2004, 06-11 Permit: BLD-04-04597 Residence0:=01\e,
�, . Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOTA PERMIT
Penalties will be assessed for
' commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 1206 S LLOYD ST
SPOKANE VALLEY WA 99212
Description:
Subdivision:
Owner:
Applicant:
Address•
Contractor:
Address:
Application #: BLD -04-04597
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
LINDSEY CONSTRUCTION CO
LINDSEY CONSTRUCTION CO
PO BOX 30792
SPOKANE, WA 99223
LINDSEY CONSTRUCTION INC
PO BOX 30792
SPOKANE WA 99223
Lot:
Blk: Parcel No:
Phone: (509) 879-3420
Phone:
Lic No:
(509) 879-3420
LINDSCI066OW
Applied:
Issued:
Expires:
Zoning:
06/11/2004
12/08/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
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)
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
sfr
91560
18
30 X 60
1
3
25
44
5
15
r-3
5-n
1
50 X 137
no
no
2
2
3
1
1
1
3
1
1
1
2
4
1
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
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
...ret. 1- -
O,
I
Building
Planning
Public Works
twit
THIS IS NOT A RECEIPT
375.10
937.75
4.50
12.00
12.00
18.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
2.00
40.00
12.00
1,484.35
0.00
1,484.35-3 O
• S ji s3y--371S
sE'VIEWEE FOR VALLEY ODF-COMPLIANCE 1rN
19 401-
Wiircabfr
0406)48
/ Spbkaniee
.00,$ Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 1206 S LLOYD ST
SPOKANE VALLEY WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address.
LINDSEY CONSTRUCTION CO
LINDSEY CONSTRUCTION CO
PO BOX 30792
SPOKANE, WA 99223
LINDSEY CONSTRUCTION INC
PO BOX 30792
SPOKANE WA 99223
Lot:
Blk: Parcel No:
Phone: (509) 879-3420
Phone:
Lic No:
(509) 879-3420
LINDSCI066OW
Permit #:
Applied:
Issued:
Expires:
BLD -04-04597
Zoning:
06/11/2004
09/14/2004
03/13/2005
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
Fees:
sfr PLAN CHECK FEE
91560 BASIC PERMIT FEE
1 DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
1
3
1
1
1
2
4
1
18
30 X 60
1
3
25
44
5
15
r-3
5-n
1
50X137
no
no
2
2
3
1
Total Due:
375.10
937.75
10.00
10.00
2.00
40.00
12.00
4.50
12.00
12.00
18.00
6.00
6.00
6.00
18.00
15.00
1,484.35
1,484.35
0.00
THIS IS NOT A RECEIPT
Name
,,,,�SValley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04597
Disclaimer:
The permitee verifies, acknowledges and agrees bytheir 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.
L�,rOdCe&I PULA2— ,AOI
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
q -/x-09
Date