2004, 10-15 Permit: BLD-04-07925 ResidenceStkikane
Walley
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: 1212 S LLOYD ST
SPOKANE VALLEY WA 99212
Description:
Application #: BLD -04-07925
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision: Lot:
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
BIk: Parcel No:
Phone: (509) 879-3420
Phone:
Lic No:
(509) 879-3420
LINDSCI0660W
Applied:
Issued:
Expires:
Zoning:
10/15/2004
04/13/2005
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
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,0
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
HEAT PUMP/AIR COND 0 - 3 TON
sfr
103395
20
42 X 39
2
3
20
41
8
5
r-3
5-n
1
65 X 100
no
no
3
2
4
1
SPcomED FOR COpE
6P0!fA lit
.%VALLEY BUIL
1 t1
3
5
1
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
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
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
Deposits/Receipts:
Building
POKANE VALLEY
FOR SUBMITTAL C � __. _ 5"0
�(og3.11�
406.46
10.00
1,016.15
4.50
18.00
12.00
24.00
6.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
3.00
50.00
12.00
1,643.11
0.00
Ettal Due: 1,643.11
Jnitials / Date
Planning. / Dkfriv
Public Wores_QQf 1) - nq-
THIS IS NOT A RECEIPT
Spokane
valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 1212 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
LINDSCI0660W
Permit #:
Applied:
Issued:
Expires:
BLD -04-07925
10/15/2004
10/20/2004
04/18/2005
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
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 (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
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
103395
1
1
1
3
1
1
1
1
3
5
1
1
20
42 X 39
2
3
20
41
8
5
r-3
5-n
1
65 X 100
no
no
3
2
4
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
BASIC PERMIT FEE
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:
406.46
10.00
10.00
10.00
10.00
3.00
50.00
12.00
1,016.15
4.50
18.00
12.00
24.00
6.00
6.00
6.00
6.00
18.00
15.00
1,643.11
1,643.11
0.00
THIS IS NOT A RECEIPT
*Wanes e�
jValley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Permit #: BLD -04-07925
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 suiting development rights granted by any issued perm: ' inure to th property owner.
Print Name
Staff Initials
M'! /JAi r,(r?A,
l l) —�
ignature Date
THIS IS NOTA RECEIPT