2000, 01-04 Permit App: 00000039 ResidenceProject Number: 00000039 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/04/20 Page 1 of 3
Project Information:w N: :V4r1:- Zit'
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED Contact: LEXINGTON HOMES
AIR GAS Address: 12218 NEZ PERCE LN
Setbacks: Front / Left: 5 Right: 5 Rear: 34 C - S - Z SPOKANE WA 99206
Phone: (509) 924-1519
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE Z..- (0 -
District:
F
Parcel Number: 45242.1306
SiteAddress: 515 S SHELLEY LAKE LN Owner: Name: LEXINGTON HOMES INC
VERADALE, WA USA 9903 Address: 12218 E NEZPERCE LN
Location:: VER SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District: 999 UNKNOWN
Area: 9,350 Sq Ft Width: 85 Depth: 110 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Hold: ❑
Department Review
BUILDING Site Plan Review
BUILDING
Comments:
.$33z
ENGINEER
Comments:
Plan Review
Approach / Drainage
UTILITIES Sewer Review
Permits:
Comments:
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Project Number: 00000039 Inv: 1
3
Application
Date: 01/04/20 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 Permit
Firm: LEXINGTON HOMES
Phone: (509) 922-9870
Building Characteristics
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 0 x 0 Building Sq Ft:
Req Parking: 0 Handicap Parking:
Description Grp Type
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
Notes
0 Building Height: 20
3574 Sprinklers: ❑
0 Critical Materials: O
This Application:
Sa Ft Valuation
1,740 $27,422.40
45 $520.20
260 $1,913.60
950 $11,400.00
1,785 $110,670.00
Totals: 4,780 $151,926.20
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
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Stories: 2
Total Project:
Sa Ft Valuation
1,740 $27,422.40
45 $520.20
260 $1,913.60
950 $11,400.00
1,785 $110,670.00
4,780 $151,926.20
Fee Amount
$1,155.00
$4.50
$254.10
$1,413.60
Firm: R & R HEATING & AIR COND INC
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
6 # OF UNITS
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
(509) 484-1405
Fee Amount
$10.00
$12.00
$6.00
$20.00
$50.00
$10.00
$10.00
$20.00
$138.00
Project Number: 00000039 Inv: 1
r - b
Application
Date: 01/04/20 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: S T PLUMBING
Address: 13626 S WALKER LN
MEDICAL LAKE, WA 99022
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: S T PLUMBING
Phone: (509) 299-7811
Units Unit Desc
3 NUMBER OF
6 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Printed By: RMB
Fee Amount
$1,413.60
$138.00
$120.00
Permit Total Fees:
Print Date:
Invoice Amount
$1,413.60
$138.00
$120.00
Fee Amount
$18.00
$36.00
$12.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$120.00
01/04/2000
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,413.60
$138.00
$120.00
$1,671.60
$1,671.60
Notes
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 & I, 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
$1,671.60
01/06/00 THU 08:07 FAX 8921208
Dave Nerren
Ii 001
ijELLY ;LAKE LANE
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