2012, 11-07 Permit App: BLD-2012-2018 Plumbing & Mechanical Fixturesspot "" c 'N..
Community Development
Mechanical Permit
Permit Center
11703 E Sprague Ave, Suite 8-3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
pernitcenter@saokanevalley,org
Application
SITE ADDRESS._ t04 (-i. I,V d (r0N
ProjebT-# B �Z(517— 201
RECEIVED
.1012
PERMIT NUMBER:
PERMIT FEE: r (.' E N T E R
Commercial 'esidentiat
Name: Lly
Ad to c� 4
License No:
1446141,l LQ1
Cont et/Pro et!> tr.
Name:
Phone:
Fax:
ee 461.41t' State.
City usinness Liicc:
Zipac 2Ot,
Phone
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
NOV 0 7 2012
P:\Community Development 02 Admmisoration\03 Forms - Official VersionsTermit CenteriMechanical Permit Application 04-03:11;)
Irlidoc ENTER
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#UNITS
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Up to & induding_100,000 BTU
/
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
j
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)
i
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 dulling)
Each unit up to 10,000 dm, including duds
AIR HANDLER (DOES NOT include dulling)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe d
du
VENTILATION AND EXHAUST
Each ventilation system
✓
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or nation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400 000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
^'°. —+
WOOD OR PELLET STOVE INSERT
PTUtE'Ci
WOOD STOVE SYSTEM - FREE STANDING
„ I
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
NOV 0 7 2012
P:\Community Development 02 Admmisoration\03 Forms - Official VersionsTermit CenteriMechanical Permit Application 04-03:11;)
Irlidoc ENTER
SUB #
REV. #
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
tenitcenter(spokanevallev.or¢
Community Development
Plumbing Permit Application
SITE ADDRESS: 5104 14. cwt. LOt`t
Proje
ad- IL —Z.
RFCFR_. /Fn
PERMIT NUMBER:
PERMIT FEE: pr
V I I LEI\r
S u ED-Cro—M tercial Residential
Building Owner
Name:
Phone: ,5 777/( Fax:
Address: City State: (
2ta 141fT'' It 7
/T
Zip: N-
1 Zvts/
Contrite*
'''� '
Name: L��rL. gC Phone: Fax
���/101.4..
/��/A ��d tt'
Address: 2 0 �. 4 l+Ql I City i `lkVly. State: t_ I> Zip: lam/
An Cep
Y'V
City usiness Lic:
License No :.`i 1 + _ jj�, r i, /7 �l 437
ContacUProjeet{t MaV aage1' :,,.,
.:R
Name. JV' It CJV/j/(--I'I1 phase.
1
a Of UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
Z.
SHOWERS (per trap"
SINKS
Lay/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
1:
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
I
FLOOR DRAIN
Area, Case, Cal, Trench, Condensate
l
/
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, steamerproofer, carbonator, swamp cooler
PRIVATE SEWAGE PISPOSAL SYSTEM
WATER HEATER
II Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Inducting traps, vents except kitchen type grease interceptors functionin g 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 r, - -___
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card. VIN:
SIGNATURE:
R E A V b U
NOV 0 7 .2012
CSV PERMIT CENTER
SUB#
REV.#
P:\Community Development\02 Administration\03 Forms - Official VersionsWermit Center\Plumbing Permit Application 04 -03-09 dg.doc