2005, 01-27 Permit App: 05000260 Residence Project Number: 05000260 Inv: 1 Application Date: 01/27/2005 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- Contact: LEXINGTON HOMES,INC
NATURAL GAS Address: P 0 BOX 141749
C-S-Z: SPOKANE,WA 99214
Setbacks:Front 25 Left: 7 Right: 5 Rear: 61 Phone: (509)924-1519
Group Name:
Project Name:
Site Information:
.....................................
Plat Key: Name: PINE ROCK RIDGE PUD District: Sout
Parcel Number: 45342.2112 Block: 1 Lot: 12
SiteAddress: 12821 E 37TH LN Owner: Name: LEXINGTON HOMES,INC
Address: P 0 BOX 141749
Location:: CSV SPOKANE,WA 99214
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 5,103 Sq Ft Width: 65 Depth: 124 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released,By.
Plan Review Released By
Approach/Drainage 'Released ByL'(. i'f
Sewer Review Released By t
Permits:
Operator: K_C Printed By: K_C Print Date: 01/27/2005
Project Number: 05000260 Inv: 1 Application Date: 01/27/2005 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
Building Characteristics
Group: R-3 Type: VB
Total Area 2021
Building Height 26
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Su Ft Valuation
2ND FLOOR R-3 VB 697 $52,051.96 697 $52,051.96
BASEMENT F R-3 VB 388 $7,760.00 388 $7,760.00
BASEMENT U R-3 VB 344 $5,160.00 344 $5,160.00
CARPORT U-1 VB 180 $2,700.00 180 $2,700.00
GARAGE U-1 VB 701 $13,319.00 701 $13,319.00
RESIDENCE R-3 VB 592 $44,210.56 592 $44,210.56
Totals: 2,902 $125,201.52 2,902 $125,201.52
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,139.35
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $455.74
Permit Total Fees: $1,599.59
Mechanical Permit
Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES
Address: P 0 BOX 141749 Phone: (509)924-1519
SPOKANE,WA 99214
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 4 NUMBER OF $40.00
CLOTHES DRYER 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: $95.00
Operator: KS Printed By: K_C Print Date: 01/27/2005
Project Number: 05000260 Inv: 1 Application Date: 01/27/2005 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 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
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
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $108.00
Notes
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,599.59 $1,599.59 $0.00 $1,599.59
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,802.59 $1,802.59 $0.00 $1,802.59
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: K_C Printed By: K_C Print Date: 01/27/2005
. . . t,.'1) 6.). ' IX' i
BUILDING PERMIT APPLICATION WORKSHEET
ST ' City of Spokane Valley Community Development Department
potaBne
uilding Division
11707 E. Sprague Avenue, Suite 106
e Spokane Valley, WA 99206
.0.00Va
Phone, (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address. OD1 3 7-bi\-)
Assessor's Tax Parcel Number(s): 5 , /i I '/J
Description: l '�'/w rMINAMIN-
I
, _
Legalp //„
PERMIT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading Do Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: ❑ Applicant:
Phone: Fax: Phone: Fax:
Address: Address:
City J State Zip Code City State Zip Code
tp Contracto g i,'.Ji A .,0I/L.' 4 .I. ❑ Architect:
Phone: �. ZIfif Cis F 1 I Phone: Fax:
dress: • ilj,& I '1 Address:
City S a e ip Code City - State Zip Code
WA State Contractor License#: LEA I N 14 I O, 5J ontact: „ - 4 n"r A_ - A • -
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: lax 3c1 / #OF STORIE
MAIN FLOOR TO SQ. FTG: 619 2,4,-, (J/FLOOR SQ. FTG: / 9 7 UNFIN BAS MENT SQ. FTG:34 ,''L.
FINISHED BASEMENT SQ. FT % GARAGE SQ. FTG: 0/ DECK/CO . PATIO Q. FTG: Igoti
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
FOPCED fiIR 6YA5
#OF BEDROOMS: 3 TOTAL HABITABLE SPACE�(: � � i IMPERVIOUS SURFACE AREA:
I 2-Lt 31 S
COST OF PROJECT: 30%SLOPES ON PFOP ERTY: SEWER OR ON-S E SEPTIC
,J`/ SYSTEM? �/
PLUMBING PERMIT APPLICATION
,\Ita% Ciety of Spokane Valley Community Development Department
I� e,Suite 106
BurWingDivision
11707 E.Spokane WA 99206
• Phone: (509)688-0036:Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688.0054
Project Add / - 3 / Permit Use:
; s: . , /
ii ,' /- /t, ..c- dIk_-d lit. • ._Phone(Daytime Contac :q*/617' I�
Owner.C/ l �� 4. -" r`/'
Mailing Address: I �� I 1 ' ' I, state e
l Q � -
✓�L / i,.-nse#: m i !' Kph
actor ori-�-�0 - 9a
Mailing Addr 17 ' " I cry. State rip code
*OF . TOTAL
UNITS X COST - AMOUNT
DESCRIPTION OF WORK
WATER CLOSET,BIDETS X $6•00 =
1 TOILETS
X 5800 = -- .
2__1
,:r
/ X 58.00 =
3 TUBS
4 SHOWERS(PER TRAP
BATH,STALL ONSITE BUILT X $6.00 =
5 SINKS IAVSBASINS,BAR.FLOOR,
KITCHEN,LAUNDRY,UTILITY. X $6.00
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT /
0( $6.00 =
8 , DISHWASHER ! X $8.00 =
7 CLOTHES WASHER - •,.. /
_ X $8.00 =
8 GARBAGE DISPOSAL $
X 56.00 =
9 WATER SOFTENER
10 ELECTRIC HOT WATER TANK
NOTE IF GAS,SEE MECHANICAL X $6•00 =
AREA,CASE,COIL TRENCH. /
11 FLOOR DRAINS X $6.00 =
CONDENSATE
X $8.00 =
12 ROOF DRAINS/OVERFLOW DRAINS
X $6-00 =
13 FOUNTAINS,DRINKING
14 WATER PIPING/ORAIN-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 =
• 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
NITROUS,OXYGEN X $6.00 =
19 MEDICAL GAS(per outlet)
X $6.00 =i
20 MISCELLANEOUS PLUMBING FIXTURE
SUBTOTAL
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
EXPIRES: TOTAL PERMIT FEE DUE
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37TH LANE
LEXINGTON HOMES
si
12821 E.37TH AVE.
LOT 12 BLOCK 1
PINE ROCK RIDGE 1ST ADDITION
LOT 12 BLOCK 1
Founded 194
0 10 20 40
tbimpson Engineers, Inc.
/11.111111161111111111111.11.11. CIVIL ENGINEERS & LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOKANEFAX Wc5A0.9,)999226-1213-223789
SEPTEMBER 2003
PHONE (509) 926-1322