2004, 10-20 Permit App: BLD-04-07975 Plumbing FixturesSfielane
Project Address:
42/S , aria
Owner. � d��rr'!S
Mailing Address' cSQ.vr�
Contractor.
Mailing Address: 9/6 3-U/� oi T�R� sPKd� c92
City State
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688.0036,' Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone�Daytime Contact):
5 lfia.�-/ P �%Gt
.l 99x76
HARD ;A) g:eviiir y)5;A:k 09Y M H State Zip Code
Ate � �� License #: G9/02-7SO62Phone #: .2- / V - G 4t'/
99eO6
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
#OF. ,
UNITS
X
COST
NE
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET BIDETS
X
56.00
, 2
URINALS
X
$8.00
3
TUBS
-
X
56.00.
_
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
68.00
5
SINKS
LAVSIBASINS, BAR. FLOOR
IOTCHEN, LAUNDRY, UTILITY,
JANITOR. PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT -
f !
X
56.00
=
i a.I,O
l
6
DISHWASHER
'.X
56.00
7
CLOTHES WASHER
X
58.00
8
GARBAGE DISPOSAL
X
58.00
=
9
WATER SOFTENER
X
58.00
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
. CONDENSATE
(
,X
58.00
s'
"
12
ROOF DRAINS/OVERFLOW DRAINS
X
58.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE, .
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR. REVERSALS
,X
58.00
15
SEWAGE EJECTOR
- GRINDER, SUMP PUMP
/
X
58.00
//
. 19 -d°
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
58.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER,GHECK "'.
VALVE, ANDRPSP.D. FOR
X
'
56.00
VATS TANKS BOILERS
18
INTERCEPTORS
GREiSETRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS OXYGEN
X
5600
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00•
=
METHOD OF PAYMENT.
CASH 0 CHECK Q VISA Q MASTERCARD
DATE: EXPIRES:
SUBTOTAL
1 `D
( 6(•
PROCESSINGFEE
$35.00
TOTAL PERMIT FEE DUE:
C
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Srace, CourgY
SPOKANE COUNTY.
DEPARTMENT OF gUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 8215 E VALLEY WAY
Parcel Number: 45183.0531
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: ADAMS, VICKIE LYNN
Address: 8215 E VALLEYWAY AVE
SPOKANE, WA 99212 -
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 04007906 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - HARRINGTON
Applicant: HARDING EXCAVATION
E. 10303 15TH
SPOKANE, WA 99206
Contact: HARDING EXCAVATION
E. 10303 15TH
SPOKANE, WA 99206
10/21/2004
Phone: (509) 921-9467
Phone: (509) 921-9467
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: HARDING EXCAVATION License #: HARDIEI989D9
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
1 $15.00
$100.00
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.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL 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.
1
Payment Summary
1
Total Fees AmountPaid AmountOwine
$100.00 $100.00
$0.00
Tran Date Receipt # Payment Amt
10/21/2004
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
6359 $100.00
PERMIT