2006, 06-14 Permit App: 06002299 Plumbing Fixtures , 11707 Sprague Ave,suite l uo PERMIT NUMBER.:es/C:274
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y Spokane Valley,WA 99206 /
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
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Community Development www sookanevallev.org HHRH l ..
Plumbing Permit Application�y( ❑ Commercial
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SITEADDPSSS: 6'jC/ I �, �Y� if/�'^^a'i- UtJ{uy
Building Owner�f.`A !ialwiI:46.1 I '
Name: 17 Phone. Z Fax: -
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Aad : 6 roil f Q �i am � state: WA ZiP:4?Li2
Contractor . _ _
Name: • L „gut • v ,.1"L : L Phone . "I . Fax:5 -
Addles: £ I f - i City. a Do (_. State. A. Zip q'2a?
License No: �`f s•Jl a{` pi_ a 5J 6 City Busmkss Lie:
cnrie5" 5 G.,.
Name: Phone 79/ 3650
DESCRIPTION OF WORK 6 OF UNITS X COST • TOTAL AMOUNT
1 TOILETS ` WATER CLOSET.BIDETS X $6.00 •
2 URINALS X 96.00 •
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) / BATH,STALL,ON-SITE BUILT I X S6.DD =
LAVS/BrSINS,BAR,FLOOR.KITCHEN.
5 SINKS LAUNDRY.UTILITY,JANITOR,PHOTO. X $6.00 =
X-RAY.FOOD,PREP/CULINARY MEAT
6 DISHWASHER X 66.00 =
7 CLOTHES WASHER X 96.0D =
8 GARBAGE DISPOSAL X $6.DD =
9 WATER SOFTENER X $6.00 •
10 ELECTRIC HOT WATER TANK NOTE: IF GAS.SEE MECHANICAL X $8.00 =
AREA.CASE,COIL,TRENCH.
11 FLOOR DRAINS / CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKNG X $6.00 =
WATER PIPING,DRAN-N WASTE. I NSTALLATION,ALTERATION.REPAIR
14 VENT,PLUMBING.REVERSAL / REVEPe"I S X $6.00 =
IS SEWAGE EJECTOR GRINDER,SUMP PUMP X 66.00 •
ICE AN/OR COFFEE MAKER HOSE BB,
16 WATER USINGDEVICE STEAMER X 66.00 =
PROOFER,CARSONATOR,SWAMP
COOLER
VACUUM BREAKER CHECK VALVE.
AND RP.B.P.D.FOR VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X 66.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X 66.00 •
19 MEDICAL.GAS(per outlet) NITROUS.OXYGEN X $6.00 •
2D MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X ,$20.00 •
22 NDUSTRIAL WASTE INTERCEPTOR X 915.00 = —
METHOD OF PAYMENT: SUBTOTAL
PROCESSING FEE
'OCASH ❑CHECK 0 VISA 0 MC £WIRES: 635.00
Cards VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED aasus
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
$eoKA6�CaY 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 6804 E 8TH AVE Project Number: 06003910 Inv: I Issue Date: 6/13/2006
Permit Use: SEWER CONNECTION-WOODLAWNBEVERLY HILLS
Parcel Number: 35244.0404
Subdivision: WOODLAWN PARK Applicant: T L C CONSTRUCTION
Block: Lot: 9006 S HAYFORD RD
Zoning: UNK Unknown CHENEY,WA 99004 Phone: (509)927-6760
Contact: T L C CONSTRUCTION
Owner: HOLMAN,CARNEY V 9006 S HAYFORD RD
Address: 6804 E 8TH AVE CHENEY,WA 99004 Phone: (509)927-6760
SPOKANE,WA 99212-0500
Setbacks-Front: Left: Right: Rear:
Building Inspector:
Water Dist:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: TLC CONSTRUCTION License a: TLCCO"107M6
SEWER CONNECTION 1 $8500 PROCESSING FEE I $15.00
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 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 AmountOwinp Tran Date Receipt# Payment Amt
$100.00 $100.00 50.00 6/13/2006 3135 $100.00
Processed By: SHATTO,JULIE PERMIT
Printed By: WENDEL,GLORIA Page 1 of 1