2003, 11-07 Permit: BLD-03-03021 Residence / , ` THIS IS NOT A PERMIT
r' r.,r 40.111 �w� Penalties will be assessed for
,! �Qjll�' commencing work without a permit
0,0*Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-03021
Job Address: 3618 S VERCLER DR Applied: 11/07/2003
SPOKANE VALLEY WA 99206 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 05/05/2004
Subdivision: PINE ROCK RIDGE Lot: 1 Blk: 7 Parcel No: Zoning:
Owner: LEXINGTON HOMES INC
Applicant: LEXINGTON HOMES INC Phone: (509)924-1519
Address: PO BOX 141749
SPOKANE,WA 99214-1749
Contractor: LEXINGTON HOMES INC Phone: (509)922-9870
Address: PO BOX 141749 Lic No: LEXINHI025JA
SPOKANE WA 99214-1749
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 576.70
VALUATION 179618 BASIC PERMIT FEE 1,441.75
BUILDING HEIGHT TO PEAK 29 WSBCC SURCHARGE 4.50
DIMENSIONS 74 X 44' 10" TOILETS 24.00
#OF STORIES 2 TUBS 12.00
#OF BEDROOMS 4 SHOWERS 6.00
FRONT SETBACK 25 SINKS 42.00
REAR SETBACK 50 DISHWASHER 6.00
CLOTHES WASHER 6.00
LEFT SETBACK 12 GARBAGE DISPOSAL 6.00
RIGHT SETBACK 5 FLOOR DRAINS 6.00
OCCUPANCY GROUP r-3 WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5-w CROSS CONNECTION DEVICE 6.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 4 FUEL BURNING WATER HEATER 10.00
TUBS
2 GAS PIPING 3.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 50.00
SINKS 7 AIR CONDITIONER 3- 15 TON 20.00
DISHWASHER 1 Total Calculated: 2,272.95
CLOTHES WASHER 1 P.eceipts: 0.00
GARBAGE DISPOSAL 1 CITY OF SPOKANE Vitt
FLOOR DRAINS 1 APPROVED FOR SUBMITTAL
otal Due: 2,272.95
WATER USING DEVICE 3 �.OQ
CROSS CONNECTION DEVICE 1 initials/ Date C «
FUEL BURNING APPL<= 100,000 1 �'��� j S
GAS LOG, INSERT, FIREPLACE 1 Building --/-
DRYER 1 11-41-
' '
FUEL BURNING WATER HEATER 1
GAS PIPING(ea. OUTLET) 3 9 plannin l�/'��/ 1111/0;
VENTILATING FANS 5 • P(A) 024q
TYPE II HOOD 1 Public Works•
AIR CONDITIONER 3- 15 TON 1
.
THIS IS NOT A RECEIPT
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.0.015Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT04
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03021
Job Address: 3618 S VERCLER DR Applied: 11/07/2003
SPOKANE VALLEY WA 99206 Issued: 11/12/2003
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 05/10/2004
Subdivision: PINE ROCK RIDGE Lot: 1 BIk: 7 Parcel No: Zoning:
Owner: LEXINGTON HOMES INC
Applicant: LEXINGTON HOMES INC Phone: (509)924-1519
Address: PO BOX 141749
SPOKANE,WA 99214-1749
Contractor: LEXINGTON HOMES INC Phone: (509)922-9870
Address: PO BOX 141749 Lic No: LEXINHI025JA
SPOKANE WA 99214-1749
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 576.70
VALUATION 179618 BASIC PERMIT FEE 1,441.75
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
GARBAGE DISPOSAL 1 DRYER 10.00
FLOOR DRAINS 1 FUEL BURNING WATER HEATER 10.00
WATER USING DEVICE 3 GAS PIPING 3.00
CROSS CONNECTION DEVICE 1 VENTILATING FANS 50.00
FUEL BURNING APPL<= 100,000 1 AIR CONDITIONER 3- 15 TON 20.00
WSBCC SURCHARGE 4.50
GAS LOG, INSERT, FIREPLACE 1 TOILETS 24.00
DRYER 1 TUBS 12.00
FUEL BURNING WATER HEATER 1 SHOWERS 6.00
GAS PIPING (ea. OUTLET) 3 SINKS 42.00
VENTILATING FANS 5 DISHWASHER 6.00
TYPE II HOOD 1 CLOTHES WASHER 6.00
AIR CONDITIONER 3- 15 TON 1 GARBAGE DISPOSAL 6.00
BUILDING HEIGHT TO PEAK 29 FLOOR DRAINS 6.00
DIMENSIONS 74 X 44' 10" WATER USING DEVICE 18.00
#OF STORIES 2 CROSS CONNECTION DEVICE 6.00
#OF BEDROOMS 4 FUEL BURNING APPL<= 100,000 15.00
FRONT SETBACK 25 Total Calculated: 2,272.95
REAR SETBACK 50 Deposits/Receipts: 2,272.95
LEFT SETBACK 12
RIGHT SETBACK 5 Total Due: 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-w
STRUCTURES ON PROPERTY 1
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 4
TUBS 2
SHOWERS(PER TRAP) 1
SINKS 7
DISHWASHER 1
THIS IS NOT A RECEIPT
cI rk rye
Spokane
.000Malley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03021
Disclaimer:
The permitee verifies,acknowledges and agrees by their signature that: 1)If this permit is for 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.
1 Ownership of resulting development rights granted by any issued permit inure to the property owner.
i C !ZlL 3
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT