Loading...
2006, 05-19 Permit App: 06001906 Plumbing ReversalSpo"kane�"' ��1a-lley 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.ors Plumbing Permit Application PERMIT NUMBER p PERMIT FEE: ❑ Commercial ❑ Residential SITE ADDRESS: 413t*11 1 1.9 C- ug, I.vAri Building Owner Name:yvlrFR. c S'T7 F7�•� Phone: Fax: Address: / 111 e VA- /kr,.14.7 City: State: Zip: Contractor iy1l i' I./rYrl l� Name: Phone: 122_ / S i f Fax: Address: j pi E V4,,,f teri LAtut City: State: Zip: License No: City Business Lic: Contact ;: Name: Phone: 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/DRRAIWIN WAS VENT, PLUMBING,ZtEVERALL 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 86.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X 86.00 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 METHOD OF PAYMENT: ,CASH CHECK ❑ VISA ❑ MC Card# AUTHORIZED SIGNATUREi REVISED 5126105 EXPIRES: VIN: SUBTOTAL PROCESSING FEE 835.00 TOTAL PERMIT FEE DUE: 541 SPOKAIN COtAstr' SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Site Address: 11919 E VALLEYWAY AVE Parcel Number: 45164.0284 Subdivision: OPPORTUNITY TR # 01-354 Block: Lot: Zoning: AGS Owner: STIFTER, MARIE Address: 11919 E VALLEYWAY AVE SPOKANE, WA 99206 Building Inspector: None Water Dist: Project Information Project Number: 06003190 Inv: 1 Issue Date: 5/17/2006 Permit Use: SEWER CONNECTION 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: Group Name: Project Name: Rear: Permits Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION License#: COURCC*181 R7 $85.00 PROCESSING FEE 1 $15.00 SEWER CONNECTION 1 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. Payment Summary Total Fees AmountPaid AmountOwing Tran Date Receipt # Payment Amt $100.00 $100.00 $0.00 5/17/2006 2551 $100.00 Processed By: CUMMINGS, KATHY PERMIT Printed By: WENDEL, GLORIA Page 1 of 1