2005, 10-07 Permit App: 05003620 Residence Project Number: 05003620 Inv: 1 Application Date: 10/07/2005 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: 10 Rear: 20 Phone: (509)924-1519
Group Name:
Site Information Project Name:
My
Plat Key: Name: PINE ROCK RIDGE 2ND ADD PE-1867-99 District: Sout
Parcel Number: 45345.9146 Block: 1 Lot: 4
SiteAddress: 3917 S VIRGINIA CT 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: 10,100 Sq Ft Width: 147 Depth: 100 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: _ :a. :.} - m.. r. o . }.,.. ... : _.
Review
Site Plan Review Released By:
Originally Released: 10/07/2005 By: CJJANSSE
Plan Review Released By:
Originally Released: 10/07/2005 By: TMELBOU
Sewer Reviewt, AF's r� s
Released By: 't tArl(
0 Sr)
Permits: W410 Woo-:;. _,.:: __.v:. .._ : .. .... ._. ,A ,
Operator: CJJ Printed By: CJJ Print Date: 10/07/2005
Project Number: 05003620 Inv: 1 Application Date: 10/07/2005 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
BASEMENT F R-3 VB 1,485 $29,700.00 1,485 $29,700.00
BASEMENT U R-3 VB 105 $1,575.00 105 $1,575.00
DECK R-3 VB 214 $3,210.00 214 $3,210.00
GARAGE S-2 VB 734 $28,537.92 734 $28,537.92
RESIDENCE R-3 VB 1,590 $118,741.20 1,590 $118,741.20
Totals: 4,128 $181,764.12 4,128 $181,764.12
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,452.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $581.18
Permit Total Fees: $2,038.63
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 2 #OF UNITS $2.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 6 NUMBER OF $60.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $126.00
Operator: CJJ Printed By: CJJ Print Date: 10/07/2005
Project Number: 05003620 Inv: 1 Application Date: 10/07/2005 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
TOILETS/BIDETS 4 NUMBER OF $24.00
SINKS 6 NUMBER OF $36.00
SHOWERS 3 NUMBER OF $18.00
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: $138.00
Notes: '4..-I w.
Payment Summary: mw, AASSIMMEV..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,038.63 $2,038.63 $0.00 $2,038.63
Mechanical Permit $126.00 $126.00 $0.00 $126.00
Plumbing Permit $138.00 $138.00 $0.00 $138.00
$2,302.63 $2,302.63 $0.00 $2,302.63
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: 10/07/2005
. w
BUILDING PERMIT APPLICATION WORKSHEET
City $ppkane Valley Community Development Department
tUTP \ ) Building Division
� 11707 E. Sprague Avenue, Suite 106
.00•0174a11‘%,0 Spokane Valley, WA 99206
\�� hone. (509) 688-0036;Fax: (509) 688-0037
,+, Q Itk9 ATEIINFORMATION
Street Address: 3q1 7 A. ,/ L' '
Assessor's Tax Parcel Number(s): J53t1I5 , q l `7
- Legal Description: i' I ,'ML'' r a /11
d---
ad66
PERMIT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety n Other
OWNER/APPLICANT INFORMATION
❑ Owner: ❑ Applicant:
Phone: Fax: Phone: Fax:
Address: Address:
City i State Zip Code City State Zip Code
1p Contracto 6 , ,/i A C,r4111 4 - ❑ Architect:
Phone: ��4! ''� F. : � '_, S/ ' Phone: Fax:
dress CJS ff r Address:
Cityfig , n-f, '� 0 . iq
S a e ip Code City - State Zip Code
WA State Contractor License#: IBX I H I t);7
_ _Iontact: tdi ii 1i() M', h ,
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: / ,/ x 5g #OF STORIES:
2,4-, FLOOR S- .. FTG: D UNFIN BASEMEN1SQ. FTG'
MAIN FLOOR TO SQ. FTG. /5(/
/� Q �� //��
vi< ( i - /(/
FINISHED BASEMENT SQ. GARAGE SQ. FTG: e,s 73 , DECK/CO PATI Q. Ftp.:
OCCUPANCY GROUP: CONSTRUCTION TYPE: EAT SO CE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: 1 to MPER\/IO ggU,URFAC'a, REA:
COST OF PROJECT: 30%SLOPES ON P'ROPV‘ SEWER R ON-SPE 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: 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 ❑ CONCRETE ❑ 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 ❑ Check ❑ Mastercard ❑ VISA
❑ Other
Bankcard #: Expires: ,VIN#:
Authorized Signature:
3 -
t '- ! 3 _ y f, ti wi.F"
410/\11111% MECHANICAL PERMIT APPLICATION
Vii'of Spokane Valley Community Development Department
$0.0001alleikT.alley
Buiidiepaitment11707 E.Sprague Avenue, Suite 106
Spokane Valley,WA 99206
'•Phone: (509)688-0036;Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688-0054
A
Project •iv'-.-- L..►J.l dr!' 14 _ L,- •emit Use:
�I MI P►•ne(Da 'me • i r r):, a,::,..2./... ..eikil.Ly/....,
Owner: /� i ��,�I�i �..�ili .�• /
Mailing •d : /jam%I�i t`''manic,
rr�� vv��11 _LioeRSe#:i phone ` �� rivet
Contactor. �f �1 �• - - �"- - -
State A
Mailing Address: F / e%= 1 • t' / -i 1' .fes„1M.F,. i`!ALZip Code
*OF TOTAL
DESCRIPTION OF WORK wins X COST a AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X. $15.00 =
2 FIE-BURNING APPLIANCE More than 100,000 X $19.00 =-
3
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 'UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00
C gran.AFUE .:_.77.,________
-_ =- __
ti0 APPLE{PVSE -
5 tatting) Equal to or less than 400,000 X $50.00
USED APPLE(WSEC rain.AFUE X $100.00 =
6 I re 9) Mothan 400.000
7_ BOILER/REFRIGERATION I 1-100M BTUX $15.00 =
8 BOILER/REFRICERAT1ON 101-500M BTU X $28.00 =
9 BOILER/REFRIGERATION :G1 -1,000M BTU X $39.00 =
10 BOILER/REFRIGERATION 1,001-1,750M 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 �y�, X $10.00 =
C�
17 GAS PIPING(each outlet) X 51.00 =
16 DUCT SYSTEMS / X $10.00 =
19 VENTILATING FANS _ ([/ X J $10.00 I =
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 / X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON / X $12.00 =
26 AIR CONDmONER 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 $60.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
-
32 WOOD STOVE-FREE STANDING X I $25.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH ❑CHECK 0 VISA 0 MC
DATE PROCESSING FEE $35.00
Q(PIRFS• TOTAL 4 FEE DUE. }
4
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PLUMBING PERMIT APPLICATION
Spôkane City of Spokane Valley Community Development Department
BuildingOivision
11707 E.Sprague Avenue, Suite 106
!lal Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688-0054
Project Ad• .A : _ _ _ Permit Use:
Owner:`/�1 ! / . /L. ..c�.ir ikL4g//L_r7�1 �i// :Phone(Daytime Coma
Mailing Address:- 0 10 I`t . - 't -= =._ t'-/
l / Cly 1 iv
' K nState Zip Code
Contractor: IILL/LL,iA —..4/A1--nse#: n'1
•ne#:
Mailing Addr/s: 17 ii(\ t'l . arrnpy, I state !aC
City.
ode
*OF TOTAL
DESCRIPTION OF WORK7.--- X COST =, AMOUNT
I1 TOILETS WATER CLOSET,BIDETS X $6.00 =
1--3 -1$— � 1! S.' X $600 =
4
I 3 TUBS ' X $6.00 = .
i
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT • X $6.00 =
I5 SINKS tAVS/BASINS,BAR,FLOOR, -
I KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT
6 DISHWASHER / X $6.00 =
7 CLOTHES.WASHER _ - 4,. /// X $6.00 -
8 GARBAGE DISPOSAL It . 1 X -$6.00 = . - -
9 WATER SOFTENER X $6.00 = a
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 U-90 =
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, 3 X $6.00 =
• CARBONATOR,SWAMP COOLER
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
VALVE,AND RP.B.P.O.FOR: X $8.00
VATS,TANKS,BOILERS
18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK
19 MEDICAL GAS(per outlet) NITRQUS,0 GE X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE ,(I!OA 1/ / X, $6.00 =,
METHOD OF PAYMENT: / SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE • EXPIRES: TOTAL PERMIT FEEDUE:
.0 1 . • BER '. A '• *.,01 "Ay - • , aka
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