2006, 04-12 Permit App: 06001302 Plumbing Fixtures` Permit Center
Spokane 11707 E Sprague Ave, Suite 106
oSVal.ley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwwspokanevallev.org
PERMIT NUMBER: /t; 0 2_
PERMIT FEE: ..
Plumbing Permit Application ❑ Commercial ([Residential
SITE ADDRESS:
Building Owner
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Name:
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Address: L7/505'
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Name: t� _Jl'1 %3 a I fXJ
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Phone: _O 705— Fax: 5 3 /J� /Q 637Address:
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License No:
City Business Lic: 8� L EC, ed2.� 0Comet,':;.
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Name:ritisp‘
Phone: gie-04/6R..
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
36.00
3
TUBS
X
38.00
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
36.00
6
DISHWASHER
X
56.00
7
CLOTHES WASHER
X
38.00
8
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
X
56.00
10
• ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
38.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
36.00
15
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
X
X
X
36.00
36.00
36.00
(9.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
36.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS,
BOILERS
X
36.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
36.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑CASH @\CHECK ❑ VISA ❑ MC
Card# !! ``
AUTHORIZED SIGNATURE:
REVISED 826/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
335.00
TOTAL PERMIT FEE DUE:
LH. Ob
poKANE Cain—
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST -BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
1
Site Address: 4505 E 5TH AVE
Parcel Number: 35232.3106
Subdivision: CARNHOPE ADD
Block: Lot:
Zoning: AGS
Owner: CURREY, FINIS & EUNICE
Address: 4505 E 5TH AVE
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 06001336 Inv: 1 Issue Date: 3/14/2006
Permit Use: SEWER CONNECT, CARNAHAN
Applicant: BAILEYS CONSTRUCTION
3707 E 28TH
SPOKANE, WA 99223 Phone: (509) 532-0705
Contact: BAILEYS CONSTRUCTION
3707 E 28TH
SPOKANE, WA 99223 Phone: (509) 532-0705
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
1 Permits
1
Sewer Connection Permit
Contractor: BAILEY'S CONSTRUCTION
License 4: BAILEC'088JW
SEWER CONNECTION 1 $85.00 PROCESSING FEE 5L5.00
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 103 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
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
3/14/2006
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
1109 $100.00
PERMIT