2005, 03-16 Permit App: 05000772 ResidenceProject Number: 05000772 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/16/2005 Page 1 of 3
Project In formation:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: LEXINGTON HOMES, INC.
NATURAL GAS Address: 12213 E BROADWAY
C - S - Z: SPOKANE VALLEY, WA 99206 -
Setbacks: Front 32 Left: 25 Right: 5 Rear: 21 Phone: (509) 924-1519
Group Name:
Site Information: Project Name:
Plat Key: Name: PINE ROCK RIDGE PUD District: Sout
Parcel Number: 45342.2301
Block: 3 Lot: 1
SiteAddress: 3705 S PINE ROCK LN
Location:: CSV
Zoning: UR -3.5
Water District
Area: 9.523 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Owner: Nance: LEXINGTON HOMES, INC.
Address: 12213 E BROADWAY
SPOKANE VALLEY, WA 99206 -
Hold: ❑
Width: 0 Depth: 0 Right Of Way (ft): 30
Nbr of Dwellings: 1
Review Information: ,
Review
Site Plan Re iew
Released By:
(41.1-101,±1
Plan Review
Released 13y:
Approach / Drainage
Sewer Review
Permits:
Released By: ' IV
,Released Byr
Operator: K_C Printed By: K_C
Print Date: 03/16/2005
Project Number: 05000772
Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/16/2005 Page 2 of 3
Contractor
Address:
LEXINGTON HOMES
PO BOX 141749
SPOKANE, WA 99214
Building Characteristics
Group: R-3 Type: VB
Total Area 2548
Building Height 19
Stories 1
Dwelling Units 1
Building Permit
Firm: LEXINGTON HOMES
Phone: (509) 924-1519
Description Grp Tvpe Notes
BASEMENT F R-3 VB
BASEMENT U R-3 VB
CARPORT U-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
44 $880.00 44 $880.00
1,157 $17,355.00 1,157 $17,355.00
120 $1,800.00 120 $1,800.00
784 $14,896.00 784 $14,896.00
1,347 $100,593.96 1,347 $100,593.96
Totals: 3,452
Units
1
Unit Desc
SELECT
SELECT
SELECT
$135,524.96 3,452 $135,524.96
Fee Amount
$1,195.35
$4.50
$478.14
Permit Total Fees:
Mechanical Permit
Contractor: R & 14 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
$1,677.99
Firm: R & R HEATING & AIR COND INC
Phone: (509) 484-1405
Units Unit Desc
1 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: 03/16/2005
Project Number: 05000772 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/16/2005
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
CROSS CONNECTION DEVICES
WATER USING DEVICES
Plumbing Permit
Page 3 of 3
Firm: JIMMY'S PLUMBING
Phone: (509) 928-8991
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 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:
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$18.00
$24.00
$6.00
$12.00
$ 6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
Fee Amount Invoice Amount
$1,677.99
$106.00
$108.00
$1,677.99
$106.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,677.99
$106.00
$108.00
51,891.99 51,891.99 $0.00 $1,891.99
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: 03/16/2005
tam
doosisValley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
• 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
•
Street Address:
REQUIRED SITE INFORJVIATION
2 s- ct�4p
Assessor's Tax Parcel' q 2
4-Citlad-IC, Pat
PERMI 'DESCRIPTION:
wilding Permit ❑ Change in Use ❑ Grading j—] Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
Legal Description:
OWNER/APPLICANT INFORMATION
fp
Owner:
Phone:
Address:
City
Contracto
Phone:
dress:
Fax:
Sa
YY (IN
I aq
e ip Code City
Applicant:
Phone:
Address:
Fax:
City
. ❑ Architect:
Phone:
Address:
State Zip Code
Fax:
WA State Contractor License #: LEX 1 Ni H I P5
PERMIT/BUILDING INFORMATION
State
tuitddle
Zip Code
HEIGHT TO PEAK
DIMENSIONS: ✓3 i x /l f
2N°'FLOOR SQ. FTG:✓(� 1�
# OF STORIES: /
UNFIN BASEMENT SQ. FTG: /1S n
MAIN FLOOR TO SQ. FTG: 3,17
� 1 7
FINISHED BASEMENT SQ. FTG: 44/
GARAGE SQ: FTG: 75 Li
/ (JT
DECK/COV. PATIO SQ. FTG: /�✓ nj
(J
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
SOU CE:
# OF BEDROOMS t 3
J
TOTAL HABITABLE SPACE:em
IMFM PERVIOUS S R ACOE
55 J
COST OF PROJECT:
30% SLOPES ON PROPERTY: , / ,
SEWER O" ON-SITE SEPTIC
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent: -
# of Heads: Fire Alarm: Paint Booth:
Date/Time:
Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
ars,
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
D BOLTING ❑ CONCRETE
Fimi Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
0 -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 ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Wiane
Project • ..�' 07I 0
Owner. /� irut►.�//I
Mailing tr•d ! P
Contractor
Mailing Address'
4
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
' • Phone: (509)688-0036,• Fax: (509) 688.0037
FOR INSPECTIONS, CALL (509) 688-0054
ennit Use:
e:;oadme
( ' Co r -): )
Lice e#:��ui
gliblane
Project Add) : y� ! V J ll 9'_
Owner. �/l / /L 4(/1l .r.1� 1
Mailing Address= �� I I `7'1 • =
i
Contractor. 4 WI Al . A // 4 . • ./IL �`
Mailing Add ' s: ? I th G✓ I I L.I'yL 1
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BurildingDivision
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:
• :phone (Daytime Contact): 9, 1
gebRzip
nl1YlU 9_ - .nett:
nse #
State
-
DESCRIPTION OF WORK - -
SOF •
UNITS
X
COST
=
TOTAL.
AMOUNT,
1
TOILETS
WATER CLOSET, BIDETS
X
*8.00
=
am
�–
_X__-38.00
=1
.2_
3
-- _ -- _---
TUBS
.:
X
se'o
_
..
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
*8.00
5
SINKS
tAVSIBASINS, BAR FLOOR
KITCHEN, LAUNDRY, UTILITY,
JANITOR PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
✓ \
Lk
X
56.00
=
8
DISHWASHER
- I
X
*6.00
=
7
CLOTHES WASHER
- .-
1
x
i8.00
=
8
GARBAGE. DISPOSAL
,
I
X
18.00
=
9
WATER SOFTENER
X
56.00
=
•
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
*6.00
=
11
FLOOR DRAINS
AREA CASE, COIL, TRENCH,I
CONDENSATE
X
*8.00
-
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
116.00
=
13
FOUNTAINS, DRINKING
X
36.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR REVERSALS
X
18.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
*8.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER
HOSE BB, STEAMER, PROOFER
CARBONATOR, SWAMP COOLER
3
X
*8.00
=
•
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 HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, XYG Np
X
*6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
,I �!
/</ tet' ,INN.
. l
X
*6.00
=,
METHOD OF PAYMENT:•
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE• EXPIRES:
....SUBTOTAL
PROCESSING FEE
*35.00 -
TOTAL PERMIT FEEDUE
9a«
zip code
Sight Distance Easmt.
N
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
repwsentation of the proposal. All known property
lines/di nsions, curb lines, structures and easements
have ee identified. Also ined are wetlands,
bodi�s of eater, steep slo •. _ • r critical areas.
Date:
� .3-1(a-o,S
YLO./ex
5' Sideyard Setback
LEXINGTON HOMES
BLOCK3LOT1
PINE ROCK RIDGE
,0,/
Property Line
25' Building Setback
14' Utility Easmt.