2014, 05-07 Permit App: BLD-2014-0981 Plumbing Fixtures Community Development ' �1 Q
Permit Center Project #-!itiii 0 /! "f -C/ -I sI
S1aTM 11703E Sprague Ave,Suite B-3
Va11 ` PHONEe(509)Spokany,70 5 40WA 206 RECEIVED
vJ FAX: (509)688-0037
MAY 072014
IPERMIT FEE:
Plumbing Permit Application 0 Commercial yResid ntial C` �/ P r=R rVi I T r T f)
SITE ADDRESS: l avlO oul+ I I U E3 , RCv.
Building Owner Y„Van/I r l l nv
` Phone: Fax:
::s:i 'n
rv' � /,t� 'Ce: Zip:
`"�������� 6��f 1 V v W`�l City:
Contractor /t
Name: /t Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.oral under the quick links for Forms,Master Fee Schedule.
I . 1
Community Development Department (Staff Use Only)
Permit Center
�rY 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
S01.1116, Spokane Valley,WA 99206
O° aIle Tel: (509)720-2540 PERMIT FEE:
jValleyz Fax: (509) 688-0037
permitcenter@spoka nevallev-orq
Project
CONSTRUCTION PERMIT APPIfiEhlithicED
NEW CONSTRUCTION ADDITION/REMODEL 0 ACCES Y(MJL 4NG
0 DECK El OTHER �wu''
SITE ADDRESS:12902 E.SPOKANE VALLEY WASHINGTON 99216 CSV P EB M I T CENTER
ASSESSORS PARCEL NO.:45032.0309 LEGAL C ESCRIPTION:STEVICK ADDITION LOT
9BLOCK 3 SUB # I RFV
BUILDING OWNER NAME:KAMM INVESTMENTS, LLC
NAME:ADAM KAMMARCAL
ADDRESS:1009 MULBERRY LANE
CIMCOEUR D'ALENE STATE:ID ZIP:83815
PHONE:208-704-0335 Fax:888-897-0237 cELL:208-704-0335
CONTACT NAME:ADAM
PHONE:208-704-0335 FAX:SAME CELL:SAME
CONTRACTOR NAME:N/A
MAILING ADDRESS:1009 MULBERRY LANE
CITY:COEUR DALENE STATE:ID ZIp:83815
PHONE:208-704-0335 FAX:SAME CELL:SAME
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
PLUMBING FOR WEST BATHROOM. INSTALL DRAIN FOR NEW STAND UP SHOWER AND TWO VANITY SINKS.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:? Dimensions:RANCHER No.of Stories:1 Total Habitable
Space:1440
Main Floor SQ FT:1440 Upper Floor SQ FT:N/A Unfinished Basement SQ Finished Basement SQ
FT:NA FT:N/A
Garage SQ FT:NA Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT:300 Area:NA Property:WA
No.of Bedrooms:4 Construction Type:STICK Heat Source:GAS FUNACE Sewer or Septic:SEwER
TOTAL COST OF PROJECT: $400
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)if this permit is for construction or on a dwelling,the dwelling is/will
be served by potable water. 2)Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal,state or local laws,codes or ordinances. 6) Plans or additional
information may be required to b- submitted and ubsequently approved before th' ••lication can be processed.
Signature C, .. Date:5.5.2014
Updated 1-11-11 Page 1 of 1
C:\Users\akammarcal\Desktop\Res_Permit Kamm investments 12902 E Walton.doc
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Signature a Date:5.5.2014
Updated 1-11-11 Page 2 of 2
C:\Users\akammarcal\Desktop\Res_Permit Kamm investments 12902 E Walton.doc