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2000, 10-05 Permit App: 00009081 ResidenceProject Number: 00009081 Inv: 1 Application Date: 10/05/2000 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: rAMMIVIMA, MAY s muuagewl k-Afacw M166,0. 64 #6,660 , 6 '106k66 Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED Contact: LEXINGTON HOMES AIR GAS Address: 12218 NEZ PERCE LN C - S - Z: SPOKANE WA 99206 Setbacks: Front 20 Left: 10 Right: 12 Rear: 55 Phone: (509) 924-1519 Group Name: Site Information: Project Name: W4F61,T666,66WARE6600,46,16k,66 6,,6,6614746te 66' , 76,1g66M61,VEZ,M3,WirA1446X6646666661. tot 6,, 0;4646 A-4,v6v6r.,kwat 6,04,9,A164,60e0614166,ualm66,:66,tR606..evx-1 Plat Key: 005862 Name: SHELLEY LAKE District: F Parcel Number: 45242.1302 Block: 3 Lot: f/ SiteAddress: ,506-S SHELLEY LAKE LN Owner: Name: LEXINGTON HOMES VERADALE, WA USA 9903 Address: 12218 E NEZ PERCE LN Location:: VER SPOKANE, WA 99206 Zoning: UR-3e5Urban Residential 3.5 Water District: Area: 9,244 Sq Ft Width: 70 Depth: 117 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Hold: El Review Information: ZUM6666,MMItl..616016616,,Et6,66V/66,61,MIMESON641MIMMUMSES6 :066,16,M6616661166,6604,MUSEPOIVIEWIMMUMERVIMMIWAIWZMNIVal Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: Conditions: BUILDING Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: Plan Review Released By: Approach / Drainage UTILITIES Sewer Review Permit on 'tons: Permits: Released By: tim -ti e 5 iN-PP e b A -L. oc)-908e( Fa/CO ,16ivel), C.* Project Number: 00009081 Inv: 1 Application Date: 10/05/2000 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: LEXINGTON HOMES Address: 12218 E NEZ PERCE LN SPOKANE, WA 99206 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 25 Bldg W x D: 0 x 0 Building Sq Ft: 1812 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: This Application: Building Permit Firm: LEXINGTON HOMES Phone: (509) 922-9870 Description Grp Tvpe Notes 2ND FLOOR R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Stories: 2 Total Project: SQ Ft Valuation Su Ft Valuation 919 $56,978.00 919 $56,978.00 120 $883.20 120 $883.20 506 $6,072.00 506 $6,072.00 893 $55,366.00 893 $55,366.00 Totals: 2,438 $119,299.20 2,438 $119,299.20 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK 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 GAS LOG OR GAS INSERT Units 1 1 3 4 1 1 Fee Amount $995.00 $4.50 $218.90 $1,218.40 Firm: R & R HEATING & AIR COND INC Phone: (509) 484-1405 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 Permit Total Fees: $85.00 Project Number: 00009081 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/05/2000 Page 3 of 3 Contractor: S T PLUMBING CO INC Address: P.O. BOX 1817 AIRWAY HEIGHTS, WA 99011 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Payment Summary: Operator: RMB Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Plumbing Permit Firm: S T PLUMBING CO INC Phone: (509) 244-5575 Units Unit Desc 3 NUMBER OF 5 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Printed By: RMB Fee Amount $1,218.40 $85.00 $108.00 $1,411.40 Permit Total Fees: Fee Amount $18.00 $30.00 $12.00 $12.00 $6.00 $6.00 $6.00 $18.00 $108.00 Print Date: 10/05/2000 Invoice Amount $1,218.40 $85.00 $108.00 $1,411.40 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,218.40 $85.00 $108.00 OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4 BLOCK 5 - LOTS 2 THROUGH 6 & 19 BLOCK 6 - LOTS 1 THROUGH 10 $0.00 $1,411.40 APPLICATION INFORMATION Fla - `l oBl What is the JOB SITE address? 56A 5. SHauEy Legal descrition as it apQ ar on the p o ASSESSOR'S tax parcel number? sed ,51-Et_L-fy LAKE row) OWNER or OCCUPANT ,EXl/ T Mailing address J 1 ? ,e: /YEE , .-,G94 _ Who should we contact regarding this project? ) U,� /S/ERRE/`l Phone qty - /57q City, state Zip G 2�i�9�lC ZA4 Phone What work is being done under this permit? 1-3 [one In pec or district Property size / 624 Building Building height 42—c I # of stones Contractor //VON ?D/195 Z/V C . Dimensions TOTAL' .QUARE FOOTAGE IeJ2 WA State Contractor license # %,!Mailingx s /0-5cf" Main floor area Unfinished basement area No,vE_ /221 er,e /yE,,z ;� A16 Archi ect/Engineer, 2nd floor area I 11 Finished basement area Garage area 50 Size of decks, etc. What is the heat source? What is the cost of your project? 12D f Manufactured Home Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire, Safety Previous address Fire Sprinkler _ Paint booth Fire Alarm Tent Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel Storage Tanks Swimming Pool (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private Public/semi-private Contractor Contractor a State Contractor license # Mailing address WA State Contractor license # Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. ar N a ar 1 ADDRESS S . Soa SliU 1 - ZONE U,-112- is ROAD WIDTH WO FRONT_aO FLANKING COMMEN REVIEWE 64 This Site pJ^ -,n is bung submitted for the purpose q •c`�;2i?ing jbi+itding permit and is a true • � • represen mp 4f fatiori of the and correct lines/dimension proposal' All known property have bee s curb lines, structures and n identified. Alsb indicated easements bodies of water, st are wetlands, �p slopes or other critical areas. Signed: � , / S.. Sw0 2. SHED Ey LAKE N.