2005, 12-01 Permit App: 05004491 Residence Project Number: 05004491 Inv: 1 Application Date: 12/01/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: LEXINGTON HOMES
Address: P.O.BOX 141749
C-S-Z: SPOKANE WA 99214
Setbacks:Front 36 Left: 5 Right: 5 Rear: 56 Phone: (509)924-1519
Group Name:
Site Information: Project Name:
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: West
Parcel Number: 45345.9146 Block: 1 Lot: 9
SiteAddress: 3808 E VERCLER LN Owner:Name: LEXINGTON HOMES,INC
Address: PO BOX 141749
Location::CSV SPOKANE,WA 99214
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,647 Sq Ft Width: 59 Depth: 136 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation: ,., aN .
Review
Site Plan Review Re1eaed,By:
Originally Released: 11/29/2005 By: cjjanssen
Jnr ,
Plan ReviewRee a y:
Originally Released: 11/29/2005 By: TMELBOU
Sewer Review Releases)' ;
Originally Released: 12/01/2005 By: cjjanssen
Permits: = : w _
Operator: CJJ Printed By: CJJ Print Date: 12/01/2005
Project Number: 05004491 Inv: 1 Application Date: 12/01/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES
Address: P 0 BOX 141749 Phone: (509)924-1519
SPOKANE,WA 99214
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 598 $44,658.64 598 $44,658.64
BASEMENT U R-3 VB 1,497 $22,455.00 1,497 $22,455.00
DECK R-3 VB 224 $3,360.00 224 $3,360.00
GARAGE S-2 VB 792 $30,792.96 792 $30,792.96
RESIDENCE R-3 VB 1,497 $111,795.96 1,497 $111,795.96
Totals: 4,608 $213,062.56 4,608 $213,062.56
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,632.15
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $652.86
Permit Total Fees: $2,289.51
Mechanical Permit
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509)325-4505
SPOKANE,WA 99202
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 $10.00
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
Operator: CJJ Printed By: CJJ Print Date: 12/01/2005
Project Number: 05004491 Inv: 1 Application Date: 12/01/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work'without a permit
Plumbing Permit
Contractor: JIMMY'S PLUMBING Firm: JIMMY'S PLUMBING
Address: 1702 S MAMER Phone: (509)928-8991
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
SHOWERS 2 NUMBER OF $12.00
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
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $126.00
Payment Summary: :
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,289.51 $2,289.51 $0.00 $2,289.51
Mechanical Permit $116.00 $116.00 $0.00 $116.00
Plumbing Permit $126.00 $126.00 $0.00 $126.00
$2,531.51 $2,531.51 $0.00 $2,531.51
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds 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 construed 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: CJJ Printed By: CJJ Print Date: 12/01/2005
��� Permit Center /, / FERMI WER. t:',,4'':141:
i ,Ivokane 11707 E Sprague Ave, Suit¢/lQ L (C.; I- / : , . 7 �,
Y Spokane Valley,WA 992CSd ,/1 l� /J - PERMif FI:E #"
��Valley (509)688-0036 FAX: (50 �8-0037 � ��!rf ` '
Community Development w w'.spokanevallev.orz. 1 • L/
Residential Construction ' s r coon o Accessory Bldg
Permit Application ❑ Addition/ke o/del ❑ Deck
PP
o Other:
SITE ADDRESS W 8Vik,-(Leit, � --'j`'o`-.e.::.�"
�j(,��j �-� � ' ♦ iii
ASSESSORS PARCEL NO'.� `✓ ' qIL0 LEGAL DESC O se %�_ 4:_ I i
Build><ng®wnery , oz.s __ C�n0ractor ` n . t -
�
Name: �,/ 11'36)/ 1I`J -(DMFS /t\)C. Name: y 1 e,-W O1 F5 sJCa
Address: Address: a t50 X (41 9 `f j
City: ! �. Zip: City: a- V F Zip:qq 1`'
Phone: Fax: Phone:q t4 - I 1 ci Fax: .36 — j D
Lic No:LEXN 14 I b3 �xP Date:41/IC&
i„-
e10 iia rgi 4— 7.Y. "f . `'g .w.�`.. ` City Business Lic No: A06.,,- fk ()OO l
Name:
Phone:
Describe the scope of work in detail: Cost of Project: $' 21-0, ooc -0 D
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSION #OF STORIES: TOTAL HA ITAPPAcdg
t' / 1X 1 q t (!r' `i B E . TZ
MAIN FLOOR TO SQ. 1 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: I41 I v44 5..ej--3S � f L]• K AREA: /-04r7 J-F--
FINISHED BASEMENT GARAGE SQ. TG: DECK/1• 'ATIO Q. FTG: 30% SLOPES ON/AI)SQ. FTG: 79 2 I� Z'2 4 P /AI)
#OF BEDROOMS: CONSTRUCTION TYPE: AT S•U/"CE: SEWER O SEPTIC?
3 it c
DISCLAIMER ,
The permitee verifies, acknowledges and agrees by their signat - that 1) If this permit is r construction of or on a dwelling,the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordinances.6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed:--"
Signature ---_ .000011111.11.r Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 825/2005
Permit Center
Spo�.tle 11707 E Sprague Ave, Suite 106 „r y
Y Spokane Valley,WA 99206
.
V 1 a11e J (509)688-0036 FAX:(509)688-0037
WWW.spokanevele y.org.com
Community Development
• Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
O Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
•
❑ Furnace and hot water heater location.
O All header locations: type, size, and connections
❑ Foundation plan •
O Insulation information
MECHANICAL PERMIT APPUCATION
' "1\01%
iap City of Spokane Valley Community Development Department
$01 � BulkilngDivision
11707 E. Sprague Avenue, Suite 106
1l, �'� T Spokane Valley, WA 99206
4010, y �L1C� '•Phone: (509)688-0036;Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688-0054
Ji.4' r
-P",F °`' �'"P _p__ permit use:
Project • •ij
Owner , fit/ P one "me ):
/�.. / /_Iw[r./ ►� i /
Mailing r•d .� : /jvt/1_ hJf/Lt/ •
4:4r,
ContractorQ rri. .. - 1
'r` 1ice!rlse#:1 ;Phone f` ' .,4, , s' .�/,,l �.1.•�. 'grimly
Marling Address: 1 _ �, a zap code -
,r a OF TOTAL
`- wins X I COST AMOUNT ,
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X. $15.00
2 r IEL BURNING APPLIANCE More than 100,000 X $19.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50-00 =
( 4 j QLISTED APPWANCE(Additional Fee) More than 400,000 X $100.00
t33^EO APPLIANC-E{WSEC min.AFUE -
5 rating) Equalto or less than 400,000 X $50.00 =
USED APPUANCE(WSEC thin.AFUE X $100.00 =
6 r++t' .111 More than 400,000
I
7 BOILER/REFRIGERATION -1 100M BTU X $15.00 =
-
8 BOILER/REFRIGERATION 101-500M BTU _ X $28.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 -
11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 =
^r
12 GAS LOG,GAS INSERT,GAS FIREPLACE - •. / X $10.00 =
13 RANGE 3 X $10.00 • �
14 DRYER / X $10.00 =
15 FUEL BURNING WATER HEATER / X $10.00 =
16 MISC.FUEL BURNING APPLIANCE ��j X $10.00 =
17 GAS PIPING(each outlet) X $1.00 =
18 DUCT SYSTEMSX $10.00 =
19 VENTILATING FANS _ X $10.00
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $1200 =
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $19.00 =
22 EVAPORATIVE COOLERS X $10.00 =
•
23 TYPE t HOOD / X $50.00 =
24 TYPE II HOOD X $10.00
25 HEAT PUMP/AIR CONDITIONER 03 TON X $12.00 =
26 AIR CONDITIONER 3-15 TON 'X $20.00 =
27 AIR CONDITIONER 15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
' 30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
•
32 WOOD STOVE-FREE STANDING X ( $25.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC
DATA PROCESSING FEE $35.00
,V'T. - • :.€ PIR.ES TOTAL PERMIT FEE DUE.
_. - _ • _ ,y A -„.---:-.x.,- `•T 3_ > -. - - ........ " '.
_. ... E „t:„... ..
1.Y,,
0/\1111% , . PLUMBING PERMIT APPUCATION
City of Spokane Valley Community Development Department
Spôkaiie 8uildingDivision
11707 E.Sprague Avenue, Suite 106
` LI Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509)688-0037
t
r,/
FOR INSPECTIONS,CALL(509)688-0054
Project Add . 1Vi/(1,,e,m.2a_j
__emit Use: G
Owner.`.4 ' / . /id .4.t r ,c,,40/1_,4 _1344 • :Rhone(Daytime Contac ):Q L/ f6i /
Mailing Address:- 0 �O / 141745_ - __ - '+ _ . �``1'
i/ ` y K 7State
Contractor:ll JA _ .✓<L -1..-nse#: 119 hone#:
Mailing Addr's: 17 ) (1 • A / '9aje2.771PC°de
o
City. State zip Code
*OF TOTAL
DESCRIPTION OF WORK 7X COST - AMOUNT
i1 TOILETS WATER CLOSET,BIDETS X 38.00 =
._ -LB - __ _ --- — X 38.00 =
--------.._
3 TUBS X 38.00 = •
4 SHOWERS_(PER TRAPI BATH,STALL,ON-SITE BUILT C-7.--s 38.00 =
I5 SINKS LAVS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
(I)
PREP/CULINARY/MEAT
8 DISHWASHER X $6.00 =
7 CLOTHES WASHER - #. / X $6.00 =
8 GARBAGE DISPOSAL $ /_ X 18.00 = ::.
9 WATER SOFTENER X $6.00 = •
10 ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, / X 56.00 =
CONDENSATE
12 ROOF DRAINS/OVERFLOW DRAINS X 38.00 =
13 FOUNTAINS,DRINKING X $6.00 =
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X 36.00 =
VENT, PLUMBING,REVERSAL REPAIR,REVERSALS
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X 36.00 =
18 WATER USING DEVICE ICE AN/OR COFFEE MAKER, •
HOSE BIB,STEAMER,PROOFER, X $6.00 =
• CARBONATOR,SWAMP COOLER
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
- VALVE,AND R.P.B.P.D.FOIA X $8.00 =
(,�j' L / 3
.i w VATS,TANKS,BOILERS
18 INTE„1,1RCEPTORS GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X 36.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =1
METHOD OF PAYMENT: SUBTOTAL
0 CASH ❑ CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE • EXPIRES: TOTAL PERMIT FEEDUE:
•
• e ' NUMBER. `1«�si:: ' ass.` • , ••-y ' a ::.,'� ,. ,;
NOV 23 2005 9: 51AM HP LASERJET 3200 p. l
1'll 13l YdbS by: bb bb'3B 21l0b LEX1Nfi I UN NufiE. ni b:i
SEP 05 2004 10:49FIM 14P LASERJET x200 P 2
Spokane County Division of Utilities' ' .
SEWER CONNECTION PERMIT APPLICAT ION FORM
PLEASE NO•F'This applioiion fan,most be 61kd on steward and in its entis y acrd signe&or c permit uni not be issued. Sews permits ace valid
fix 12 months fano the datc of iswwicc. A aeparsae right-of-way porton is required for any sworn performed it e r from she plc I4 h4 ('rr*y
as anterior plumbing and ekcu•1cil wort respires rep+eifc permits.
4 PRO ,Y, INPORW TION
TORil
Pemel •
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Aroject' p - , Addrese i
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-8 Regan 0 my S O co gs* O rkorrkort�y 1 J
a Rorer ❑ Temporary
O Addition .
O Abandonment •
• FIRST TIME CONTRACTORS ORS OR HOME OWNERS PEREORMING TDB INSTALdATIOPT MUSisCoNLiCr 7•H
. r_•ISON BEFORE PT{Sj Cods.*E�md.OK. b F R.1 S IGro .
SIGNA ttmE or tfrQ flE$t)]VI BION PSR£OA1 COQ+iI ::.".1111:: _ '• - -'��11 1 !� / // ,r^1a �/•�^�
�our<,'MS(hymn,-...rn..,A. f, a, ,,.�( v/, r ►w./...y, Sore corms hos fire AOfCliC. r L_!V 1".. C I W( ^V.r 1
(k�JL; I\T `, P v t,art `V Contga V. �']- ._r..
Bassos+ (addrswc� ... Namc �1.t,�✓ lig ----
INTERIOR PLUMBING ALTERAI IGNS?_,(photolra aa}ick one
. F I o.Hx i4etwaert'air Omlark Irh+t�igtp •el
d 0 County 0 City eiQpoisarse valley
Corruxcos(ifdiffrrem fmm above); Phoos
Business Address. CarCary/Stave/74
c1 a'-Y l V.a.. ! !.J 1� n1 r=ii::�.�«Y�KAF•��,.by _` �.
'ti:,.r r,r��; �^•�,w�•.7 - J� .i C1r•.d W'a, ,R� ,.+ N.l✓2t
•.:.S;IF'i'S/`SY�'.J.:1Ua�za?+;.`.�.�N4M�`.. .r.j. fin:. ,. ei. ..r
)r INFORMATION •
_ l + 110.00=
Mealier-of 9m7diogF ooaoeeemg W sena _.. X Owed)MD( vpruv.E:mo:mown,wow or aAY rou/7T
• Fa a 'hid r'.r'axkemh to Farat5". with d 4,tat69•14aeprOr • Mare.Per r ulx .
Aa_&in.i! and rub,oat(+passu ;' per• Fog am+ua�.ra�a4aae Aus1c.1r�Q F� •��
• Amit eisile bddgC***,*deter R*rl>to'tea**imserhipy wr Iea at 4•••twerloth•..ed b She zero.
Mu11i4t bririnv + 4 ia8strirkeb*ri+ prkb Prick +nmlrwR o pan* pmbuldyt mUstii •
(,POR STRIATIONS NOT CONIOUTO MIRE,CALI.ThE WVN1'Y DTYISION OF iPT[i.I S AT 4Tl+sro4
le any of them/ark to be performed i n or from the ,,_ . r right-of-way?of-way? 0Yee 0 No • .
. p 0 Ci of Spokane Vilkyr
APP'LICA T SIGNATURE: AiLAW10—.P+
Metbmd of Pa1wnentx 0 ' ctecCtud C Discover Card
13 Cash I7 Chale 0 Vise
Lite: .. Exl>iecs:._ .
k 01st 7+igmGct ' •
•
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