2010, 06-02 Permit App: 10001544 ResidenceProject Number: 10001544 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 6/2/2010 Page 1 of 3
Permit Use: SFR W/ATT GAR Contact: LEXINGTON HOMES, INC.
Address: PO BOX 141749
C - S - Z: SPOKANE WA 99214
Setbacks: Front Left: Right: Rear: Phone: (509) 924-1519
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45342.3306
Block: Lot:
SiteAddress: 3808 S MORROW LN
Location:: CSV
Owner: Name: JARVIS, RICHARD B & RUTH L
Address: 2507 S STARLIGHT LN
GREENACRES, WA 99016
Zoning: R-3 SF Res District
Water District: 007 MODEL Hold: ❑
Area: 8,060 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: . -
Review
Building Plan Review
Released By:
Originally Released:
Driveway/Approach
6/2/2010 By: tmelbourn
Released By:
NOT REQUIRED AT THIS TIME
Originally Released:
Landuse/Zoning/HE Conditions
6/2/2010 By: TMELBOU
Released By:
Sewer Review
Originally Released: 5/28/2010 By: mpalaniuk
Released By:
Permits:
Operator: JD Printed By: jmm
Print Date: 6/2/2010
Project Number: 10001544
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/2/2010 Page 2 of 3
Contractor: Lexington Homes Inc
Address: P O BOX 141749
SPOKANE, WA 99214
Description Grp Type Notes
1&2 FAMILY R-3 VB
BASEMENT F R-3 VB
BASEMENT U R-3 VB
COV DECK R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: Lexington Homes Inc
Address: P O BOX 141749
SPOKANE, WA 99214
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Building Permit
Firm: Lexington Homes Inc
Phone: (509) 924-1519
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,346 $133,186.70 1,346 $133,186.70
22 $440.00 22 $440.00
1,051 $15,765.00 1,051 $15,765.00
120 $1,800.00 120 $1,800.00
660 $12,540.00 660 $12,540.00
Totals: 3,199 $163,731.70 3,199 $163,731.70
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
3
4
1
Operator: JD Printed By: jmm
Fee Amount
$1,352.15
$4.50
$540.86
$1,897.51
Firm: Lexington Homes Inc
Phone: (509) 924-1519
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$13.00
$3.00
$44.00
$10.00
$10.00
$11.00
$11.00
$113.00
6/2/2010
Project Number: 10001544 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/2/2010
Contractor: Lexington Homes Inc
Address: P O BOX 141749
SPOKANE, WA 99214
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Pluinbing Permit
Page 3 of 3
Firm: Lexington Homes Inc
Phone: (509) 924-1519
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$102.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,897.51
$113.00
$102.00
Invoice Amount
$1,897.51
$113.00
$102.00
$2,112.51 $2,112.51
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,897.51
$113.00
$102.00
$0.00 $2,112.51
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: jmm Print Date: 6/2/2010
an crPermit Center
Spokane 11707 E Sprague Ave, Suite 106
FVal le Spokane Valley, WA 99206
y (509)688-0036 FAX: (509)688-0037
Community Development WWW. spokanevallev.orci.com
Residential Construction
Permit Application
fccmccislwrgrwaroipw.:.‘,.-_,.
4f-PERNRtT IBERs'%
-P� ERI4ITtEEE:
557
New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS
32 }d,
ASSESSORS PARCEL NO: 115✓) q4 13(6 LEGAL DESCRIPTION:
'rc4?.iY.LDh.f.:.-•._..:__.-:_ _ - `:Wli*. "i"4.l's =^.
9illudil uK'IIer` t fi;F
_ __'_ Yaf.� saiF,l�:�g•.2=:'.._,.__. _
w --s ..,..-
Name: Name:
Phone:q,9L- !sagFax: s�,�j - 2C
f
'S` {gory
Lic No: i hi I -H 5 xp. Date: J % (c''
Address:
IMPERVIOUS SURFACE
AREA: 5030
City:.
GARAGE SQ. FTG:f�
4&t% oK
Zip:
Phone:
Fax:
# OF BEDROOMS:
r.'4sr4K5t3.r._.._. r`A.cfrv4?.
t ontact;P;erson':;s
Name: 36I A-il) &l]ES
I 2,(r no+nnharn )nL • ac
Phone: h 0 et
m
cContracto�r/) `.' _qi=` _ v • - k -.a t1 X h
{&
Name: /� I U �4fiI Ejc5 TXIC, •
14
Address: D OX 14I c --9y
�]]
City: I SI V F Zip: qci, i `r
Phone:q,9L- !sagFax: s�,�j - 2C
f
'S` {gory
Lic No: i hi I -H 5 xp. Date: J % (c''
City Business Lic No: f2E6- fr 0001'..
Describe the scope of work in detail: Cost of Project:
?� X543 AISTZt4Zc/UJ
osolcoo
**************The followintr_ MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMM�SI S:�/^
# OF STORIES: /
TOTAL kiA�l E SPACE:
o7,5 50
MAIN FLOOR TO SQ. 22
FTG: / /!tn
2 FLOOR SQ. FTG:
/
UNPIN BASEMENT SQ. FTG:
/ — /Os/
IMPERVIOUS SURFACE
AREA: 5030
FINISHED BASEMENT
SQ. FTG: °V
GARAGE SQ. FTG:f�
4&t% oK
DECK/CO . PATIO •Q FT
/O(/,
30% SLOPES ON .�
PROPERTY: NU
# OF BEDROOMS:
CONSTRUCTION TYPE:
HE9n9OU
SEWS OR SEPTI ?
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that 1) If as 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) AH 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) 'Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.--=--,„,.‘
Signature
Date 5Mn//D
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature:
REVISED 8/25/2005
Spokane
.Valley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite 6-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokaneL alley.oru
SITE ADDRESS•
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Resjdential
_Building Owner
Name: Phone: Fax:
Address: City- State: Zip:
Contractor.
/� )
Name:/ �%X PVT -179/0! 1 9n1E5 X -MC. Phone
fc51 c7 c, -4-90)
���SF�":E
y�p%��/OE%I
Address: F 9 13( /l1 In,/ f �`-1 City54 ,J K/ThIV Ei vJ'_ LL i/ te: I /IZip
Ut/
1:::
/ L.
License No:' G'X / A `O� ' LTA City Business Lic: 60 f , j -/
i_''1-'-
rvv--_^^i,:8'x-f
Con[nCt:ir,,� -, -__ e'- e, ati {��'---.�.-}.Y-£LJ
.•.. .. :n�tix. - -
i'�:i..LS:YTi ti{�. •.:.'..i.4. '-�...: ,._.i iv$1Mx �^�Y :'Ii �.::....�'a0.�:e �'%A'.•.) •iJ viii... ��T f.r.�-"�C,.:. u-J��<--
•%.4.b5]�reinx-iF�
- _
. r �.
. .. - ...x
Name. Sq.)/ .IX.I
Phone: qr2 q ('-
Q {i/•��—AsJ
r i �9/.‘,/ 55
DESCRIPTION OF WORK
OF UNITS
COST
TOTAL AMOUNT
1 FUEL BURNING APPLIANCE
2 FUEL BURNING APPLIANCE
3 UNLISTED APPLIANCE Additional Fe
IIUNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
BOILER/REFRIGERATION
IBOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
m
m
m DRYER
Equal to or less than 100,000
More than 100,000
E•ual to or less than 400,000
$12 00
$15 00
550.00
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
101-500M BTU •
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
5100 00
$50 00
$100.00
512.00
$20.00
525 00
$35.00
560.00
GAS LOG, GAS INSERT, GAS FIREPLACE
51000
5
16
17
18
9
20
21
510 00
FUEL BURNING WATER HEATER
MISC FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
22 EVAPORATIVE COOLERS
23 TYPE I HOOD
24 TYPE II HOOD
25 HEAT PUMP/AIR CONDITIONER .
26 AIR CONDITIONER
27 AIR CONDITIONER
28 AIR CONDITIONER
29 AIR CONDITIONER
30 LPG STORAGE TANK
31 WOOD OR PELLET STOVE/INSERT
32 WOOD STOVE - FREE STANDING
33 REPAIR & ADDITIONS
34 VENTILATION SYSTEMS
35 VENTILATION MECHANICAL EXHAUST
36 INCINERATOR - RESIDENCE
37 INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
UCASH ❑ CHECK ❑ VISA ❑ MC
CARR #:
AUTHORIZED SIGNATURE:
REVISED W26/05
Equal to or less than 10.000 CFM
Greater than 10,000 CFM
0-3 TON
4-15 TON
15-30 TON
30-50 TON
More than 50 TON
EXPIRES:
VIN
510 00
$10.00
$10 00
$1 00
510.00
$10.00
$12.00
$15.00
$10.00
X 550.00
X $10.00
X $1200
X 520.00
X $2500
X $35.00
X 560.00
X $10.00
X $10.00
X $2500
X $15.00
x $12.00
X $12.00
X $19.00
X $22.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
Spokane
Permit Center
1 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
4,000V
J 11eya (509)688-0036 PA?:. (509)688-0037
�Q wwly aokancvallcore
Community Development
Plumbing Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: ✓U b U ,v
Building Owner - _ .•
.,
Name'
Phone Fax:
Address:
City: State:
Zip.
--
�Y-i�i
Name ) -1-:�1�• CG'
iv) ofr Cs
IV 1
I
,
Phone: n 70 (� Fax: �J(
6 � /)l
-4:2o
Address: /(.
City.t t
�
B
+�)�
Zip: !7[]
� /
J'r
f
No: � r-- TA
�! / r"
'
License��,,(�'� X,.
1 U,�(� s,l l'1
,//"
City Easiness Lie: � / /
� `i
/ 4
Contact ' /— .
I
„
�;;,•,
�,•
; � ;; •.
-
,
))��I11
Name: (�1 / At -i1/4,1 `J o/ V g5
/� /" �`�
Phone 4 , /l 1
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
2
URINALS
3
x
$6.00
X
$6 00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD PREP/CULINARY MEAT
c
X
86 00 '
X
$6.00
6
DISHWASHER
/
X
$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
12
ROOF DRAINS/OVERFLOW DRAINS
x
$6 00
13
FOUNTAINS, DRINKING
X
$6 00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6 00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
x
$6 00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
17
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE,
AND R P.B.P D FOR' VATS, TANKS,
BOILERS
3
X
$6 00
X
$6 00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
$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
METHOD OF PAYMENT:
❑CASH ID CHECK ❑ VISA ❑ MC
Card#
EXPIRES:
VIN'
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
Valley,
For City Use Only \\
PLUS Project Number I
Project Address `.
-stir. N levrrhi -)
11703 E Sprague Aye Suite B-3.1 Spokane Vatley WA 99206 , .'
.509.688.0036 • Fax: 509:688.00371 permitcenter@spokanevattey:org •
As part of our on-going commitment to customer service during the'process;of:yeur;projedt
application, we are. providing you with a TARGET DATE for, the initial technical application review:,If for
any, reason 'We cannot meet, this date,` we will contact you with a revised target date.
t
The TARGET DATE is the date we estimate your project application :will, have had,.its ,initial` technical
review. It is not the date for approval or permit issuance.
Your application review TARGET DATE is
•
.+ Tips'foi a Smoother Project Application' Review',
•
•
Submit complete, accurate plans and documents.
Earn time noir beilcquiila/for i-e-.rlhmittalc• as project application 2 £ 1/(1% (1 %t 0/ 4 0/7 unihiple applications• anayit'
turn be several dui -s before then; can look at rout new ok rcniced infor tion.,', 1;
•
Designate a specific contact person to communicate with the City. .
IVhile the persue designated cis the applicant's contact persue with the City can' be'changecl, one individual with the
expertise far dealing With reviewer comments would he the best choice lar theeentii e review process..
•
• Call staff regarding the status of your project only after -the target datc'shown at the top of the page. .•
Although you .choiild be contacted on or by the target date,' please jeer free to contact its i1 rou haven •1 heard ji om its
hr you target date. Sub]. may contact you bLJore the target date if the iiutial; review, i.c complete. By/o//oti iivg this
procedure, you will sln'e time mid allow the reviewers io complete the work more etpediiious1;
Steps in the Permit Process
I. Counter Complete. Your 'application has been accepted as counter completes„"i Itis means' •all 'of tlic: required •
documents, as indicated on your Pre -Application Checklist have becrosubmittcd or,,have .been ,',appro- Vert: for . deferred • •
submittal. This does not prevent technical stall from requesting additional information as a result of their technical revie'\-, •
2. Quality Check. The nest step in the process is a quality check to make sure that the application is reviewable and free
from substantiae that•would prevent technical staff from completing the technical review.once•jt is started. •When
this step is complete, your.applieation will be routed to the appropriate statf:and rentdin in their'review queue until it •
conies up for review.. •
3. Technical Compliance. Once 'an application is administratiYely complete, it is routed to technical staff !in.compliance
review. Depending on the type of project, technical staff may include multiple reviewers.; Yoti 'sliould be contacted,by
phone, fax email, or mail by your TARGET DATE once the initial technical compliance review is conplete:
4. Permit Issuance. When the technical compliance review of'the application is',c'ompletc,:including:any subsequent re -
submittals, each reviewer will approve their section of the application-aniI route it to the Permit Center. When all sections
of the 'application are received, a Permit Specialist will process the application_ and' contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (i l' required),c1/111 be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07
124.00' S50°16'46'
65.00'
3808 S Morrow Ln
Block 1 / Lot 6
Pine Rock Ridge
3rd Addition PUD
8,060 Sqft
PLANNING DEPT. APPROVED
BY: 74Whf?-A/—
DATE: s/z s72an
65.00'
124.0'',0° 16'46"E
111-11,1 s 00005
LEXINGTON HOMES
PO BOX 141749
SPOKANE, WA99214
Phone: (509) 924-1519
Fax: (509)892-1208