2004, 03-26 Permit App: BLD-04-03909 Residence - •
. . .1"4, _ . .
Stiolane
.00Vatiey PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone:(509)688-0036 Fax(509)688-0037
—
REQUIRED SITE INFORMATION
STREET ADDRESS: 1,50A5 E • ,?"1-77-1-
l1 `
ASSESSOR'S TAX PARCEL NUMBER(S):----6 P/N
6 POC( �' D�E
LEGAL DISCRIPT1ON:_j t V
PER DESCRIPTION:
UILDING PERMIT C I CHANGE IN USE 0 GRADING 0 MAMMAL-mit=HOME
0 RELOCATION [f SIGN Q TENANT CI-OTHER
1 OWNER / APPLICANT INFORMATION limummilmmumwminal7
0 OWNER: 0 APPUCANT:
PHONE FAX: PHONE: FAX:
.
ADDRESS: ADDRESS:
e CITY.ST E,ZIP CITY,STATE,ZIP
0 CONTRACTO Ji 11 JL 4, _lid 11.4 4 , ❑ ARCHITECT:
I
PHON /a. '� Ii i. ✓ /i .11 PHONE: FAX:
ADDRESS: /i ti.AIVA t4i.,ditit ADDRESS:
qqC IT
$TATE,ZIP CITY.STATE,ZIP
WA ST CONTRACTOR LICENSE 1� �/�, j, I .sp CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: : 30%SLOPES ON PROPERTY: N D MAIN FLOOR SO FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2ND FLOOR SO FT: �
BUILDING DIMENSIONS 5��)� 'r2, //.CONSTRUCTION TYPE: UNFIN BASEME �/ / s
NUMBER OF STORIES: I STRUCTURES ON PROPERTY: NO FINISHED BASEM _
NUMBER of BEDROOMS: 3 CRITICAL AREAS: IA- GARAGE: Lb
FLANKING SETBACK: CURRENT PROPERTY SIZE: VA-Cm-An-
I/I? 12g COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: VAC DECK:
REAR SETBACK: CURRENT SEPTIC USE: /0fk I 2A/6441)4
LEFT SETBACK: CURRENT WELL USE: A Q
RIGHT SETBACK: IMPERVIOUS SURFACE AREA: 7 0LCL'UL,1. 0
she
docValley PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: 509 688-0036 Fax- 509 • 1137
REQUIRE D SITE INFORMATION
� � -STREET ADDRESS: 37
ASSESSOR'S TAX PARCEL N MB `(S):
LEGAL DISCRIPTION: . -- ,)!X
PER DESCRIPTION: j,,%
UILDING PERMIT (!CHANGE IN USE 0 GRADING ❑MANUFACTURZD HOME
�RELO(:ATION la SIGN 0 TENANT (]-OTHER
OWNER / APPLICANT INFORMATION
OWNER: 0 APPUCANT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
CITY,ST• E,ZIP CITY,STATE,ZIP
CONTRACTt I1�AJ�6�Ld —41/-41/ ARCHITECT:
�Lr
PHON /I i 1 i. Sr. .1; PHONE: FAX:
ADDRESS: / �iriti a/i.1`[, ADDRESS:
C ..$TATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR UCENSE Jt � CONTACT:
PERMIT/BUILDING INFORMATION 1
COST OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2ND FLOOR SQ FT:
BUILDING DIMENSIONS: CONSTRUCTION TYPE: UNFIN BASEMENT: U
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE:
FLANKING SETBACK: CURRENT PROPERTY SIZE: COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: DECK:
REAR SETBACK: CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE: 1171-4
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
' 400"\•• .
'' Stio1{2/le . •
" alley
METv
CHANICAL PERMIT APPUCATION
PRDOJEs: / 3O5 ( .7yr PU ,
OWNER: PHONE(Daytime Contact):
MAILING ADDRESS:
•
co oR ;street) (city/state) -(zip)
f W E J-I-E - 11710 &C)
MAIUNG AD SS: PHONE it:
148 -- 1445- •
401°1 6', eiziGfiG,a1 }4c4it-L_,_.___________L___q_1 _7
(street) (city/state) (ziP)
DESCRIPTION OF WORK it 0f UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE as OR<100,000 J X $15 =
2 FUEL BURNING APPLIANCE >100,000 X $19 =
3 UNLISTED APPLIANCE(ADO ONAL FEE) =OR4400,000 X $50 -
4 UNLISTED APPLIANCE(ADDITIONAL FEE) *400,000 X $100 =
5 USED APPUANCE(WSEC min.AFUE rating) =OR<400,000 X $50 =
6 USED APPUANCEEWSEC rah.AFUE rating) >400,000 X $100 a .
7 BOILER/REFRIGERATION 1-100M BTU X $15^ _
8 BOILER/REFRIGERATION - 101.500M BTU X $28 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 =
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 =
11 BOILER/REFRIGERATION, +1750M BTU X ._
12 •S LOG,GAS INSERT,GAS FIREPLACE I - ., X , $10 =
13 RANGE - X $10 s
14 DRYER - / X $10 =
15 FUEL BURNING WATER HEATER - / X $10 =
16 MISCELLANEOUS FUEL BURNING APPL - X $10 =
17 GAS PIPING(ea.Outlet) - X V . =
18 DUCT SYSTEMS - X $10 =
19 VENTILATING FANS - ,4 X $10 =
20 AIR HANDLER(DOES NOT include ducting) aOR<10,000CFM X $12 =
21 AIR HANDLER(DOES NOT Include ducting) >10,000CFM X $19 =
22 EVAPORATIVE COOLERS - / X $10 =
23 TYPE I HOOD - X $50 =
24 TYPE II HOOD - X $10 =
' 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X .$12 is
26 MR CONDITIONER 3-15 TON I X $20 =
27 AIR CONDITIONER 15-30 TON X $25 =
28,• R CONDITIONER 30.50 TON X $35 =
29 MR CONDITIONER +50TON X $60 ii
30 LPG STORAGE TANK - • X $10 - _
31 WOOD OR PELLET STOVEIINSERT - • X - $10 =
32 WOOD STOVE-FREE STANDING _ - •
X *-ii ,: _ -
- ! SUBTOTAL
lvrC1H R-..1t.
0 CASH 0 CHECK 0 1111111111.1 0 t PLUS PROCESSING
FAXED FERMITSvat max anACca�writ PAYEExr FEE - $35.00
OFA MAJOR CREDIT CARD
TOTAL PERMIT FEE
DATE: • EXPIRES: DUE
BANKCARD NUMBER:
e`
/....).... ,
•
AUTHORIZED SIGNATURE:'
S of .
401000 I1ev
. PLUMBING PERMIT APPLICATION
PRRMIT
ADDDRESS: /... OLT- (�/ ' A-V r-, USE:
OWNER: PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ziP)
AK. -L'CIOR: Y / / LICENSE#: cit.p
4 19 9 P '
MAIII ADDRESS: ONE#: . &);? _ 4b1 7q
70 : )7t '
� �`�iR/�
(street) (city/state) (zip)
PLUMS/NG FIXTURES
DESCRIPTION DETAILS #of warsX COST EQUALS - AMOUNT
1 TOILETS • WATER CLOSET,BIDETS X $6 8. •
2 URINALS - X $6 =
3 TUBS X $6 •
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT a X $6 = -
5 SINKS LAVS/BASINS,BAR,FLOOR, X $6
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD, _
PREP/CULINARY/MEAT =
6 DISHWASHER ) X $6 =
7 CLOTHES WASHER / X $6 =
8 GARBAGE DISPOSAL S , X $6
9 WATER SOFTENER X $6 =
10 ELEC HOT WATER TANK NOTE:IF GAS SEE MECHANICAL X $6 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, $6
CONDENSATE / X =
12 FOUNTAINS,DRINKING X $6 =
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION, X $6
WASTE,VENT, REPAIR,REVERSALS
. PLUMBING REVERSAL = .
14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 =
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, X $6
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLER 3 _
C
16 CROSS CONNECTION VACUUM BREAKER,CHECK • X $6
DEVICE VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS I =
17 SPRINKLER SYSTEM J X_ $25
18 INTERCEPTORS GREASE TRAP,SAND TRAP, ' ' $6
CHEMICAL HOLDING TANK X • _
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 =
20 MISC PLUMBING FIXTURE •
X $6 =
-
-.-.77:i.
SUBTOTAL .
❑ CASH ❑ CHECK 0 IIMIUMMINI 0 --% "`1 PLUS PROCESSING
FAXED PERMITS Will.ONLY BE ACCEPTED WITH PAYMENT $35.00
OFA MAJOR CREDIT CARD FEE
TOTAL PERMIT FEE
DUE
DATE: :or V'" •
BANKCARD NUMBER: • •
Vriar�'� -
AUTHORIZED SIGNATURE: W�
. � F'Atat 1�L
LEXINGTON HOMES
ty04,�Gal 2004 07:26 5098921208 TO 8921208 P•02iO3
' APR 02 2004 11=13 FR
DEPARTMENT OF COMMUNITY D£vELoPMENT
CITY... . op�e CURRENT PLANNING
ADMINISTRATIVE EXCEPTION
40000VaIk
+ APPLICATION AND DETERMINATION
PART I
APPLICANT: _ ► Ti ■ , A.
MAIL NG DRE86: �D ��I/� �"f+ , L�
STATE: � Ila _ZIP fNI Ari
°v _ : iI
PRONE:
_15
PRONE:(BONE) (w09E (CELL)
NOTE:IF AF LTCA T IS NOT TRE OWNER,viauDzwarrEN
f- O ER ATTIIROR ATLON FROM ' L OAL R BELOW
i& -1b
6n) � ��-, ZTomig,
LEGAL OWNER: i(+ '? 1-0 7-- f �
MAILING ADDRESS:
CITY:
STATE: ZIP:
PRONE:()tOME) l L 1 j I^ (woi ) (CELL
TAX rARCEL NO: `4 5, '"1 , g.(0 O7 STREET ADDRESS OF SITE: 0„-4,
LEGAL DESCRIPTION: ! !L •
alms TOWNSx1P RANGE
ZONING CLASSIFICATION: U - COMPRERENSIVE PLAN CATEGORY:
TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: I A.
v• L LI E --
I IE, • ' D T a/A , O ' Pr Co • Nb'
EXPLAIN REASON FORREQTES'T: d DP ! 1 AP El-) � u) 1 T L!------
4 D RI-- ► P-*--. • 4 • ,.,F.' A .R 1►
E-1- 15 4ACK ■ _____ .`�C-iCi 3L. + d P rn `
_ ! Elm ii : � b. = G ti IP
I I 4 . 6 • - /' ' 'P• ► 4 , el 41,
^` L4 t t----r- -1-1-* ' - '
AB SECTI I�9 OFZANII�I i I ;
\/ Nam: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL)3E INCLUDED WITH THIS APPLICATION
•
5098921208 PAGE.02
PAC*. b�
-04/027'2004'2004 14:04 5098921208 LEXINGTON HOMESp,g3iO3
t i TO 8921208
RPR 02 2004 1113 FR
PART IV
DETERMINATION
rile No: AE- I a- J
The Department of Community Development finds that e and all actio provided
b the regelapplic dont es
required
e es not
compliance with the City of Spokane Valley Zoning
adverse affect ou the adjacent properties nor the public's general health,safety and welfare.
The Department of Community Developmen approve /denies this"Administra ive Ex0 emption"f theZoning Code.as ed
below,for the property described in Part 1,p • Sections 14.506.000 an
d This ad i nistrative exception is subject to the following conditions of approval:
1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future
property owners, heirs or any successor in.interest to the property subject to the conditions of approval
contained herein.
2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code.
3) The applicant shall comply with all applicable development regulations and standards.
4) The applicant and property owner shall comply with the following additional conditions:
� 1>-uk � C .
SF0� —0a l fir{e� 0A -
This administrative exception is hereby appr ved this day of vt � .20d/
Approved by: Title: U.L.t''t O� t
Under Section 14.412.041 of the City Zoning Code,any person aggrieved by this administrative determination has
the right to appeal this administrative decision to the City of Spokane Valley Rearing Examiner. An appeal must
be filed by submitting the appropriate appeal application together with the required fee to the Department,of
Community Development Current Planning,within fourteen(14)calendar clays alter the decision is issued. Upon
receipt of a complete appeal application,a public hearing will be scheduled.
For information or questions,please call(509)921-1000 RcV 6/03
** TOTAL PAGE.03 **
5098921208 PAGE.03
BBA 1' - _ - 5' sideYard
setback
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Gas/Flet __= = _�`- - - 7
N �----'29.5 -
1 I
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1 IGarage
1
Driveway i 1
I � I
1
ss ' 1
' 78'-2" 1 20'
,� s / 1
`26'-2" , /
men %/60'-55" 1
Base
Se's' House 1
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25'3\dg" ' o
1 V
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12„
ADDNE SS? ��- / 3 i
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ROAD WIDTH 3O' ` `n
FRONT
F KIfIMG \ I
COMMENTS I _ " >- 1
REVIEWED BY WA
cc
5' b I
N I
I
20'
this site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. AN known property
litres/dimensions,curb lines.structures and saeaplents
have • identified. Also indicated are wetlands,s
bodies ter, steep7 otter critical areas.
Signed: i Y
Date: 1 3 3 f- 0 4
Lexington Homes
13025 E. 37th
Pine Rock Rdg .
Lot 7, Block 6 SCALE: 1 " = 20'
04/02/2004 14:04 5098921208 LEXINGTON HOMES rAUL e4
B114�4 5'Sid�� ck etba
S.
8 9^-7 _
Nt
Gas/Flet -" 2g'-5'1
m71.7.7.--1...:0.,
�` 1 •~ ~ i
4....______.
I
I ,
Garage I
i
I
Driveway ,
1 / I
/ .-'-
``",• `���5 /!, 78•-2" i4--20'
/ _kap / •I � �p
" / /• $ , � SV -
26-2 / if)F�IN Io, c
I q Fc- r�.,,S N -r`--1-h
:4,„ // i a 0 LTA" . ' 2 4.7` •
-
�ew" /' 60'-SS" i PP
�' 'citia 4,-
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�� I (1)`-/-0C d-{
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SsiZ92G S' ‘` House 1
1 u)
0\69• I
25 I I v
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12'X z3" V I
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a 1
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5' N I
I
20'
PLANNING Dom.APPROVED
BY: .,..-- /t4er---
DATE: 0: - 057_04
Lexington Homes
13025 E. 37th
Pine Rock Rdg . .
Lot 7, Block 6 SCALE: 1 " = 20'
Doo rwp 'DMXA 1-• a 50989212178 PAGE.04