1993, 07-19 Permit App: 93005976 Plumbing Fixtures PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
• (street) (city/state) (zip)
PLUMBING FIXTURES #OF MAXI-l COST
DESCRIPTION I DETAIL UNITS rusr /UNIT LA AMOUNT
TOS WATER CLOSETS,BIDETS d. x $6 = $
)30,.„:„I...
I URIxAI s x $6 = $
was
BATH,JACUZZI,SPA.GARDEN I •• X $6 = $
805 SHOWERS(per trap) .. BASE,STALL,ON—SITE BUILD 1 x $6 = $
SINKSIAVS/BASINS,BAR.FLOOR.KITCHEN. x $6 = $
%:{>•.'•;? LAUNDRY,UTILITY.JANITOR PHOTO.
i£ iii X—RAY,POOD(PRBP/CULINARY/MBAT) ,) , •
807 DISHWASHER - ` x $6 = $
pm CLOTHES WASHER - x • $6 = $
GARBAGE DISPOSAUGRINDER -
:0 WATER SOFTENER - x $6 = $
ELECTRIC HOT WATER TANKS (NOTE: If gas water task.sea aseehaaIal) x $6 = $
812 FLOOR DRAINS AREA,CASE,COIL.TRENCH.CONDENSATE 'x $6 = $
B:13 ROOF DRAINSPOVERFIAW DRAINS(ea.) - x $6 = $
Bid FOUNTAINS,DRINKING - .
315 WATER PIPING/DRAIN—WASTE—VENT mrsTAL wTION.ALTERATION OR REPAIR x $6 = $
SEWAGE EJECTORS GRINDER.SUMP PUMP • x $6 = $
l7 WATER USING DEVICES ICE AND/OR COFFEE MAKER. x $6 = $
<:
+ c
HOSE BIB,S1'EAMBR.PROOFER.
Fa CARBONATOR,SWAMP COOLERS
BI$CROSS—CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE, x $6 = $
'>:r ? AND R.P.B.P.D.FOR:VATS,SUMPS.
:„;; TANKS,BOILERS,&SPRINKLER SYSTEMS
WO INTERCEPTORS GREASE TRAP.SAND TRAP, x $6 = $
''{'”' CHEMICAL HOLDING TANK
MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x $6 • = S
X MISCELLANEOUS FIXTURES x $6 = S
Subtotal
NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675
HASTE PUJMNRMJMD
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
IDAITE /G�DDRESS..,Lr 1 O 7 jI J r ��J4(I o RESIDENTIAVENERGY CODE INSPECTION CHECKLIST
o PERMIT 9 f
-
o SUB-SLAB
o
I> o PERIMETER INSULATION R- 1. GRAVEL BASE o PLASTIC MEMBRANE
o ��
o `VJ
° o APPROVED FOR COVER BY DATE
o `
-
o
o INSULATION & CAULK
O o WINDOWS &DOORS PER PLANS INDOWS &DOORS CAULKED o VAPOR RETARDERS:
O o ADVANCED FRAMING: PLATE CAULKED WALL
WALLS CEILING
° CEILINGS— LUMBING//ELECTRICAL
o ATTIC VENT BAFFLES
o ENETRATIONS CAULKED
o WALL INSULATION: R- o EALED DUCTWORK o COMBUSTION AIR DUCTS
I
o VAULTED CEILING: R-- INSTALLED
EXHAUST FANS/DUCTS o CRAWLSPACE VENTILATION
o BATT INSTALLATION , INSTALLED
0
o RECESSED LIGHTS
o
0 o APPROVED FOR COVER BY DATE
0
I
o
ENERGY CODE FINAL
00
I> o MECHANICAL SYSTEMS o WEATHERSTRIPPING o PLUMBING
• BATH EXHAUST o DOORS &WINDOWS o WATER HEATER PAD
a
• KITCHEN EXHAUST o ATTIC &CRAWL ACCESSES o SHOWER FLOW
• AUTOMATIC WHOLE HOUSE o SWITCH &OUTLET COVER o FIREPLACE/WOODSTOVE
EXHAUST PLATES
o FIREPLACE DOORS
• MAKE-UP AIR INTAKES o
o FLUE DAMPER
o DUCTWORK o INSULATION
o COMBUSTION AIR
o EQUIPMENT INSTRUCTIONS o FLOOR R-
o CRAWLSPACE GROUND COVER
• HEATING FUEL&SYSTEM TYPE: o ATTIC R-
o CRAWLSPACE VENTILATION
' o
• RADON MONITOR o BELOW-GRADE WALLS R-
o BATT INSTALLATION oRADON VENT& LABEL
• SERIAL NUMBER g``t Sa- o
TECHNIQUES °
J
o FINAL APPROVAL BY 1- ------1,-\ DATE L2 ` - G ci 0 INSPCHK2.DTP