2004, 05-06 Permit: BLD-04-04268 Residence THIS IS NOT A PERMIT
S�+nrvor I�� urr► Penalties will be assessed for
po.�e commencing work without a permit
.00 Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-04268
Job Address: 3715 S VIRGINIA LN Applied: 05/06/2004
SPOKANE VALLEY WA 99206 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 11/02/2004
Subdivision: Lot: Blk: 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 540.86
VALUATION 163331 BASIC PERMIT FEE 1,352.15
BUILDING HEIGHT TO PEAK 21 WSBCC SURCHARGE 4.50
DIMENSIONS 52 X 64 TOILETS 18.00
#OF STORIES 1 TUBS 18.00
#OF BEDROOMS 3 SHOWERS 6.00
FRONT SETBACK 25 SINKS 36.00
REAR SETBACK 22 DISHWASHER 6.00
LEFT SETBACK 12 CLOTHES WASHER 6.00
RIGHT SETBACK 5 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5-n WATER USING DEVICE 18.00
STRUCTURES ON PROPERTY 1 CROSS CONNECTION DEVICE 6.00
FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY SIZE 8909 GAS LOG, INSERT, FIREPLACE 20.00
SERVED BY SEPTIC SYSTEM no RANGE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 3 FUEL BURNING WATER HEATER 10.00
TUBS 3 GAS PIPING 6.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 50.00
SINKS 6 HEAT PUMP/AIR COND 0-3 TON 12.00
DISHWASHER 1
CLOTHES WASHER 1 Total Calculated: 2,156.51
GARBAGE DISPOSAL 1 Deposits/Receipts: 0.00
FLOOR DRAINS 1 Total Due:
WATER USING DEVICE 3 CITY OF SPOKANE VALLEY 2,156.51
CROSS CONNECTION DEVICE 1 APPROVED FOR SUBMITTAL ..,
FUEL BURNING APPL<= 100,000 1 Initials/ Date � '
GAS LOG, INSERT, FIREPLACE 2 Pr:MEWED FOR CODE COMPLIANCE
RANGE 1 Sig* "NE VALLEY E ILDING DIVISION
DRYER 1 Building / �� __ e''FUEL BURNING WATER HEATER 1
GAS PIPING(ea. OUTLET) 6 Planning tib.`Ii,.Al
VENTILATING FANS 5
TYPE II HOOD 1Public Works p irt T ti
HEAT PUMP/AIRCONDO-3TON 1 7/ Lt
THIS IS NOT A RECEIPT
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ane
.000Valley l 7 NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04268
Job Address: 3715 S VIRGINIA LN Applied: 05/06/2004
SPOKANE VALLEY WA 99206 Issued: 05/06/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE- NATURAL GAS Expires: 11/02/2004
Subdivision: Lot: Blk: 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: LEXINH1025JA
SPOKANE WA 99214-1749
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 540.86
VALUATION 163331 BASIC PERMIT FEE 1,352.15
BUILDING HEIGHT TO PEAK 21 WSBCC SURCHARGE 4.50
DIMENSIONS 52 X 64 TOILETS 18.00
#OF STORIES 1 TUBS 18.00
#OF BEDROOMS 3 SHOWERS 6.00
FRONT SETBACK 25 SINKS 36.00
REAR SETBACK 22 DISHWASHER 6.00
LEFT SETBACK 12 CLOTHES WASHER 6.00
RIGHT SETBACK 5 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5-n WATER USING DEVICE 18.00
STRUCTURES ON PROPERTY 1 CROSS CONNECTION DEVICE 6.00
CURRENT PROPERTY SIZE 8909 FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 20.00
RANGE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 3 FUEL BURNING WATER HEATER 10.00
TUBS 3 GAS PIPING 6.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 50.00
SINKS 6 HEAT PUMP/AIR COND 0-3 TON 12.00
DISHWASHER 1
CLOTHES WASHER 1 Total Calculated: 2,156.51
GARBAGE DISPOSAL 1 Deposits/Receipts: 2,156.51
FLOOR DRAINS 1 Total Due: 0.00
WATER USING DEVICE 3
CROSS CONNECTION DEVICE 1
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 2
RANGE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING (ea.OUTLET) 6
VENTILATING FANS 5
TYPE II HOOD 1
HEAT PUMP/AIR COND 0-3 TON 1
THIS IS NOT A RECEIPT
C7TV i1F��r
Spo
.,,,,00%lley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04268
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 p:rmit inure to the pro owner.
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Print Name Signatu : •�/� Date
Staff Initials
THIS IS NOT A RECEIPT