2006, 11-13 Permit App: 06004485 Water PipingPermit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwwspokanevallev.ora
Plumbing Permit Application [}
. Valley
SITE ADDRESS: 7 E O
r-:
! lV ' z 200
Commercial
PERMIT NUMBER: 44/35-
PERMIT
4/3S
PERMIT FEE:
-4/
Residential
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Building Owner (s 4, o r / e. SLS ilz Z 4�/.�."
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Name:
Phone:
Fax:
Address: 7 so i r r_ r e <. 1-
City: p0�1/` d��
State: ��i
Zip:
Contractor
C O u e(. `416
Name:
L.-Ol`he( ,rfA(/'� 6 �
Phone:
Fax:
Address: /',
City:
State:
Zip:
License No: c U u R c c 0 le/re--7
City Business Lic:
Contact C rr � ak, / )
I Yl� �,�-
L.)(i. 0 CJ
Name:
Phone: q�S ^. r G, �;
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DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
5
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON-SITE BUILT
X
$6.00
LAVS/BASINS, 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
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH
Card#
❑ CHECK ❑ VISA ❑ MC
/EXPIRES.
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
o )
PROCESSING FEE
TOL PERMIT FEE DUE:
$35.00
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SSoKANF CotNry
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 7305 E GIRARD CT
Parcel Number: 35131.0510
Subdivision: PARK ROAD ADD
Block: Lot:
Zoning: AGS
Owner: SALTZMAN, LAURIE
Address: 7305 E GIRARD CT
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Information
1
Project Number: 06008115 Inv: 1 Issue Date: 11/8/2006
Permit Use: SEWER CONNECTION - PARK ROAD
Applicant: COURCHAINE CONSTRUCTION
19818E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
1
Permits
1
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
SEWER CONNECTION 1
License#: COURCC*181R7
$85.00 PROCESSING FEE
Total Permit Fee:
1 $15.00
$100.00
COVER.FOR SEWER INSPECTIONS CALL 09) 477-3604 FROM 8:30-5:00
AY -FRIDAY PRIOR
ONE WORKING DAYOT THE UTILITIES DEPT AT S EQUIRED. PERMITALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONALO
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
1
Payment Summary
1
Total Fees
$100.00
AmountPaid AmountOwinq
$100.00 $0.00
Tran Date
11/8/2006
Processed By: CUMMINGS, KATHY
Printed By: HINTZ, FAITH Page 1 of 1
Receipt # .
6453
Pa
ment Amt
$100.00
PERMIT