1999, 05-03 Permit App: 99003650 ResidenceProject Number: 99003650 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 25 Left: 9 Right: 6 Rear: 49
Site Information:
..:............................................
Plat Key: 005950 Name: SPRINGFIELD ADDITION 4 AU
Page 1 of 3
Contact: LONNIE LINDERMAN
Address: 4823 S KY MEADOW LN
C - S - Z GREENACRES WA 99016
Phone: (509) 891-0190
District:
Parcel Number: 45261.0000
SiteAddress: 1721 S ST CHARLES RD Owner: Name: LINDERMAN CONSTRUCTIO
Spokane, WA USA 99206 Address: 4823 5 SKY MEADOW LN
Location:: SPO GREENACRES WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Hold: 0
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Department
BUILDING
Comments:
Review
Site Plan Review
Plan Review
Comments -
e Ow, -(v
E GINEER Approach / Drainage
Comments:
UTILITIES
Perms
Comments.
44/r9 PA/A-2 f art
itkeetil
O - 70 St1 C' Fr/5.5 i q
Sewer Review
Project Number: 99003650 Inv: 1
$
Application Date: 5/3/99 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: LINDERMAN CONSTRUCTION
Address: 4823 S SKY MEADOWS
GREENACRES, WA 99016
Building Characteristics
Building Permit
Firm: LINDERMAN CONSTRUCTION
Phone: (509) 891-0190
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 61 x 42 Building Sq Ft:
Req Parking: Handicap Parking:
Building Height: 19
5282 Sprinklers: 0
Critical Materials: 0
This Application:
DescriptionGtr nEN Notes So Ft Valuation
8 r"i ( 725 $44,950.00
�'' EMEN'F-F lt•3 fir-- $35,948.56
BASEMENT U
GARAGE
RESIDENCE
R-3 VN 720 $8,323.20
U-1 VN C 720—) $8,640.00
R-3 VN-•I�SF� $96,472.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 6,002 $194,333.76
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: LINDERMAN CONSTRUCTION
Address: 4823 S SKY MEADOWS
GREENACRES, WA 99016
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Stories: 2
Total Project:
So Ft Valuation
725 $44,950.00
2,281 $35,948.56
720 $8,323.20
720 $8,640.00
1,556 $96,472.00
6,002
Fee Amount
$4.50
$301.40
$1,675.90
I ioao.oa
Firm: LINDERMAN CONSTRUCTION
Phone: (509) 891-0190
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$20.00
$30.00
$10.00
$10.00
$10.00
$115.00
Project Number: 99003650
Inv: 1 - Application Date: 5/3/99 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: LINDERMAN CONSTRUCTION
Address: 4823 S SKY MEADOWS
GREENACRES, WA 99016
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER SOFTENER
WATER USING DEVICES
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
Units
3
4
1
2
1
1
1
1
1
3
Printed By: JAS
Firm: LINDERMAN CONSTRUCTION
Phone: (509) 891-0190
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount Invoice Amount
81,675.90 $1,675.90
$115.00 8115.00
8108.00 8108.00
$1,898.90
81,898.90
Fee Amount
818.00
824.00
86.00
812.00
$6.00
86.00
86.00
$6.00
$6.00
818.00
Amount Paid
$0.00
$0.00
80.00
$0.00
8108.00
5/3/99
Amount Owing
81,675.90
$115.00
$108.00
.4410981e'
;1-7..5}, 1e -
UTILITIES DIVISION
N. Bruce Rawls, P.E., Utilities Director
•
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
Date: 3 `i 1 Parcel No(s): 4'2-( L"XX
Site Address(es):
12(Yso")
Builder Name: OR Owner Name:
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
I,ACO/ PAi0 c;
2. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements.
a. Owner's Statement: I, , understand that I will
be billed for the applicable GFC amount in 24 monthly installments. The monthly GFC
installments will be added to my monthly sewer service charges.
Owner's Signature _ Date
b. Builder's Statement: , understand that
because I am selecting /this option for payment of the GFC, that the purchaser of the home will
be responsible for payment of the applicable GFC in 24 equal monthly installments. I agree to
formally disclose to potential buyers of the property that the GFC charges will be added to the
monthly sewer service billings as soon as billing comments.
/. 'Builder:4Authorized Representative's Signature Date'
J
Spokane County,
Division of Utilities
GFC Payment Option Form
Revised 1/26/99
1026 W. Broadway • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 324-3166
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Pro -