2006, 08-16 Permit App: 06003231 Plumbing ReversalPermit Center •
`r 11707 E Sprague Ave, Suite 106
p""okane
��Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Commm ity Development www.spokanevalley.ora
Plumbing Permit Application /l Y '-}n Commercial�Rressiden�
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SITE ADDRESS: aQ1 Eo Ste\ 'V\Q� "" `�" -_
PERMIT NUMBER327/
PERMIT FEE: 4'41
Building Owner
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Name:
Phone: _�(' '
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Address: S5-c)644�I
KZ �\ NP -C City: 5, -)5r -<---/-1,c �v
State:
Zip:
Contractor
Name:
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Ph e:
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Fax:
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Address:
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City:C jam -,�
State: �>�
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License No:
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Contact
Name:
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Phone: 1� —
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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
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
5
SINKS
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/D STE,
VENT, PLUMBIN , 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 ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
1111
SPOKARE COU' TY
, SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE ' SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 8004 E SOUTH RIVERWAY AVE
Parcel Number: 45063.2801
Subdivision: ORCHARD AVE ADD TR 1-228
Block: Lot:
Zoning: AGS
Owner: SCHALLER, JAN
Address: 8004 E SOUTH RIVERWAY AVE
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 06005469 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - ORCHARD AVE
Applicant: BAILEYS CONSTRUCTION
3707 E 28TH
SPOKANE, WA 99223
Contact: BAILEYS CONSTRUCTION
3707 E 28TH
SPOKANE, WA 99223
Setbacks - Front: Left:
Group Name:
Project Name:
8/7/2006
Phone: (509) 532-0705
Phone: (509) 532-0705
Right: Rear:
Permits
Sewer Connection Permit
Contractor: BAILEY'S CONSTRUCTION License #: BAILEC*088JW
SEWER CONNECTION
1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
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
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
8/7/2006
Processed By: CUMMINGS, KATHY
Printed By: Lemley, Linda Page 1 of 1
Receipt # Payment Amt
4277 $100.00
PERMIT