2005, 11-28 Permit App: 05004431 Residence Project Number: 05004431 Inv: 1 Application Date: 11/28/2005 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 25 Left: 5 Right: 5 Rear: 55 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: 3 Lot: 19
SiteAddress: 3714 S VIRGINIA 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: 8,947 Sq Ft Width: 54 Depth: 125 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review Released By:
Originally Released: 11/28/2005 By: cjjanssen
Plan Review Released By:
Originally Released: 11/28/2005 By: TMELBOU
Sewer Review Released By:
Originally Released: 11/28/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 11/28/2005
Project Number: 05004431 Inv: 1 Application Date: 11/28/2005 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 258 $19,267.44 258 $19,267.44
BASEMENT U R-3 VB 1,442 $21,630.00 1,442 $21,630.00
DECK R-3 VB 168 $2,520.00 168 $2,520.00
GARAGE S-2 VB 565 $21,967.20 565 $21,967.20
RESIDENCE R-3 VB 1,456 $108,734.08 1,456 $108,734.08
Totals: 3,889 $174,118.72 3,889 $174,118.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,413.75
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $565.50
Permit Total Fees: $1,983.75
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 3 #OF UNITS $3.00
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: $105.00
Operator: CJJ Printed By: CJJ Print Date: 11/28/2005
Project Number: 05004431 Inv: I Application Date: 11/28/2005 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 5 NUMBER OF $30.00
SHOWERS 3 NUMBER OF $18.00
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 1 NUMBER OF $6.00
Permit Total Fees: $114.00
Notes• : _ ... ._ .,. , w: .ww_._ >. w� . ..
Payment Summary• m..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,983.75 $1,983.75 $0.00 $1,983.75
Mechanical Permit $105.00 $105.00 $0.00 $105.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$2,202.75 $2,202.75 $0.00 $2,202.75
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: 11/28/2005
. . . ,
•
Ogite\fraTe4 BUILDING PERMIT APPLICATION WORKSHEET
tie poka F5, rE„, ,,,,p,,y lir\\ p,F.k, a7, Valley Community DevelOpmBenitd9eppar.trrirt
Iril IL ))
1 i
_ . 11707 E. Sprague Avenue, Suite 106
4,0001ivision
1TalleY r5) ,----,, Spokane Valley, WA 99206
, 1(yione: (509) 688-0036;Fax: (509) 688-0037
OFJOLDIJN 0 ,
REQUIRED SITE INFORMATION i z
Street Address: ( r.1,/ 1 Af • \/0.4 „VI?,,s4,2 j
Assessor's Tax Parcel umber(s): -----, 40 / el 67
/ i --) • _,.,
Legal Description:, i / / 4,/,: / / oV-(11 ' a„ra-ic._,./,
PERM T DESCRIPTION: ,':,-4nd
( ti)e i CL
....
E3 u i I d ing Permit 0 Change in Use n Grading Ell Manufactured Home
Relocation Fi Tenant Improvement 0 Fire Safety n Other
OWNER/APPLICANT INFORMATION
El Owner: 0 Applicant:
Phone: Fax: Phone: Fax:
Address: Address:
City
State Zip Code City State Zip Code
Contracto ii ,AA 4 AWL' 4 El Architect:
Phone: ;4Z= F :, .444211 , Phone: Fax:
Address: it 0 ,tp0 I 7 Address:
• n-e„ I q
City AP
el ip Code City State Zip Code
WA State Contractor License #: LEX/ !\1H I P5J ontact: A
f
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: ,,---4-- 1-:-_-- /-1 #OF STORIES:
MAIN FLOOR TO SQ. FTG: i Lir', 2Z FLOOR SQ. FTG: me- -) cv UNFIN BASEMENT SQ. FTAI e:?
ov--1 1) t -p...u..
/ 00,--- a ki c- ..."
e-Aff i l , -'1 0
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COVO)SQ. FTG: /k a
1 (l) 40
OCCUPANCY GROUP: CONSTRUCTION TYPE: HZ1rURCE:
I .atce- -t2
#OF BEDROOMS: ,.... TOTAL HABITABLE SPACE,i3 60 wi-D -,:,[0...FR)FclA REA:
COST OF PROJECT30%SLOPES ON PROPERTY: (SEWER R ON-SITE SEPTIC
/,‘-', 2:2-0,0(x).00 A/ 0 ''' ?
/ ,'' ,
) i
.,--/Q v 1\--:....-1:_,,
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: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
------------- ---City--- State - ------------gip — - -
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE El 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 watery 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 irre to the •r+p= o ner.
, �
Print Name Q--it , ,0V1 k)5 01,) Signature AAA A A _1A
Method of Payment: (Faxed permit applications will only be accepted with major a.nkcard)
❑ Cash ❑ Check 0 Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: .VIN#:
Authorized Signature:
. ' - ,-- i ,r 4 '-,.-:`104..41.4"4"if-4,41; ..t 4, - ' -;"--1-`4-Uf:er,'-',„.--_,,,-`'" .4-2 ip-IIi:„;',„4?;','., ---i,„ -, ,
,
0/\14/1PikPLUMBING PERMIT APPUCATION
9Ôkane City of Spokane Valley Community Development Department
BuildingDivision
11707 E.Sprague Avenue,Suite 106
Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509)688-0037
_ I FOR INSPECTIONS,CALL(509)688.0054
3/7_10. . ` _ _ r/ .� , PermitUse:Project Add , _
Owner:#.4 ' / /L. ..(..� �J _- !dAA • •Phone(Daytime Conhact):9 t//6/ /Own r7 _ ; << �jV� ' I
Mailing Address: 0 �# / 141 14 - = ,3. state.. _' code
1 KP
Contractor., iG�L4iL,iA _ .✓/L /..-nse#: if, - •ne#: -
Mailing Addr- s: 17 /19\ '� 037
P
sq,
Cibicode
•
#OF TOTAL
DESCRIPTION OF WORK UMTS . X COST - AMOUNT
II TOILETS WATER CLOSET,BIDETS X $6.00 =
t 1
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
5 SINKS LAVSBASINS,BAR,FLOOR
KITCHEN,LAUNDRY,UTILITY, X $6.00 _
JANITOR,PHOTO,X-RAY,FOOD, y
PREP/CULINARY/MEAT
6 DISHWASHER 1 / - X $6.00 =
7 CLOTHES WASHER - . / , X , $6.00 =
8 GARBAGE DISPOSAL I► / X -$6.00 =
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
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
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 =
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER --
HOSE BIB,STEAMER,PROOFER, X $6.00 =
- CARBONATOR,SWAMP COOLER 3
17 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK
VALVE,AND RP_B.P.D.FOR X $6.00 =
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 =I
METHOD OF PAYMENT: - SUBTOTAL.
0 CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEEDUE:
,
� M1 � "%'-: • 111JN18R.1 ' .A y at "T�.ra �, . sM •
;� • 's � +M► `, w 4 4 •
4' t'�' i .1-nyu�4 ' s ". or* - "��+ - 4 '* $ 2 do ■ - * •itit4. 10, • o
"1
MECHANICAL PERMIT APPUCATION
Sôkane City of Spokane Valley Community Development Department
BuildingDivision
11707 E.Sprague Avenue, Suite 106
YSpokane Valley, WA 99206
1 •Phone: (509)688-0036:Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688-0054
Project 'i.jL.-.: 16 I , fir, ,,, / 4- • Permit Use:
Owner: IA! i i4,t �i EiiI rn P one(Da 'me ):
Mailing r.d -.- : /la/TVi tiskin ' state
_ /
Contractor: __I-VE/607_61License#: _Phone ' �.
/ a�_ A � , ,�_ .I/,,;1T�.O_. „ State 1.0,1_12101?
:
Mailing Address. It Zip tie -
I SOF L TOTAL
DESCRIPTION OF WORK 7s X COST • AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X. $15.00 =
2 FI DEL BURNING APPL-IANCE More than 100,000 X $19.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4VVNLISTED APPLIANCE(Addfional Fee) More than 400,000 X $100.00 =
-u3EO APPtIA E-(WSEC me AFUE
5 rating)
-
Equal to or less than 400,000 X $50.00 - I
USED APPLIANCE(WISEC min.AFUE
6 r4ing) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M 8111 X , $15.00 , _
8 BOILER/REFRIGERATION 1 101-500M BTU X $28.00 =
9 BOILER/REFRIGERATION O.fM BTT1- X $39.00
10 BOILER/REFRIGERATION 1,001-1,750M 811.1 X $57.00 =
11 BOILER/REFRIGERATION Morethan 1,750M BTU X $95.00 =
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 X $10.00 =
17 GAS PIPING(each outlet) 5 X $1.00 =
18 DUCT SYSTEMS / X $10.00 =
19 VVENTILATING FANS !,/JJ[/ , 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 ducting) 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 1 , 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 =
32 WOOD STOVE-FREE STANDING X $25.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC PROCESSING FEE $35.00
,, , �I� " TAT PERMIT FEE DUE , ,
i ,
� 1; i rh ..ri t' l k '.-1-i;•,'ay i - It , - " 474
_ _i. y _4 y 1- s - #t+ '-' _ ; - . --V - -
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