2004, 04-15 Permit: BLD-04-04083 ResidenceSCETF Ylr�1�►�
pa 11riri11
.0,,I. Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 1302 S CUSTER ST
SPOKANE VALLEY WA 99212
NEW RESIDENCE W/ATTACHED GARAGE -GAS
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
LINDSEY CONSTRUCTION CO
LINDSEY CONSTRUCTION CO
PO BOX 30792
SPOKANE, WA 99223
LINDSEY CONSTRUCTION INC
PO BOX 30792
SPOKANE WA 99223
Application #:
Lot: Blk: Parcel No:
Phone: (509) 879-3420
Phone:
Lic No:
(509) 879-3420
LINDSCI066OW
Applied:
Issued:
Expires:
BLD -04-04083
04/15/2004
10/12/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
sfr
89680
30 X 60
1
3
25
15
7
31
r-3
5-n
1
68 X 99
RESIDENCE
no
no
2
2
3
1
1
1
3
1
1
1
2
1
5
1
h
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
De o its eipts:
REVIEWED FOR C ill
r . Total Due:
BUILDINGS: gyp,? DATE.
369.50
923.75
4.50
12.00
12.00
18.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
2.00
10.00
50.00
12.00
1,484.75
0.00
PLANNING: f, DATE:
DTE: ZJli Jam' ��Li
.�
rE: I
ENGINEERS:
FIRE . 1ST ICT:
UTILITIES:
/1,484.75
50.00
53 4,76
I
'OTH
THIS IS NORECEIPT
qTV OF 4••"44.,
Spoane
.0,,I• Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04083
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 issyd permit inure to theZ(57/,,,/
property owner.
1/146'd(itr
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date