2005, 04-22 Permit App: 05001293 Residence Project Number: 05001293 Inv: 1 Application Date: 04/22/2005 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: 6 Rear: 27 Phone: (509)924-1519
Group Name:
Site Information Project Name:
Plat Key: Name: PINE ROCK RIDGE PUD District: Sout
Parcel Number: 45342.2604 Block: 6 Lot: 4
SiteAddress: 13013 E 37TH CT 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: 9,874 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information
Review
Site Plan Review Released By: l
Plan ReviewReleased By: 61 r ,
Sewer Review Released By:
Operator: K_C Printed By: K_C Print Date: 04/22/2005
Project Number: 05001293 Inv: 1 Application Date: 04/22/2005 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 25
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su 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: R&R HEATING&AIR COND INC Firm: R&R HEATING&AIR 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 $12.00
GAS PIPING 4 #OF UNITS $4.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 4 NUMBER OF $40.00
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: $126.00
Operator: K_C Printed By: K_C Print Date: 04/22/2005
Project Number: 05001293 Inv: 1 Application Date: 04/22/2005 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
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 $126.00 $126.00 $0.00 $126.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,833.59 $1,833.59 $0.00 $1,833.59
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: 04/22/2005
•
BUILDING PERMIT APPLICATION WORKSHEET
Siitikane
OgleS*4114 � Ece g flag Valley Community Development Department
Building Division
D 11707 E. Sprague Avenue, Suite 106
Valley fg -
a, Spokane Valley, WA 99206
D ;P e; (509) 688=0036;Fax: (509) 688-0037
MQ [LDQ (
REQUIRED SITE IN MATION
Street Address: /LI3 S, 37-d.) (Tax Parcel Number(s): 4 3 „ , 0
Legal Description: 1A (,0 �/yLQJ Pt(L
PER IT DESCRIPTION: SR2 w r 4( 1 3
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: \,240.{A. ❑ Applicant: ( A *uu1t )
Phone: Fax: Phone: Fax:
Address: S Address:
City i State Zip Code City State Zip Code
V) Contracto z 1, ,,,ti , •.i,41,L,/ 4 t --❑ Architect:
Phone: Mae F. ,T�_! �/ Phone: Fax:
Address: %J gi ie Address:
Cityr) , • n # A I ' 14
S a e ip Code City - State Zip Code
WA State Contractor License#: I/EX I 1\11-1 I 06 Antact: 1/1.,640t-, 10041(
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: -I/ 5 2, 52_ #OF STORIES: 1 t � �
MAIN FLOOR TO SQ. FTG: r 2""FLOOR SQ. FTG: 6 q 7 UNFIN BASEMENT SQ. FTG: 5 1/4/
FINISHED BASEMENT SQ. FTG: ,i,- GARAGE SQ. FTG: 7O/ DECK/CO . PATIO .Q. FTG: ��y)
OCCUPANCY GROUP: CONSTRUCTION TYPE: IzABOAC,E?ti,Laa_v_
#OF BEDROOMS: , TOTAL HABITABLE SPACE / MPERVI�OU MSIR F�E AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY:Ai SEWER Oh ON-WE SEPTIC
J v O SYSTEM? ��
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
. Previous Address:
Proposed Use:
FIRE SAFETY
- Fire Sprinkler: # of Heads: Fire Alarm: Paint.Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
D BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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 any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard D VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPUCATION
S°ITpôkane
City of Spokane Valley Community Development Department
BuitdingDivision
-
W11707
E.Sprague Avenue, Suite 106
Spokane Valley, WA 99206
° Phone: (509)688-0036; (509)688-0037
ii_ ioi_s
FOR INSPECTIONS,CALL(509)688-0054Project Add Permit Use: Gj
Owner: A ' / /L. ..c�i/ � ' Ik-�4 '1i/4 • •Phone(Daytime Contac t):9 t-'7/�I
� / I, 1417L4 t�
Mailing Address: ' — state Zip code
Contractor.II i i„t,,aL.iA `.✓IA ` I�•-nse#: rn �'� K #: ,% 07�.,
Mailing Add / : `7 i(, ,4 ` Q UA I 9a Vv
City State Tap code
*OF TOTAL
DESCRIPTION OF WORK 7 X COST - - AMOUNT
I 1 TOILETS WATER CLOSET,BIDETS X $6.00 =
_._...r----. ...— X $6.00 -
3 TUBS X $6.00
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
5 SINKS LAVSBASINS,BAR FLOOR
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT-
/
6 , DISHWASHER / -X 56.00 =
7 CLOTHES.WASHER - �. / X 58.00 =
8 GARBAGE DISPOSAL I` /-
9
9 WATER SOFTENER X $6.00 =
•
10 ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL r X $6.00 =
11 FLOOR DRAINS AREA CASE COIL,TRENCH, / X $6.00 =
CONDENSATE
12 ROOF DRAINS/OVERFLOW DRAINS ` X 58.00
13 , FOUNTAINS,DRINKING X . $890
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION.ALTERATION, X 58.00 =
VENT, PLUMBING,REVERSAL REPAIR,REVERSALS
15 r SEWAGE EJECTOR GRINDER SUMP PUMP . X $6.00 =
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, .HOSE BIB,STEAMER PROOFER. 3 X $6.00 =
- CARBONATOR SWAMP COOLER
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
VALVE,AND R.P.B.P.D.FOR X $8.00 =
VATS,TANKS,BOILERS
18 INTERCEPTORS GREASE TRAP,SAND TRAP, X 56.00 =
CHEMICAL HOLDING TANK
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X 56.E
METHOD OF PAYMENT: SUBTOTAL
❑ CASH 0 CHECK ❑ VISA ❑ MASTERCARD PROCESSING FEE $35.00
DATE • EXPIRES: TOTAL PERMIT FEEDUE:
Vii, 4 BER. -'4, * Tar '.,u rr,,,' _ A +•t+� X11 �r . ' •- ♦ *�•40,, • , ,* »
• 4 4 v
a ,, r
MECHANICAL PERMIT APPUCATION
City of Spokane Valley Community Development Department
BtrildingDivision
fP011111°11°(' I 'aftlleY - 11707 E. Sprague Avenue,Suite 106
Spokane Valley,WA 99206
•Phone: (509)688-0036;Fax: (509)688-0037
FOR INSPECTIONS,CALL(509)688-0054
Project • '4:4''.--: D / ! / •ermit Use: ,
Owner. /4i A i/i.1i 0,11// 11 P,•ne(Da 'me • r•):
Mailing ":.d IF �r 7� .Jr� 4. 4 e i /
V / .rt Li 'e#: . ' aic 4 - /010 •honer- 4Z -
Contractor: 'ft. 1.Mailing Address: • �,�' �/ • see Code
dw
7
*OF _ TOTAL
DESCRIPTION OF WORK WITS X COST AMOUNT
1 FUEL BURNING APPLIANCE Equaf to or less than 100,000 / X. $15.00 =
2 P BURNING APP 4IANCE More than 100,000 X $19.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 ' yNUSTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
tU3ED APPLIANCE{WSEC min.AFUE_
5 �) Equal to or less than 400,000 X $50.00 =
_ _ _ ._ .,_____________, ______:_____ _ ______
USED APPIJA CE(WSEC min.AFUE
6 Wing) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION ( 1-1 OOM 8TU X $15.00 =
8 BOILER/REFRIGERATION 101-500M BTU X $28.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU - X $39.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU __� X $95.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE '" y X $10.00 =
13 RANGE f 1 X $10.00 =
14 DRYER / X $10.00 =
15 FUEL BURNING WATER HEATER / X $10.00 =
16 MISC.FUEL BURNING APPLIANCE it, , X $10.00 =
17 GAS PIPING(each outlet) X 51.00 =
18 DUCT SYSTEMS I X $10.00 =
19 VENTILATING FANS X $10.00 =
20 MR HANDLER(DOES NOT include dulling) Equal to or less than 10,000 CFM X $12.00 =
21 AIR HANDLER(DOES NOT indude ducting) Greater than 10,000 CFM X $19.00 =
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD I ,X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 3-15 TON 1 X $20.00 =
27 AIR CONDmONER 15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH ❑CHECK 0 VISA 0 MC DATE' PROCESSING FEE $35.00
►>F Vis; $ TOTAL PERMIT FEE DUE.
',_ ..;; 4. >-,:: x i.:' a ..< • a • 4 ;"I w qr -.4-1,421h z� ''',,;11*; a.x' N4'
o '`
ISI ' . Af 1 - [j* 4
Call 24 hours before inspection required
j)( , % Phone 509.688-0036 Fax 509.688-0037
ane
....4Vallq DEPARTMENT OF PUBLIC WORKS
Anticipated start date / D 5------ Permit # PW
APPROACH PERMIT
APPLICATION
Location of prope
• ddr ss P.r el#, if avails e)
Applicant Na 7 " 7 �4`• .1 .1 . - `
_ ,
Addres D 15-tfj( 411V11/fladrAe, one1 q634 -1677
• /I, / / // ,
Contractor's NamerAx , 0
Address n .. Li I(2).� �t'�` dililW Phone
Contractor's Reg# CSA-VI-. Cf g8'I Expires
.
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway Commercial/Industrial Driveway
I-1 Existing Curb & Gutter Rural Road Section
nCulvert Installation n Sidewalk Repair/Construction
Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $ Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Expiration Date
Name of Holder Signature
Fees Paid$ Date !nit
I
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w !' y ea 14' Utility �, i
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PINE ROCK RIDGE 1ST ADDITION
LOT 4 BLOCK 6
Founded 1946
0 10 20 40
impson Engineers, Inc.
CIVIL ENGINEERS & LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOKANE WA., 99212-2789
SEPTEMBER 2003 PHONE (509) 926-1322 FAX (509) 926-1323