HomeMy WebLinkAbout2005, 05-09 Permit App: 05001484 Residence t T
Project Number: 05001484 Inv: 1 ' Application Date: 05/09/2005 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- Contact: SCHMITZ,CLIFFORD M&MARGO A
NATURAL GAS Address: 16520 E SECRETARIAT LN
C-S-Z: SPOKANE VALLEY,WA 99037
Setbacks:Front 30 Left: 5 Right: 5 Rear: 58 Phone: (509)999-7733
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: WOODLAWN PARK District: Sout
Parcel Number: 35244.1608 Block: 20 Lot: 18
SiteAddress: 7308 U E 12TH AVE Owner:Name: SCHMITZ,CLIFFORD M&MARG
Address: 16520 E SECRETARIAT LN
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,750 Sq Ft Width: 50 Depth: 134 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: 1. - ALA/LcAA.
LA,,,j7t—VVLA-( t �1 -e L., -
Plan Review
Released By: _� `.,
Approach/Drainage Released By: kLit.
Sewer Review Released By:
Operator: K_C Printed By: K_C Print Date: 05/09/2005
1 1
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Project Number: 05001484 Inv: 1 ' Application Date: 05/09/2005 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
CONST IN ROW-APPROACH 1 NUMBER OF $25.00
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
Building Characteristics
Group: R-3 Type: VB
Total Area 1072
Building Height 12
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VB 32 $480.00 32 $480.00
GARAGE U-1 VB 440 $8,360.00 440 $8,360.00
RESIDENCE R-3 VB 1,072 $80,056.96 1,072 $80,056.96
Totals: 1,544 $88,896.96 1,544 $88,896.96
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $916.75
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $366.70
Permit Total Fees: $1,287.95
Operator: K_C Printed By: K_C Print Date: 05/09/2005
Project Number: 05001484 Inv: 1 ' Application Date: 05/09/2005 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 2 #OF UNITS $2.00
VENTILATING FANS 2 NUMBER OF $20.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $64.00
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
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
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
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $66.00
Operator: K_C Printed By: K_C Print Date: 05/09/2005
Project Number: 05001484 Inv: 1 Application Date: 05/09/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,287.95 $1,287.95 $0.00 $1,287.95
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,467.95 $1,467.95 $0.00 $1,467.95
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 05/09/2005
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BUILDING PERMIT APPLICATION WORKSHEET
cum tx' City of Spokane Valley Community Development Department
ne Building Division
11707 E. Sprague Avenue, Suite 106
4101,Valle
Spokane Valley, WA 99206
Y Phone: (509) 688-0036; Fax: (509) 688-0037
C REQUIRED SITE INFORMATION
Street Address: 2 30D$ 6- IZ f
Assessor's Tax Parcel Number(s): (5�L\ �t�, L(1 s
f
Legal Description: LUL-11 -
- �'� Ee P 4
PERMIT DESCRIPTION: l 0-e/Y1 CP )
,
QBui{ding Permit ❑ Change in Use ❑ Gra Dla ` .
d Home
❑ Relocation 0Tenant Improvement ❑ Fire Safety O , `
OWNER/APPLICANT INFORMATION
0 Owner: 0 Applicant:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
L/ Contractor: LJ-LESCOm rz- Co c5( ❑ Architect:
Phone: 99q-77 3 Fax: 34 /-q'/ , Phone: Fax:
Address: Flo 572 .E- 5tr-i2ea ri Address:
U'J1.i9-0r9-/.4.- cJ (Pr- q 403 7
City State Zip Code City ,, State Zip Code
WA State Contractor License#: 12L i �SC/0'-/ - Contact: L 1 LT-'r
�� 5(19-7-7 3 3
T_ _
g PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK DIMENSIONS: #OF STORIES:
(Z 4451C 5-6
MAIN FLOOR TO SQ. FTG: 2N'FLOOR$Q. FTG: UNFIN BASEMENT SQ. FTG:
/07Z -
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT URGE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
3 /67Z,
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
�=- SYSTEM? 5&ut 1'
PLUMBING PERMIT APPLICATION Community Development Department
n 011"bqk Building Division
Phone: (509)688-0036; FAX: (509)688-0037 11707 E. Sprague Avenue, Suite 106
,,stielf
For Inspections, Call(509) Spokane Valley, WA 99206
Project Address: '7.33 R 6_, I Z Permit Use:
Owner. Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor. of'✓"L(C) eulivv.a1,06 License#: Phone*:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK I OF UNITS X COST = TOTAL AMQUNT
1 TOILETS WATER CLOSET.BIDETS l X $6.00 = `
2 URINALS X $6.00 =
3 TUBS I X $6.00
4 SHOWERS(PER TRAP) BATH.STALL ON-SITE BUILT _X $6.00 =
• LAVSIBASINS.BAR.FLOOR KITCHEN.
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO. X $6.00 =
X-RAY.FOOD.PREPIC1A.INARY MEAT
6 DISHWASHER q( . X 4 $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 I X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINSX- $6.00 = '
13 FOUNTAINS,DRINKING , X $6.00 =
WATER P'OIINGIDRANJ-IN WASTE, NSTALLATION.ALTERATION.REPAIR.
14 VENT,PLUMING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER.SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER.HOSE M.
16 WATER USING DEVICE STEAMER X $6.00 =
_ PROOFER.CARBONATOR,SWAMP COOLER
VACUUM BREAKER.CHECK VALVE.
17 CROSS CONNECTION DEVICE _ AND ILP.B.P.D.FOR VATS.TANKS.BOILERS X $6.00 =
GREASE TRAP.SAND TRAP,
18 INTERCEPTORS CHEW—AL HOLDING TANK x $6.00 =
19 MEDICAL GAS(Per meet) _ NITROUS,OXYGEN X $8.00 =
MISCELLANEOUS PLUNGING
20 FIXTURE X $6.00
21 PRIVATE SEWAGE DISPOSAUSYS , X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTORX $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
DATE: DIPIRE& TOTAL PERINT FEE DUE
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION Community Development Department
. Building Division
1L14 Phone:(509)688-0036;FAX:(509)688-0037 11707 E.Sprague Avenue, Suite 106
�1 For Inspections,Call(509)688-0054 Spokane Valley, WA 99206
Project Address: "7301. E. 121-1- Permit Use:
Owner: Phone(Daytime Contact):
Mailing Address:
City State Zip Care
Contractor. S - {2 ' -I tJ G License#: Phone#:
Mailing Address: S,,,, u,CodeCity _
DESCRPTION OF WORK s OFUMTS x COST _
IN = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Egwb I
l or Nass Nan 100.000 X $12.00 = ,
2FUEL BURNING APPLIANCE More San 100.000 X $15.00 =
3 1 UNLISTED APPLIANCE(Adt 9iaal Fee) Equal b or less San 400.000 X $50` .00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400.000 X $100.00 = i •
5 USED APPLIANCE ONSEC mit ARE rating) Equal b Or less than 400,000 X - $50.00 =
6 USED APPLIANCE IWSEC min.AFUE iatrg) More than 400.000 . X $100.00 = .
7 BOILERMEFRIGERATIDN 1-100M BTU X $1200 =
8- BOILERNEFRK3ERATION 101-500M.BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 =
10 BON.ERIREFRIGETIABill 110N 1.001-1.750M X $3.00 = '
11 BOBERNEFRIGENATION More than 1,7501167U - X $60.00
12 GAS LOG,GAS INSERT,GAS FIREPLACE , 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 PPING(ends autlet) X SLIM =
18 DUCT SYSTEMS X , $10.00 =
19 VENTILATING FANS Z. X $10.00 =
20 AIR HANDLER(DOES NOT include dtaclnq) Equal bar less than 10,000 CFM , . X $12.00 , _ ,
21 AIR HANDLER(DOES NOT Include duns/KI) Greater than 10.000 CFM X $15.00 = ,
22 EVAPORATIVE COOLERSX $10.00 =
23 TYPE I HOOD X $50.00 =
24 TYPE I HOOD l X $10.00 = ,
25 HEAT.PUMPIAIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 3-15 TON , X $20.00 = -
27 AN CONDITIOS ER 15-30 TON i..../.....t $25.00 =
28 AIR CONDITIONER 30-50 TON X , $35.00 = ,
_29 AIR CONDITIONER More than SO 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 $13.00 a
34 VENTILATION SYSTEMS X $12.00 =
35 VENTRAT1ON MECHANICAL EXHAUST X $12A0 =
38 INCINERATOR- X $19.00 = .
37 INCINERATOR-COMMERCIAL X $27-00 ,
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD 0: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
✓V y i
.. AoonEss
1,7
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FTMVO[-- iaL FLANKING 4.
. COMMENTS
REVIEWED 8Y_.,, 1, "1, 4
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irli S is site plan Is being submitted for the purpose of
• 0 tattling a building permit and is a true and correct
r resentation of the proposal. All known property
U li s/dimensions,curb lines, ures and easements
vs been identifi . 0,0 � are wetlands,
of s, 'critical areas.
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