2005, 10-13 Permit App: 05003646 Residence Project Number: 05003646 Inv: I Application Date: 10/13/2005 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: 7 Right: 8 Rear: 60 Phone: (509)924-1519
Group Name:
Site Information: Project Name:
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: Sout
Parcel Number: 45345.9146 Block: 2 Lot: 3
SiteAddress: 3801 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: 8,682 Sq Ft Width: 57 Depth: 125 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: w _ . .s __ ..: _t
Review
Site Plan Review Released',By:
Originally Released: 10/13/2005 By: CJJANSSE
Plan Review Released By:
Originally Released: 10/13/2005 By: TMELBOU
Sewer Review Released',By'
Permits:
Operator: CJJ Printed By: CJJ Print Date: 10/13/2005
Project Number: 05003646 Inv: 1 Application Date: 10/13/2005 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 627 $46,824.36 627 $46,824.36
DECK R-3 VB 140 $2,100.00 140 $2,100.00
GARAGE U-1 VB 462 $8,778.00 462 $8,778.00
RESIDENCE R-3 VB 1,519 $113,438.92 1,519 $113,438.92
Totals: 2,748 $171,141.28 2,748 $171,141.28
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,396.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $558.78
Permit Total Fees: $1,960.23
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 5 NUMBER OF $50.00
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: $115.00
Operator: CJJ Printed By: CJJ Print Date: 10/13/2005
Project Number: 05003646 Inv: 1 Application Date: 10/13/2005 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 2 NUMBER OF $12.00
SINKS 6 NUMBER OF $36.00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF $12.00
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
MISCELLANEOUS FIXTURES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $120.00
Payment Summary: _ .: . _,. .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,960.23 $1,960.23 $0.00 $1,960.23
Mechanical Permit $115.00 $115.00 $0.00 $115.00
Plumbing Permit $120.00 $120.00 $0.00 $120.00
$2,195.23 $2,195.23 $0.00 $2,195.23
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: 10/13/2005
BUILDING PERMIT APPLICATION WORKSHEET
*n'o€ City of Spokane Valley Community Development Department
-\ Building Division
� :, 11707 E. Sprague Avenue, Suite 106
VaI1t
i - c \`" ` S o ane Valley, WA 99206
.00VA
fI Phone: (509) 688-0036;Fax: (509) 688-0037
151' FORMATIO
y;u--V , . ,
Street Address: .5(') i / d."71 ./
Assessor's Tax Parcel Number(s): 5 ' /
Legal Description /.� _ 4 r,./ � � r` ,,,f .�. ..�.r. 04 fel- 67----ea'
/
PERMIT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading OE Home
Relocation ❑ Tenant Improvement II] Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: c/y%t 1 ��/1 \,�(�_ - ❑ Applicant:
Phone: (J' ax: Phone: Fax:
Address: Address:
City Ad State Zip Code City State Zip Code
] Contractoa /4 ;111.4 44'-4 - - ❑ Architect:
Phone: ;MOM i' F. : �-, / Phone: Fax:
,Suldress: %J +i Address:
t) ° }1-e--
City Sae • q
ip Code City - State Zip Code
WA State Contractor License#: wX 10 H I 0 ,5Aontact: U&PWA-, f aa%h
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK DIMENSIONS:50 i 4416 , #OF STORIES: c7 i
MAIN FLOOR TO SQ. FTG:/5 /g 2"'-'FLOOR SQ. FTG: � `��J UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FT DECKICOV PATI � FT�G: Jt.`/
lb 4-
3 OCCUPANCY GROUP: CONSTRUCTION TYPE: EAT SOURCE: •
. #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE/AREA:
3n 2100
COST OF PROJECT: 30%SLOPES ON PROPERTY: Aa " a R ON-SITE SEPTIC
-01A - M?
•
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 Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING El 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 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)
❑ Cash 0 Check ❑ Mastercard 0 VISA El Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
9Ôkane
Buildingofvision
11707 E.Sprague Avenue, Suite 106
Spokane Valle
WA 99206
Phone: (509)688-0036;Feer Y�09)688'0037
} FOR INSPECTIONS,CALL(509)688-0054
Project Add ..- :3 6s✓I. • -- /_,� // Permit Use:.
Owner: i ' d IL. ..c�i�( �/l__4 ,!,,au • • 'hone (Daytime Contact):9 t1"/5/
51,1f pA I41711 - — -.
.• "4
Mailing Address:- -/ y -1
KPstate rip Code
Contractor:0 iG L-.A 40 _ ../IL --nse#: 1'11 ! #:
Mailing Addr s: 7 1 '� • (1411/A_,
city
*OF TOTAL
DESCRIPTION OF WORK. UMTSJJX_ COST AMOUNT
I1 TOILETS WATER CLOSET,BIDETS 7" X $6.00 =
��0__2
i)RS. -- X SB QO
3 TUBS X 28.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT c2, X $8.00 =
5 SINKS LAVSIBASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X 56.00 =
JANITOR PHOTO,X-RAY,FOOD, /
PREP/CULINARY/MEAT l/lin
e DISHWASHER / X $6.00 =
7 CLOTHESWASHER - ,. / X $6.00 =
8 GARBAGE DISPOSAL 1 X 58.00 =
9 WATER SOFTENER X $6.00
10 ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL X 36.00 =
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 =
18 WATER USING DEVICE ICE AN/OR COFFEE MAKER, • ---
HOSE BIB,STEAMER PROOFER, 3 X $6.00 =
• CARBONATOR,SWAMP COOLER
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK •
VALVE,AND R.P.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,OXYG NX $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE I
_I/Li X $6.00 . =I
METHOD OF PAYMENT: SUBTOTAL.
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE 935.00
DATE: • .EXPIRES: TOTAL PERMIT FEEDUE:
3
•7 [s.' t Iri' i:-: ** '' 44 't —*' 1 o ir• — 7 -* i *4'4#4 • It a i. ••4r * a * 10 •• o
. _
MECHANICAL PERMIT APPLICATION
S' ökane City of Spokane Valley Community Development Departrnent
\L1JBuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
'•Phone: (509)688-0036;Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688-0054
Project • .4,,, .....----: _ L� .� ., -�/ �f._fA ,'' A"emTit Use:
Owner: /A i .11,A/�i EF1111 R'I P •ne(Da 'me •. r.): '.M�'a/i7Sr
Mailing r•d : /j�►%1� rilfi/Lj/i .1. 4_A..-e-�4 'L'F'Arm
Contractor: 5' r. l -" °' Uoepse#:i _'Phone ` --
/ 4 t' .�����..�: ..r.. r� APA/ d
Mailing Address: / 1 gr state Zip Code .
,r - *OF TOTAL.
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X. $15.00 =
1 2 r IEL BURNING ••r APPLIANCE More than 100,000 X $19.00 =
3 UNLISTED APPLIANCE iYonal Fee) Equal to or less than 400,000 X $50.00 =
4 UNLISTED APPL7APICE(Additional Fee)
More than 400,000 _X $100.00 =
_ USED mm.AFUE.
5 g) Equi to or less than 400,000 X $50.00 =
USED APPLIANCE(WSEC min.AFUE
6 rorin ) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $15.00 , = ,
8 BOILER/REFRIGERATION 1 101-500M BTU X $28.00 =_
9 BOILER/REFRIGERATION 501-1,000M BTU , X $39.00 =
' 10 BOILERAREFRIGERATION 1,001-1,750M BTU X 357.00 -
11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE '` / X $10.00 =
13 RANGE 1, X $10.00 =
14 DRYER X $10.00
15 FUEL BURNING WATER HEATER / ,X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X 510.00 =
17 GAS PIPING(each outlet) X $1.00
18 DUCT SYSTEMS x 1 $10.00 =
19 VENTILATING FANS X $10.00 = ,
20 AIR HANDLER(DOES NOT indude ducting) Equal to or less than 10,000 CFM . X $1200 =
21 AIR HANDLER(DOES NOT indude 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 / 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 CONDIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET ST OVEIINSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA ❑MC PROCESSING FEE $35.00
,'1 ,.v '�• TOTAL•. FEE DUE:
•S � �, . s ` : , 1, 4 i #
x
0d;" ', #Y` !� . 3 t at . ' pc94 a „ • � 1f-' { a
_ mss - . _
_- - - - -