2002, 11-07 Permit App: 02009982 Residence Project Number: 02009982 Inv: 1 Application Date: 11/7/2002 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: PO BOX 141749
C- S -Z: SPOKANE,WA 99214
Setbacks: Front 30 Left: 10 Right: 7 Rear: 39 Phone: (509)924-1519
Group Name:
Site Information: Project Name:
Plat Key: 006185 Name: MIDILOME EAST 3RD District: F
Parcel Number: 45342.1602 Block: 2 Lot: 2
SiteAddress: 12914 E 36TH AVE Owner: Name: LEXINGTON HOMES
SPOKANE,WA USA 99216 Address: PO BOX 141749
Location::SPO SPOKANE,WA 99214
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 80 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site P -eview Released ,® mss. _ / a.
/102'62- ‘t(ft4il. -
Plan Review Released By: •
/
Approach/DrainageReleased By:
Sewer Review Released By: qZ,I 0 r7f 62
Sn42'OZ-'93
Operator: DMD Printed By: DMD Print Date: 11/7/2002
Project Number: 02009982 Inv: I Application Date: 11/7/2002 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
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: II
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,551 $19,077.30 1,551 $19,077.30
GARAGE U-1 VN 898 $10,776.00 898 $10,776.00
RESIDENCE R-3 VN 1,551 $102,366.00 1,551 $102,366.00
Totals: 4,000 $132,219.30 4,000 $132,219.30
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,060.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $233.20
Permit Total Fees: $1,297.70
Mechanical Permit
Contractor: R& R HEATING&AIR COND Firm: R& R HEATING &AIR COND IN
Address: 4019 E CEN IRAL 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 $12.00
GAS PIPING 5 If OF UNITS $5.00
VENTILATING FANS 3 NUMBER OF $30.00
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: $97.00
Operator: DMD Printed By: DMD Print Date: 11/7/2002
Project Number: 02009982 Inv: 1 Application Date: 11/7/2002 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 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 SOFTENER 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $126.00
Notes:
Payment Summary: :<: _ ; ;;
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,297.70 $1,297.70 $0.00 $1,297.70
Mechanical Permit $97.00 $97.00 $0.00 $97.00
Plumbing Permit $126.00 $126.00 $0.00 $126.00
$1,520.70 $1,520.70 $0.00 $1,520.70
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: DMD Printed By: DMD Print Date: 11/7/2002
•_
i ' PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING& CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
lila SPOKANE,WA 99260C� ��
SPOx COUIyTY 509-477-3675 c 2 - Ci c/2
/SPECIFIC SITE INFORMATION
Street Address: I 14 E , S ` H— A-0 T
Assessor's Tax Parcel Number(s): (Li 1 T
q5-342. 1(QOZ.
Legal Description: L' O } CCK. ^_ t 0 1 + m L_/ EF 6✓
PD ADD
Project Description: _R -e.)1 D TVT I At-- -1't. omE C_L/v6rigurrw'J
Building Permit CI Change in Use El Grading 0 Manufactured Home Permit
CI Relocation CI Sign CI Tenant (New/Change) El Other
Department Use Only
\Fater Distnct/Purvetot Sewer District/Puevevor Road width I Setbacks
T/) Front: sb Rear:
School District Fire District: Zoning
Left Right
OWNER/APPLICANT INFORMATION
0 /mina.?talo,horrid Ly meld.fel,,,,,,i.v,,i Ii,,,,t rqn/
❑ (lyric, I'hone- I ,,,,,,T,.., Ph„nr L+i' i5 xi
I-a.: LEX'NL TbII I-I-nn 65" I iJC Liv 5c1, -008
hla,hnu:\d,hc,,: huhnc \ddrox:
Po &x i� I7g9
(.ill.Stere,/.i,, (.t,.Stale./tt>
SP&KIsle , WA- qq /L
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LEX j ni&-W r3 KO n1 E3 .A 3(1g - 1,96g l
atlit C aJdre., hlaJing aJJrc.,
leikii
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-f L )( 1 N 14 Jo J t
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PROJECT INFORMATION
Building Information
hurl,,,.,hc'Oht ut peak #ril entries j' Main tl/rt tt / t'nttti>h ,I l n .
Ii
ii
Dnnct<i.ns .I oral habilabie space '"'1 in s,l. . ISnish,',i bas,nu Ili,y „�
Occupancc!•rnnp ( on>tructrr>n Pp, G.ici�, 1_11 it. )ci-,� I),ck<y It
L,'ci,'I 1,1,1,(1 I I,ii urcc Terme,(!ere,ctrl
6A2D 1- kc D P-1IQ
Manufactured Home Sign •
•
Width: Length: What is the square footage of the sign I love high is the sigm?
face?
Year: • Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? ' Non-Residential Energy Code Compliance?
Him Name Phone Plans Examiner Phone
Inspectors. Address
Inspector Phone
O Concrete CI Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes ( o A)-"hat is the current property sire?
If yes.irlenlib'on rile plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? \\-hat is the current use of this property?
1 f VS.Idenlib•on sale plan O Yes ,.o
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?El Yes No
O Don't know O Yes 0/"o
Is any part of the property within a 100 yr flood plain? \re or will there be wells located on the property?_ /-
1/i'e.r.idenlib-on site plan' 1l)e5,identity on lie Jae plan O Yes Q.�No
o Maybe o Don't know CI Yes .. o
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
11 yes.identify on Jill,plan O Yes 13/No O Yes Oleo
Are there slopes greater than 30°o on the property?(311 ft tis in l00 ft) Are critical Cr hasardous materials used or stored on site?
( 00 O Yes 1_U/='o O Yesro
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No
OYes CI No
Is the property inside the PSSA? O Yes D No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
I)arc 12eccirrt- Staff Rcprescrum, -
METHOD OF PAYMENT
Z-:7'; °MOVER St.itTOI'Al.
❑ IvSII ❑ C11141k ❑ '- ' ... ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
UA Il(: FNPIR1:S TOTAL FEE
It VNh( \Ri)NI'.AIFI R.
MINIM(If PERMIT FEL-i5 sii.0011.t:l�h
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SWale Brit 1v;id:' __
Curb Line —--.�
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Property t ine-- 80,00 /�
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N EIR E S4 1C_ Y , 51,
D WIDTH
RON 1 41 -LI !KING ,
MMENTS \ Trus iI ,
pose ofAl
bt Is ue and correct.All known property - - ".
lines/dirnensio ,curt - 1 ures a 711
nd easements EXPIRES 7/O3
have been ide ified B! ! �;are wetlands, •
•
_._LID.die- " er, --- r;;- : . „-- ; 'c'aareas. _......________�
I Signed: ��'l 8.*5; 1 :w� September, 2001
i i-2 - LOT 2BLOCK 2
ia ,914 E. 36th ,
MIDILOM EAST 3rd ADDITION
GRAPHIC SCALE <IN FEET)ET) —.____. ___.__._._-
0 1Q 20 40 This is not on as—built drawing. rvndca 1948
Any modific=ations to this plan after ti 97ttpS07t Engineers, Inc.
the date on the E=ngineer's stamp Cl\4L ENGtNEERS & LAND SURVEYORS
VOIDS the Engineer's stamp.
t• = ?_0' 9 p:_-_ N.909 ARGONNE ROAD
SPOKANE..WA 99212 1:1 926-1322