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1999, 11-16 Permit App: 99011097 Residence. ,; Project Number: 99011097 Inv: 1 Applicatidn Date: 11/16/19 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: LEXINGTON HOMES INC Address: 12218 E NEZPERCE LN Setbacks: Front 30 Left: 7 Right: 14 Rear: 63 C - S - Z SPOKANE, WA 99206 Phone: (509) 924-1519 Site Information: Plat Key: 005862 Name: SHELLEY LAKE (`,, S3 District: F Parcel Number: 45242.1306 SiteAddress: 528 S SHELLEY LAKE LN VERADALE, WA USA 9903 Location:: VER Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 10,174 Sq Ft Width: 70 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: LEXINGTON HOMES INC Address: 12218 E NEZPERCE LN SPOKANE, WA 99206 Hold: ❑ Depth: 145 Right Of Way (ft): 30 Department Review BUILDING Site Plan Review Comments: BUILDING Plan Review �� 7, '7- 9� Comments: ENGINEER Approach / Drainage fi—A Comments: UTILITIES Sewer Review '' I� `Doi Qo Comments: Q �C,_-T Permits: Project Number: 99011097 Inv: 1 . Application Date: 11/16/19 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES Address: 12218 E NEZ PERCE LN Phone: (509) 922-9870 SPOKANE, WA 99206 Building Characteristics Const Category: New Unit Desc Fee Amount 1 NUMBER OF Nbr Of Dwellings: 1 Occupant Load: Building Height: 22 Stories: 2 Bldg W x D: x Building Sq Ft: 3159 Sprinklers: ❑ NUMBER OF $50.00 Req Parking: Handicap Parking: Critical Materials: ❑ 1 NUMBER OF $10.00 1 This Application: Total Project: Description Grp Tvpe Notes Sa Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 589 $36,518.00 589 $36,518.00 BASEMENT U R-3 VN 1,280 $14,796.80 1,280 $14,796.80 DECK R-3 VN 120 $883.20 120 $883.20 GARAGE U-1 VN 660 $7,920.00 660 $7,920.00 RESIDENCE R-3 VN 1,290 $79,980.00 1,290 $79,980.00 Totals: 3,939 $140,098.00 3,939 $140,098.00 Item Desct tion Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,100.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $242.00 Contractor: UNKNOWN Address: UNKNOWN UNKNOWN, WA UNKNOWN Item Description GAS WATER HEATER GAS APPLIANCE=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Permit Total Fees: $1,346.50 Mechanical Permit Firm: UNKNOWN Phone: (000)000-0000 Units Unit Desc Fee Amount 1 NUMBER OF $10.00 1 NUMBER OF $12.00 3 # OF UNITS $3.00 5 NUMBER OF $50.00 1 NUMBER OF $10.00 1 NUMBER OF $10.00 1 NUMBER OF $10.00 Permit Total Fees: $105.00 Page 2 of 3 Project Number: 99011097 Inv: I Application Date: 11/16/19 Page 3 of 3 THIS IS NOT AL PERMIT Penalties will be assessed for commencing work without a permit Contractor: S T PLUMBING Address: 13626 S WALKER LN MEDICAL LAKE, WA 99022 Plumbing Permit - - Firm: S T PLUMBING Phone: (509) 299-7811 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 4 NUMBER OF $24.00 SINKS 6 NUMBER OF $36.00 SHOWERS I NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $120.00 Payment Summary: Operator: CKF Printed By: CKF Print Date: 11/16/1999 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,346.50 $1,346.50 $0.00 $1,346.50 Mechanical Permit $105.00 $105.00 $0.00 $105.00 Plumbing Permit $120.00 $120.00 $0.00 $120.00 $1,571.50 $1,571.50 $0.00 $1,571.50 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 & 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 11-15-99 9 J9 0 AL m m 3 y m ` U aNQ2�` w ons j�4CL f � TJ I C O C N n rp ID N Q m > 1 O L C f%) 21 509- 922 4074 - %.:kin Drftg & Desgn 15001 Nui - b--v,,v*a OIC DP-kkf.;r IdXIoJ Dem GO DI:I\Ao oaf SSS' ___�-Bk•Y I.�i� _I.�N� f ----- oil