2003, 06-05 Permit: BD-03-263 Plumbing ReversalFU�.Ile
,,;,•'Malley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
D63_c L3
PROJECTERMIT
ADDRESS: ��1/l/
/ �` J
`
C/P /� {��� ' `�
f
USE: (�y
X
OWNER: / �
f /
�� '
i/
PHONE (Daytime Contact): c272'/
/ J
MAILING ADDRESS:
/
-'apt%f alit -7)
$6
(street)
/ __
(city/state) (ZIP)
URINALS
CONTRACTOR
X
LICENSE #:
-
MAILING ADDRESS:
3
TUBS
PHONE #:
X
$6
(street)
(city/state) (L11')
SHOWERS (PER TRAPP) '
PLUMBING FIXTURES
c‘
METHOD 0
0 CASH
DATE:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
�(1
DESCRIPTION
DETAILS
# OF UNTTS
X
COST
EQUALS
AMOUNT
WATER CLOSET, BIDETS
/
X
$6
-
/ __
2
URINALS
X
$6
-
3
TUBS
X
$6
-
SHOWERS (PER TRAPP) '
BATH, STALL, ON-SITE BUILT
X
$6
-
- --
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
/
X
$6
-
(-
TJ
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. 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
INSTALLATION, ALTERATION, REPAIR,
A'TS '-7 ::
/
X-
-
/ l
WASTE, VENT, PLUMBI
REVERSAL
-._
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, TANKS, BOILERS
X
$b
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
VISA-
ATast
:--.--.--..._
SUBTOTAL:
'')Li
PLUS PROCESSING FEE:
$35.00
is mom ■
TOTAL PERMIT FEE DUE:
..
i
c‘
METHOD 0
0 CASH
DATE:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
�(1
Site Information
Project Information
Site Address: 9607 E VALLEYWAYAVE
SPOKANE, WA 99206
Parcel Number: 45173.0824
Subdivision: OPPORTUNITY, SUB EAST 1/3 TR 121
Block: Lot:
Zoning: UR 3
Owner: COURCHAIN, VIRGEL & KELLI
Address: 9607 E VALLEYWAY AVE
SPOKANE WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 03003936 Inv: 1 Issue Date: 6/5/2003
Permit Use: SEWER CONNECTION - WALNUT
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
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 UTILITIES8:iii-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOT ICE Rl QUIl .
Contractor or applicant is to field locate and confirm the elevation and posrilon'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 :':.CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST Z; WORKINIG DAYS IN ADVNCE (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.
$15.00
$100.00
1
Total Fees AmountPaid ArnountOwing
$100.00 $100.00 $0.00
Tran Date
6/5/2003
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
3505
Payment Amt
$100.00
PERMIT
06/09/2003 MON 13:48 FAX
Z 001/002
06/09/2003 13;10 5093241567HD PAGE 01/02
SPOKANE COUNTY HEATH DEPARTMENT
Division of SaniteflOn
1127 W. Mallon Avelino _
Spqkano JI set:711Ingfon ,
APPL1C TION FOR PERIiIIT TO INSTALL OR RECONSTRUCT SEWAG
1V? 2274
DA„,"/'/)(
Nazne ASV,
iWxAV!. r_eaeY AEW
Ad
aL71,4f4---Addraes 41,1s49?
POSAL FACILITIES
Phone No.
Mee of Pi:ovrt,
TYPe Use
Number of Bedrooms—0e. Blinding Capacity Camp bapsoity -- other
Is property below grade ef 'troika or
Is Werner& for building tanned?
Water Stippbdee.frit ty,,ZS. Spring).
Septic tank eaparity„.4. Rain. titre of tank. .01-MitA1e&2'E- •
Length of &Memel
ayoT—Adk_Are atreeta graded in? if...S.
ciw MUCI1 excavation or 1311 propoesd2
um.
(1) Draw in prcrperky area to ecale,
(2) Show relative location of: Propbaiad house. illptie tank
disposal ziald, well, iarsge, sod other ont ;bonding&
(3) Make note of a.115, heavy ailopa or evitompy area or any
other important topographic destax,
Data what test hobs wfl. io2.eady fox.
Mspection
Date inatonation wilt be ready for final inspection (that *
before backffilbig)
SANITARIAN'S REPORT AND RECOMMENDATIONS:
TsPnirfalkY
'Ground Water
Data of Inspection.
1......14•••••••••••+••mre•-••
Soil Condition • ....Pernaation Mots: Mlnutea_
flPeelal fiedoMMendatiens
al Inspection Date ____
Remarks
R E C Etkr-En
(Form 346-Hystib-4iltaf-4
.;;.;
•.;
ARE DESIRARLE N ALL INSTANCES, CESSPOOLS ARE NOT SANITARY.
SANITATION IS VITAL TO GOODH.
City of Spokane Valley
06/09/2003 MON 13:48 FAX
05/p.3/M3/13:18 5993241567
! 002/002
SRHD EHS PAGE 92/02
FINAL AS-BUlLTJNSTALLbT1ON
ddress/Legal Description: 4(4)1 V �'� i �.
Subdlvitaion/Biock/Lot:
Application #: - O/f
NORTH
freP"
ry
VA -11.64.1 101
Note: The lactation of the on-site sewage system represented by the drawing is not to be
construed as an exact location of the system.
Remarks:
Signature:
Date:
Asbuiit 9/98
a- /7- �' 7
Septic Wank Size; /0W gals.
Drainfield: . LP__ ft.
Leachbed: sq. ft.
Density is based on soil type: 5