2001, 10-16 Permit App: 01009139 ResidenceProject Number: 01009139 Inv: 1
Application
THIS IS NdT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2001 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - FA Contact: LEXINGTON HOMES INC
GAS Address: 12218 E NEZ PERCE LN
C - S - Z: SPOKANE, WA 99206
Setbacks: Front 30 Left: 5 Right: 7 Rear: 100 Phone: (509) 924-1519
Group Name:
Site Information: Project Name:
Plat Key: 005947 Name: SHELLEY LAKE 1ST ADDITION District: F
Parcel Number: 45241.1816 Block: 1
SiteAddress: 317 S SHELLEY LAKE LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District
Area: 16,800 Sq Ft
Urban Residential 3.5
Lot: 16
Owner: Name: LEXINGTON HOMES INC
Address: 12218 E NEZ PERCE LN
SPOKANE, WA 99206
Hold: ❑
Width: 66 Depth: 180 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review
Plan Review
Approach / Drainage
n o44004, Zbnei pv uke ( D ad
Sewer Review
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Reasel<
Operator: DMD Printed By: DMD Print Date: 10/16/2001
Project Number: 01009139 Inv: 1
Ap�3lication
THIS IS Not A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2001 Page 2 of 3
Contractor: LEXINGTON HOMES
Address: 12218 E NEZ PERCE LN
SPOKANE, WA 99206
Const Category:
Nbr Of Dwellings:
Bldg W x D: 61
Req Parking:
Building Permit
Finn: LEXINGTON HOMES
Phone: (509) 922-9870
Building Characteristics
New Group: R-3
Occupant Load:
x 53 Building Sq Ft:
Handicap Parking:
Description Type Notes
BASEMENT F R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor:
Type: VN
Building Height: 20
3200 Sprinklers: El
Critical Materials: ❑
This Application:
Sq Ft Valuation
713 $11,236.88
922 $10,658.32
288 $2,119.68
700 $8,400.00
1,635 $101,370.00
Stories: 1
Total Project:
Su Ft Valuation
713 $11,236.88
922 $10,658.32
288 $2,119.68
700 $8,400.00
1,635 $101,370.00
Totals: 4,258 $133,784.88 4,258 $133,784.88
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$1,065.00
$4.50
$234.30
Permit Total Fees: $1,303.80
Mechanical Permit
R & R HEATING & AIR COND Firm: R & R HEATING & AIR COND IN
Address: 4019 E CENTRAL
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE >100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units
1
1
3
6
1
1
1
Operator: DMD Printed By: DMD
Phone: (509) 484-1405
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$15.00
$3.00
$60.00
$10.00
$10.00
$10.00
$118.00
10/16/2001
Project Number: 01009139 Inv: 1
'Application
THIS IS Nat A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2001
Contractor: S T PLUMBING CO INC
Address: P.O. BOX 1817
AIRWAY HEIGHTS, WA
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
99011
Plumbing Permit
Page 3 of 3
Firm: S T PLUMBING CO INC
Phone: (509) 244-5575
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
3 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
$30.00
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
DO NOT ISSUE SEWER PERMIT - OK TO ISSUE HOUSE PER ROGER 10/27/98
OK TO ISSUE SEWER PERMITS FOR:
BLK4 -L 1 BLK5 -L 2,16,18
BLK 6 - L 1,3,5,6,9,10 BLK 7 - L 1,2
Payment Summary:::>::>::>
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,303.79
$118.00
$120.00
$1,303.79
$118.00
$120.00
$1,541.79 $1,541.79
Amount Paid
$0.00
$0.00
$0.00
$0.00
$120.00
Amount Owing
$1,303.79
$118.00
$120.00
$1,541.79
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD
Print Date: 10/16/2001
What Is the JOB SITE a • . teas/
i
APPLICATION INFORMATION
A
Le • al es rip on asit/appeal on
he •ro /deed
SE,4r$OR'S tax parcel number?
--t-- 16Z-47
OWNER or OCCUPANT
5ielJA N `EA/G•
Mainga teas
Joy? l ie /YYZEM/v�
Who should we contact regarding this project?
J v i4/ERR;& 1
Phone
cl?>
City, state
iyC/.2),4 SP
Phone
qon-/-5/9 no 1 001
Whatork Is being done under this permit?
ENFORCEMEIti
-
Right Of way width,;:;
Buildi
Contractor'`' x..
A-XINSTi,M 7Dne52-7YC.
WA State Contractor license #
Building height
Mi/ ailing ami �� / / 0.25 !
ress
/ ��,E ,y.Ez �.��/4A6--
Arch' ect/ ng neer
Dimensions
Main floor era
2nd floor area
# of stories
TOTAL SQUARE FOOTAGE
3:,c)
1 �!
Unfinished basement area
Finished base Atennttar
What ie heat ouree/�/
f,r4AV
Garage a, ea
Size of decks, etc.
What is the cogt p yo r project?
Manufactur•
thkio
Sign
Width:
Length:
What is the square footage of
the sign face?
How high Is the sign?
Year:
Make:
Installer
Wa State Contractor license #
Mailing address
Contractor
Wa State Contractor license #
Mailing address
Relocation':.
Fire Safety
Previous address
Fire Sprinkler _
Paint booth _ Fire Alarm _
Tent _
Fireworks display _
VALUE
a�
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
INN I\
Fuel Storage Tanks
Swimming Pool
(Circle one) Above- e round Under round
CtM.gnts of tank(s) Size / gallons
Size / gallons
Private
Public/semi-private
ontractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County doss' not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa or activities.
•
•
•
This site plan is being submitted for thepurpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
ed:
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