2007, 07-20 Permit App: 07002823 Plumbing FixturesS iolane
Permit 1 Center
1
117003 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
4000,` ley. (509)688-0036 FAX: (509)688-0037
VQl wwwsookanevallev,or�
Community Development
Plumbing Permit Application
PERMIT NUMBER: 1 -
PERMIT FEE:
❑ Commercial jR1 Residential
SITE ADDRESS: 1391-7 C- 5*'
Building Owner
Name: M t ka Q3c#.x.l
Phone:
Fax:
Address: \ 3 .y 11 t C t
City: Sry l.e.'L
State:
‘..,_/,,,_,
Zip: qy 204
Contractor
Name: ' 6, --a ''(%W w�/1„
�
Phone: q 22— I J —r / r
Fax:
Address: \ i y I k, r- as 1L.,
City: amemottuk
State:
c, jfr-
Zip: (T+4 0 a
License No:
City Business Lic:
Contact
Name: "tbja. .e- Coo Ai.M.l
Phone: (\ty:54&r
DESCRIPTION OF WORK
# OF UNITS 'X COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
36.00
2
URINALS
X
$6.00
3
TUBS
X
36.00
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
38.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
36.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
36.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$8.00
13
FOUNTAINS, DRINKING
X
56.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$8.00
-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
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
it ASH D CHECK D VISA DMC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Apr
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
335.00
TOTAL PERMIT FEE DUE:
LI 1
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Address: 13917 E 5TH AVE
Parcel Number: 45232.0308
Subdivision: GREEN VALLEY ADD
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: CASEY, MIKE
Address: 13917 E 5TH AVE
SPOKANE, WA 99206
Building Inspector: None
Water Dist:
Project Number: 07004713 Inv: 1 Issue Date: 7/16/2007
Permit Use: SEWER CONNECTION - VERA TERRACE 1
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:
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
License 8: COURCC*181 R7
1 $85.00 PROCESSING FEE
SEWER CONNECTION
1
$15.00
Total Permit Fee: 5100.00
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.
Total ees AmountPaid Amou�tOwing Tran Date
$100.00 $100.00 Receipt# Payment Amt
$0.00 7/16/2007 3957 $100.00
Processed By: Hargrove, Heidi
Printed By: Lemley, Linda Page 1 of 1
PERMIT