2013, 02-26 Permit App: BLD-2013-0298 Plumbing, Mechanical FixturesPermit Center
111011 "ri�]r,11 11703 E Sprague Ave, Suite B-3
t`� Spokane Valley, WA 99206
4r � LI ley- (509)688 -0036 FAX: (509)688-0037
Community Development permitcenten@spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial '}9CI Residential
SITE ADDRESS: 5 1.2 . N.1 d L o iJ
Building Owner
Name. Phone: el"' / Fax: 0_0
License No:��G
Contaet/PtojectManager:
Name:
Phone:
❑CASH ❑ CHECK 0 VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
CSV PERMIT CENTER
RFV. #
P: \Community Development \02 Administration103 Forms - Official Versions\Permit Center\Mechanicai Permit Application 04-03-09 dg.doc.......,.v. �.
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SYUNITS
FURNACES & SUSPENDED HEATERS- INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
Over 100,000 BTU
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
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
Ranpe, Clothes Washer
Under 400,000 BTU
UNLISTED APPLIANCES
UNLISTED APPLIANCES
Over 400,000 BTU —_
HOOD
Tr.eI
Type IL
-,, — aZg1
HOOD
L P STORAGE TANK
-
#1ED
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
)nia
❑CASH ❑ CHECK 0 VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
CSV PERMIT CENTER
RFV. #
P: \Community Development \02 Administration103 Forms - Official Versions\Permit Center\Mechanicai Permit Application 04-03-09 dg.doc.......,.v. �.
„*Valley
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter@snokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial
SITE ADDRESS: I.'S !J . & id. J.
esidential
❑CASH ❑CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
I-LL_b162013
CSV PERMIT CENTER
SUB # REV.#
P. \Community Development \02 Administration \03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04 -03 -09 dg.doc
Budding Owner
Name: [C►
L.
L Phone: 7Z4 z f Fax: l Z2' Q.J c-
Address
, L
Ci State:' t� w Zip:II/o ( _
y
Contractor.
Name: 1._Nt !/ cb c rfe 111,6 Phone. AZ /Z Fax 2Z /
Address. 1_.. IQ h,,. dil�Ge City: �/.j`Oy�. ,GL nc u y State:
th.. Zip: gl Z0If:
License No: 0 L City Business Lic:
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Contact /ProjectMauager .0:414&k-
Name:. Phone: /soil, 741b
t`� L
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
f
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
4
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
/
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 prooter, carbonator, swamp cooler
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
�+
Project #,1— I Z-
Via°
❑CASH ❑CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
I-LL_b162013
CSV PERMIT CENTER
SUB # REV.#
P. \Community Development \02 Administration \03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04 -03 -09 dg.doc