2008, 04-21 Permit App: 08001312 Remodel Project Number: 08001312 Inv: Application 4/21/2008 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: TI-CONVERT 11 X 11 ROOM INTO TO ADA Contact: ST JOSEPH'S PLUMBING
BATHROOM Address: 14970 STUB RD
C-S-Z: RATHDRUM ID 83858
Setbacks: Front Left: Right: Rear: Phone: (509)362-3230
Group Name:
Site Information: Project Name:
Plat Key: 003597 Name: GRANDVIEW ACRES District: Nort
Parcel Number: 45044.0425 Block: Lot:
SiteAddress: 11913 E PORTLAND AVE Owner:Name: OIL RE-REFINING COMPANY
Address: PO BOX 1407
Location::CSV WOODLAND,WA 98674
Zoning: MUC Mixed Use Center District
Water District: 026 IRVIN Hold: ❑
Area: 36,230 Sq Ft Width: 93 Depth: 300 Right Of Way(ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: .; ro„ s �. . ,; � ',
Review
Bldg Plan Review I Released B
Originally Released: 4/18/2008 By: dgpowell
Fire District Review
Released By:
OK AS OF 4/18/08 PER MARY KATE
Originally Released: 4/21/2008 By: JLMain
Permits:
....`wiixa m�sr ri a' ,`.=:Jff�:P�,... ..'�.�,.s., r.:::i........A..�„-, ..,_,-» ,.. ..a,.mo:'�,_,ss,'aav,t:- ,.✓a+s'�-w�"k.._,.y....:sax' fi..�b�;. _ :b.� °..n.-..:'k�.;
Operator: jmm Printed By: jmm Print Date: 4/21/2008
•
Project Number: 08001312 Inv: Application a: 4/21/2008 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: ST JOSEPH'S PLUMBING Firm: ST JOSEPH'S PLUMBING
Address: 14970 STUB RD Phone: (509)362-3230
RATHDRUM ID 83858
Building Characteristics
Group: S-1 Type: VB
Total Area 122
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
STRG M HAZ S-1 VB TI- 0 $11,339.80 0 $11,339.80
BATHROO
M
Totals: 0 $11,339.80 0 $11,339.80
Item Description Units Unit Desc Fee Amount
COMMERCIAL PERMIT FEE 1 SELECT $209.25
COMMERCIAL PLANS REVIEW 1 SELECT $136.01
WSBC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $349.76
Plumbing Permit
Contractor: ST JOSEPH'S PLUMBING Firm: ST JOSEPH'S PLUMBING
Address: 14970 STUB RD Phone: (509)362-3230
RATHDRUM ID 83858
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
Permit Total Fees: $24.00
Operator: jmm Printed By: jmm Print Date: 4/21/2008
Project Number: 08001312 Inv: A lication4/21/2008 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: 4,Wo,, PP. . . . :.
STOP WORK ORDER PLACED IN THE 12200 BLOCK OF EAST PORTLAND.PLACEMENT OF
MANUFACTURED HOME
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $349.76 $349.76 $0.00 $349.76
Plumbing Permit $24.00 $24.00 $0.00 $24.00
$373.76 $373.76 $0.00 $373.76
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: 4/21/2008
Plan Review Evaluation Information
Permit No#8-1312
Scope of Work: Remodel existing space into accessible
restroom.
Name of Site: Oil Re-Refining Co.
Address: 11913 E Portland Ave
Use of Building: Group S-1, (M-1 occ. 1987 UBC)
Type of Construction: VB
Fire Suppression System: N/A
Floor Area
1st Floor: Area of T.I. = 122 sf. (Existing Building is 2,800 sf)
Occupant Load
1St Floor:
NREC: N/A
HB 1848 All Weather Protection: N/A
Other Conditions/Comments:
1) Plumbing Permit is required.
Plan Reviewer: Doug Powell
Permit Center
cm,r �/ane
11703 E Sprague Ave, B-3
Spokane Valley, ' ' PtRMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevallev.oro PERMIT FEE:
Plumbing Permit Application 154 Commercial n Residential
SITE ADDRESS:
Building Owner
Name: Phone: Fax:
Den ".._.."1
�,e, -�- Sa�t��t 35��57 �3 -,Zd'6 —8-3,s2
Address: t i i i b , ? +fieG-ci City: Sp ki Ley State: LA Zip:
Contractor ; li
Name: Si... -3—co5erp ,ts pI t-lAl
Phone: s-Oq 32.6�37,30 Fax: -2‹...175 -w'o$7 --1.313
Address: 11/44,--)0 St_vb j City: V ai State: -to Zip: 83 8
License No: e.rj sp 9.5-4 LI City Business Lic:
Contact J 1
Name: L014.4.. t 4 _ Phone: ,1_ -362.-�Z-30
DESCRIPTION OF WORK t'�'` J st, ' #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS CLOSET IDETS , X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BAT STALL ON-SITE BUILT I X $6.00 =
S/BAS N AR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, , X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
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 WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 =
CArt-rCASE,COIL,TRENCH,
11 FLOOR DRAINS -'CONDENSATE II X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS 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 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH ',CHECK ❑VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
4 w
Permit Center
Spkcuv OF °��.: 11703 E Spragu_ _we,Suite �CE�VE� BY .. �iIT NUMBER: 3
ane Spokane Valley,WA 99Y OP SPOKANE VALLEY
4.0.0 Valley R (509)688-0036 FAX: (509)688-M PERMIT FEE:
www.spokanevalley.org �t"l� Q 208
Community Development
(Non-residential) RMIT CENTER
BY
Commercial Construction ' New Construction n Tenant Improvement
Permit Application Qther:
11 (11 -PcY--t- t0-N
SITE ADDRESS:• L eqc co
ASSESSORS PARCEL NO: C)4C,(,..3 a27.1J29I GAL DESCRIPTION: Cc',i L -
Building Owner Contractor St L nLI 4i(3 .
Name: c Name:
Address: G-P (----/ Address: (Li.,coo 6- ..
Licit
L~ t`" L`� r City: n State: Zi
City: State: l,.�L4_ Zip: tc_.c•-i'LoL,4 LO p'67333-8-
Y Phone: O _14.2- 23c Fax:ZG$ -48-7_33 13
Phone: Fax:
�ff�f- 5`"l rush �6 3_in_ J�Z Contractor Lic No:sTIcsje,,Exr Date: 6(.l i i 0,
Occupant of Structure '1
� a City Business Lic.No: oz-s-1 _ /7
Name: N t 1 (-,--7-: .
b�
Phone: 9/ -ct 3 r1 A
1 6 SI
Contact Person Company Name:
Name: U.l oLi n,e_ 1Q J,i(a „�„6. Architect Name:
-- Phone: Sbci -30,—-3-2:10
Address:
City: State: Zip:
Cost of Project: $ d (i 3]9 !0 0 Phone: Fax:
De Bribe thp scope of work in detail: +
U V j t•---KA.t (l t•---KA i 1'ir-oni L G+._CAL► (-10 AOA- act-i.in:n't4.. . ceL.j/- 1- l Fi:.-- Pa
1 r -. gc c- C - . iG_ '3Z x Z. , i,,,, .
Type of Construction:?61e, buldiv, No. of Stories: I Total Building Sq Ft: 2 . goo
Heat Source: Gtec. Fire Sprinklers: IV rj\-
Primary Occupancy: 2. Sq Ft:2,gb v Secondary Occupancy: Z Sq Ft: 74 red,
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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.
Signature l _� Date 1 f '6 L
Method of Payment:
❑ Cash 14-Check ❑ Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
Effective October 28,2007
P:\Community Development\Forms\Building forms\Commercial Building Permit App.doc