2005, 04-05 Permit App: 05001074 ResidenceProject Number: 05001074 Inv: 1
Application
Date: 04/05/2005 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 -
NATURAL GAS
Setbacks: Front 25 Left: 6 Right: 5 Rear: 20+
Site Information:
Contact: LEXINGTON HOMES, INC
Address: P O BOX 141749
C - S - Z: SPOKANE, WA 99214
Phone: (509) 924-1519
Group Name:
Project Name:
Plat Key: Name: PINE ROCK RIDGE PUD
District: Sout
Parcel Number: 45342.2504 Block: 5 Lot: 4
SiteAddress: 3712 S MCDONALD LN
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 8,458 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: LEXINGTON HOMES, INC
Address: P O BOX 141749
SPOKANE, WA 99214
Hold: ❑
Depth: 0 Right Of Way (ft): 30
Review Information:
Review
Site Plan Review
Released By:
s
Plan Review
Released By
WWILatad
Sewer Review
Permits •
Released By:
/101
Operator: K_C Printed By: K_C
Print Date: 04/05/2005
Project Number: 05001074
Inv: 7
Application
Date: 04/05/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: LEXINGTON HOMES
Address: P O BOX 141749
SPOKANE, WA 99214
Group: R-3 Type: VB
Total Area 2806
Building Height 19
Stories 1
Dwelling Units 1
Building Permit
Finn: LEXINGTON HOMES
Phone: (509) 924-1519
Building Characteristics
Description Grp Type Notes
BASEMENT 13 R-3 VB
CARPORT 13-1 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,426 $21,390.00 1,426 $21,390.00
120 $1,800.00 120 $1,800.00
506 $9,614.00 506 $9,614.00
1,460 $109,032.80 1,460 $109,032.80
Totals: 3,512 $141,836.80 3,512 $141,836.80
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Contractor: R & R HEATING & AIR COND INC
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
Fee Amount
$1,228.95
$4.50
$491.58
$1,725.03
Finn: R & R HEATING & AIR COND INC
Phone: (509) 484-1405
Units Unit Desc
I NUMBER OF
1 NUMBER OF
4 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$10.00
$12.00
$4.00
$40.00
$10.00
$10.00
$10.00
$10.00
$106.00
Print Date: 04/05/2005
Project Number: 05001074 Inv: 1
Application
Date: 04/05/2005
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
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Plumbing Permit
Page 3 of 3
Firm: JIMMY'S PLUMBING
Phone: (509) 928-8991
Units Unit Desc
3 NUMBER OF
6 NUMBER OF
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$36.00
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
$120.00
Payment Sunman,.
Permit T Pe
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,725.03
$106.00
$120.00
Invoice Amount
$1,725.03
$106.00
$120.00
$1,951.03 $1,951.03
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,725.03
$106.00
$120.00
$0.00
$1,951.03
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: K_C Printed By: K_C
Print Date: 04/05/2005
•,\.3/4
*lane
doolValley
Street Address:
BUILDING PERMIT APPLICATION WORKSHEET
ttyrgf Spokane Valley Community Development Department
�' �n Building Division
V eS 11707 E. Sprague Avenue, Suite 106
RqR • Spokane 7A 99206
57005 Pl (509) 688-0036; Fax: (509) (50ley, 9688-0037
REQUIRED SI
MATION
Assessor's Tax Parce
Legal Description:(�'�
PERMIT DESCRIPTION:
n Building Permit ❑ Change in Use ❑ Grading n Manufactured Home
❑ Tenant Improvement Fire Safety ❑ Other
n Relocation
OWNER/APPLICANT INFORMATION
t
Owner:
Phone:
Address:
Fax:
City
Contracto
Phone:
Address:
City
t)
❑ Applicant:
Phone:
Address:
Fax:
State Zip Code
n Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: LEX I N H 10(96 Contact:
State Zip Code
U.,)zttdh
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: I� I _ (V ii
DIMENSIONS: 614 J / _ o
�(/
# OF STORIES: /
MAIN FLOOR TO
0
2mi FLOOR
QFTG: G.
UNFIN MENT SQ. FTG:/z/aV
FINISHED BASEMENT SQ. FTG
GARAGE SQ.
DECK/COVE PATIO SQ. FTG:
/�o
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
. • T SOU' EE: /'
a' 'r azt, Lei -c2_-
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
9 n iJ
(J
MPERVIOUS SURFACE EA:
2135
COST OF PROJECT:
30% SLOPES ON PROPER
•
SEWE OR ON-SITE SEPTIC
?
MANUFACTURED HOME
Width:
Manufacturer:
Length: ,Year: Pit Set:
RELOCATION
Ip
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
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 ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Sri
Project Add
Owner.
Mailing Address:
Lie
Me
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development- Department
B uldingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
• FOR INSPEC77ONS, CALL (509) 6884054
Permit Use:
• :Phone (Daytime Cor>taat):CP11" /6/9
Contractor.
Marling Add s.
11
r Nutty
- c390214
A a aist- se #:
CII„ . a instate p Code
fnf
m
City
or or
State
Zip Code
-
DESCRIPTION OF WORK. - -
6 O -
UMTS
X
- COST
-
- TOTAL
AMOUNT.
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
LTIAR?1145
X.._38
00
=
3
_ . _ _ _
TUBS
X
58.00
-
=
- ....
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
7
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR. FLOOR
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD.
PREP/CULINARY/MEAT
X
36.00
=
6
DISHWASHER -
/
X
36.00
=
7
CLOTHES WASHER
- .
/
X
36.00
8
GARBAGE DISPOSAL
.5,
/-
X
16.0o
=
9
WATER SOFTENER
X
56.E
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,/
CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
3.00
13
FOUNTAINS, DRINKING
X
*6'00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER. PROOFER
CARBONATOR SWAMP COOLER
X
58.00
'
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE AND RP.B.P.D. FOR
VATS, TANKS, BOILERS
X
$8.00
=
18
INTERCEPTORS -
GREASE TRAP, SAND TRAP,
CHEMICAL BOWING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
• OXYGE
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
///jjj ��,,N�IT��LROU$,
,IC) / Ii,
r
X
*6.00
=,
METHOD OF PAYMENT:
0 CASH 0 CHECK
...rc.•
/ • , _ -
0 VISA 0 MASTERCARD
EXPIRES:
- . .._SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEEDUE
Zip Code
Project
Owner
Mailing
4,Valley
Contractor.
Mailing Address'
r
/
f: /� •1"2W/?
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Commuttily Development Department
BuildingDfvision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
' • Phone: (509)688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
permit Use:
P 1 e (Da time Con ):
/D(Oi. hone1-
a
State
Zip Code
DESCRIPTION OFWORK
1 OF
UNITS
X
COST
-
TOTAL
AMOUNT
1
N
FUEL BURNING APPUANCE
Equal b or less than 100,000
!
X
515.00
=
Fl'EL BURNING APPUANCE -
Mae than 100,000
Equal to or less than 400,000
X
X
*19.00
$50.00
=
.
2
3
UNLISTED APPLIANCE (Additional Fee)
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
-
=
5
-1f.'ED APPUMNCE{WSEC min. AFUE ,
rating)
--. - -
Equal to or less tan 400,000
8
USED APPL4MICE (WSEC min. AFUE
Dom)
More than 400,000
1 - 100M BTU
X
X
5100.00
' 515.00
_
=
7
BOILER/REFRIGERATION
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528.00
=
9
BOILER/REFRIGERATION
501 -1 000M BN
1,00i -1,750M BTU
-
X
X
539.00
157.00
=
10
BOILER/REFRIGERATION
11
BOILEWREFRIGERAT1ON
More than 1 750M BTU
X
$95.00
=
12
GAS 1.00, GAS INSERT, GAS FIREPLACE
r'
X
$10.00
=
13
RANGE
1 /
X
510.00
=
14
DRYER/
X
$10.00
r
15
FUEL BURNING WATER HEATER
X
510.00
_
18
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
IF
X
51.00
18
DUJ"T SYSTEMS
X
$10.00
=
19
VENTILATING FANS
-
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$1200
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10 000 CFM
X
519.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE 1 HOOD
X
550.00
=
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDmONER
03 TON
X
512.00
=
28
AIR CONDmONER
3-15 TON
X
$20.00
=
27
AIRCONDFONER
1530 TON
X
525.00
=
28
AIRCONDmONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON -
X
$80.00
=
30
IPG STORAGE TANK
X
*10.00
=
31
WOOD OR PELLET STOVFJINSERT
X
110.00
=
32
WOOD STOVE -FREE STANDING
X
525.00
=
•.noon
METHOD OF PAYMENT:
❑ CASH ❑ CHECK 0 VISA 0 MC
11. Airia-;._::_'• �r"r_��S'
SUBTOTAL
PROCESSING FEE
$35.00
�DAy�p
.. .'.TOTAL
PERMIT FEE DUE: ,..
..---.
Zip Code
•
-c')\
Ix••
1,� 25' Bldg \ �\
Setback \
14' Utility \
3 Eosement \
0 10 20 40
SEPTEMBER 2003
This site plan is being submitted tor the purpose of
obtaining a building permit and is a true and carred
,epreseotation of the proposal. AN known prowty
n
tiiies:dd • :nsio curb lines, structures dodie !
are wetlands,
have •een ide died. Also or oMNr critical area.
b� of water,tamp slopes
Signed:
Date:
PINE ROCK RIDGE 1ST ADDITION
LOT 4 BLOCK 5
Founded 1946
$impson Engineers, Inc.
CIVIL ENGINEERS & LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOKANE WA., 99212-2789
PHONE (509) 926-1322 FAX (509) 926-1323