1999, 12-07 Permit App 99011644 Residence, Garage Project Number: 99011644 Inv: 1 Application Date: 12/07/19 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: LEXINGTON HOMES
AIR GAS Address: 12218 NEZ PERCE LN
Setbacks:FronttO Left:5 Right(7 Rear:a C-S-Z SPOKANE WA 99206
Phone: (509)924-1519
Site Information: mar am Aegrv.Anw. Aveg . 4.: : ' .:
Plat Key: 005619 Name: THE GREENS AT MIDILOME (3. ca District: F
Parcel Number: 45333.9161PTN
SiteAddress: 3941 S EAGLE LN Owner:Name: LEXINGTON HOMES INC
SPOKANE,WA 99206 Address: 12218 E NEZ PIERCE LN
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: 999 UNKNOWN Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: 7 "MWMAMAAAMMAMigAt AAARAMMAAMAMMAMMAmA,AWAMM.. Y ;A:. W FONWAs.X.,VONMYIWKW:
Department Review
BUILDING Site Plan Review e K
Comments: -CnC
Atccu'\ ivPat...Lee
BUILDING Plan Review 7.2/07
Comments: /
ENGINEER Approach/Drainage 01('' g
Comments: _
UTILITIES Sewer Review
Comments: F(Ot_(J 1`oYL C Tt
G fiCi/l/I �
Permits: ��� � _s - � :m�._. �_ <� 7..:.,�
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Project Number: 99011644 Inv: 1 Application Date: 12/07/19 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: 12218 E NEZ PERCE LN Phone: (509)922-9870
SPOKANE,WA 99206
Building Characteristics
Const Category: New
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 20 Stories: 1
Bldg W x D: 0 x 0 Building Sq Ft: 2803 Sprinklers:
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,380 $15,952.80 1,380 $15,952.80
DECK R-3 VN 80 $588.80 80 $588.80
GARAGE U-1 VN 672 $8,064.00 672 $8,064.00
RESIDENCE R-3 VN 1,423 $88,226.00 1,423 $88,226.00
Totals: 3,555 $112,831.60 3,555 $112,831.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $960.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $211.20
Permit Total Fees: $1,175.70
Mechanical Permit
Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES
Address: 12218 E NEZ PERCE LN Phone: (509)922-9870
SPOKANE,WA 99206
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 6 NUMBER OF $60.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Project Number: 99011644 Inv: 1 Application Date: 12/07/19 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: S T PLUMBING Finn: S T PLUMBING
Address: 13626 S WALKER LN Phone: (509)299-7811
MEDICAL LAKE,WA 99022
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
SHOWERS 1 NUMBER OF $6.00
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
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $114.00
Payment Summary: .. WT � :�. .:- . . :. .,. m
Operator: RMB Printed By: RMB Print Date: 12/07/1999
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,175.70 $1,175.70 $0.00 $1,175.70
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$1,384.70 $1,384.70 $0.00 $1,384.70
Notes .rm: a —.',..,—.....VP'a ...,. . m` 67.° ,r11,, "£T lfre,4 - , :,,V_ te r;;. ,n,e .: ...,`'`:...: N .=1 MINOR
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Spokane County
Public Works Department
Divison of Building & Planning
Receipt
Receipt Number: 10843 Customer Number
Projects
Full
Project Nbr Inv Nbr Fee Amt Inv Amt Owing PAID Pint
99011644 1 $1,384.70 $1,384.70 $1,384.70 $1,384.701
99011645 1 $100.00 $100.00 $100.00 $100.00
Total: $1,484.70 $1,484.70 $1,484.70 $1,484.70
Miscellaneous Items
Total PAID: $1,484.70
Tender
Type Check Acct Balance CC Nbr Exp Date TENDERED
VISA 447017440004775 01/1999 1,484.70
Total TENDERED: 1,484.70
Over /(Short) $0.00
Change $0.00
Notes:
Trait Date/Time: 12/10/1999 2:16:59 PM
By: GWendel
Login; User: gwendel
Station: GWENDEL
Override By:
Printed: 12/10/1999 2:17:26 PM Page 1 of 1
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114.�• ,.tc.- *: :,s•. C O U N T Y
UTILITIES DIVISION A DIVISION OF THE PUBLIC WORKS DEPART\IEJNT
N.Bruce Rawls,P.E..Utilities Director
.GENERAL FACILITIES CHARGE (GFC) .
•
' •• PAYMENT OPTION SELECTION RECORD •
Date: /2---C'�1% Parcel No(s):
Site ,Address(es): 7 / bWoi-c_
Builder Name: L ,k(WW7or✓ /%r•+ri=s l/,,e. OR Owner Name:
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division cf Utilities
› cl.k
2. ( ) GFC payment in 24 equal monthly payments upon establishment cf Sewer Billing Account.
Complete one of the following statements.
understand that I will
a. Owner's Statement: I, _
be billed for the applicable GFC amount in 24 monthly installments. Me monthly GFC
installments will b added to my monthly sewer service charges.
/2 - '—
,e. iCn2tura Date
Builder's Statement: I, . understand that
because I am selecting this option for payment of the GFC, that the purchaser cf the hcme will
be responsible for payment of the applicable GFC in 24 equal monthly installments. I agree to
formally disclose to_potential buyers cf the property that the GFC charges will be added to the
monthly sewer service billings as soon as billing comments.
Builders Authorized Representative's Signature Date
Spokane County, GFC Payment Option Form
Division of Utilities Revised 1/26/99
102.6 W. Broadway • Spokane. WA 99260-0130 • (509) 477-3604 FAX: (509) 477-4715 TOO: (509)324-3166
� DaveNerr�n.
12/07/99 TUE 09:19 FAX 8921208
This site plan Is being submitted for the purpose of
obtaining a building permit and Is a true and correct
representation of the proposal, All known property
lines/dimensions, curb lines, structures and easements
h b "d tiff d A�so ' A�at' 1 d
ave een i en a a wet an s,
bodies of water; p critical areas. ..
Signed_
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