2003, 09-17 Permit: BLD-03-02485 ResidenceS"""kerne
a...Ualley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
IMPERVIOUS SURFACE AREA
THIS IS NOT A PERMIT
Penalties will be assessed for
t commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
sfr
130000
217"
41 X 50'6"
130000.00
1
3
25
56
19.5
10
NA
r-3
5-n
1
10000
RESIDENCE
no
no
2
1
1
4
1
1
1
1
3
1
1
1
1
1
3
3
1
2488
Application #: BLD -03-02485
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
464.70
1,161.75
4.50
12.00
6.00
6.00
24.00
6.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
10.00
3.00
30.00
1,808.95
0.00
� o - o3- 22Z rote",
1,808.95
Soa
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building%
Planning t1/4k IC/ cl I l.p
Public Works/
Ro -03 -2zz-
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
IMPERVIOUS SURFACE AREA
NEW SINGLE FAMILY RESIDENTIAL PERMIT
sfr
130000
217"
41 X 50'6"
130000.00
1
3
25
56
19.5
10
NA
r-3
5-n
1
10000
RESIDENCE
no
no
2
1
1
4
1
1
1
1
3
1
1
1
1
1
3
3
1
2488
Permit #: BLD -03-02485
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
464.70
1,161.75
4.50
12.00
6.00
6.00
24.00
6.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
10.00
3.00
30.00
1,808.95
1,808.95
0.00
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
Staff Initials
THIS IS NOT A RECEIPT
Date
Spokane
,1 SValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
•
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 10112 E NORA AVE
SPOKANE VALLEY WA 99206
Description: NEW RESIDENCE W/ATTACHED RESIDENCE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
LEXINGTON HOMES, INC
LEXINGTON HOMES, INC
PO BOX 141749
SPOKANE, WA 99214-1749
LEXINGTON HOMES INC
PO BOX 141749
SPOKANE WA 99214-1749
Lot:
Permit #:
Applied:
Issued:
Expires:
BLD -03-02485
Blk: Parcel No: 45084.0314 Zoning:
Phone:
Phone:
Lic No:
(509) 922-9870
LEXINHI025JA
09/16/2003
09/17/2003
03/15/2004
THIS IS NOT A RECEIPT
S"pokankaegoest,
jMalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 10112 E NORA AVE
SPOKANE VALLEY WA 99206
Description: NEW RESIDENCE W/ATTACHED RESIDENCE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
LEXINGTON HOMES, INC
LEXINGTON HOMES, INC
PO BOX 141749
SPOKANE, WA 99214-1749
LEXINGTON HOMES INC
PO BOX 141749
SPOKANE WA 99214-1749
Lot: Blk:
Phone:
Phone:
Lic No:
Application #: BLD -03-02485
Applied:
Issued:
Expires:
Parcel No: 45084.0314
(509) 922-9870
LEXINHI025JA
Zoning:
09/16/2003
03/14/2004