2007, 06-15 Permit App: 07002284 Residence Project Number: 07002284 Inv: 1 Application Date: 6/15/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E.SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 33 Left: 7 Right: 6 Rear: 27 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District:
Parcel Number: 45342.3521 Block: Lot:
SiteAddress: 12810 E 39TH LN Owner:Name: MALAM,NEIL A
Address: 12810 E 39TH LN
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation:
Review
Building Plan Review Released By:
Originally Released: 6/15/2007 By: TMELBOU
Driveway/Approach Re)eased13
y .
PRIVATE ROAD
Originally Released: 6/15/2007 By: jdavis
Landuse/Zoning/HE ConditionsReleased By. At! 0
MOIRE
Sewer Review Released By.
Originally Released: 6/15/2007 By: jdavis
Permits: ,vz
Operator: JD Printed By: JD Print Date: 6/15/2007
Permit Center PERMIT NUMBER-
��
l��'o11707E Sprague Ave,Suite 106
spa ` Te Spokane Valley,WA 99206
PERMIT FEE:
V"t11eY (509)688-003¢ • : (509)688-0037
Community Development wWW.s okan t• o AHL
Residential Construction
view Construction ❑ Accessory Bldg
mit A lication o Addition/Remodel ❑ Deck
Per PP ❑ Other:
SITE ADDRESS I Z i 0 3 q rk it
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:ti -VT Z( ti
BContractor
Name: n 'owner (� (E C � �n j C
Name
Name: 5
Address: J► £C a fa /
Zip:
Address: 1r 4 J
Zip: City: (Jell'10 4
City: i'"-- 7 33 Fax: O / —
Phone:
Phone: Fax:
Lic No: Exp.Date:
Contact Pers__ City Business Lic No:
Name:
Phone: �7 I
Describe the scope of work in detail: Cost of Project: I /�� WO
n J a. &S OM 66
**************The following MUST be complete: (write N/A if not applicable)**********************
#OF STORIES: TOTAL HABITABLE SPACE:
HEIGHT TO PEAK: DINI�ENVV�1�SS��tSIONS? [ 3-1-1-0 3 Z ,L -'
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: JA C 20 <<1 Q. FTG: 30% SLOPE ON
SQ.
FINISHED BASEMENT GARAGE SQ, FTG: DECw OV./2 •C PROPERTY: .(—
#OF FTG: �- d �l SEWE�PTIC?
# BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE:
DISCLAIMER
The pnverifies,acknowledges
agrees signature
permit
is for construction of or on a dwelling,
dwelling is/will be served potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. The
signatory is te
property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
S full compliance the City o5Spokane
This City of Spokaneopment Code.Valley Permit inot Referenced permit or app oval forble for review at the City of
any violation of federal,state or
Spokane ValleyoPermitoCenter.
local laws,codes or ordin.n -s. %) 'tans or additional information may be required to be submitted,and subsequently approved before
this application can be .: •ss•d./ /�
Date `Iu�U�
Signature � ., /4,iiialir
Com
i
Method of Pay • . (Faxed pe I it applications will only be accepted with major ba kca d) ❑ Other
❑ Cash ❑ Ch•ck ❑ Mastercard El
Bankcard#:
Expires: VIN#:
Authorized Signature:
REVISED 8125/2005
S ie ® 11707E Sprague Ave,Suite 106
Vey Spokane Valley,WA 99206 PEST NvER !
(509)688-0036 FAX:(509)688-0037
Community Development uww.g1,6kanevailev.07s PERMIT FEE:
Mechanical Permit Application n Commercial +Residential
SITE ADDRESS:
Building O4vner • _ .
Name: Phone: Fax:
Address: City: State: Zip:
Contractor S i cT7/l) 69 . .
Names ax::Phone: F .
Address: City: State: Zip:
License No: City Business Lic:
Contact , - .
Name: _ _... .. .._.:-.._,
Phone
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ( X $1200 =_
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 =
B BOILER/REFRIGERATION 101-500M BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 =
10 BOILER/REFRIGERATION 1,001-1,75DM 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 I X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) c3 x $1.00 _=
15 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 5 X $10.00 =
20 AIR HANDLER(DOES NOT include dueling) 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 $1200 =
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER 15-30 TON X $25.00 =
25 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-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD n VIN' TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 1/26/55
v�rvri +trV .,.... :_,Jt.,c�uz.�.�;JWIL IVO J
Spokane Valley,-WA 99206 PERIAI I NUMBER.. - -
(509)5U-0036 FAX:(509)5g8-0037
CounuunityDevelopment .i-.-ws-uokanevaiiev-.oro PERMIT PEE: `:=
Plumbing Permit Application --- --,-!;,-;,'‘,.-----t--
� Commercial Residential
SIU 1.*,ADDRESS:
Building Owner
Name: .
Phone: Fax:
Address: City
State:
Contractor Zip:
Name:
. Phone: Fax:
Address:
City State:
License No: Zip:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK = I
#OF UNITS XI COSTTOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 7 -
C� K $6.0D =
2 URINALS
X $6.00 -
3 TUBS
X $6.D0 =
4 SHOWERS(PER TRAP) BATH,STALL ONSITE BUILT (
LAVS/BASINS,BAR, X '� _
FLOOR,KITCHEN,
5 SINKS -
LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER
( X $5.00 =
7 CLOTHES WASHER
( X 56.00 =
8 GARBAGE DISPOSAL
I X $6.00
9 I WA I EX SOFTENER '
I X 56.00
10FI FCTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL
AREA.CASE,COIL TRENCH, X $6.00 =
11 FLOOR DRAINS CONDENSATE
( X 55.00 =
12 ROOF DRAINS/OVERFLOW DRAINS
X S6.OD
73 FOUNTAINS,DRINKING -
WA i EK PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, X $6.D0 =
14 VENT,PLUMBING,REVERSAL REVERSALS
X S6.DD _ -
15 SEWAGE EJECTOR GRINDER,SUMP PUMP
ICE AN/OR COH-hEX $6.00 _
16 WATER USING DEVICE R HOSE BIB,
STEAMER 3 X $5.60
R
PROOFECARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND RP.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS
GREASE TRAP,SAND TRAP, X $6.00
16 INTERCEPTORS CHEMICAL HOLDING TANK
X $6.00 -
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN
X $6.00 -
20 MISCELLANEOUS PLUMBING FIXTURE
X $6.00 -
21 PRIVATE SEWAGE DISPOSAUSYS
X $20.00
22 INDUSTRIAL WASTE INTERCEPTOR
X 515.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 CHECK ❑VISA 0 MC EXPIRESPROCESSING FEE
:
Card# $ss.00
VIN: TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
REVISED srz6/t 5
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PLANNING DEPT. APPROVED
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(11 -Cavii,r40 1 Nc-�cCCL K RAO6E 3'-- Pt DID
r� , 1 DATE: t-D11c110-1