2004, 06-11 Permit: BLD-04-04589 ResidenceSpokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address• 1210 S LLOYD ST
SPOKANE VALLEY WA 99212
Application #: BLD -04-04589
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
Applied:
Issued:
Expires:
Zoning:
06/11/2004
12/08/2004
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
TYPE II HOOD
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
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
91560
1
1
3
1
1
1
2
4
1
1
18
30 X 60
1
3
25
65
6
14
r-3
5-n
1
no
no
2
2
3
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
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:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building'
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
0.00
1,484.35
^' "^".ICD FOR CODE COMPLIANCE
;1n1'L'als /Date 1V UILD lDIVISION
D It
/.
Planning
Public Worksl'fl i,CrI 0W
o7l it ._ PbLlos -e6 3
THIS IS NOT A RECEIPT
Sp®kk" e�
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address• 1210 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 -04-04589
06/11/2004
08/24/2004
02/20/2005
Zoning:
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
TYPE II HOOD
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
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
91560
1
1
3
1
1
1
2
4
1
1
18
30 X 60
1
3
25
65
6
14
r-3
5-n
1
no
no
2
2
3
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
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:
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
.00.0Val1ey
ipv
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04589
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 permit inure to the property owner.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
"° �i_24—c7 1
Date