA7 -4,40142,M4741-.. . .. ..
Review
Flood Plain
Released By:
Originally Released: 10/20/2006 By: amblake
Building Plan Review Released B
Y=
Originally Released: 10/18/2006 By: TMELBOU
Landuse/Zoning/HE Conditions Released By:
Originally Released: 10/20/2006 By: cjjanssen
Sewer Review Released By:
Permits: m 13A ,n. .
Operator: AMB Printed By: AMB Print Date: 10/23/2006
. Project Number: 06004197 Inv: 1 Application Date: 10/19/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR,GAS HEAT,ON SEWER Contact: SCHMITZ,CLIFFORD M&MARGO A
Address: 16520 E SECRETARIAT LN
C-S-Z: VERADALE,WA 99037-
Setbacks:Front Left: Right: Rear: Phone: (509)999-7733
Group Name:
Site Information: Project Name:
;',<:<w .i .,::.l.. an � .a uae.a .'+.amnnan�o-a+.m ., xr•,..c :r� ..c.+..� a.:'il': :. --.<-
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: Sout
Parcel Number: 45342.2810 Block: Lot:
SiteAddress: 3804 S VERCLER LN Owner:Name: SCHMITZ,CLIFFORD M&MARG
Address: 16520 E SECRETARIAT LN
Location::CSV VERADALE,WA 99037-
Zoning: UR-22 Urban Residential-22
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation: �.. A. AAAAMMAMMURACIA.&ArRgtASSAAAA AA
Review
Flood Plain Released By:
Building Plan Review Released By:
Originally Released: 10/18/2006 By: TMELBOU
Landuse/Zoning/HE Conditions I Released By: A_ —
( ..
Sewer Review Released By:
Permits: 9.. :_ .. w .. A,N,A. AAAIAIAAAA...... ryg, . . .y,AAA Ab. np, ...„. ;.A »AAA3:
Operator: AMB Printed By: AMB Print Date: 10/19/2006
Project Number: 06004197 Inv: 1 Application Date: 10/23/2006 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 Su Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 1,575 $136,032.75 1,575 $136,032.75
2ND FLOOR R-3 VB 804 $60,042.72 804 $60,042.72
BASEMENT U R-3 VB 1,552 $23,280.00 1,552 $23,280.00
DECK OPEN R-3 VB 182 $2,730.00 182 $2,730.00
GAR WOOD U-1 VB 440 $8,360.00 440 $8,360.00
Totals: 4,553 $230,445.47 4,553 $230,445.47
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,727.35
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $690.94
Permit Total Fees: $2,422.79
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 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: AMB Printed By: AMB Print Date: 10/23/2006
Project Number: 06004197 Inv: 1 Application Date: 10/23/2006 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 5 NUMBER OF $30.00
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
WATER PIPING-DWV 3 NUMBER OF $18.00
Permit Total Fees: $108.00
Notes: IM ,M..n. ,x .,s: NNg nr • 9 ,...
Payment Summary: r. oro :.: . ,71:ENCE
Permit Type Fee Amount Invoice Amount . Amount Paid Amount Owing
Building Permit $2,422.79 $2,422.79 $0.00 $2,422.79
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$2,615.79 $2,615.79 $0.00 $2,615.79
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB Print Date: 10/23/2006
Permit Center PERMIT NUMBER: `7
Spokane 11707 E Sprague Ave,Suite 106-„
Spokane Va09)688-0036lley,FAXWA:9(590290)6688-00,37'
�,.�Valle (5PERMIT FEE:
�
Community Development www.spokanevalleY.org.com 0 006 ,` ' ''--1()
k
Residential Construction e ";rflttjol 3-,' o Accessory Bldg
Permit Application ❑ Addition/Remodel o Deck
o Other:
SITE ADDRESS 38 ( -/ S . U&lee Lem
ASSESSORS PARCEL NO: Ill ;)"iC-) LEGAL DESCRIPTION: 2.0.T-10814c I PlAit adoeipicgeoi
Building owner Contractor.
Name: Name: CLI'Fp SCI-}Yri 17Z c NT
S
Address: Address: /6 54.O t • SES 4 '
City: Zip:
City: (Je p:w Zip: 9 33')
Phone: Fax: Phone: 77K'7733 Fax: ffQ /-41 WI/
Lic No: 64(6f$C/'%'E ' Exp.Date: ) —Cr)
Contact Person City Business Lic No:
Name: (.,L t FP S G f FY►'1 1 r2
Phone: q 4 g-•7-233
Describe the scope of work in detail: Cost of Project: $(gel DOO
a
N Ew P.e,s loe,nce,
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIM SIONS: #OF STORIES: TOTATA EE SPACE:
��
MAIN FLOOR TO SQ. 2Nu FLOOR
SQ.�FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
LLY'O > �� ,i; AREA:
FTG: ! j.SJ 5--CZ-
-
BASEMENT GARAGES . FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: yy� j132. OK PROPERTY: .69--
#
#OF BEDRO S: CONSTRUCTION TYPE: HEAT G UURRCE: SEWERG
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) This C.ty of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordinances.6 Pla . or ad •nal information may be required to be submitted, and subsequently approved before
this application can be proce- e
�� �✓� Date 10— / 8'
Signature / ��
Method of Payme . .'axed permit a I, icafions will only be accepted with major bankcard)
0 Cash ❑ Check ❑ Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
'`` '� 11707 E Sprague Ave,Suite 106
. PERMIT 2�U�BER
aa�� Valley Spokane Valley,WA 49205
(509)658-0036 FAX:(509)588-0037 PERMIT FEE:
*Com'mmityDevelopment uW2v.spokanreallev.ora
Mechanical Permit Application J J Commercial Residential _
SITE ADDRESS:
Building Owner -
Name: Phone: Fax:
Address: City: State: Zip:
Contraetor _.S:T:: :71.1-/tit G . : . _ . . - �
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lie:
Centacl
Name: . .. Phone:
DESCRIPTION OF WORK #OF UNITS I X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 t 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-IDDM BTU _ X $12.00 =
B BOILER/REFRIGERATION 101-5001v1 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 SOLER/REFRIGERATION More than 1,750M BTU X $60.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE 1 , X $10.00 = ,
13 RANGEX $10.00 _=
14 DRYER X $10.00 = ,
15 FUEL BURNING WATER HEATER ` 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 y X $10.00 =
2D 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 _ I 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 =
26 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR 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-RESIDENCEX $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
OCASH 0 CHECK 0 VISA ❑MC EXPIRES: PROCESSING FEE $35.00
VIN:
CARD h. TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 526/05
v vlsu s t� .--.1., .� c,
Spokane Valley,WA 99206 PERMIT NU?`^.BERR
(509)586-0036 FAX:(509)685-0037 •
' CommunityDeveloptnert c��.;ws-oDkanevallev.ors PERMIT FEE: c -,-,
Plumbing Permit Application n Commercial 4esidential
SI I Ir *?DRESS: 380 S
Building Owner •
Name: Phone: Fax:
Address: City: State: Zip:
Contractor -T thrl M Li S Piz& ►2131 JV G -
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 _ X $6.00 =
2 URINALSX $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) — BATH,STALL.ON-SITE BUILT 1 X $6.0D =
LAVS/BASINS,BAR FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, S X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT _
6 DISHWASHER __ I X $6.00 =
7 CLOTHES WASHER , X $6.00 =
J
8 GARBAGE DISPOSAL .I X $6.00 =
9 WATER SOFTENER X $6.00 =
10 - ELECTRIC HOT WATER TANK NOTE IF GAS.SEE MECHANICAL X $6.D0 =
AREA CASE,COIL,TRENCH, I
11 FLOOR DRAINS CONDENSATE / X $6.00 =
12 ROOF DRAINS/OVERFLOW 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.DD
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X_ $6.00
- ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6_D0 =
PROCTER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.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.D0 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
2D MISCELLANEOUS PLUMBING FIXTUREX $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYSX $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.DD =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
DCASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED Sf26/a5