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2003, 07-06 Permit App: BD03-746 Residence City ©f Ft X b FY- C) SPOKANE VALLEY PERMIT# 12 - c 1- -72/� BUILDING PERMIT APPLICATION Box 1 OWNER JOB LOCATION (I(00 6 OWNER'S ADDRESS CITY PHONE DESCRIBE JOB RAS t e of (-Q THIS PROPERTY 1S OWNED BY:SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME L L"L S G1m.1>Z S' PHONE gqqL 7733 k. CONTRACTOR'S ADDRESS /6 520 t, 5f cc CITY (U' /21ze . CONTRACTOR'S REG.# /0 ti p_tr EXPIRATION DATE ( I U (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT % PHONE q7q-77 3� ADDRESS 5 J Yt"-Q CITY ZIP BOX 4 SEWER AVAILABILITY le S WATER AVAILABILITY 5 BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG. VALUATION$ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION l.tiNJUJ NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE(Existing/proposed) 1ST FLOOR 1133/ 2ND FLOOR / 3RD FLOOR.. % OTHER e, / BASEMENT FINISHED - / BASEMENT UNFINISHED Z.Q / DECK ''d / GARAGE 5 () / CARPORT -fy. / TOTAL (j / HEIGHT TO PEAK OF BUILDING ( g FT. BOX 8 ( / SINGLE FAMILY ( KNEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ SQ. FT. BOX 9 PLUMBING FIXTURES(Including rough-ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS,WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size(if known) 1 Also see BOX 4 BOX 11 Septic Tank—Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PE-JURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF M K0 -- ?G ND FURTHER THAT I AM AUTHORIZED BY THE pWNER OF THE ABOVE PREMISES TO PE FO r H. •R. •- WHICH THE APPLICATION IS MADE. OWNER/AGENTw- '� ��� DATE —(l/—G? 3 (nVFR1 Site Information Project Information Site Address: 11606 E 8TH AVE Project Number: g 7(I4 Inv: 1 Issue Date: '7 hi, SPOKANE,WA 00000 Permit Use:" '1A . Parcel Number: 45214.9304 e�[U! `ems e Subdivision: ¶j P 1Z9 S,j-0) Applicant: CLl0 SCPIIMIITZCONSTRUCTION Block: Lot: 16520 E.SECRETARIAT Zoning: UR-3 Urban Residential 3.5 VERADALE,WA 99037 Phone: (509)922-4297 Owner: SCHMITZ,CLlK'ORD&MARGO Contact: CLIFF SCHMITZ CONSTRUCTION 16520 E.SECRETARIAT Address: 16520 E SECRETARIAT LN VERADALE,WA 99037 Phone: (509)922-4297 VERADALE,WA 99037- Setbacks-Front: Left: Right: Rear: Building Inspector: '\e U:✓1 ckk\/-e r Water Dist: Group Name: Project Name: { Permits Contractor: CLIFF SCEHMITZ CONSTRUCTION License#: CLIFFSC104RF APPROVALS BUILDINGS: PLANNING . )( C Cv - ��5 ENGINEERS: / HEAL' H: SEWER: k O 3' 3S 5 FIRE S'1; . - 1133 --- a e, /5 -co _]r"' - \ ..... ( l (f (v2 5-92 co 1200 i 'crcr co L -f- 5v 72 (C6 p/eA. k -e( -j L M.In,#CI C I Spokane Valley,WA 99206 509-688-0037-Fax �ajj�ll For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: 1 1 100 0 E g4-4- USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR `S ,fJb, LICENSE I: MAILING ADDRESS: U` PHONE I: (street) (city/state) (ZIP) PLUMBING FIXTURES • DESCRIPTION DETAILS I OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET BIDETS 2-- X $6 2 URINALS X 56 - 3 TUBS X $6 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- 7 X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 ` - 9 WATER SOFTENER X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE ) X $6 - 12 FOUNTAINS,DRINKING X $6 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS X 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 20 MISC.PLUMBING FIXTURE X S6 THOD OF PAYMENT SUBTOTAL: -72 I 1 PLUS PROCESSING FEE @-----) CASH 0 CHECK ❑ 11111111111 ❑ ._ • TOTAL PERMIT FEE DUE: 'E: EXPIRES: IKCARD NUMBER: HORIZED SIGNATURE: alYc r 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone - � Spokane Valley,WA 99206 509-688-0037-Fax � y For Inspections, call 509-688-0054 -Mechanical Permit Application PROJECT J,, D(L) Vf . PRMIT ADDRESS: 1 \ (J D t g" USE:: OWNER PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR O _(4 / _ LICENSE I: MAILING ADDRESS: • PHONE I: r, (street) (city/state) (ZIP) DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE =OR<100,000 i X $15 - /5 2 FUEL BURNING APPLIANCE >100,000 X $19 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 • 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 - S USED APPLIANCE(WSEC min AFUE rating) -or<400,000 X $50 - 6 USED APPLIANCE(WSEC min AFUE rating) >40Q000 X $100 - 7 BOILER/REFRIGERATION 1-10OI BTU X $15 - 8 BOILER/REFRIGERATION 101-500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,00014 BTU X $39 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X S57 - H BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOC„GAS INSERT,GAS FIREPLACE - X $10 - 13 RANGE - X $10 • 14 DRYER - 11 X $10 - /0 15 FUEL BURNING WATER HEATER - X $10 - I 16 MISC FUEL BURNING ADPL - X $10 - 17 GAS PIPING(ea Outlet) - 2, X $1 - 2 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - _ X $10 - -3() 20 AIR HANDLER(DOES NOT include ducting) -OR<10,000CEM X $12 • 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - - X $50 - 24 TYPE II HOOD - r X $10 - /0 25 HEAT HUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 = 29 AIR CONDITIONER +50 TON X $60 • 30 LPG STORAGE TANK - X _ $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE-FREE STANDING - X $25 /l SUBTOTAL "7 7©(/ METHOD OF PAYMENT PLUS PROCESSING FEE: 7 ,00 $35.00 IMMO TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK 0 11111111111111 ❑ • .-_._ DATE: EXPIRES: BANKCARD NUMBER: City of SPOKANE VALLEY BLD O.P. 23C Building, Fire and Public Works Fees Receipt Applicant/Business � t Project Name �- ' "rmit No e -� -� Site Address Date 2 `���3 Please Receipt the Following: Check Number Receipt Number Payer's Name Sc'. Address )05- .0 cec tty� \Jtr ) ,.e Zip 9c1CS BUILDING DEPARTMENT 001.059.322.10.01 Building Permit $ q?-5-- ‘ 25- 001.059.322.10.02 S001.059.322.10.02 Plumbing Permit $ _ 001.059.322.10.03 Grading Permit 001.059.322.10.04 Mechanical Permit $ -?7 - Ccip 001.059.322.10.06 Demolition Permit $ 001.059.322.90.01 Misc. Permits and Fees $ 001.059.345.83.01 Plans Check Fee $ /c 175 001.059.345.83.03 Energy plans check fee $ 001.059.342.40.02 SPECIAL Inspections $ 001.059.237.10.98 Bonds / Deposits $ 001.059.237.10.02 WSBCC Surcharge * $ FIRE DEPARTMENT # 001.059.322.10.07 Plans check fee $ 001.059.322.10.08 Sprinkler plans check $ 001.059.322.10.09 F. A. Plans check $ 001.059.322.10.10 Misc. plans check $ 001.059.322.10.11 Fire Alarm inspections $ 001.059.322.10.12 Sprinkler inspections $ 001.059.322.10.13 Misc. Inspections $ 001.059.321.30.00 Fireworks Permit $ 001.059.342.40.01 UFC permit fees $ 001.059.237.10.99 Bonds / Deposit ** $ OTHER: $ PUBLIC WORKS 001.059.322.40.00 Right of Way D.S,CO 001.059.342.40.03 Special Inspections $ 001.059.237.10.99 Bonds/Deposits (cash)** $ TOTAL AMOUNT DUE $ 132-9 .0a * To be sent to Wash. State Building Code Council quarterly. P61. 6 - 1 # 65% of-figure to be sent to the Fire Department Quarterly, except bonds etc. ** Liability Insurance verification may also be required. s-vb1d23c 4-21-03 TMC-5h 11 LO ° 1 ef=ePtv7°- 6q1 i 2_0 12_0 2_0 Pe?-46 — ' f0 Fi,CHAC'e 881 1,0erte c;Cf 5-1-0 44- yard' S 41=a-et W\k,LSA" b S- DIN"- --tVe VO,fle(41 10) icke_ tne (\bk Ake_ wakto kt,-( , APPROVED 41e- 1 I