2014, 08-25 Permit App: BLD-2014-2039 Residence tcf403/
Community Development Department • oject .(Staff Use Only)
' A Permit Center
11703 East Sprague AvenueSuite B-3 PERK
SCITY CX -
poane Valley, WA 99206
pOkane Tel: (509) 720-2540 PERMIT FEE:. A
Valley4000 (509)n 68 Fax: 688 0037 = InglV1liL�
permitcenter@spokanevallev.org
spokanevallev.org
CSV PERMIT CENTER
RESIDENTIAL CONSTRUCTION PERMIXJAPPUCATIOW-
02
NEW CONSTRUCTION ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS:16216 E 10TH LANE
ASSESSORS PARCEL NO.: /52-u3 . 3 s.-.0 3 LEGAL DESCRIPTION:L3B2 SHELLEY LAKE 5TH
BUILDING OWNER NAME:
NAME:LINDSEY CONSTRUCTION
ADDRESS:PO BOX 30792
CITY:SPOKANE STATE:WA ZIP:99223
PHONE:509-568-1013 FAX: CELL:509-879-3420
CONTACT NAME:GREG
PHONE: FAX: CELL:
CONTRACTOR NAME:LINDSEY CONSTRUCTION
MAILING ADDRESS:PO BOX 30792
CITT:SPOKANE STATE:WA Zip:99223
PHONE:509-568-1013 FAX: CELL:509-879-3420
CONTRACTOR LICENSE NO.:LINDSC066OW EXPIRES: CITY BUSINESS LICENSE
NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CONSTRUCTION OF ONE SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE
****YOU MUST COMPLETE THE FOLLOWING****
MARK K N/A IF NOT APPLICABLE
Height to Peak: it Dimensions:5-z No. of Stories: , (� Total Habitable /
( Z- Space:
Main Floor SQ FT: ,- ' Upper Floor SQ FT: Q / Unfinished Baseme SQ Finished B cement SQ
_ �'X I(O FT: FT: 0
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on
U/;,gy, FT:
2-6 Area: Property:
No. of Bedrooms: � 3 Construction Type: Heat Source: eAtc Sewer or Septic: S6G"
TOTAL COST OF PROJECT: $ /7c022
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
ated 1-T1-11 Page 1 of 2
http://www.spoka neva I ley.org/fi lestorage/124/938/210/948/1496/2743/Res_Permit.doc