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2002, 11-13 Permit App: 02010109 Residence
• Project Number: 02010109 Inv: 1 r ' ' Application Date: 11/13/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE GAS Contact: LEXINGTON HOMES Address: PO BOX 141749 C-S -Z: SPOKANE WA 99214 Setbacks: Front 30 Left: 25 Right: 10 Rear: / Phone: (509)924-1519 Group Name: Project Name: Site Information: Plat Key: 006185 Name: MIDILOME EAST 3RD District: F Parcel Number: 45342.1603 Block: 2 Lot: 3 SiteAddress: 12922 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: 007 MODEL Hold: ❑ Area: .00 Acres Width: 68 Depth: 104 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan ReviewReleased By: c:I 1 _ -- _ .-e7-.e ' -t f .c.Z`7 1.1.2 Plan Review Released •By: Af _ s - �i� • Approach/Drainage Released By: I O +. 1 k" - e_l 2 c. ( J� anduse/Zoning __t �i ... Released By: $ ` '° -- ('tet ii,-t 1 ,......) ,-- w.f., Sewer Review/A- !-12-:_ L L-s /,_,. )1;,c),/,-1 Released B_y: (-(6)---, --45-' _ - /0 360 Operator: JAS Printed By: JAS Print Date: 11/13/2002 Project Number: 02010109 Inv: I Appllcatioh Date: 11/13/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permits: 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: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ 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 700 $8,400.00b RESIDENCE R-3 VN 1,551 $102,366.00 1,551 $102,366.00 Totals: 3,802 $129,843.30 3,802 $129,843.30 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,045.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $229.90 Permit Total Fees: $1,279.40 Mechanical Permit Contractor: R& R HEATING&AIR COND Firm: R&R HEATING &AIR COND IN 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 $12.00 GAS PIPING 4 #OF UNITS $4.00 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: $96.00 Operator: JAS Printed By: JAS Print Date: 11/13/2002 Project Number: 02010109 Inv: 1 ' - Application Date: 11/13/2002 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 USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $120.00 Notes: Payment Summary Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,279.40 $1,279.40 $0.00 $1,279.40 Mechanical Permit $96.00 $96.00 $0.00 $96.00 Plumbing Permit $120.00 $120.00 $0.00 $120.00 $1,495.40 $1,495.40 $0.000 IS �� 46 Disclaimer: .. VI S Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined`qpd Inds 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: JAS Printed By: JAS Print Date: 11/13/2002 � - 1b10�- 1 PROJECT APPLICATION WORK SHEET 2II SPOKANE COUNTY DIVISION OF BUILDING& (ODE FNF.ORCE;�tI NT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 II II 509-477-3675 SPOx COUNIII SPECIFIC SITE INFORMATION Street Address: J/a�a ` �,2 �� E Assessor's Tax Parcel Number(s): yS q '^ . / 03 Legal Description: ,T 13‘t-i< cN / ,I 1 Di anEE f5T I R^ A Do Project Description: ( D70-1-1 A L -1-t omCj f L&15-ricZtitCri D/V 94 Building Permit El Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water Distnct/Pun'e?or. Sever District/Purveyor Road width Setbacks Front Rear School District. Fire District: Zoning Lett Right OWNER/APPLICANT INFORMATION Q huls,,:s; rrl.n;l,o,r,:i I ,o:/a,lerl n- mlir:s lbs Prgin/ cjEl (-)",t'r pi—, It \sphctt,, rh„ni- : 1 1 'i5 J Lai NCS�PJ HtQ 71 I 560 -00g ©g Slaarnt� \skit (:ratnss \il "' 10 J ox 14110 4 i'7 4 Cllr,flare,/,P tr.Mate,lip IPC h IJ , UJP'- qqap-i 4, Contra,For Ph('''' —j.j j6/ ❑ \r<hoc et I-'W M<t rill` Ill x,11,15 J,In.z< t\I:uling addms. ` i' X 14-I11 rte `late tip I Stat'/rP S)oK!rve , 1.0gg31L - 0 \State Contractor 11,11,a r Contact rtams ft,,IIXINII /0J-Pc PROJECT INFORMATION Building Information Ridding height to peak I#of stones Alana tloor.eIt inr.hed •a.e .y- It. / t .'/ ISntn cot t 5/ DIM,11,11)T1!. Dotal hraTao. 11 tlnor<y_ II Ito, Itr J ba.<num.y It CC Occupancc group ( on.trnction ohe ( tri >t ps It �� I) Ch,CI tt- Cn>,nl hntµct IItit,,,urre,<b, Hi, ca.,St, i R E C 7 I V E D N6. 1 2 2002 Manufactured Home Sign I, Width: Length: What is the syuarc footage of the sign I low high is the sign? face? Year: Make: #of signs S'Ta• 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? lain Name Phone Plans Examiner Phone hone Inspectors Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No What is the current property size' If yes,iden/i/j,an site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If penitent'/i on site plan O Yes O No Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?O Yes O No D Don't know- O Yes 0 No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? //res.ideidifp on site plait 11 yet.idents(•on the site plan O Yes 0 No 0\lavbe 0 Don't know- 0 Yes O I'�o Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If per.identi/j on.ri/ep/an 0 Yes 0 No 0 Yes O No Are there slopes greater than 30"0 on the property?(30 ft rise in 100 ft) Are critical or haiardous ma' pals used or stored on site? O Yes O No 0 Yes 0 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No O Yes O No Is the property inside the ASA? 0 Yes 0 No Is public water available to ti.e site? 0 Yes 0 No DYes 0No Is the property inside the PSSA? 0 Yes 0 No Is the property located withiii 1000 feet of a Natural Resource Area? D Yes 0 No I)atc ticer„rd. gift Heim-suntans. METHOD OF PAYMENT :oUCDVE VISA VR1'O1.AI. D C\a 1 ❑ C I I 1 c a ❑ ., ❑ ❑ .,., FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OFA MAJOR CREDIT CARD U\I I( I XP1R1[S: ----- - TO"TAI_FEE I)VA'ht \RI) IRI(R: MINIMUM Ps2tai FEE Lc cts v rtit a SI AFI CI[F(:3 t Al AISI e 11 .:10K OF ) l 11( 1R1/I'I)SIGNAll'RI.: I „tin a>I 10un_rsrt--k 11/14/2002 3:205098921208 LEXINGTON HOMES PAGE 01 .- . Fax TranSm1sO ' X./Iiki° 0 DATE:_11110 / �� ,,'� Number of pages including cover sheet___ , F FROM: TO: Dave / l3rian / Josie JuIW4) Kari Lexington Homes Inc. CO ANN': 4I /Lu ". SU I PHONE: (_ 'a) 924-1519 ,�—... PHONE: FAX �so�) .. -lzos . FAX #: Remar cs: jqo5 , --5 .,..../.,.) & , ,,,,, , no „---r:. dt./ifti,,,n_./(2.---6-4.-X-41.) 1/4-- - .---1 ....T 0, dif . ir L#QAAr d'.• "4' -.'' iae ' . .. ‘\i' l, ' n.1 ° 1 11/14/2062 23:20 5098921208 LEXINGTON HOMES PAGE 02 . , • . _ .. . .. ., . . . . . . . . PROJECT APPLICATION WORK SHEET i . • SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCI.i. FENT 1026 WEST BROADWAY AVENUE Itil--- SPOKANE,WA 99260 509-477-3675 ; I --"SPOK,AKE 0013`47 . ik • SPECIFIC SITE INFORMATION .1 Street Address: /,,, ,e7; c-r-- ; -7-1-f i I \ .Assessor's Tax Parcel Nurnber(s): . —Legal Description: 1 or 3 134-K c2N 01/Di/Or77r bp-5-r- : -R -1)* A DO___ Project Description: R651DoOT1 AL- +tome" Gon.621tRacniatsLt ABuilding Permit . 0 Change in Use _ 0 Grading 0 Manufactured Home Permit 0 Relocation 0 Sign CI Tenant(New/Change) 0 Other - ----- Department Use Only , w.oi,,,kimgv,yec s,-00,....ap,,,,..y., Road width krbacks l'ionc Pow Sch,..10iNt.ict: l'in•Di‘irki: 4on'unt ' Left Ki !l OWNER/APPLICANT INFORMATION IZI Inele,A.;rho;Amid ke.vorAr.ted ty.zardis:the pvl ..."17-1... 4••w‘,I 11/im/v ri Nrrim.:/it/ 1.1....4,.444 /5 iq ..... LEXII40141 /F001_65 TAC .:., ?RA —008 1.0...67 NM/CNN ling Stb,... I , ,- -....1. "'t ...mom III C,Pa A ." 6 WA- qqaq- _ _ _ _ cp,:,,ett ex I..v 11.,,i. OA ' ....., .0 i 0 ' i 11 ThOinE5Tir-"x S‘149, It940g . a Li I..• • ..ki.... , .. Aln-lny,.1,-f s.,. It (-:' 5111 11 ill s`1`.,.' ..r CM. 111/:(p WI 0 I oie LOA qq311-1- "A :',.'.I:0.1M101 11C el,.... / I./....4!I 11.11 iv,. . -. - . -102)5.. Pr . ---.--- PROJECT TIFORMAT)ON Building Information 4 . Ilt.101 11/IVA /.1 1)1.SI./f ok•A 1 Main ib.r fi j ' 'u11%d ‘.1A1111 t)i N fi. I)111W/1,1.11A . , 1.1.1.111,,IbwiNcl-Ac‘ It../.s,1 ;!. F1/11,4101 I/Am/11011 .,i. it I K ., , (kcoanc,mnir I ..,,,,, ,.....vp. I (iii• N ,,). ti. 660 -.II),.1...,1 II ! ,.1.1. irniccr Iii .....0/4• •4 14 I hit."!.1,..111 I .- __. .... . , g . i 11/14/2002 13:20 5098921208 LEXINGTON HOMES :`. PAGE 03 This s.t,, ,-.)'an 'n being submitted for P epurpose of ..... -.1..p err- and s a ed correct • represen,ation o t e p. posai AU known • - • f�,1/� lines/dimensions,curb �ructu easements A'C' f Id9RA ._ � : :ate,: ands, have been Identified bodies of wet . steep� .:: ..r oth,r Crit ca!areas. —T _-- N89.53'11'W it rl�r2! 6• Ductile Iron pipes 3 6TH A VEIL U E Sate E,Inas 2031 SO lo in I.E. out 2030.87 ,--- Swale Bottom. 2' wide �_ Curb Line -- 32.0 > TC ti —.--- :- . • 1.11111111"1"114\411D TC ",11111M1111 ------- --- :�����' Curb Inlet.ITwo 2 %••i \\ Spokane County Std A _ / •�`�� • \ Sta. 35+90.91, :., • `¢ e'; •.• •,. ' •• 5'.S;dewalfc 4. • %`.� . t I.E. 2032.42 ,too' • 24' ti g •i '��TC a °' •- Seater �• • ` M • 1 4. gas :A • elegtr• ' ' • ' < •/ Driveway • i riIi 10 V �,o� , �7 ; E �. 9F ,� �t'` y I •iv c N. o .> ` \` �C S I • •�` p N ` 3 ra �� �y .; �, I a :te c o% .ZO / "� y x a VI O o CZO v `� e' 1 14' J I 9.1! ( ♦ \` 61 IRI O r\ • 0 1 I o O 2 3L1h i I •6. I • i L 2% ' 20'_ . Sd1/46 _ EI ..,�• I � i I tt, ' Z� 5 25'pi 30' �: yM P�Z, 9's3'11'V • i 1 . a�� September. .2001 6 LOT 3 Bl1CK 2 GRAPHI r�l �c'3 MIDILOME EAST 3rd ADDITION 0< , 10 20 40 This is not on-os—built drawing. Any modifications to this plan after pn Entrimers, Inc. the dote on the Engiree['s stamp. p' ENGINEERS a'IANO SURVEYORS r ' 20' VOIDS the Engineers stamp. N.909'ARC-0N' E Soap ssaud E, WA 992;2 PM 828-1322 1 II