HomeMy WebLinkAbout2013, 06-27 Permit App: BLD-2013-1237 Plumbing, Mechanicalite
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
I00 V dlley (509)688 -0036 FAX (509)688 -0037
Community Development perm itcenter a,spokanevaIley.org
Mechanical Permit Application
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SIGNATURE
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P: \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Mechanical Permit Application 04 -03-09 dg.doc
Name: UL h FS/l LLCC Phone/ y7 -12_ij Fax: ` ,67 %J
Address:/ ) // / Lin; /V I ( 5M" 3 City51,6 yJt.lj V 4.11.2 - State zip. 4 '&&
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Contractor
Name: L I L4 t-f'U M
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License No:
L I Lt-i-L) i-i- LU B L Li City Business Lic:
Contact
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Name: /f -
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#UNITS
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Over 100,000 BTU
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DUCT WORK SYSTEM
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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
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GAS PIPING SYSTEM (each outlet)
2
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
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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
OCASH O CHECK O VISA O MC
CARD #:
ES:
SIGNATURE
VIN
P: \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Mechanical Permit Application 04 -03-09 dg.doc
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Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX. (509)688 -0037
permitcenter@sookanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS: 52/ G/ Al late &'1?, €7
Project `s _ i3 Z37
PERMIT NUMBER:
EF,\.,1IT CENT
Commercial IRe i4en
ial
Building Owner
NameLk.
L 14-6111 E-_ L� Phone S3' _ill -(L // Fax ,•72..., . —o of q �
Addre iD IV IANl thj )1ti 300 Ciry 6; 4 JE vii_ LLE State: vV,14._ Z'p: 99206
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Contrae_t6l
L �� AA t / (�) �/ j J 01,c5--
Name: DJ L 141 144 C,, Phone - .� % L,7� — / i l / / Fax 977 .�
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Addressij0 iiiki� U' l'J I 1 c L � % CIry e1 Y-1 / State: ik Zip: IX .)
License No: LAI Li4QN L 0 2 I L City Business Lic:
Contac7Prroject loger:
Name:
)je� J lLN IIV I � � Phone: � qq
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# OF UNITS
PLUMBING FIXTURE ON A TRAP
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TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
DISHWASHER
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CLOTHES WASHER
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GARBAGE DISPOSAL
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WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
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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
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
INDUSTRIAL
If Gas, See Mechanical
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
VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P. \Community Development \02 Administration \03 Forms - Official Vcrsions \Permit Center \Plumbing Permit Application 04 -03 -09 dg.doc