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HomeMy WebLinkAbout2003, 06-24 Permit App: BD-03-694 Plumbing FixturesSpokane T APPLICATION PROJECT ,✓ p 119 CC ADDRESS: /CI c �.J\Z.'(1'(\ L7 'rte PERMIT e 0 n - ,'".3.- r3 _ K 9 l-/ USE: OWNER: X PHONE (Daytime Contact): EQUALS MAILING ADDRESS: 1 TOILETS WATER CLOSET, BIDETS X (street) (city/state) (zip) CONTRACTOR: D. Cove 2.' t�� � 00 to LI ENSE #: c t,lRe 18 I 9.,`1 = MAILING ADDRESS: 1 Ct (3 1g 6. 5 f) uca_ Gip.,11-0_,a.es PHONE #: X $6 a_ 99016 4 (street) (city/state) (zip) PLUMUING FIXTURES BANRCARD NUMBER: EXPIRES: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS wars ,# or rs X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 = 2 URINALS X $6 = 3 TUBS X $6 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT X $6 = 6 DISHWASHER X $6 = 7 CLOTHES WASHER X $6 = 8 GARBAGE DISPOSAL - X $6 = 9 WATER SOFTENER X $6 = 10 ELEC HOT WATER TANK NOTE: IF GAS SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 = 12 FOUNTAINS, DRINKING X $6 = 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS / / X $6 = n 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X - $6 = 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS X $6 = 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X A $6 = 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 = 20 MISC PLUMBING FIXTURE X $6 • - SUBTOTAL U CASH IN CHECK ■ IN "--"- PLUS PROCESSING FEE $35.00 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE 71 BANRCARD NUMBER: EXPIRES: AUTHORIZED SIGNATURE: DIVISION OF:`. Site Information Project Information Site Address: 7919 E SHANNON AVE SPOKANE, WA 99206 Parcel Number: Subdivision: Block: Lot: Zoning: UNK Unknown Owner: DEFELICE, DAVID Address: 7919 E SHANNON AVE SPOKANE, WA 99212-2482 Building Inspector: JOHN LARSON Water Dist: 45073.0169 Project Number: 03004485 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION - WEST VALLEY Applicant: COURCHAINE EXCAVATION 19818 E SPRAGUE GREEENACRES, WA 99016 Contact: COURCHAINE EXCAVATION 19818 E SPRAGUE GREEENACRES, WA 99016 Setbacks - Front: Left: Right: Group Name: Project Name: 6/24/2003 Phone: (509) 924-5485 Phone: (509) 924-5485 Rear: Permits Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION License #: COURCC* 181R7 SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-500 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant 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. Sewer lines should be constructed to allow for gravity flow from the ,lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. $15.00 $100.00 STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "GALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. Payment Summary ;. Total Fees $100.00 AmountPaid AmountOwing $100.00 $0.00 Tran Date Receipt # Payment Amt 6/24/2003 3978 $100.00 Processed By: SHATTO, JULIE Printed By: WENDEL, GLORIA Page 1 of 1 PERMIT City of PERMIT # PW t1 Z3r )711)-2- SPOKANE 1)2SPOKANE VALLEY UTILITY RIGHT - OF - WAY APPLICATION AND PERMIT PUBLIC WORKS DEPARTMENT APPLICATION 79 � � E Location of property involved (or address) Name of company D C CAA RC ha1r, E C O Sfi, Address of company 1R g 1g SPK9pL? phone 9a Contractors name 7 u 2 iP C 0 L R 0....h?; Contractors address (Cr g [ % s?Rpt �p phone Slag -SIRS Contractors registration Number C b L Q C 1 t --0 gl �, � 1 Expiration date j (} 3 Right of Way: Pavement or sidewalk intrusive. Yes No Intrusive outside of pavement or sidewalks. Yes No Length of cut ft. Depth of cut ft. Width of cut ft. Direction of cut Contact person 5116e. LUL. cR E c i\Q C,©k.AP61.1 Address of contact 14 R [ $` E"._CplUtyle Phone '72(4-54 g5 Please explain in detail the description of the activity proposed. I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercharge Print name of holder Signature PERMIT: Special Conditions Restoration: Type of back fill to be used: Permanent gravel Temporary crushed CDF IS A COPY OF A BOND DEPOSITED WITH THE CITY OF SPOKANE VALLEY ? A COPY OF THE CITY / UTILITY LIABILITY INSURANCE POLICY MUST BE ON FILE AT THE CITY. PERMIT FEE $I jo CC) INSPECTION FEE $ Approved Public Works Director /2 40 -3 Date CALL 24 HOURS BEFORE INSPECTION NEEDED Phone 509-688-0036 Fax 509-688-0037 R -O- WAPP. oma