2012, 11-07 Permit App: BLD-2012-2027 Plumbing & Mechanical Fixtures,n is111lliG .. ::.
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter@spokaneval lev.ora
Community Development
Plumbing Permit Application
P rojeatt R Id- 1Z-Z6z7
RECEIVED
PERMIT NUMBER:
PERMIT FEE:
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C`1
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Commercial Residential
SITE ADDRESS:
5i U 2 Ai. i) r\I
Building Owner
Name: LX IL 14 /)41C4 LIZ, �_1 1 ��,�� Fax: gZZ�Ci%
Phone:�r
r r,q�L
Address: /i `✓i%J2 VL I T SOU 30 CitYSPAAI VALLL.- 7 State: LA 4- Zip: G..2,,o(�
Contractor
s� �11 +�, �/� 7 �/ / �/
Name: L._1�i _ I7 U !t'! ) j r, Phone: 9 i —I 2 // Fax: gay Z —L �G
y�� , /
Address: .210 , aAi) V rJyL5/ / 7 .9-t-- JO) City: ,�g ,� l°./�Zl�/ State: L,(2,1-- Zip: eic 2(%L�
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License No: LN L i+O1+1., / L C City Business Lic:
Contact/Project Manager:
Name: ( CNAJ r CJL Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
2-
SHOWERS (per trap)
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
/
DISHWASHER
/
CLOTHES WASHER
/
GARBAGE DISPOSAL
1
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
S
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
CASH El CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P: \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Plumbing Permit Application 04 -03 -09 dg.doc
Spokane
Permit Center
11703 E Sprague Ave, Suite B -3
Valley Spokane Valley, WA 99206
l ley ` (509)688 -0036 FAX: (509)688 -0037
Community Development perm itcentera,snokanevallev.org
Mechanical Permit Application
Project i)10t— IZ—ZOZ7
n Commercial
RECEIVED
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: /f) 2 Al /4.1/ ALL
Building Owner
Name: .} �/� L, I / /J/4L � Z�
Address:v2/40 N. ULNrY't 97
Phone:
State:
City: 3 ezpv State: v��
—0/
ZP *ale
Contractor
Name: L�11 //L`` 14-M5 ,/ I/� It �i �;, /y,
Address: 2j ) l �til) V N /C�/ (1`� �/G 3 V
Phone: g (/ jZ / Fax: 922- —
Citysym t �j' State: W// Zip: 2/
License No: [i L l-i O /-FL .g I L
City Business Lic:
Contact/Project Manager;
Name:
N�IyctL
Phone:
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P: \Community Development \02 Administration \03 Forms - Official Versions\Permit Center \Mechanical Permit Application 04 -03 -09 dg.doc
#UNITS
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP /AIR CONDITIONER
0 -3 TON
AIR CONDITIONER
Over 3 -15 TON
AIR CONDITIONER
Over 15 -30 TON
AIR CONDITIONER
Over 30 -50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
/
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp- 100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp — 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
1
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P: \Community Development \02 Administration \03 Forms - Official Versions\Permit Center \Mechanical Permit Application 04 -03 -09 dg.doc