2012, 07-02 Permit: BLD-2012-1012 Medical Gas OutletsValley®
Permit Center
11703 E Sprague Ave Suite B3 Spokane Valley WA 99206
509.720 -5240 • Fax: 509.688.0037 • email: permitcenter@spokanevalley.org
BLD- 2012 -1012
PROJECT NAME:
SITE ADDRESS: 12509 E MISSION AVE SPOKANE VALLEY
BLD -COMM -TRADE
ISSUED: 07/02/2012
EXPIRES: 12/29/2012
PARCEL: 45103.0258
APPLICANT: WATERS PLUMBING INC
14703 N MCKINNON CT
MEAD, WA 99021
509 - 995 -6430
GENERAL CONTRACTOR:
OWNER: RAMEY CONSTRUCTION
12509 E MISSION AVE
SPOKANE VALLEY, WA 99206
WATERS PLUMBING INC
14703 N MCKINNON CT
MEAD, WA 99021
509 - 995 -6430
License: WATERPI943J5
Expires: 04/25/2014
VALUATIONS:
Total:
FEES: Paid Due
Plumbing Permit $277.00 $0.00
Total Due:
$0.00
FIXTURES
Qty Mechanical Fixtures Qty Plumbing Fixtures
40 Medical gas outlet
Qtv Electrical Fixtures
REQUIRED INSPECTIONS
Final Plumbing Inspection
CONDITIONS
* Installation of Medical Gas and Vacuum Systems shall be all requirements of Chapter 13 UPC and Washington State
Amendments WAC 51 -56 and WAC 51 -57. A record of as -built plans and valve identification record shall remain on the site
at all times.
* Labeling and identification of all medical gas piping shall be in accordance with UPC. 1323
* Testing and Certification:
All testing shall be conducted per Section 1327 UPC.
Prior to any medical gas system being placed in service, each and every system shall be certified by a approved third party
as described in Section 1328.2 meeting ANSI /ASSE certification standards.
Printed: 07 -02 -2012 16:44:08
Page 1 of 2
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the
property owner or an authorized agent of the property owner. It is the responsibility of the applicant/permitee that the use described on
the front of this permit complies with applicable codes and that required inspections are requested. Failure to request inspections as
listed below and obtain the necessary approvals before progressing beyond the point where inspections are required and may
necessitate removal of certain parts of the construction are at the applicant's /permittee's or property owner's expense.
At a minimum, the following inspections ARE REQUIRED by the Spokane Valley Municipal Code (SVMC):
FOOTING - when forms and reinforcements are in place and prior to placement of concrete -all structures, including manufactured
homes.
NOTE: This inspection includes review of the structures setback from property lines. Minimum setbacks are established by SVMC.
Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback
provisions lies solely with the permitee- neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure.
Failure to properly locate the structure may require its relocation at the owner's /permittee's expense.
FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING - after rough -in, before covering and final.
MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment and final.
FRAMING - after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and
prior to concealing.
FINAL - when complete and prior to occupancy and /or use; all permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the
approved site plan) required by ordinance or as a condition of approval of this permit. Items such as installation of fire hydrants,
fire department access, on -site drainage 1208' swales), road improvements, parking and landscaping are common requirements of
a permit/site plan which must be completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES - final inspection required when complete, stairs, handrails, skirting, etc. installed and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS - prior to cover
RIGHT -OF- WAY /APPROACH - prior to placement of concrete / asphalt or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc.,
must be inspected prior to cover. Check with the Building department for special inspections in conjunction with commercial projects.
State law RCW 19.122 requires that prior to any excavation the 'CALL BEFORE YOU DIG' center must be notified. Call 411 at least 3
working days in advance.
PERMIT EXPIRATION AND REFUNDS
Expirations:
Building or other permits (regulated under SVMC Chapter 24) shall expire by limitation and be declared void if a) work is not started
within 180 days of obtaining a permit, or b) work is abandoned for 180 days or more after beginning work, or c) after two years from the
date of permit issuance, regardless of whether the work is finished. If a permit is expired for time, a new permit may be obtained for
half the permit fee based on the value of the remainder of the work required to finish the original permit.
Right -of -way permits (regulated under SVMC Chapter 22) issued between April 1, and September 30, are valid for 30 days after the
date of issuance, with a one -time 30 -day extension available. Right -of -way permits issued between October 1, and March 31, shall be
valid until the following April 30.
Refunds:
All refund requests must be made in writing by the original permitee to the Building Official no later than 180 days after the date of fee
payment. Full refunds will be granted for any permit issued in error. Rate of refund shall be as set forth in the City of Spokane Valley
Master Fee Schedule in effect at the time of permit application. A copy of this schedule is available at Permit Center and also available
for reference on the city website at: http: / /www.spokanevalley.orq and search for "fees"
Owner /Agent Date:
Staff Approval Date:
ON.
Permit Center
�j �4� ] 1703 E Sprague Ave, Suite B -3
Valley
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
Community Development w�iw.sookanevalley.ora
Plumbing Permit Application
n COPY
Commercial
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PERMIT NUMBER:
PERMIT FEE: f t 77, 0 0
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SITE ADDRESS:
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Name:
Address:
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Name:
Phone:
Fax:
City:
State:
Zip:
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R HEATER
NOTE: IF GAS. SEE MECHANICAL
11 FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
12 ROOF DRAINS /OVERFLOW DRAINS
13 FOUNTAINS, DRINKING
WATER PIPING/DRAIN -IN WASTE,
14 VENT. PLUMBING, REVERSAL
15 SEWAGE EJECTOR
18
WATER USING DEVICE
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
17 CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P,B,P.D. FOR: VATS, TANKS,
BOILERS
18 INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
19 MEDICAL GAS (per outlet)
20 MISCELLANEOUS PLUMBING FIXTURE
NITROUS, OXYGEN
21 PRIVATE SEWAGE DISPOSAL/SYS
22 INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
CASH p CHECK VISA ❑ MC
Card _ ' REDACTED., �.
AUTHORIZED SIGNATURE:
REVISED 8/26)05
EXPIRES.
$6.00
PR' :,CESSING FEE
TOTAL PII.RMIT FEE DUE:
This document contains confidential credit card information
and has been redacted pursuant to RCW 42.56.230(5).
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
- BUQDlPv O!VfSieO. M
r
DESCRIPTION OF WORK
I 4 OF UNITS
I X
1
TOILETS
WATER CLOSET, BIDETS
COST
_ =
TOTAL AMOUNT
X $6,o0
=
2
URINALS
X $6,00
=
3
TUBS
X $6.00
4
SHOWERS (PER TRAP)
BATH, STALL. ON-SITE BUILT
X
$6.00
= '
5
SINKS
'
LAVSIBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
$6,00
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X l
$6.00
= •
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER •
X
$6.00
=
R HEATER
NOTE: IF GAS. SEE MECHANICAL
11 FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
12 ROOF DRAINS /OVERFLOW DRAINS
13 FOUNTAINS, DRINKING
WATER PIPING/DRAIN -IN WASTE,
14 VENT. PLUMBING, REVERSAL
15 SEWAGE EJECTOR
18
WATER USING DEVICE
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
17 CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P,B,P.D. FOR: VATS, TANKS,
BOILERS
18 INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
19 MEDICAL GAS (per outlet)
20 MISCELLANEOUS PLUMBING FIXTURE
NITROUS, OXYGEN
21 PRIVATE SEWAGE DISPOSAL/SYS
22 INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
CASH p CHECK VISA ❑ MC
Card _ ' REDACTED., �.
AUTHORIZED SIGNATURE:
REVISED 8/26)05
EXPIRES.
$6.00
PR' :,CESSING FEE
TOTAL PII.RMIT FEE DUE:
This document contains confidential credit card information
and has been redacted pursuant to RCW 42.56.230(5).
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
- BUQDlPv O!VfSieO. M
r