2009, 10-22 Permit App: 09003438 Water HeaterPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
vq�cy` (509)688-0036 FAX: (509)688-0037
permitcenter(&spokanevalley.org
Community Development
Mechanical Permit Application
n Commercial
PERMIT NUMBER: 0 — 3
PERMIT FEE:
Residential
�I 3�
SITE ADDRESS:
t11/0 C vELe3.e�
Building Owner
Name: '-p6LU l !LL
Address: 1 1-7 / O 2 uL ,�_e (3_12"
Contractor
Phone: q.42,1-7 Soo Fax:
City: S po (%Ll 11,1 State: (AJA--Zip: 6/22;6
Name: 6--Z S /J j .14+ 194'14Y Y % I
Address: l 220 S E (S F
License No:
Phone: qFax:
Zip:6N,z_e Jo
City: s �u �sut - t%k I (..e./ State: (AA_
City Business Lic:
Contact/Project Manager:
Name:
Phone:
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
#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
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
i
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
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
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
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General/Specialty Contractor
A business registered as a construction contractor with L81 to
perform construction work within the scope of its specialty. A
General or Specialty construction Contractor must maintain a surety
bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Verify Workers' Comp
Premium Status
Name FAUCETS 'N UBI No. i 601831472
STUFF LLC
Phone No. (509) 924-8881 Status ACTIVE
Address PO BOX 813 License No. FAUCENS023LQ
Suite/Apt. License i CONSTRUCTION
Type CONTRACTOR
City VERADALE Effective 6/18/1998
Date
State WA Expiration 3/10/2011
Date
Zip 99037 Suspend
Date
County SPOKANE Specialty 1 I, PLUMBING
Business Limited
Liability Specialty 2 .i1 UNUSED
Type Company
Check for Dept. of Revenue Account
Parent
Company
e nses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FAUCENS080N8
FAUCETS
STUFF
VNALLEY
V
DRN SER
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
8/28/19926/12/1998
ARCHIVED
VALLEDS186M6
VALLEY
DRAINCONTRACTOR
SERVICE
CONSTRUCTION
OTHER
(SPECIFY)
UNUSED
7/26/1982
6/12/1992
ARCHIVED
Business Owner Information
Hide All
Name
Role
Effective
Date
Expiration
Date
https://fortress.wa. Dov/lni/bbip/Detail. aspx
10/22/2009
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WAGONER, DENNIS E
PARTNER/MEMBER01
/01 /1980
Effective
Date
WAGONER, SHIRLEY
E
PARTNER/MEMBER
01/01 /1980
Bond
Amount
Bond Information Li
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
OLD
SURETYREPUBLICYLI23623803/10/2002Until
SURETY
CO
CNP271408023
10/08/200910/08/2010
Cancelled
$12,000.0001/15/2002
09/22/2009
3
nsurance Information j,
Insurance
Company
Name
Policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
9
Continental
Western Ins
Co
CNP271408023
10/08/200910/08/2010
$1,000,000.00
09/22/2009
8
CONTINENTAL
WESTERN INS
CO
CNP2714080
10/08/200710/08/2009
$1,000,000.00
09/05/2008
7
AMERICAN
STATES INS
CO
01CG4290221
10/08/200310/08/2007
$1,000,000.00
09/28/2006
6
NATIONWIDE
MUTUAL INC
CO
ACP750123351503/10/200303/10/2004
$10,000,000.0002/12/2003
�c txs About LEN 1 Find a job at L&I 1 Site Feedback 1 Toll-free Numbers
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httns://fortress.wa.uov/lni/bbin/Detail.asnx 10/22/2009