2001, 05-03 Permit App: 01003186 Residence Project Number: 01003186 Inv: 1 Application Date: 5/3/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: LEXINGTON HOMES
AIR GAS Address: 12218 NEZ PERCE LN
C-S-Z: SPOKANE WA 99206
Setbacks:Front 30 Left: 10 Right: 5 Rear: 60+ Phone: (509)924-1519
Group Name:
Site Information: Project Name:
Plat Key: 006071 Name: MIDILOME EAST 2ND District: F
Parcel Number: 45342.1103 Block: 3 Lot: 3
SiteAddress: 12812 E 35TH AVE Owner:Name: LEXINGTON HOMES
SPOKANE,WA USA 00000 Address: 12218 E NEZ PERCE LN
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold:
Area: 10,120 Sq Ft Width: 80 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
- eased By:
Hold Reasons: lib • (513 /
Permit Conditions:
BUILDING Plan Review
Released BY:
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage Released By: 4
Hold Reasons:
Permit Conditions: 0 I FW_A Se.2
UTILITIES Sewer Review
Released By• 14,
tT LII €5 Aie'200a-L. 0 H 3 1
Permit Conditions: CAC... f'' `,)
Project Number: 01003186 Inv: 1 Application Date: 5/3/01 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: 12218 E NEZ PERCE LN Phone: (509)922-9870
SPOKANE,WA 99206
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 25 Stories: 2
Bldg W x D: 0 x 0 Building Sq Ft: 2832 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 1,000 $62,000.00 1,000 $62,000.00
BASEMENT F R-3 VN 444 $6,997.44 444 $6,997.44
BASEMENT U R-3 VN 670 $7,745.20 670 $7,745.20
COV DECK R-3 VN 84 $794.64 84 $794.64
GARAGE U-1 VN 726 $8,712.00 726 $8,712.00
RESIDENCE R-3 VN 718 $44,516.00 718 $44,516.00
Totals: 3,642 $130,765.28 3,642 $130,765.28
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,050.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $231.00
Permit Total Fees: $1,285.50
Mechanical Permit
Contractor: R&R HEATING&AIR COND INC Firm: R&R HEATING&MR COND INC
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 $15.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $98.00
Project Number: 01003186 Inv: 1 Application Date: 5/3/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: S T PLUMBING CO INC Firm: S T PLUMBING CO INC
Address: P.O.BOX 1817 Phone: (509)244-5575
AIRWAY HEIGHTS,WA 99011
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
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
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $120.00
Payment Summary: nr :. .
Operator: RMB Printed By: RMB Print Date: 5/3/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,285.51 $1,285.51 $0.00 $1,285.51
Mechanical Permit $98.00 $98.00 $0.00 $98.00
Plumbing Permit $120.00 $120.00 $0.00 $120.00
$1,503.51 $1,503.51 $0.00 $1,503.51
APPLICATION INFORMATION `'
• What is the JOB.SITE address? ASSESSOR'S tax parcel number? C RCCEI Y!D f
Legal description as it amears on the property deed
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OWNER or OCCUPANT Phone Bt._
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Mailing ad ress / ity,state Zip
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Who should we contact regarding this project? Phone
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What work is being done under this permit?
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Lone nspector district ? Property size ,.::,,, ,,,t:-:,:i.:.,: ,,:.:....,.: Right ot;way width
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Waterdistria
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Building Building height // / #of stories
Contractor , Dimensions TOTAL SQUARE FOOTAGE
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WA State Contractor license# Main floor area Unfinished asement area
#tl, CM/f/0.25P 7/Ee
Mailing ad ress , . 2nd floor area Finis ed basement area
/ '1 /c/E2 �.� if)Al e /000
��46tArchi ect/ ng neer Garagre`a' Size of decks,etc.
What is the heat source? What is the cost of your project -•
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Manufactured Home': Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor -,i
Wa State Contractor license# Wa State Contractor license #
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent _
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor _ Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel:Storage'Tanks;. Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Ctttt@nts of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does.not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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This site plan is being submitted for the purpose of
0 obtaining a building permit and is a true and correct
representation of the proposal.All known property
lines/dimensions; curb lines.strictures and easements
have been identified.Also indicated are wetlands,
bodies of water,steep slopes or other critical areas.
�k �C Signed:
ADDRESS E _i 1a36
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