2005, 12-21 Permit App 05004721 ResidenceProject Number: 05004721 Inv: 1 Application Date: 12/21/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact. CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 26 Left: 20 Right: 10 Rear: 55 Phone: (509) 922-4297
Croup Name:
Site Information: Project Name:
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: West
Parcel Number: 45345.9146 Block: 3
SiteAddress: 3721 S PINEROCK LN
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District:
Area: 9,052 Sq Ft Width: 87
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 5
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 125 Right Of Way (ft): 30
Review
Site Plan Review Released By:
Originally Released: 12/21/2005 By: cjjanssen
Plan Review Released By:
Originally Released: 12/16/2005 By: TMELBOU
Sewer Review Released By:
Originally Released: 12/20/2005 By: cjjanssen
Permits:
Operator: CJJ Printed By: CJJ Print Date: 12/21/2005
Project Number: 05004721 Inv: 1 ' Application Date: 12/21/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit —
Contractor: CLIFF SCHMITZ
Finn:
CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
Phone:
(509) 9224297
VERADALE WA 99037
This Application:
Total Project:
Description Grp Type
Notes Sq Ft
Valuation
So Ft Valuation
2ND FLOOR R-3 VB
770
$57,503.60
770 $57,503.60
BASEMENT U R-3 VB
444
$6,660.00
444 $6,660.00
GARAGE U-1 VB
440
$8,360.00
440 $8,360.00
RESIDENCE R-3 VB
928
$69,303.04
928 $69,303.04
Totals: 2,582
$141,826.64
2,582 $141,826.64
Item Description
Units Unit Desc
Fee Amount
RESIDENTIAL PERNET FEE
1 SELECT
$1,228.95
STATE SURCHARGE
1 SELECT
$4.50
RESIDENTIAL PLAN REVIEW
1 SELECT
$491.58
Contractor: STURM HEATING
Address: 1112 N NELSON
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
HOOD -TYPE II
Permit Total Fees: $1,725.03
Mechanical Permit
Firm: STURM HEATING
Phone: (509)325-4505
Units
Unit Desc
1
NUMBER OF
1
NUMBER OF
2
# OF UNITS
4
NUMBER OF
1
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$40.00
$10.00
$74.00
Operator: CJJ Printed By: CJJ Print Date: 12/21/2005
Project Number: 05004721 Inv: 1 Appllcation Date: 12/21/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: JIMMY'S PLUMBING
Address: 1702 S MAMER
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Plumbing Permit
Firm: JIMMY'S PLUMBING
Phone: (509)928-8991
Units
Unit Desc
Fee Amount
3
NUMBER OF
$18.00
4
NUMBER OF
$24.00
2
NUMBEROF
$12.00
1
NUMBEROF
$6.00
1
NUMBER OF
$6.00
1
NUMBEROF
$6.00
1
NUMBER OF
$6.00
3
NUMBEROF
$18.00
Permit Total Fees: $96.00
Payment Summary: w _
Pennit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,725.03
$1,725.03
$0.00
$1,725.03
Mechanical Pemrit
$74.00
$74.00
$0.00
$74.00
Plumbing Permit
$96.00
$96.00
$0.00
$96.00
$1,895.03 $1,895.03 $0.00 $1,895.03
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: CJJ Printed By: CJJ Print Date: 12/21/2005
a� ` Permit Center r
Spokane 11707 E Sprague Ave, Suite 106 PERMiT NUMBER
Valle Spokane Valley, WA 99206
v PERMIT FEE
40;00,7 (58-0036 FAX: (509)688-0037
Community Development 1; le�o#.dbi'n c kew
Ll
Residential ConstriConstruction ❑Accessory Bldg
Permit APPlicatio D �"ddition/Bemodel ❑ Deck ther:
SITE ADDRESS / S T, f oIb N >✓ �� ' /t L c n t
ASSESSORS PARCEL NO:CIS 3{{5� I `1 LEGAL DESCRIPTION: �P ] �I k S t' / nZ rWl UZ Z ni
Name:
Address:
City:. zip:
Phone: Fax:
"'COntBCt�PerSOn '
_
F
w
Name:
1 (=
Phone:
9
- 33
Describe the scope of work in detail:
Name: C.1 Pe S
l TL
ams 1`
Address: 'S770 6. 5
4
City: Zi :
Phone: — Fax: Sj`3
-
I
Lic No: a SG IDAFx . Date:
City Business Lic No:
Cost of Project: $
**************The following MUST be comDlete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIM SIONS:
# OF STORIES:
TOTAL HABITABLE JR2 kCE:
ZLI t
Z
Z
z Z
MAIN FLOOR TO SQ.
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG:
ga
//��
� j
q�j zl
AREA:
tl t�
-)V 0 t4-
a
FINISHED BAVENT
GARAGE Q. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG:
o t,
PROPERTY: Aa
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
DISCLAIMER
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 Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinanc 6Y PIa s or additional information may be required to be submitted, and subsequently approved before
this application can be p*e d/
Signature
Method of P
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 825=5
Date le-14 cs-
:ed permit a ilications will only be accepted with major bankcard)
❑ Check ❑ Mastercard ❑ VISA ❑ Other
Expires: VIN#:
Spb"kane"
�Ualley
Community Development
Mechanical Permit
Permit center
11707 E Sprae e Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX:(509)688-0037
❑ Commercial
SITE ADDRESS: 3 r) 7 1 'e;Y / n+p—'Zc(K—
PERMIT NUlvMER:
PERMIT FEE:
Building owner
Name:
Phone:
Fax:
Address:
City:
State: Zip:
Contractor
I\)
Name:
Phone:
Fax:
Address:
City:
State: Zip:
License No:
City Business Licrose No:
:Contact.''
Name:
Phone:
AUTHORIZED SIGNATURE: REVISED 8W05
S�Vai eyeyl
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX:(509)688-0037
a '.sookanevallev.orm com
Commercial
I PERMIT NUMBER: I
PERMIT FEE:
Building owner
^
Name:
Phone: Fax:
Address:
City. State: Zip:
Contractor Z- 1 &\ r*\q 5 Lu'm ri
Name:
Phone: Fax:
Address:
City: State: Zip:
License No:
City Business License No:
Contact
-
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
I X
COST
-
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
X
$6.00
-
2
URINALS
X
$6.00
-
3
TUBS
-7
7i
X
Sam
-
4
SHOWERS PER TRAP
BATH, STALL, ONSITE BUILT
X
$6.00
-
LAVSBASINS, BAR, FLOOR KITCHEN,
5
SINKS
LAUNDRY, UTILITY, JANITOR, PHOTO,
$6.00
=
X-RAY. FOOD, PREP/CULINARY MEAT
HX
6
DISHWASHER
$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
X
$6.00
-
ROOFDRAINS/OVERFLOW
12
DRAINS
X-
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, CARSONATOR. SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
17
CROSS CONNECTION DEVICE
AND R.P.B.P.D. FOR VATS, TANKS, BOILERS
X
$6.00
-
GREASE TRAP, SAND TRAP,
18
INTERCEPTORS
CHEMICAL HOLDING TANK
X
$6.00
-
19
MEDICAL GAS r outlet
NITROUS, OXYGEN
X
$6.00
-
MISCELLANEOUS PLUMBING
20
FIXTURE
I
X
$6.00
-
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
-
INDUSTRIAL WASTE
22
INTERCEPTOR
X
$15.00
-
SUBTOTAL
METHOD OF PAYMENT:
❑ CASH [I CHECK
CHECK ❑VISA 0 MASTERCARD
FEE
$35.00
TOTAL PERMIT FEE DUE:
Card# EXPIRES:
AUTHORIZED SIGNATURE: A IsmM"5