2007, 07-26 Permit App: 07002879 Residence Project Number: 07002879 Inv: 1 Application Date: 7/26/2007 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 32 Left: 5 Right: 6 Rear: 38 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45345.9149 Block: Lot:
SiteAddress: 12908 E 39TH LN Owner:Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
Location::CSV VEREDALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review Released By: TAh 240 6
Originally Released: 7/26/2007 By: TMELBOU
Driveway/Approach Released By:
PRIVATE DRIVE
Originally Released: 7/26/2007 By: jdavis
Landuse/Zoning/HE Conditions Released By:
Originally Released: 7/25/2007 By: kkendall
Sewer Review Released By:
Permits:
Operator: JD Printed By: JD Print Date: 7/26/2007
Project Number: 07002879 Inv: 1 Application Date: 7/25/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
'_e.v",w"ktRk:. "."" _Pey4 •vw....«ib.....4;.m6�.J.e,e..x,.d$'y d4"3 1`•?.4tAz.v.wa° f.+.BT.....,;.P. ..,, ._ 9t„y. xF;.4eK4:
Permit Use: SFR W/ATT GAR Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E.SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 32 Left: 5 Right: 6 Rear: 38 Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District:
Parcel Number: 45345.91.49 Block: Lot:
SiteAddress: 12908 E 39TH LN Owner:Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
Location::CSV VEREDALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: _: ....
Review
Building Plan Review, Released By: 4/7
Driveway/Approach Released B
y'
Landuse/Zoning/HE Conditions Released By:.
Sewer Review Released By:
Operator: JD Printed By: JD Print Date: 7/25/2007
Project Number: 07002879 Inv: 1 Application Date: 7/25/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
CaliMaTeliMEMI4MERNOSAWASSEffgearre'fkaZSZL. .': .*ve,,ASS,,MWASIIMORMEISMORZENEFEZEMAt
Permit Use: SFR W/ATT GAR Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E.SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 32 Left: 5 Right: 6 Rear: 38 Phone: (509)922-4297
Group Name:
Project Name:
Site Information
Plat Key: Name: Range District:
Parcel Number: 45345.91.49 Block: Lot:
SiteAddress: 12908 E 39TH LN Owner:Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
Location::CSV VEREDALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: � A _ Tom.: , � _ e � +
Review
Building Plan Review, Released By
Driveway/Approach ReleaseclB�„ � ?
Landuse/Zoning/HE Conditions ei6S~ d By'r r
Sewer Review
Perm its: ° ti ^a aM, a F .y s r. « g ntizw a Asa r usma e a ua rr u
Operator: JI) Printed By: JD Print Date: 7/25/2007
Project Number: 07002879 Inv: I Application Date: 7/26/2007 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Building Characteristics
Building Height 18
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,751 $159,971.36 1,751 $159,971.36
BASEMENT F R-3 VB 1,098 $21,960.00 1,098 $21,960.00
BASEMENT U R-3 VB 618 $9,270.00 618 $9,270.00
DECK OPEN R-3 VB 270 $4,050.00 270 $4,050.00
GARAGE U-1 VB 712 $13,528.00 712 $13,528.00
Totals: 4,449 $208,779.36 4,449 $208,779.36
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,604.15
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $641.66
Permit Total Fees: $2,250.31
Mechanical Permit
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
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 4 #OF UNITS $4.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
EVAPORATIVE COOLERS 2 NUMBER OF $20.00
GAS LOG OR GAS INSERT 2 NUMBER OF $20.00
Permit Total Fees: $118.00
Operator: JD Printed By: JD Print Date: 7/26/2007
Project Number: 07002879 Inv: 1 Application Date: 7/26/2007 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit -
Contractor: CLIFF SCHMITZ Finn: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 7 NUMBER OF $42.00
SHOWERS 1 NUMBER OF $6.00
TUBS 3 NUMBER OF $18.00
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
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $126.00
Notes:
Payment Summary: - -a.. .,,,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,250.31 $2,250.31 $0.00 $2,250.31
Mechanical Permit $118.00 $118.00 $0.00 $118.00
Plumbing Permit $126.00 $126.00 $0.00 $126.00
$2,494.31 $2,494.31 $0.00 $2,494.31
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: JD Printed By: JD Print Date: 7/26/2007
"— �e{�t Fen�r • \‘`,-.„ PERMIT NUMBER:
. 'yy
ficin `11 til E Sprague Ave,Stutz '106
�pa]�ane Spokane Vail A 99 6 PERMIT FEE:
Val (5c08 ) x:( 3 ,688-003?
Community DeveloP �T www.s o ':,, evalle .or•.cisN
IL IN
n w' ' lNew Construction o Accessory Bldg
Residential struction
Permit Application o Addition/Remodel ❑ Deck
o Other:
SITE ADDRESS 0 ,n
r
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: /, 1� Li.:K 3 R I► 11-acx T.,..1 &e 3
Contractor.
Bu din owner;' c I it SC____ . .1- L- =-----'
Name �-
Name. Address: I (D j (� 5 P `.�`'( T
Address: Zip: /90,3'7
City: �E��✓� . _ _
city: zip: / /�, ii /
Phone: % `!'7 7 33 Fax: �9 I `7 L r 7
Phone: Fan'
Lic No: Exp.Date:
Contact Persan City Business Lic No:
Name: \, p 5c, %T7�_
Phone I
Cost of Project: $ Z I `j� (�U v I
Describe the scope of work in J
detail: I
2 S 1.0(JOCC__
MUST be complete: (write N/A if not applicable)**************V `
**************The following TOTA HABI ' 'LE SPA. E:
DIMENSIONS: #OF S ORIES:
HEIGHT TO PEAK: c3 s3 _iambi
2" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
MAIN FLOOR TO SQ. I „G AREA: I�
FTG: '�Gr%� � I �- 6 � /
FINISHED BASEMEN t GARAGE SQ. G: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
t z/ 210 PROPERTY: -'
SQ. FTG: ,4°,_.i. h SEWER OR SEPTIC?
#OF BEDR OMS: CONSTRUCTION� TYPE: HEAT 611-- E:
DISCLAIMER
The lintee
g,the
verifies,acknowledgeswater.
agrees
re tha
Spokane permit
rcn
dwelling is/will be served by potable wa e .2) Ownership of thisCtyof Pemitinure 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
eit aforfor review at
t federalof state or
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approvalany
local laws,codes or ordinance .6) Plans or additional information may be required to be submitted,and subsequently approved before
this application can be • or-s es.
/ Date �'� I (�"
Signature .r/ .� ` %►�
Method of Pay • -/(Faxed per it applications will only be accepted with major ba VISA )
0 Cash 0 C eck 0 ❑ Other
Mastercard 0
Expires: VIN#:
Bankcard#:
Authorized Signature:
REVISED 825/2005
v c..ric res P�.. ••,�• •--1_,cl.u�.10'c,Jai i4";1U0 _... I
�` i Spokane valley,WA 99206 PERM!! I�UMBER - -
(509)58&-0036 FAX:(509)683-0037 PERF EE:
Community Developrnert ti�,�-w.snokanevaiies'-or. --- :..t.
Plumbing Permit Application Commercial Residential
SITE ADDY'
Building Owner
Name: Phone: Fax:
Address: r City: State:
Contractor �(4 /��. PLio l2
t i
Name: Phone: Fax:
,Address: City: State: Zip:
License No: City Business Lic:
Contact = _ __ ..
Name: Phone:
DESCRIPTION OF WORK S OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 _ X $6.00 =
2 , URINALS X $6.00 =
3_ TUBS 8 - X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL ONSITE BUILT IX $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 4) X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER L X $6.00 =
7 _ CLOTHES WASHER ( X $600
8 GARBAGE DISPOSAL f X $6.00 =
9 WAI tK SOFTENER X $6.00 =
10 • ELECTRIC HOT WATER TANK NOTE IF GAS.SEE MECHANICAL _ X $6.00 =
AREA,CASE,COIL TRENCH,
11 FLOOR DRAINS CONDENSATE r _, X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS _ X $6.00 =
13 FOUNTAINS,DRINKINGX $6.00 =
WA(tR PIPING/DRAIN-IN WASTE. NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING.REVERSAL REVERSALS X 56.00 =
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,
AND R.P.B.P.D.FOR VATS,TANKS,
17 CROSS CONNECTION DEVICE 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 =
2D MISCELLANEOUS PLUMBING FIXTURE X 56.00 -
21 PRIVATE SEWAGE DISPOSALJSYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR _ X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH 0 CHECK ❑VISA ❑MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISE)&261as
S-" °r
;.;0000, V
VS
e Ie 11707 E Sprague Ave,Suite 106 PET INT)-MBE 1
ll y Spokane Valley,WA 99205
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development wwlv.spokanevaliev.ora
Mechanical Permit Application { ) Commercial Residential
SITE ADDRESS:
Building Owner • _
Name: Phone: Fax:
Address: City State: Zip:
Contractor:. _ -
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lie:
Contact `: _r
Name: Phone:
DESCRIPTION OF WORK X OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,000X $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 400,00D X $100.00 =
7 BOILER/REFRIGERATION 1-10DM BTU X $12.00 = ,
B BOILER/REFRIGERATION 101-500M BTU X $20.00 =
9 SOLER/REFRIGERATION 501-1,000M BTU X MAX) =
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 Z 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) 4 x $1.0D =
16 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 9 X $10.00 =
20 AIR HANDLER(DOES NOT include ductnq) 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 2. 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 I X $12.00 =
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER 15-30 TON X _ $25.00 =
26 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 ❑CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
TM VIN:
CARD TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 626/05
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