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2006, 08-08 Permit App: 06003096 Plumbing Fixtures fn's /�/1. Permit Center 14 f4 /' l 11707 E Sprague Ave,Suite 106 SpokanePERMIT NUMBER: 3007 ��Valley Spokane Valley,WA 99206 (509)688-0036 F 8-0037 Community Development www.spokanevalley.ora PERMIT FEE: (O 3 — Plumbing Permit Application n Commercial n Residential SITE ADDRESS: _ 169.0/ 4.7,/ '— Building Owner / O bLir 1&Eh be, Name: /5 l o/ 0, 5 r Phone: Fax: Address: rGtD City: State: Zip:ip : Contractor ! 1PAct/4149,a C- Name: afism� „44, S Phone: 5 .o5.0 -?,-,17Fax: Q -4-2_ /g z.j Address: ft). „" a_ ' toaw City: y' 041/411 State: , Zip: i License No: / O 90 -- City Business Lic: Contact 7t TG(57�1' Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS G X $6.00 = 2 URINALS X $6.00 3 TUBS 6 X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 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 = AREA,CASE,COIL,TRENCH, 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH ❑CHECK ❑VISA ❑MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 - • iil 36/0/ Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Topic Index I Contact Info 2'1.' x S do me" Search Laboran i ,�UAm �� _ .r� ._ �. . m � � .a�� . . . . rvro. .. Home Safety Claims&Insurance Workplace Rights = Trades&Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version General/Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License ALPHAPH958M1 Licensee Name ALPHA PLUMBING Ft HEATING LLC Licensee Type CONSTRUCTION CONTRACTOR 602516491 Verify Workers Comp Premium.. UBI Status Ind. Ins. Account 594301 Business Type LIMITED LIABILITY COMPANY Address 1 3424 N LOCKWOOD RD Address 2 City SPOKANE VALLEY County SPOKANE State WA Zip 99206 Phone 5095350727 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 3/13/2006 Expiration Date 3/13/2008 Suspend Date Separation Date Parent Company Previous License ALPHAPH962KM Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ALPHAPH958M1 8/8/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2 Business Owner Information Effective Expiration Name Role Date Date THOMAS, SANDRA JEAN PARTNER/MEMBER 07/21/2005 FORNESS, LORI MARGARET PARTNER/MEMBER 07/21/2005 THOMAS, MICHAEL JAMES PARTNER/MEMBER 07/21/2005 FORNESS, MATHEW JAMES PARTNER/MEMBER 07/21/2005 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date TRAVELERS CAS & Until #1 SURETY CO 104606938 03/07/2006 Cancelled $6,000.00 03/13/2006 Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date CONTINENTAL #2 WESTERN CNP244269923 05/23/2006 05/23/2007 $1,000,000.00 05/17/2006 CONTINENTAL #1 WESTERN CNP002024030 05/23/2005 05/23/2006 $1,000,000.00 02/08/2006 '. Summons/Complaints Information No Matching Information Start a New Search Printer Friendly Version About L&i I Find a job at L&I Informacion en espanol Site Feedback 1-800-547-83674 `' � 4 0 Washington State Dept.of Labor and Industries. Use of this site is subject to the laws of the mow' state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy I Visit access.wa.gov Staff only link https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ALPHAPH958M1 8/8/2006