2005, 09-14 Permit App: 05003355 Residence Project Number: 05003355 Inv: 1 Application Date: 09/14/2005 Page 1 of 4
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: 30 Right: 10 Rear: 30 Phone: (509)922-4297
Group Name:
Project Name:
Site Information: ,.,mgcosspo,
Plat Key: Name: SHELLEY LAKE 4TH ADD PUD District: East
Parcel Number: 45244.3107 Block: 3 Lot: 7
SiteAddress: 16512 E 9TH LN Owner:Name: SCHMITZ,CLIFFORD&MARGO
Address: 16520 E SECRETARIAT LN
Location::CSV SPOKANE VALLEY,WA 99037-
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: El
Area: 11,129 Sq Ft Width: 83 Depth: 113 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation: I .
Review
Site Plan Review Released By:
Originally Released: 09/12/2005 By: cjjanssen
Plan Review Released By:
Originally Released: 09/13/2005 By: TMELBOU
Approach/Drainage Released By:
Originally Released: 09/12/2005 By: cjjanssen
Sewer Review
LReleased By:
Originally Released: 09/14/2005 By: cjjanssen
Permits: Now ,,,INFACETr-,-rogsor- '
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
Project Number: 05003355 Inv: 1 Application Date: 09/14/2005 Page 2 of 4
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 INSPECTION 1 NUMBER OF $25.00
Permit Total Fees: $25.00
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Building Characteristics
Total Area 2929
Building Height 24
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 459 $34,278.12 459 $34,278.12
BASEMENT U R-3 VB 1,235 $18,525.00 1,235 $18,525.00
GARAGE U-1 VB 440 $8,360.00 440 $8,360.00
RESIDENCE R-3 VB 1,235 $92,229.80 1,235 $92,229.80
Totals: 3,369 $153,392.92 3,369 $153,392.92
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,296.15
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $518.46
Permit Total Fees: $1,819.11
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
Project Number: 05003355 Inv: 1 Application • Date: 09/14/2005 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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
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
TOILETS/BIDETS 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
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
Project Number: 05003355 Inv: 1 Application • Date: 09/14/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: k._,_W.. : n -P ry _: - .:.-- •
Payment Summary: . -' n'aMerl, Pka
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $25.00 $25.00 $0.00 $25.00
BuildingPeiuiit $1,819.11 $1,819.11 $0.00 $1,819.11
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$2,031.11 $2,031.11 $0.00 $2,031.11
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: 09/14/2005
�aTa ov #0000°N..46, Permit Center a tv � ,
Sp�l ane 11707 E Sprague Ave, Suite 106 4�° y .. � ;
Valley Spokane Valley,WA 99206 m ; - s*9
(509)688-0036 FAX: (509)688-0037 ` .eve ° ' °' . ' , ,
Community Development www.spokanevalley.org.com
0 FES Fiji '
Residential Constr fe on : 10',w Construction o Accessory Bldg
Permit Application- -\ ❑ dition/Remodel o Deck
❑ her:
�)� L qhrkt,
SITE ADDRESS I 6 S72 .
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 6 3 L ) 5 Ae /e y 146 4k'
> uilding,.owner , ,Con` raietor *„'., ,g
Name: Name: (.L 1 Sc Men az fbn.s r
Address: 51() --•------D Address: IGS—z o E.... S cor-
City: Zip: City: U e.e1 X” Zip: ' 9b3'7
Phone: Fax: Phone: '7)3 Fax: /31/ "9 y-7/
Lic No:tl—LePSC/0 'Exp.Date: W& Z c0
Contact Person i s, 5 City Business Lic No:
Name: e....4.1 tr-F. $G iiril (Tr--
Phone:
'2Phone: 'q9—'7 7 33
Describe the sco e of wor 'n detail: Cost of Project: $
keii tN
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONbS: #OF STORIES: TOTAL HABITABLE SPACE: I
2 11240 44 8-- Z 2-4/247MAIN FLOOI TO SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: ,Z 3c L f / Z.2 AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: ',-- '44 0 PROPERTY: 1:59--
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOUR E: SEWER OR SEPTIC?
6:14-5 Se.40-te
DISCLAIMERS
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 Thi• City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordinances,.) P .ns ,�itional information may be required to be submitted,and subsequently approved before
p
this application can bero s•-d.
Signature yer iiir Date 9- 8-6S'
-6J
Method of Pay , (Faxed permit ap ''cations will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard 0 VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Permit Center
Si r kane 11707 E Sprague Ave, Suite 106
4,,,.'�Valle Sp09)68okane Valley8-0036 ,FAX:WA 99206
(5 (509)688-0037
www.spokanevalley.org.com
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
MECHANICAL PERMIT APPLICATION Community Development Department
pigne Building Division
r5 Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
� ' For Inspections, Call (509) 688-0054 Spokane Valley,WA 99206
Project Address: Permit Use:
Owner: Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: .5 TL4_ lAe..4 7106 License#: Phone#:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I 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 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101-500M 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 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE I x $10.00 _ =
13 RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER 1 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 q X $10.00 =
20 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 ( 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 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 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-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: - TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION Community Development Department
u Building Division
Phone: (509) 688-0036; FAX: (509) 688-003711707 E. Sprague Avenue, Suite 106
dinal"`d For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Address: Permit Use:
Owner. Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: License#: Phone#:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER X $6.00 =
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL 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 $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
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
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Permit Center
s`" " ne� 11707 E Sprague Ave,Suite 106 ' PERMIT NUMBER:
I.0.0 Valley Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.ore.com
Plumbing Permit Application o Commercial o Residential
SITE ADDRESS
Building owner
Name: Phone: Fax
Address: % /� City State Zip
T1w
Contractor 1,► •v4 5 I Q 61
Name: Phone: Fax:
Address: City State Zip
License No: City Business License No:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 , X $6.00 =
2 URINALS • X $6.00 =
3 TUBS jj X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT i X $6.00 =
LAYS/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 I X $6.00 =
8 GARBAGE DISPOSAL ' 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 1 X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 _=
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER ? X $6.00 =
PROOFER,CARBONATOR,SWAMP COOLER 3
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
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = ,
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 = ,
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
Card# EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 8/26/05