2010, 06-04 Permit App: 10001584 Residence Project Number: 10001584 Inv: 1 Application Date: 6/4/2010 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 Left: Right: Rear: Phone: (509)922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45342.3419 Block: Lot:
SiteAddress: 12917 E 39TH LN Owner:Name: SCHMITZ,CLIFFORD M&MARG
Address: 16520 E SECRETARIAT LN
Location::CSV VERADALE,WA 99037-
Zoning: R-3 SF Res District
Water District: 007 MODEL Hold: ❑
Area: 11,024 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:
Originally Released: 6/4/2010 By: tmelbourn
Driveway/Approach Released By:
NO APPROACH PERMIT REQUIRED AT THIS TIME
Originally Released: 6/4/2010 By: TMELBOU
Landuse/Zoning/HE Conditions Released By:
Originally Released: 6/4/2010 By: lbarlow
Sewer Review Released By:
Originally Released: 6/3/2010 By: JLMain
Operator: JD Printed By: jmm Print Date: 6/4/2010
Project Number: 10001584 Inv: 1 Application Date: 6/4/2010 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits: . . .
Building Permit
Contractor: CLIFF SCHMITZ Firm: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT Phone: (509)922-4297
VERADALE WA 99037
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,263 $124,973.85 1,263 $124,973.85
2ND FLOOR R-3 VB 578 $42,893.38 578 $42,893.38
BASEMENT U R-3 VB 1,241 $18,615.00 1,241 $18,615.00
COV DECK R-3 VB 155 $2,325.00 155 $2,325.00
GAR WOOD U-1 VB 744 $14,136.00 744 $14,136.00
Totals: 3,981 $202,943.23 3,981 $202,943.23
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,570.55
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $628.22
Permit Total Fees: $2,203.27
Mechanical Permit
Contractor: C&K PLUMBING Firm: C&K PLUMBING
Address: 5231 W NAVAJO Phone: (509)489-3906
SPOKANE,WA 99208
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
HOOD-TYPE II 1 NUMBER OF $11.00
Permit Total Fees: $93.00
Operator: JD Printed By: jmm Print Date: 6/4/2010
Project Number: 10001584 Inv: 1 Application Date: 6/4/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit — - —
Contractor: C&K PLUMBING Firm: C&K PLUMBING
Address: 5231 W NAVAJO Phone: (509)489-3906
SPOKANE,WA 99208
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
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
FLOOR DRAINS 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $114.00
Notes. .
Driveway area shall be hardpaved from the edge of the public right-of-way up to the garage entrance.
Per the contractor the driveway will be concrete.
Payment Summary: x _
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,203.27 $2,203.27 $612.54 $1,590.73
Mechanical Permit $93.00 $93.00 $0.00 $93.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$2,410.27 $2,410.27 $612.54 $1,797.73
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: jmm Print Date: 6/4/2010
. Permit Center PERMIT NUMBER: �l ���
�'TM°� 11703 E Sprague Ave, Suite B-3 ��
40kalle‘0011111111r Valle
Spokane V WA 6 PERMIT FEE:
" (509)688-0036036 (5 FAX:(5099)688-0037
www.spokanevalley.org
Community Development
Residential Construction New Construction n Accessory Bldg
Permit Application nAddition/Remodel n Deck
n Other:
SITE ADDRESS: (2i I / t, 361-6
A4.e.et
ASSESSORS PARCEL NO: LiS34 Z 4 ,3 q I-1 LEGAL DESCRIPTION: lir/''i BLK2 'byte i3
Building Owner: Contractor:
Name: Name: d L`Fc sef'! m i ,� $� ,-F,. 11 7
Address: Address: /(_. zo .5- �.v,/r^-r I2Zit
City: State: Zip: City: i ,I , 4 tlig, State: IA Zip:91052
Phone: Fax: Phone: 09/,7 733 Fax: 9,�t_5-6401,2'S640O
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: J--1 P-P S't.ii 41,1"4-z_
Phone: 4` g g- 7-7 33
Describe the scope of work in detail: Cost of Project: $ , /0/ U 00
kfe,b0 fle,S tom
Proposed Use: j4-0 r
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
Zti 1 ` -0 5Z ! 'iv 2:9-1-4-. 704E2-
MAIN
04Ez
MAIN FLOOR TO SQ. 2Nu FLOORSQSQ.. FTA:
T: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SRFACE
FTG: i I Q�y(.-� yy�O AREA: -�
FINISHED-BASEMENT GARA SQ. FTv: DECeri2 ,/
SQ. FTG: 30% SLOPES ON
SQ. FTG: '$- �`j`�f � PROPERTY: -41:3-
#
#OF BEDR OMS: CONSTRUCTION TYPE: HEA / SEWER OR SEPTIC?
/1, ./LA) 5 M..
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 Spoka e Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) T i/ ity of Spok-ne Valley Permit is not a permit or approval for any violation of federal, state or
local laws,codes or ordinancesiti••), ' -T s or addill, information may be required to be submitted,and subsequently approved before
this application can b= •rf es-''/ _
SIGNATURE: / firi,4r4-
DATE: 6, — . ._
2 or p-Pq em /
Method of Payment: / CV moi,'ilf,,‘ Y •F'N ER
0 Cash /IA Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#: JUN 0 L 4 t0
#
Authorized Signature: Project ( ‘5'->S1--
REVISED 2/15/07 None_^ i( --
Submittal# A__________
Permit Center
11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
400iValley` (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevallev.org
Mechanical Permit Application ❑ Commercial Xi Residential
SITE ADDRESS: 1Z"/ i 9 L 3 1
ll-
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor C 4 K / r%5
Name: Phone: Fax:
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 1 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 SEC min.AFUE ratin.) 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 I X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) cq 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 I X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 4-15 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 EXPIRES: PROCESSING FEE $35.00
VIN:
CARD#: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
(j 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
� Spokane Valley,WA 99206
.�S t�'al (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.org
Plumbing Permit Application ❑ Commercial n Residential
SITE ADDRESS: (21 1'1 6. 304
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor e.„4 K ( wryt sbj ti�
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
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 2.. 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, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER ( X $6.00 =
7 CLOTHES WASHER ' X $6.00 =
8 GARBAGE DISPOSAL j X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE ( X $6.00 =
12 ROOF DRAINS/OVERFLOW 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,
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 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH 0 CHECK ❑VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
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PLANNING DEPT. APPR 6ED / /
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BY. Lba4m/L).-- !
jUN U 'if- zu i
Project 7:.' C01:2_17-1—_
DATE: (4) l'
Submittal ii,____L_ __
For City Use Only
PLUS Project Number
CITY OF Project Address
poKane
4000
a €vy° 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is I I lI?r,
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
> Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise,for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07