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2000, 12-14 Permit App: 00011192 ResidenceProject Number: 00011192 Inv: 1 ; ' Application THIS IS NOT A'PERMIT Penalties will be assessed for commencing work without a permit Date: 12/14/00 Page 1 of 3 Project Information: Permit Use: NEW RESIDENCE W/ATT GARAGE - FORCED AIR GAS Setbacks: Fro Left: 11 Right: 20 Rear: 30+ Site Information: Contact: LEXINGTON HOMES Address: 12218 NEZ PERCE LN C - S - Z: SPOKANE WA 99206 Phone: (509) 924-1519 Group Name: Project Name: Plat Key: 005977 Name: SHELLEY LAKE 2ND ADDITION District: F Parcel Number: 45243.2402 Block: 3 Lot: 2 SiteAddress: 823 S GALWAY LN Owner: Name: LEXINGTON HOMES INC VERADALE, WA USA 9903 Address: 12218 E NEZ PERCE LN Location:: VER SPOKANE, WA 99206 Zoning: UR -3.5 Water District - Urban Residential 3.5 Area: 10,030 Sq Ft Width: 80 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Hold: ❑ Depth: 90 Right Of Way (ft): 30 Department BUILDING easons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: UTILITIES easons: Permit Conditions: Review ite Plan Review Plan Review Released By: �)T Released By: �c7s, lD Approach / Drainage Released By: Sewer Review cAfitaXa Released By: 00 -mg Permits: , Project Number: 00011192 Inv: 1 ' .. Application '' THIS ISNOT A PERMIT Penalties will be assessed for commencing work without a permit Dale: 12/14/00 Building Permit Page 2 of 3 Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES Address: 12218 E NEZ PERCE LN Phone: (509) 922-9870 SPOKANE, WA 99206 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 25 Bldg W x D: 0 x 0 Building Sq Ft: 3248 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Description Grp Type Notes Sq Ft Valuation 2ND FLOOR R-3 VN 589 $36,518.00 BASEMENTF R-3 VN 1,150 $18,124.00 BASEMENTU R-3 VN 168 $1,942.08 DECK R-3 VN 120 $883.20 GARAGE U-1 VN 690 $8,280.00 RESIDENCE R-3 VN 1,341 $83,142.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor Address: Totals: 4,058 $148,889.28 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit R & R HEATING & AIR COND INC 4019 E CENTRAL SPOKANE, WA 99207 Item Description GAS APPLIANCE - MISC. GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT Stories: 2 Total Project: Sq Ft Valuation 589 $36,518.00 1,150 $18,124.00 168 $1,942.08 120 $883.20 690 $8,280.00 1,341 $83,142.00 4,058 $148,889.28 Fee Amount $1,140.00 $4.50 $250.80 $1,395.30 Firm: R & R HEATING & AIR COND INC Phone: (509) 484-1405 Units Unit Desc 1 NUMBER OF I NUMBER OF 1 NUMBER OF 4 # OF UNITS 1 NUMBER OF 6 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $4.00 $12.00 $60.00 $10.00 $10.00 $128.00 Project Number. 00011192 Inv: 1 t :t a Application THIS IS NOT A.PERMIT Penalties will be assessed for commencing work without a permit Date: 12/14/00 Page 3 of 3 Plumbing Permit Contractor: S T PLUMBING CO INC Firm: S T PLUMBING CO INC Address: P.O. BOX 1817 Phone: (509) 244-5575 AIRWAY HEIGHTS, WA 99011 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 4 NUMBER OF $24.00 SINKS 7 NUMBER OF $42.00 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 WATER USING DEVICES 3 NUMBER OF $18.00 Pavtueat Sutnntary: Permit Total Fees: $126.00 Operator: RMB Printed By: RIM B Print Date: 12/14/00 Permit Type Building Pemut Mechanical Pemut Plumbing Permit Fee Amount $1,395.30 $128.00 $126.00 Invoice Amount $1,395.30 $128.00 $126.00 $1,649.30 $1,649.30 Amount Paid $0.00 $0.00 $0.00 Amount Owint' $1,395.30 $128.00 $126.00 S0.00 $1,649.30 Notes: ADDRESS ��-�pNE •_ ROAD WIDTH aMVINTEIN J J Z n J V) Q si a Plan is rnjg a buildin !l rb entation of t h• ' ensions. c. bon identity ..sofwater e Signed Date: fitted for, and is a .� 'pose 7f / °sal. An , and on• if nr stry°,u;'- . opertl,. -o indicate: ,r and easeR I°Pes oro:r;er er �`ettands, ilteal areas U N r 0 n O 823 s, .likeeetairitAzist-He Adatit L crr 9 a uc; C NO /1 -J APPLICATION INFORMATION DEC 1 4 2000 hat Is the JOB SITE address? W -- IN """1/ ASSESSOR'S tax parcel number 5 , _,___ , -.' ___L_______ M r n _ -\ �,,d Legal description as It pears on he property geed --1 LO'(, 6L0CK'3 5HSULEy L/9 e .19455, , OWNER or OCCUPANT//A Phone Ak273N ihne,sAJe • g;y- /�5/C7 Malting ad ress may, state Lip /#2.2 1 t t N&Z ?Z--- rCM4g rp7MNEr /vA 7 r2C4o, Who should we contact regarding this project? Phone What work Is being done under this permit? R65iPEki-WAL Nn1 CG uIc,�iAlG- 7one ::.. — .. ... - .- Inspector district-. ., .: ,rope y size ... }light of way width Water district Buildin Building.; Building height a C) # of stories Contractor /EX/no-WM 0155 TNC • Dimensions TOTAL SQUARE FOOTAGE 3;z 44/ WA State Contractor license # i,C 1NN/0,25,1 A Main floor area 1341 Unfinished basement area /6‹ Mailing a dress -2nd / a# /4,E2 *. l�A6 floor a -ea 5g1 Finished basement area //c0 Architect/Engineer Garage area //` 4�o Size of decks, etc. /e/t; /2 What is the heat source? What is the cost of your project? �j V /-� O €oo Manufactured Home •, , .. .... Sign--. Width: Length: Whet is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # We State Contractor license # Mailing address Meiling address Relocation Fire Safety .• Previous address Fire Sprinkler _ Tent _ Paint booth Fire Alarm _ Fireworks display _ VALUE Contractor - Contractor WA State Contractor license # - WA State Contractor license # Mailing address Mailing address IFLiei Storage Tanks Swimming Pool .. . - (Circle one) Above -ground Underground Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does'not discriminate on the basis of disability in the admission to, or treatment or employment In, its programs or activities, m O