2013, 06-21 Permit App: BLD-2013-1180 Plumbing, MechanicalSpoken` e
.0 ,0 Val ley
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
pennitcenter, usookanevalley.org
Mechanical Permit Application
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Project # uId - 13 t\ 3-e)
RECEIVED
+' !, . 1 2013
1 I Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
4/
['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
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Name: /4/(L �, t -� r Ill 'I / -- - Fax V 2j /
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Address: 4/ 4/ ad .f/%-T� r�.w- -- z Civ�l/ - heady/ State: /� _ Zip:9926�
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Address:, „7,,,,a1.4. 4,,,,,)„,4w/m/ $ 4 Citxj_cqya %r y,�/t•L/gr/ State: Z
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License No: L & / //7( L t 8- City Business Lic:
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Contact/Project Manager:
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Name: ����t'' �i! ,�/l Phone: 5 1- 7 / Z
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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
/
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)
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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
3
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 VIRISRer Dile r-
UNLISTED APPLIANCES
Under 400,000 BTU l
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type 11
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
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Project # .. l
RECEIVED
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter a,snokaneval lev.ore
Community Development
Plumbing Permit Application
JUN 2 1 2013
CSV PERMIT CENTER
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SITE ADDRESS: A/4~1 =rJ�
PERMI1 NUMBER:
PERMIt FEE:
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o mercial Iii( Residential
A D MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P. \Community Development \02 Administration \03 Fonns - Official Vcrsions\Permit Center \Plumbing Permit Application 04 -03 -09 dg.doc
Name: /IMF"
5iririfk Phon= . Fax 77�i��9��ii—i11
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Address::
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Contractor
Name: / �/
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Phor�Qr � Fax: ��" �G L� - �1%✓��
Address: ^G �j� /Iy�
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T71y7
License o: GAIL ii /0/41 Lye /4_5 City Business Ltcc::
Contact /Pro'ectManager: ,,,,,
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Name: 1
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/L %tii?C _ Phone: /"
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
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 proofer, carbonator, swamp cooler
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
A D MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P. \Community Development \02 Administration \03 Fonns - Official Vcrsions\Permit Center \Plumbing Permit Application 04 -03 -09 dg.doc