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2004, 12-16 Permit App: 04009428 Residence Project Number: 04009428 Inv: 1 Application Date: 12/16/2004 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Contact: LEXINGTON HOMES,INC Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Address: P 0 BOX 141749 NATURAL GAS C-S-Z: SPOKANE,WA 99214 Setbacks:Front 25 Left: 6 Right: 5 Rear: 55+ Phone: (509)924-1519 Group Name: Project Name: District: Sout Plat Key: Name: PINE ROCK RIDGE PUD Parcel Number: 45342.2304 Block: 3 Lot: 4 SiteAddress: 3712 S VIRGINIA LN Owner: Name: LEXINGTON HOMES,INC Address: P 0 BOX 141749 SPOKANE,WA 99214 Location::CSV Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information Review Site Plan Review Released By. Released By: / `. Plan Review ....r.^r' 1 Approach/Drainage Released B j App I �' Sewer Review Released By. Eet g Permits: Operator: K_C Printed By: K_C Print Date: 12/16/2004 Project Number: 04009428 Inv: 1 Application Date: 12/16/2004 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 Building Characteristics Group: R-3 Type: VB Total Area 3032 Building Height 22 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,468 $22,020.00 1,468 $22,020.00 CARPORT U-1 VB 278 $4,170.00 278 $4,170.00 GARAGE U-1 VB 750 $14,250.00 750 $14,250.00 RESIDENCE R-3 VB 1,564 $116,799.52 1,564 $116,799.52 Totals: 4,060 $157,239.52 4,060 $157,239.52 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,318.55 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $527.42 Permit Total Fees: $1,850.47 Mechanical Permit Contractor: R&R HEATING&AIR COND Firm: R&R HEATING&AIR COND IN Address: 4019 E CENTRAL Phone: (509)484-1405 SPOKANE,WA 99207 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 4 NUMBER OF $40.00 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: $106.00 Operator: K_C Printed By: K_C Print Date: 12/16/2004 Project Number: 04009428 Inv: 1 , Application Date: 12/16/2004 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 5 NUMBER OF $30.00 SHOWERS 1 NUMBER OF $6.00 TUBS 3 NUMBER OF $18.00 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: $114.00 Notes Payment Summary .;: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,850.47 $1,850.47 $0.00 $1,850.47 Mechanical Permit $106.00 $106.00 $0.00 $106.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $2,070.47 $2,070.47 $0.00 $2,070.47 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: K_C Printed By: K_C Print Date: 12/16/2004 BUILDING PERMIT APPLICATION WORKSHEET flan' 01.11\11kCity'of Spokane Valley Community Development Department 6 ne picaBuilding Division 40,,V alley E. Sprague Avenue, Suite 106 alle Spokane Valley, WA 99206 Phone: (509) 688-0036;Fax: (509) 688-0037 r----- REQUIRED SITE INFOFMATIO [E._ *P Street Address: 3`1 I ? AV 1 ..�°-) - DEC 0 8 2004 Assessor's Tax Parcel N tuber(s): 155A Aso ❑ l D [I " s - Legal Description:Ption: 6f-- - `1 t3(J3 1 �/��/ 1J PERMI ESCRIPTION: - Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home f Relocation El Tenant Improvement ❑ Fire Safety 9 Other OWNER/APPLICANT INFORMATION ❑ Owner: Lex ► n - • i.T drnieS ❑ Applicant: _2_9.yjnajtelft.,3 Phone: ' _ - S I - ax: '1 ' . - . 8 Phone: ax: _ Address: �iI :, • Address: ZSci h't�... • rve' City State Zip Code City State Zip Code • ❑ Contractor: L.-LK"; Y1 C (' HOrJj ❑ Architect:SG rn�.Phone: Fix:, Phone: Fax: Address: Address: City State Zip Code City - State Zip Code WA State Contractor License#: LEX.J N HI Contact: Erl C_. ---Soknson oasTiA PERMIT/BUILDING INFORMATION 1 HEIGHT TO PEAK DIMENSIONS: 5 #OF STORIES: / MAIN FLOOR TO S . FTG: 4_, 2""FLOOR SQ.fT : l UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG, GARAGE SQ: FTG: / 5-0 DECK/CO PATI• Q. FTG: CJD OCCUPANCY GROUP: CONSTRUCTION TYPE: - ,�U .�� #OF BEDROOMS: C TOTAL HABITABLE SPACE,5,\c�, IMPERVI 0$RFA E AREA: COST OF PROJECT: 30%SLOPES ON PROPERTY: EWE •R ON-SIT SEPTIC • MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: • RELOCATION . Previous Address: • Proposed Use: - —' . FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint.Booth: Tent: Fireworks Display: Blasting: DateiTime: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: . City State Zip Inspector: Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS El BOLTING ❑ CONCRETE (l REINFORCEMENT ❑ WELDING Firm Name: Phone: Fax: Inspector(s): 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 permit inure to the property owner. Print Name Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) O Cash ❑ Check 0 Mastercard ❑ VISA ' 0 Other • Bankcard #: • Expires: .VIN#: Authorized Signature: :' > j p,.'F'- gi• ,,.En 1. '- A ?,, e}-,rte` `"Y ,\46% . . PLUMBING PERMIT APPUCATION So'IkaneCity of Spokane Valley Community Development Department BurldingDivision .„,,,, Y 11707 E.Sprague Avenue, Suite 106 Spokane Valley, WA 99206 .v Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS,CALL(509)688-0054 Project Add 1 : j 4 , . 1 1 1411'c-, - ' ermit Use: Owner.`/�j ! / /L. ..c...Liii A ,11 ..J _Ad.( ' _:Phone(Daytime Contac :q?tI-15/q Maifmg Address:- 0 b) / 417L1-1 - '' =- - c I 1`� I ,i / City �' KP State Zip Code 7 Contractor.• �. nse#: , one it: ��o _ ..ILL , 11 Mailing Addr! : 17 l 'I . Q`/Y11ilA 1 Cifity i '� / / State { 9a Zip(a *OF ` TOTAL DESCRIPTION OF WORK UNITS X COST i AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = X $6.00 = 3 TUBS X $8.00 = • 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = , 5 SINKS LAVSIBASINS,BAR FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT 8 DISHWASHER / X' $6.00 = 7 CLOTHES WASHER - ti / X $6.00 = 8 GARBAGE DISPOSAL '/ X 46.00 _. • 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 $6.00 = CONDENSATE I t- 12 12 ROOF DRAINS/OVERFLOW DRAINS ,X $8.00 = 13 FOUNTAINS,DRINKING _X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 = • VENT, PLUMBING,REVERSAL REPAIR,REVERSALS 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 _= 18 WATER USING DEVICE ICE AN/OR COFFEE MAKER, . -- HOSE BB,STEAMER,PROOFER, 3 X $6.00 = • CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.PB.P.D.FOR X $8.00 = VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK , 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X_ $6.00 ,=1 METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK ❑ VISA 0 MASTERCARD PROCESSING FEE $35.00 DATE EXPIRES: TOTAL PERMIT FEE DUE .4 w 14-,•. * 1. • # r: a ,, . w1111 •:}1Y1(��-•I; , + ln� :*.. 4.+i4..- ,e,„?..,,,¢ .. I.. ' #¢4 .... .,�• s 7 va,.M, • S*Ali,' i__ •• * •.,w11110.,111:<0,..‘; &LXi , ' V* ! y.m ; .""'^.- • +. ' i. ".lin •4 • '� kefr,.... •. 1. r ...,, Cif — .111 ." _ _ 7 .-- z� i • f A,.a' � '' +.. ;f xas'yY`'. c s�.°x* z}fi' -x- ri-", t.�.-, a. ,,$'r 6 F..�,,, ,.a t, y "'''`r tom " ); �• MECHANICAL PERMlT APPLICATION $0tliane City of Spokane ValleyCommunityDevielopmentDepartmentBuildrngDivision 17' i t 11707 E. Sprague Avenue, Suite 106 • Spokane Valley,WA 99206 4000 '.Phone: (509)688-0036;Fax: (509)688-0037 {� ' / l FOR INSPECTIONS,CALL(509)688-0054 . . /l 3 L. i. ® 1' 'v hermit User Project ij' Owner. /��A tea fi//t -4_ e(Da 'me -« • Mailing '"•d /MI ire 4. 4 / i I , State i/ it .( s - - # '°I,a A- ID ho e Contractor ► , . _ /_ R� --7 Mailing Address: / ' © / State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST 13 AMOUNT 1 FUEL BURNING APPLIANCE Swat.°or less than 100,000 / X $15.00 _ _ 2 TEL BURNING APPLIANCE More than 100,000 X��• 18.00 e-- 3 S UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400.000 A $50.00 4 �(JNLLS1Fp APPLJA Additional Fee) More than 400.000 X $100.00 = ANGE-(WSEC min.A14.ft-.- -.. _ _ _-_. j --S-5070- , 5 rating) Egitat 13 or less than 400,000 , X� -0 00 USED APPLIANCE(WSEC min.AFUE 6 ) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU X $15.00 = 8 BOILER/REFRIGERATION 101-500M BTU _ X $28.00 = 9 BOILER/REFRIGERATION 601-1,000M BTU - X $39.00 = i 10 BOILER/REFRIGERATION 1 S0i-1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE / X $10.00 = 13 RANGE X $10.00 14 DRYER / X $10.00 = 15 FUEL BURNING WATER HEATER / X $10.00 = 16 MISC.FUEL BURNING APPLIANCE - X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER(DOES NOT include dulling) Greater than 10,000 CFM X $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD / X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 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 $80.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 19-2 WOOD STOVE-FREE STANDING X $25.00 = METHOD OF PAYMENT: SUBTOTAL ATE FEE $35.00 CASH 0 CHECK ❑VISA !p MC � DUE.i -7-''' SY.`1i. a fi , m `. . • ��mtit , 1'M • �, * r iu i' : • r ,f. B 5'Sideyard Setback �o6 1 \ o C) 1 S • ----_ \ oo• \ 1� 6C _, a \`y�6, ROAD \ "9,5, FRONT J41 ki.. COMMENTS f1.AN�pNq t, • 0\o, „\ REVIEWED eV 111 a. :1474 \ 2'-1 Q° p \ t1 `Q \\ s 5' Lco \ 5,' '11::' 1 \�5,, / k,cl 3 -4 \\«\ ,s, L1-14 I * \ ,-'90'- 6' House ,� • 57 Garage \\s 1/S'">517t:Sb- s d�ko8' a �^ i\ ef'fl8tlt ri�tev�ia :6,1: __:�-s �' Gas/Flee,p Under round`Z ��,- eta 9 111 ity 21� - o 25, /,,;:::„...>______,....- s. 1 1.$%.1 % \' ,,' ;":4_,--7 —_____--- 401,,_ \ \I\ G\ A.-\- --'-----''''''' Nik 6414_,> ,-'--- , . : ' __ _,_, 411V TeCV .• o�Bja4S i i/\\�\,� 4 % , ani” gi a "<,ha,o, .7.::, ° :,,D, rpt 404.0 44 S w V ROCK RIDGE 1ST ADDITION � dlJ\ 4. a'P sr `' LOT 4 BLOCK 3 0 10 20 40 Founded 1946 0.1"' 1 im son Engineers, Inc. CIVIL ENGINEERS & LAND SURVEYORS N. 909 ARGONNE ROAD, SPOKANE WA., 99212-2789 SEPTEMBER 2003 PHONE (509) 926-1322 FAX (509) 926-1323