2012, 05-02 Permit App: BLD-2012-0540 Mechanical, Plumbing Fixtures*Wane `w
Walley
Community Development
Mechanical Permit
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permacentergspokanevalley org
Application
-Zoll-051/0
PERMIT NUMBER:
PERMIT FEE: (,3 OU
❑ Commercial ❑■ Residential
SITE ADDRESS:
/00 /O e 130,9"i -et -
Building
0,9"i -et -
Building Owner
Name: Hollie Koyukuk
Address: 10010 E Boone
Phone:509-954-5040
Fax:
city: Spokane Valley
State:WA Zip:
Contractor
Name:
Phone: 509-954-5040
Fax:
Address: 10010 E Boone
City: Spokane Valley
State:WA Zip:
License No: 601224992
City Business Lic:601224992
Contact/Project Manager:
Name: Jason 509-270-8543
Phone: 509-954-5040
-fern-SH ❑ CHECK *ISA ❑ 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
1
HEAT PUMP/AIR CONDITIONER
0-3 TON
1
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)
2
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 dm, 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
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
-fern-SH ❑ CHECK *ISA ❑ MC
CARD*
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
pokane
Valley'
romin l_,CIller
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentersookanevalley.org
Comrnunity Development
Plumbing Permit Application
SITE ADDRESS: /00 / 0 f
PERMIT NUMBER:
PERMIT FEE:
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to
—1 Commercial n Residential
DcAsH 0 CHECK EJ VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
bttp-J/www.spokanevalley.org/uploads/Community Development/Doeuments/Forms/Building/PlumbingPermitApplication040309.doc
Building Owner
Name: j.../0//1 e AO
k i&k Phone:
Address: /00/0
State: OA Zip:
City: ,kra
Contractor
9
Name:4 (.1:4,4;y
• Pliontz)c.... 5 wogs-- Fax:
Address: 5-7/ 7 A) f 611 „re, City: k ,-,
r_. State: oil Zip:
License No:
City Busintcs Lic: /.,: 0 2 _ — 6.5-47
Contact/Project Manager: x/( 4
-1,(1_14iA.,,,,.i
Name:
Phone: 5-05 _ yf 5_5--y6 2 -72, r/ s_
# 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
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
DcAsH 0 CHECK EJ VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
bttp-J/www.spokanevalley.org/uploads/Community Development/Doeuments/Forms/Building/PlumbingPermitApplication040309.doc