2001, 10-16 Permit App: 01009151 Residence10/19/2001 FRI 10:18 FAX 509 477 7532 SPOKANE CO BLDG -CODE ENF 44.* HEALTH -BACK OFFICE 4001/001
Project. Number: 01009151 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Usc: NEW RESIDENCE W/ATTACHED GARAGE - FA Contact: LEXINGTON HOMES
GAS Addrcss: 12218 NEZ PERCE LN
C - S - Z: SPOKANE WA 99206
Setbacks: Front 35 Left: 10 Right: 22 Rear: 120 Phone: (509) 924-1519
Group Name:
Project Name:
Date: 10/16/2001 Page 1 of 3
Site Information:
Plat Key: 005883 Name: SP -1127-97 District: F
Parcel Numbcr: 44042.9133 Block: Lot: B
SiteAddress: 11001 E GERTRUDE DR • Owner: Name: MATTHEWS, DAVID J & TRACY
SPOKANE, WA USA 00000 Address: 3305 S WOODLAWN DR
Location:: SPO SPOKANE, WA 99216 -
Zoning: UR -3.5 Urban Residential 3.5
Water District
Review!
Hold:
Area: .46 Acres Width: 100 Depth: 200 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
ReleiLS$433y.••••• • •••:,•••.- .
7-0
Septic System Review
,41fi• -fa
TO jive A..01 ivy /A 571;21/ ..c
• Released , N%`'
taLlt
1(4 insW;44S—agar spre
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AO CC
Print Date: 10/16/2001 55,5•) 5/55-
Operator: DMD
Printed By: DMD
Project Number. 01009151
•
Inv. / i3 Application Date: 10/16/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Ltfor,nation:
Permit Use. NEW RESIDENCE W/ATTACHED GARAGE - FA Contact: LEXINGTON HOMES
GAS Address: 12218 NEZ PERCE LN
C - S - Z: SPOKANE WA 99206
Setbacks Front 35 Left. 10 Right 22 Rear: 120 Phone: (509) 924-1519
Group Name:
Site Information: Project Name.
Plat Key: 005883 Name: SP -112197
District: F
Parcel Number: 44042.9133
Block: Lot. B
SiteAddress: 11001 E GERTRUDE DR •
SPOKANE, WA USA 000011
Location.SPO
Zoning: UR -3.5
Water District
Arca: .46 Acres
Urban Residential 3.5
Owner: Name: MATTHEWS, DAVID J & TRACY
Address 3305 S WOODLAWN DR
SPOKANE, WA 99216 -
Hold ❑
Width: 1011 Depth: 200 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released Bt
Plan Review
Released By: ...11
7-0 /
Approach / Drainage
Released By:
fiJ t /=A1 Ah'j�
Septic System Review
Released By:
tP y it)Noity
W
Operator: DMD
Printed By: DMD
Print Date: 10/16/2001
Project Number: 01009151 Inv: 1
Permits:
•
Application
Date: 10/16/2001 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
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: Occupant Load: Building Height: 24
Bldg W x D: 68 x 54 Building Sq Ft. 2131 Sprinklers: E
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes SU Ft Valuation SU Ft Valuation
2ND FLOOR R-3 VN 643 $39,866.00 643 $39,866.00
BASEMENT U R-3 VN 1,488 $17,20L28 1,488 $17,201.28
DECK R-3 VN 156 $1,148.16 156 $1,148.16
GARAGE U-1 VN 960 $11,520.00 960 $11,520.00
RESIDENCE R-3 VN 1,488 $92,256.00 1,488 $92,256.00
Stories: 2
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 4,735 $161,991.44 4,735 $161,991.44
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: R & R HEATING & AIR COND
Address: 4019 E CENTRAL
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Fee Amount
$ I,205.00
$4.50
5265.10
$1,474.60
Firm: R & R HEATING & AIR COND IN
Phone: (509) 484-1405
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: DMD Printed By: DMD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$20.00
$10.00
$10.00
$10.00
$10.00
$85.00
10/16/2001
Project Number: 01009151
lnv: / Application Date: 10/16/2001 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: S T PLUMBING CO INC
Address: P.O. BOX 1817
AIRWAY HEIGHTS, WA 99011
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
3
5
3
3
1
I
1
3
Fee Amount
$1,474.59
$85.00
$132.00
Plumbing Permit
Firm: S T PLUMBING CO INC
Phone: (5119) 244-5575
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,474.59
$85.00
$132.00
$1,691.59 $1,691.59
Fee Amount
$18.00
$30.00
$18.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$132.00
Amount Owing
$1.474.59
$85.00
$132.00
$0.00 $1,691.59
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 contrued 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: DMD Printed By: DMD Print Date: 10/16/2001
U N PLATED
11
.345'57:E
L f Thi3�lE noel submitted f 'purpose of
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rrect
lrepresent[ tion of the proposal.
�c lines/dime nsions, curb lines, structures and easements
y N- . SEE s �.r ,t-�-{AgBg been identified. Also indicated are wetlands,
C \ C TE rI signed eft+ steeq c s or critical areas.
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APPLICATION INFORMATION
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WA�Stttatee Contractor license #
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Width:
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What is the square footage of
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How high is the sign?
Year: i
Make:
Installer
Contractor _ .
We State Contractor license #
We State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler _ Tent _
Paint booth _ Fire Alarm _ Fireworks display
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WA State Contractor license #
WA State Contractor license #
Mailing address -
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(Circle one) Above -ground Underground
Size / gallons
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Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, Ito programa or ac
ivities.