2008, 09-26 Permit App: 08003829 Mechanical/Plumbing FixturesProject Number: 08003829 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/26/2008 Page 1 of 2
Project Information:
AWRISSIM
Permit Use: 1 BOILER/FRID. 1 GS PP, 1 CROSS
CONNECTION DEVICE
Setbacks: Front
Site Information:
Left: Right:
Rear:
Contact: STANDARD PLUMBING & HEATING
Address: 10415 E TRENT AVE
C - S - Z: SPOKANE WA 99206
Phone: (509) 922-1717
Group Name:
Project Name:
Plat Key: 001865 Name: ORCHARD AVE ADD TR 1-228
District: Nort
Parcel Number: 45063.3108
Block:
SiteAddress: 8019 E LIBERTY AVE
Location:: CSV
Zoning: R-2
Lot:
Owner: Name: SOUTH HILL BAPTIST CHURCH
Address: 402 S COLEMAN RD
SPOKANE, WA 99212-0540
SF Res Suburban District
Water District: 002 ORCHARD AVENUE
Area: 26,011 Sq Ft Width: 81
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Hold: ❑
Depth: 167 Right Of Way (ft): 40
Review Information:
Review
Plan Review
Permits:
Released°:
Contractor: STANDARD PLG HTG
Address: 10419 E TRENT AVE
SPOKANE, WA 99206
Item Description
GAS PIPING
BOILER/REFER 101-500M BTU
PROCESSING FEE
Mechanical Permit
Firm: STANDARD PLG HTG CONTROL
Phone: (509) 922-1717
Units Unit Desc
1 # OF UNITS
1 NUMBER OF
1 SELECT
Operator: jmm Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$1.00
$20.00
$35.00
$56.00
9/26/2008
Project Number: 08003829 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/26/2008 Page 2 of 2
Plumbing Permit
Contractor: STANDARD PLG HTG Firm: STANDARD PLG HTG CONTROL
Address: 10419 E TRENT AVE Phone: (509) 922-1717
SPOKANE, WA 99206
Item Description
CROSS CONNECTION DEVICES
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$6.00
Notes
STOP WORK ORDER PLACED AT 8019 E LIBERTY AVE ON 10/22/97 NO PERMIT FOR
REROOF RAVEN ROOFING TIME: 11:22 GAK/TAB INVESTIGATION FEE REQUIRED (NEW
JERUSALEM CHURCH)
Payment Summary:
Permit Type
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$56.00 $56.00
$6.00 $6.00
Amount Paid
$0.00
$0.00
Amount Owing
$56.00
$6.00
$62.00 $62.00 $0.00 $62.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm Print Date: 9/26/2008
RECEIVED 09126/2008 10:30 5096880037 5V FENMil UtNItKrK
Sep 26 2008 10:28AM SPHC - Standard Plumbing 509-927-4448 p.3
.0.0Valley
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
germ itcentertbspokan eval ley.orq
N COMMERCIAL
PERMIT NUMBER:
PERMIT Fre:
(Staff Use Only)
PLUMBING PERMIT APPLICATION
RESIDENTIAL
SITE ADDRESS:8019 E LIBERTY, SPOKANE VALLEY, WA. 99212
BUILDING OWNER NAME: INDEPENDENT BAPTIST CHURCH
NAME:INDEPENDENT BAPTIST CHURCH
ADDRESS:SAME AS ABOVE
CITv:
STATe: ZIP:
PHON e: (509)892-1123
FAx:(509)892-5411 caLL:
CONTACT NAME:MAY
PHONE:
FAX caw
CONTRACTOR NAME:STANDARD PLUMBING HEATING CONTROLS
MAILING ADDRESS:10419 E TRENT
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PHONE:(509)922-1717 FAx:(509)927-4448 CELL:
CONTRACTOR LICENSE No.:STANDPH2340A EXPIRES: CITY BUSINESS LICENSE
No.: N a5 -7=N\ lcO *`ZI 1,1;6
Effective October 28, 2007 Page 1 of 2
C:\Documents and Settings \Dons\ Desktop\Spokane Valley Permit Forms\Plumbing Permit App.1.doc
RECEIVED 09/26/2008 10:30 5096880037 5V HtkMll (J.NItkrK
Sep 26 2008 10:28AM SPHC - Standard Plumbing 509-927-4448 p.4
DISC AIMER
The permkted verifies, acknowledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling Is wl
ll
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 PermR 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 thls application can be processed.
Signature
Date:9128/08
Method of payment: 0 Cash 0 Check
Bankcarc
Authorized Si • nature:
❑ Visa ® Mastercard
This document originally contained
card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to 505 DAN G52014-030.
Effective October 28, 2007 Page 2 of 2
C:\Documents and Settings\Dons\Desktop\Spokane Valley Permit Forms\Plumbing Permit App.l.doc
DESCRIPTION OF WORK
'
# OF UNITS
X
COST
•
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
58.00
=
2
URINALS
X
50.00
=
3
TUBS
X
58.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
$8.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR. KITCHEN,
LAUNDRY. UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
50.00
x
8
DISHWASHER
X
58.00
=
7
CLOTHES WASHER
X
58.00
L _
8
GARBAGE DISPOSAL
X
$8 00
=
0
WATER SOFTENER
X
58 00
=
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$8 00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
58.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
58 OD
=
13
FOUNTAINS, DRINKING
X
58.00
■
14
WATER MING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
86.00
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
86.00
_
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
1
X
56.00
6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
=-
20
20
MISCELLANEOUS PLUMBING FIXTURE
X
30.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR
X515.00
=
SUBTOTAL
6.00
PROCESSING FEE
536.00
TOTAL PERMIT FEE DUE:
41.00
DISC AIMER
The permkted verifies, acknowledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling Is wl
ll
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 PermR 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 thls application can be processed.
Signature
Date:9128/08
Method of payment: 0 Cash 0 Check
Bankcarc
Authorized Si • nature:
❑ Visa ® Mastercard
This document originally contained
card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to 505 DAN G52014-030.
Effective October 28, 2007 Page 2 of 2
C:\Documents and Settings\Dons\Desktop\Spokane Valley Permit Forms\Plumbing Permit App.l.doc