2003, 11-18 Permit: BLD-03-02611 ResidenceSpokane
Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
TYPE II HOOD
AIR CONDITIONER 3 - 15 TON
IMPERVIOUS SURFACE AREA
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
90070
1
1
1
0
3
1
1
0
1
1
3
1
4
1
1
4148
17
55 X 28
1
4
29
27
5
5
NA
r-3
5-n
65 X 100
RESIDENCE
no
no
2
2
3
1
Permit #: BLD -03-02611
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
AIR CONDITIONER 3 - 15 TON
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
372.30
930.75
10.00
10.00
10.00
3.00
10.00
40.00
20.00
4.50
12.00
12.00
18.00
6.00
6.00
6.00
6.00
18.00
15.00
1,509.55
1,509.55
0.00
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 ermit inure to the property owner.
Signature
Print Name
Staff Initials
THIS IS NOT A RECEIPT
Spokane
�,. Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
TYPE II HOOD
AIR CONDITIONER 3 - 15 TON
IMPERVIOUS SURFACE AREA
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
4
29
27
5
5
NA
r-3
5-n
65 X 100
RESIDENCE
no
no
2
2
3
1
1
1
1
0
3
1
1
0
1
3
4
1
1
4148
Application #: BLD -03-02611
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
AIR CONDITIONER 3 - 15 TON
J'7O(Lc6.0['-\
Total Calculated:
Dego its/Receipts:
Total Due:
404.22.
1,010.55
4.50
12.00
12.00
18.00
6.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
3.00
10.00
40.00
20.00
1,621.27
0.00
--1,621.27
15`O°.Ss
�ss5-
s17_,)--Th‘tiAAk
REVIEWED FOR CODE COMPLIANCE
S NE VALLEY BUILDING DIVISION
X-7 7/'3
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Planning
c'
P he W
Initials / Date
1
1
CCNU
Stiokane
Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
1307 S CUSTER
SPOKANE VALLEY WA 99212
NEW RESIDENCE W/ATTACHED GARAGE - GAS
LINDSEY CONSTRUCTION CO
LINDSEY CONSTRUCTION CO
PO BOX 30792
SPOKANE, WA 99223
LINDSEY CONSTRUCTION INC
PO BOX 30792
SPOKANE WA 99223
Lot:
Permit #:
Applied:
Issued:
Expires:
Btk: Parcel No: 35233.1202
Phone:
Phone:
Lic No:
(509) 879-3420
LINDSCI0660W
BLD -03-02611
Zoning:
09/29/2003
11/18/2003
05/16/2004
THIS IS NOT A RECEIPT