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1999, 05-12 Permit App: 99004024 ResidenceProject Number: 99004024 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/99 Page 1 of 3 Proiect Information: Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Setbacks: Front 20 Left: 5 Right: 5 Rear: 60 Site Information: Plat Key: 005977 Name: SHELLEY LAKE SECOND ADDI 431 �$a s istrict: Contact: LEXINGTON HOMES Address: 12218 NEZ PERCE LN C - S - Z SPOKANE WA 99206 Phone: (509) 924-1519 Parcel Number: 45245,9145 SiteAddress: 837 S SHELLEY LAKE LN Owner: Name: LEXINGTON HOMES INC VERADALE, WA USA 9903 Address: 837 S SHELLEY LAKE LN Location:: VER VERADALE, WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 10,102 Sq Ft Width: 70 Depth: 140 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Hold: 0 • Denartment Review 1,1p\-- Sha on BUILDING Site Plan Review Comments: BUILDING ems. Comments: ENGINEER Plan Review Approach / Drainage -/3-49 /tel /�♦ Comments: Srim.==iiCG� %�[_'�-�i..�i!'.ii �'/!i� ���.r�:.^''�i� CSob •Flo$e . kaa" �1/`GYJ c BUILDING Comments: UTILITIES Comments: Permits: Speci 1 Reviews 77 Sewer Review k) ® 5 2w t Project Number: 99004024 Inv: 1 Application Date: 5/12/99 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 Building Permit Firm: LEXINGTON HOMES Phone: (509) 922-9870 Const Category' New Nbr Of Dwellings: 1 Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Description f Z e BASEMENT F R-3 VN BASEMENT U R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Notes Building Height: 20 3285 Sprinklers: ❑ Critical Materials: This Application: Su Ft Valuation 925 $14,578.00 675 $7,803.00 261 $1,920.96 504 $6,048.00 1,685 $104,470.00 Stories: 1 Total Project: So Ft Vuati n 925 $14,578.00 675 $7,803.00 261 $1,920.96 504 $6,048.00 1,685 $104,470.00 Totals: 4,050 $134,819.96 4,050 $134,819.96 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,070.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $235.40 Permit Total Fees: $1,309.90 Mechanical Permit Contractor: R & R HEATING & AIR COND INC Address: 4019 E CENTRAL SPOKANE, WA 99207 Firm: R & R HEATING & AIR COND INC Phone: (509) 484-1405 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 4 # OF UNITS $4.00 VENTILATING FANS 5 NUMBER OF $50.00 CLOTHES DRYER 1 NUMBER OF 510.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $116.00 Project Number: 99004024 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/99 Page 3 of 3 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: CKF Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Plumbing Permit Units 3 6 3 2 1 1 1 1 3 Printed By: CKF Finn: S T PLUMBING Phone: (509) 299-7811 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount Invoice Amount $1,309.90 $1,309.90 $116.00 $116.00 $126.00 $126.00 $1,551.90 $1,551.90 Fee Amount $18.00 $36.00 $18.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.0o $0.00 $0.00 $126.00 5/12/99 Amount Owing $1,309.90 $116.00 $126.00 $1,551.90 Cv • • IMO *E 30.54' 39. 94)6e$ SQ' SETBACK FROM ORDINARY HIGH WATER 101.41. N83•gg 38°E. • N N .— tt)i 0^ W t J T13 eismassframo ammo* .11111.11. 6 9,573. SF 10' %HOE U T1L1 TY EASEMENT 70.00' tri y (=2' 1 1/0.00'.‘444. �✓ c� 215.12'- ' • 140.00' 95.00' GTRACT " B 2.932. SF N 1 ^in ADDRESS: 5 ZONE ROAD WIDTH: ,b FRONT 2-) FLANKING. COMMENTS gF\rIFOIED BY S8913'57"E 124.58 0 S' S/01%420 This site plan is being submitted for the purpose 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. Signed: Date: