2004, 06-16 Permit: BLD-04-04617 Residence CITY IY' 410,\•,.... , '
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11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04617
Job Address: 13011 E 37TH LN Applied: 06/16/2004
SPOKANE VALLEY WA 99206 Issued: 06/17/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 12/13/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: LEXINGTON HOMES INC
Applicant: LEXINGTON HOMES INC Phone: (509)924-1519
Address: PO BOX 141749
SPOKANE,WA 99214-1749
Contractor: LEXINGTON HOMES INC Phone: (509)922-9870
Address: PO BOX 141749 Lic No: LEXINHI025JA
SPOKANE WA 99214-1749
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 493.82
VALUATION 142085 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 20 BASIC PERMIT FEE 1,234.55
DIMENSIONS 61.5 X 56 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 18.00
#OF BEDROOMS 3 TUBS 12.00
FRONT SETBACK 25 SHOWERS 12.00
REAR SETBACK 24 SINKS 30.00
LEFT SETBACK 5 DISHWASHER 6.00
RIGHT SETBACK 25 CLOTHES WASHER 6.00
FLANKING SETBACK 25 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5-w CROSS CONNECTION DEVICE 6.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 10.00
WELLS LOCATED ON PROPERTY no RANGE 10.00
TOILETS 3 DRYER 10.00
TUBS 2 FUEL BURNING WATER HEATER 10.00
SHOWERS(PER TRAP) 2 GAS PIPING 3.00
SINKS 5 VENTILATING FANS 50.00
DISHWASHER 1
CLOTHES WASHER 1 Total Calculated: 1,970.87
GARBAGE DISPOSAL 1 Deposits/Receipts: 1,970.87
FLOOR DRAINS 1 Total Due: 0.00
WATER USING DEVICE 3
CROSS CONNECTION DEVICE 1
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 1
RANGE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING(ea. OUTLET) 3
VENTILATING FANS 5
TYPE II HOOD 1
THIS IS NOT A RECEIPT
,�/ THIS IS NOT A PERMIT
Scrrr oe �/`� "" Penalties will be assessed for
flo ne commencing work without a permit
„/I VaIley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-04617
Job Address: 13011 E 37TH LN Applied: 06/16/2004
SPOKANE VALLEY WA 99206 Issued:
Description: NEW RESIDENCE 00:141-11010,eA -NATURAL GAS Expires: 12/13/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: LEXINGTON HOMES INC
Applicant: LEXINGTON HOMES INC Phone: (509)924-1519
Address: PO BOX 141749
SPOKANE,WA 99214-1749
Contractor: LEXINGTON HOMES INC Phone: (509)922-9870
Address: PO BOX 141749 Lic No: LEXINHI025JA
SPOKANE WA 99214-1749
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 493.82
VALUATION 142085 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 20 BASIC PERMIT FEE 1,234.55
DIMENSIONS 61.5 X 56 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 18.00
#OF BEDROOMS 3 TUBS 12.00
FRONT SETBACK 25 SHOWERS 12.00
REAR SETBACK 24 SINKS 30.00
LEFT SETBACK 5 DISHWASHER 6.00
RIGHT SETBACK 25 CLOTHES WASHER 6.00
FLANKING SETBACK 25 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5-w CROSS CONNECTION DEVICE 6.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 10.00
WELLS LOCATED ON PROPERTY no RANGE 10.00
TOILETS 3 DRYER 10.00
TUBS 2 FUEL BURNING WATER HEATER 10.00
SHOWERS(PER TRAP) 2 GAS PIPING 3.00
SINKS 5 VENTILATING FANS 50.00
DISHWASHER 1 Total Calculated: 1,970.87
CLOTHES WASHER 1
GARBAGE DISPOSAL 1 Deposits/Receipts: 0.00
FLOOR DRAINS 1 T•tal Due: 1,970.87
WATER USING DEVICE 3 CITY OF SPOKANE VALLE�, ii
CROSS CONNECTION DEVICE 1 APPROVED FOR 1-
FUEL BURNING APPL<= 100,000 1 $C €€� CODE COMPLIANCE
GAS LOG, INSERT, FIREPLACE 1 N-VAL EY BUILDINtr 0 MON
RANGE 1 � � i d .1 • ,ru11�t�
DRYER 1
FUEL BURNING WATER HEATER 1 Building
GAS PIPING(ea. OUTLET) 3a .
VENTILATING FANS 5 Planning I 62/I4,, 01
TYPE II HOOD 1 -
Public works. I •�; /°
1
THIS IS NOT A RECEIPT :
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Sjlo11'
.0,00017a.lley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04617
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.ny 'elation of federal,state or local laws,codes or ordinances.
Ownership of resulting development rights granted b any iss ed permit inure to e p perty owner. _ l
_/ r , CL 1 °
Print Name Si i nature Date
Staff Initials
THIS IS NOT A RECEIPT