2003, 12-12 Permit: BLD-03-03263 Residence ,//� THIS IS NOT A PERMIT
��sot, /�' `�•r„, Penalties will be assessed for
e commencing work without a permit
4,,,•*Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-03263
Job Address: 3714 S VERCLER LN Applied: 12/12/2003
SPOKANE VALLEY WA 99206 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 06/09/2004
Subdivision: PINE ROCK RIDGE PUD Lot: 2 Blk: 1 Parcel No: Zoning: 0--3 •5
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 455.74
VALUATION 125919 BASIC PERMIT FEE 1,139.35
BUILDING HEIGHT TO PEAK 18.5 WSBCC SURCHARGE 4.50
DIMENSIONS 54 X 60 TOILETS 18.00
#OF STORIES 1 TUBS 18.00
#OF BEDROOMS 3 SHOWERS 6.00
FRONT SETBACK 25 SINKS 42.00
REAR SETBACK 54 DISHWASHER 6.00
LEFT SETBACK 8 CLOTHES WASHER 6.00
RIGHT SETBACK 7 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
CURRENT PROPERTY SIZE 59 X 135 GAS LOG, INSERT, FIREPLACE 20.00
RANGE 10.00
SERVED BY SEPTIC SYSTEM no DRYER 10.00
WELLS LOCATED ON PROPERTY no FUEL BURNING WATER HEATER 10.00
TOILETS 3 GAS PIPING 5.00
TUBS 3 VENTILATING FANS 40.00
SHOWERS(PER TRAP) 1 HEAT PUMP/AIR COND 0-3 TON 12.00
SINKS 7
DISHWASHER 1 Total Calculated: 1,847.59
CLOTHES WASHER 1 DeposI ,,r t eipts: 0.00
FLOOR DRAINS 1 CITY OF SPOKANE VALL t�I Due:
WATER USING DEVICE 3 APPROVED FOR SUBMITT 1,847.59
CROSS CONNECTION DEVICE 1
FUEL BURNING APPL<= 100,000 1 Initials/ Date
GAS LOG, INSERT, FIREPLACE 2 REVIEWED FOR CODE COMPLIANCE
RANGE 1 Building / SPO E yALLEY BUU. DIVISION
DRYER 1L04J ��1
FUEL BURNING WATER HEATER 1 Planning / rLDIN
GAS PIPING (ea.OUTLET) 5 � jj
VENTILATING FANS 4 Public Works/f`-1 A .
TYPE II HOOD 1
HEAT PUMP/AIR COND 0-3 TON 1 `'214,0A % h! C.t'ia e-q2-0,
THIS IS NOT A RECEIPT
�`
Siokane
.000Valley ley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03263
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.
Ownership of resulting development rights granted by any issued ermit inure to the property owner.
)4, \-\eQl�- I�1.0 f2'1151o3
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT