2007, 03-09 Permit App 07000665 ResidenceProject Number: 07000665 Inv: I Application Date: 3/9/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR W/ATT GAR Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 30 Left: 9 Right: 10 Rear: 45 Phone: (509) 9224297
Group Name:
Site Information: Project Name
Plat Key: Name: Range District: Sout
Parcel Number: 453423006 Block: Lot:
SiteAddress: 3723 S PINE ROCK LN
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL
Area: 9,052 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information •
Owner: Name: SCHMITZ, CLIFFORD M & MARG
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037-
Hold: 0
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released:
3/9/2007 By: TMELBOU
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
3/9/2007 By: jdavis
ReleasedBy:
Sewer Review
Originally Released:
3/7/2007 By: cjjanssen
Released By:
Originally Released: 3/9/2007 By: jdavis
Operator: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000665 Inv: 1 Application Date: 3/9/2007 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509)922-4297
This Application:
Description
Grp
Type Notes
So Ft
Valuation
1&2FAMILY
R-3
VB
1,127
$102,962.72
2ND FLOOR
R-3
VB
491
$36,667.88
BASEMENT
R-3
VB
1,127
$16,905.00
DECK OPEN
R-3
VB
40
$600.00
GARAGE
U-1
VB
660
$12,540.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RV W < 7999 SQ FT
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
HOOD -TYPE II
Total Project:
So Ft
Valuation
1,127
$102,962.72
491
$36,667.88
1,127
$16,905.00
40
$600.00
660
$12,540.00
Totals: 3,445 $169,675.60 3,445 $169,675.60
Units Unit Desc
Fee Amount
1 SELECT
$1,385.75
1 SELECT
$4.50
1 SELECT
$554.30
Permit Total Fees:
$1,944.55
Mechanical Permit
Firm: CLIFF
SCHMITZ CONSTRUCTIO
Phone:
(509) 922-4297
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
2
# OF UNITS
$2.00
3
NUMBER OF
$30.00
1
NUMBER OF
$10.00
Permit Total Fees:
$64.00
Operator: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000665 Inv: 1 Application Date: 3/9/2007 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Plumbing Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509)922-4297
Units
Unit Desc
Fee Amount
2
NUMBEROF
$12.00
3
NUMBEROF
$18.00
2
NUMBEROF
$12.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBEROF
$6.00
3
NUMBEROF
$18.00
Permit Total Fees:
$84.00
Notes:
Pavment Summa
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
BuildingPemut
$1,944.55
$1,944.55
$0.00
$1,944.55
Mechanical Permit
$64.00
$64.00
$0.00
$64.00
Plumbing Permit
$84.00
$84.00
$0.00
$84.00
$2,092.55 $2,092.55 $0.00 $2,092.55
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: 3/9/2007
Project Number: 07000665 Inv: I Application Date: 3/6/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: NEW SFR W/ATT GAR Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E. SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 30 Left: 9 Right: 10 Rear: 45 Phone: (509) 922-4297
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sour
Parcel Number. 453423006 Block:
SiteAddress: 3723 S PINE ROCK LN
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District:007 MODEL
Area: 9,052 Sq Ft Width. 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway/Approach
Lauduse/Zoning/HE Conditions
Lot:
Owner: Name: SCHMITZ, CLIFFORD M & MARG
Address: 16520 E SECRETARIAT LN
VERADALE, WA 99037-
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By. d
i
Released By.
Sewer Review Released By:
Permits: - _. _ — e - -
Operator. JD Printed By: JD Print Date: 3/6/2007
Project Number: 07000665 Inv: I Application Date: 3/6/2007 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) 9224297
VERADALE WA 99037
This Application:
Total Project:
Description Grn Type
Notes
Sq Ft
Valuation
Su Ft Valuation
1&2 FAMILY R-3 VB
1,127
$102,962.72
1,127 $102,962.72
2ND FLOOR R-3 VB
491
$36,667.88
491 $36,667.88
BASEMENT R-3 VB
1,127
$16,905.00
1,127 $16,905.00
DECK OPEN R-3 VB
40
$600.00
40 $600.00
GARAGE U-1 VB
660
$12,540.00
660 $12,540.00
Totals:
3,445
$169,675.60
3,445 $169,675.60
Item Description
Units
Unit Desc
Fee Amount
RESIDENTIAL PERMIT FEE
1
SELECT
$1,385.75
WSBC SURCHARGE
1
SELECT
$4.50
SF PLNS RV W < 7999 SQ FT
1
SELECT
$554.30
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
HOOD -TYPE II
Permit Total Fees: $1,944.55
Mechanical Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509)922-4297
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
2
# OF UNITS
$2.00
3
NUMBER OF
$30.00
1
NUMBER OF
$10.00
Permit Total Fees:
$64.00
Operator: JD Printed By: JD Print Date: 3/6/2007
Project Number: 07000665 Inv: 1 Application Date: 3/6/2007 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
Cef:\:7 ��el�l�76YZ�b��
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Pavment Summa
Plumbing -Permit
Firm CLIFF SCHMITZ CONSTRUCTIO
Phone: (509)922-4297
Units
Unit Desc
Fee Amount
2
NUMBER OF
$12.00
3
NUMBER OF
$18.00
2
NUMBER OF
$12.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
3
NUMBER OF
$18.00
Permit Total Fees:
$84.00
Permit Tvoe
Fee Amount
Invoice Amount
Amount Paid
Amount Owino
Building Pennit
$1,944.55
$1,944.55
$0.00
$1,944.55
MechanicalPetnit
$64.00
$64.00
$0.00
$64.00
Plumbing Permit
$84.00
$84.00
$0.00
$84.00
$2,092.55 $2,092.55 $0.00 $2,092.55
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: 3/6/2007
�� Permit Center 2 n t>fl e I _
11707 E Sprague Ave, Swte 10� l5 L J PERMIT NUMBER
Spokane Spokane Valley, WA 99206 - J
PERMIT FEE:
Vane (509)688-0036 FAX:(509)688-Oo 2 ,
www.spokanevallev.ore
Community Development
Residential Construction 'New -Construction El Accessory Bldg
Permit Application
Addition/Remodel ❑ Deck
Other:
SITE ADDRESS: -3 Q 7 � z S. N-/V�X 64 k- rd
ASSESSORS PARCEL NO: —1� ��Z . JDnn ' LEGAL DESCRIPTION: kA Tto gL
P/AJ't 0C' ) Ge ZA
Building Owner:
Contractor:
Name:
Name: L
S
S-
Address:
Address:
City: State: Zip:
City: U
State: W4 Zi 9
Phone: Fax:
Phone:40'9-27-33
Fax:
C, LY No: i' F
I D ' % U
Contact Person
City Business Lic. No:
Name:
Phone: - % 2 11
Describe the scope of work in detail:
Proposed Use:
Cost of Project: $
**************The following MUST be complete: write N/A if not applicable)
**********************
HEIGHT TO P K:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
Z. .
5-
2�
L 0/�
MAIN FLOOR TO SQ.
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG: ) Z ') vF—
L D1�
Z 9
AREA: le
FINISHED BASE ENT
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG:
IL
440 o /�-
PROPERTY:
# OF BEDRO MS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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 ordinances. 6) f'1 a oqd itiona} jnfonnation may be required to be submitted, and subsequently approved before
this application can be processed//�� �/
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
DATE: z-z l -G -7
❑ Mastercard ❑ VISA
Expires: VIN#:
Authorized Signature:
REVISED 711 5/07
Pe nit Center
S� IiaAe 11707 E Sprague Ave, Suite 106
�s e 7 ' 1 Spokane Valley, WA 99206 PERMIT NUMBER:
v�iqy (509)688-0036 FAX: (509)688-0037 - PERMIT FEE:
Community Development �m.snokanevallev.or¢
Mechanical Permit Application ❑Commercial ,Residential
SUE
Building Owner -
Name:
Phone:
Fax:
Address:
City:
State: Zip:
Contractor
Name:
Phone:
Fax:
Address:
City.
State: Zip:
License No:
City Business Lie:
Contact
Name:
Phone:
AUTHORIZED SIGNATURE: _
REVISED 92"5
Permit Center
gp�[e 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
I'fU qy (509)688-0036 FAX: (509)688-0037
Commwunity Development A.sookanevallev.or¢
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
�/
[ Residential
SITE ADDRESS:
Buildin_g'Qwoei
.. .. ....
..
. ,,... .....
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lie:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
-
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
Z"
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
-
4
SHOWERS ER TRAP
BATH, STALL, ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X
$6.00
=Is
WATER PIPING/DRAIN-IN WASTE,
NSTALLATION, ALTERATION, REPAIR
14
VENT, PLUMBING, REVERSAL
REVERSALS
X
1 $6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER HOSE BIB,
.. 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 DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
=
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
[:]CASH❑CHECK ❑VISA ❑ MC EXPIRES: $35.01)
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVMM 8/26M5