2005, 05-09 Permit App: 05001487 Residence Project Number: 05001487 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: 35244.1609 Block: 20 Lot: 19
SiteAddress: ,;de U E 12TH AVE Owner:Name: SCHMITZ,CLIFFORD M&MARG
'731 Address: 16520 E SECRETARIAT LN
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 999 UNKNOWN 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: / t4-t1
Plan Review Released By: QA y
Approach/Drainage Released By:
Sewer Review Released By:
Permits: .... _ .... ........
Operator: K_C Printed By: K_C Print Date: 05/09/2005
Project Number: 05001487 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: 05001487 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: 05001487 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
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
•
BUILDING PERMIT APPLICATION WORKSHEET
CITY ' 01/444.4110641, City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
4000Va
\ lIe Spokane Valley, WA 99206
Y Phone: (509) 688-0036; Fax: (509) 688-0037
_REQUIRED SITE INFORMATION
Street Address: 9 lo E, /Z
Assessor's Tax Parcel Number(s): (La.Cil
•
Legal Description: (A)600 LA40 A) Ql9e K
PERMIT DESCRIPTION: 2,5, ) 0,) C.P
24uilding Permit 0 Change in - E C IQ +,i ani 0 Manufactured Home
❑ Relocation ❑ Tenant lm r,, ement D Fire Safety 0 Other
11 OWNER/A 8 ICANT INFORIltiON
LAUDDME
0 Owner: ❑ Applicant
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
15' Contractor: 64_ (PP SC yn yr-4_00,15r 0 Architect:
Phone: q9-'7 7 3s Fax:VI 1-qt. -71 Phone: Fax:
Address: (405-Lo E• 5¢ q t r Address:
City State Zip Code City State Zip Code
WA State Contractor License#: C' W S'c /OE-(2.1 Contact: (`L 1 aG 4' 9q77 53
F PERMIT/BUILDING INFORMATION
HEIGHT TO PErAK: DIMENSIONS: #OF STSO ORIES:
2`�' RIES:
MAIN FLOOR TO SQ. FTG: "FLOO Q. FTG: UNFIN BASEMENT SQ. FTG:
/072 -e9-
FINISHED 3A EMENT SQ. FTG: GARAGE SQ. G: DECK/COV...eATIO SQ. FTG:
OCCUPANCY GROUP:- CONSTRUCTION TYPE: HEAT SO, i}RC,
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
3 /02Z,-
COST
O'7ZCOST OF PROJECT: 30%SLOPES O PROPERTY: SEWER OR ON-SITE SEPTIC
�-�-= SYSTEM? l e2
PLUMBING PERMIT APPLICATION Community Development Department
Building Division
z e Phone• (509) 688-0036; FAX: (509)688-0037 11707 E. Sprague Avenue, Suite 106
'�'� For Inspections,Cali(509)688-0054 Spokane Valley, WA 99206
Project Address: ')3 ID K. 12141: Permit Use:
Owner. Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: m ct-( S pi-LI/461/0C License#: Phone*:
•
Mailing Address:
City State zip Code
DESCRIPTION OF WORK I OF UNITS X COST = TOTAL AMQUNT
1 TOILETS WATER CLOSET.BIDETS t X 56.00 =
2 URINALS X-, $6.00 . = .
3 TUBS I X $8.00 , —
4 SHOVVERS(PER TRAP) BATH.STALL.ON-SITE BUILT , X . 58.60 , =
LAVSIBASINS.BAR,FLOOR.KITCHEN.
5 SINKS LAUNDRY,UTILITY,JANITOR.PHOTO. 2 X $6.00 =
X-RAY.FOOD. MEAT
6 DISHWASHER 1 , X , 36.00 , =
7 CLOTHES WASHER I X 36.00 =
8 GARBAGE DISPOSAL I X 36.00 = —
9 WATER SOFTENER X , 36.00 =
10 ELECTRIC HOT WATER TANK NOTE IF GAS,SEEMECHANICAL , X, $6.00 =
11 FLOOR DRAINS AREA,CASE.COB..TRENCH,CONDENSATE I X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS ,X 36.00
13 FOUNTAINS,DRINKING X 36.00 ,__
WATER PIPING/DRAIN-IN WASTE. NSTALIATION.ALTERATION.REPAIR
14 VENT.PLUMBING.REVERSAL REVERSALS X 56.00 =
15 SEWAGE EJECTOR GRINDER.SUMP PUMP X $6.00 = s
ICE ANIOR COFFEE MAKER.HOSE BIB.
16 WATER USING DEVICE STEAMER X 36.00 =
PROOFER CARBONATOR,SVVAMiEP COOLER
VACUUM BREAKER.CHECK VALVE.
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR VATS,TANKS.BOILERS X 36.00
GREASE TRAP.SAND TRAP.
18 INTERCEPTORS CHEMICAL.HOLDING TANK X $6.00 =
19 MEDICAL GAS1per wOel NITROUS.OXYGEN . X $6.00 , _
MISCELLANEOUS PLUMBING
20 FOCTURE . X $6.00 = ,
21 PRIVATE SEWAGE DISPOSAUSYS , , X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 = ,
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
13 CASH 0 CHECK 0 VISA 0 MASTERCARD 335.00
DATE: DIMES: TOTAL.PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
• 414\11% MECHANICAL PERMIT APPLICATION Community Development Department
Building Division
Phone: (509)688-0036;FAX:(509).688-0037 11707 ESpokane pru AvenValleyu , SuA to9106
06
For Inspections,Call(509)688-0054
Project Address: ? 3 10 . t 2 Permit Use:
Owner. Phone(Daytime Contact):
Mailing Address: car sten zip Cote
Contractor. � AZ--fr\ 10 6 License#: Phone#:
Mailing Address: Qv Shah. Zip Cow
DESCRIPTION OF WORK , Nr OF(JUTS X COST TOTAL AMOUNT
•FUEL BURNING APPLIANCE Equal to or teas than 100,000 I X $12.00 =
2 FUEL BURNING APPLIANCE More Aran 100.000 X $15.00 =
3 UNLISTED APPLIANCE(Addiional Fee) Equal to or less Akan 400,000 X $50.00 =
4 UNLISTED APPLIANCE(AddNonal Fee) More than 400.000 X , $100.00 = •
S USED APPLIANCE(MISEC min.ARE rating) Baud b or less than 400,000 X , $50.00 =
6 USED APPLIANCE(MEC min.AFUE raMII6 More than 400.000 . X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTUX $12.00 =
8- TION 101-5001A.STU X $20.00 . =
9 BOILER/REFRIGERATION 501-1,0001.0 BTU X $25.00 = .
•
4 10 BOILERIREFRIGE dATION 1.001-1.750M BTU X $35.00 =
11 BOILERALERUGERATION More Agan 1,750M BTU - X 560.00 =
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 I X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(sad)ousel) 2 X $1.00 =
18 DUCT SYSTt71S X $10.00 =
19 VENTILATING FANS Z.-- X $10.00 =
20 AIR HANDLER(DOES NOT include ducrng) . Equlht bar las than 10,000 CFM X , $12.00 =
21 AIR HANDLER(DOES NOT iedude dudingi Greater than 10,000 CFM X $15.00 =
22 EVAPORATIVE COOLERS , X $10.00 = ,
23 TYPE I HOOD , X $5000 =
24 TYPE A HOOD I x $10.00 =
25 HEAT.PLIYPIAIR CONDITIONER 0-3 TON X $12.00 =
28 AIR CONDITIONER 3-15 TON X $20.00 = .
27 AIR CONDITIONER 1530 TON X . $25.00 =
28 AIR CONDITIONER 30.50 TON . X $35.00 =
29 AIR CONDITIONER More Man 50 TON X $60.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVFJINSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00
33 REPAIRS ADDITI •
X $13.00 =
34VENTILATION SYSTEMS X $12.00 =
•
35 VENTILATION MECHANICAL EXHAUST X $12.00 =
38 INCINERATOR-RESIDENCE X $19.00 -
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK CIVISA 0 MC DATE PROCESSING FEE $35.00
EXPIRES CARO f: TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
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S site plan is being submitted for the purpose of
• obtaining a building permit and is a true and correct
d representation of the proposal. All known property
lines/dimensions,curb tine at ur s and easements
have been
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bodies of ' � ,- dice' areas.
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