2012, 03-28 Permit App: BLD-2012-0241 Mechanical, Plumbing FixturesSpOITane
ley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial 031 Residential
SITE ADDRESS: '422 S . GAL \) i td L
Building Owner
Name:.
-e � L et1J�aT2
1t)e-Fl t\J / C.
Address: ? ,i J 4. CAusPi L `3T
Phone: `?j/- i 7(i 3 Fax: ;21
City:
State: LJA Zip: ()(J.'J
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No: rw 7) rt }A f\- ' i.'i (p Ctt t
Contact/Project Manager:
City Business Lic:
Name:
Phone:
MASH 0 CHECK 0 VISA 0 MC
CARD #.
EXPIRES:
SIGNATURE
VIN:
tMARP:\Community Development 02 Administration103 Forms - Official Versions\Pennit Center\Mechanical Permit Application 04-03 -09 dg.doc
tit) 4i a'. ici- 12 4
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
t
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
i
HEAT PUMP/AIR CONDITIONER
0-3 TON
i
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
I
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 - 500001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp- 1,000,00110 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp - over 1,750,009 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Eaoh unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
4
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
MASH 0 CHECK 0 VISA 0 MC
CARD #.
EXPIRES:
SIGNATURE
VIN:
tMARP:\Community Development 02 Administration103 Forms - Official Versions\Pennit Center\Mechanical Permit Application 04-03 -09 dg.doc
tit) 4i a'. ici- 12 4
0.013/4
SOokane
j Val Icy
Community Development
Mechanical Permit Application
Permit Centre
11703 E Sprague Ave, Suite t3-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pcnniteenterOsnokanevallev.org
PERMIT NUMBER:
PERMPf FEE:
❑ Commercial 04 Residential
SITE ADDRESS: 14 2Z__ l_(4i. L -A1
•
Building Owner
Name :r A FR- COAISTR--t) i -T704 f I C
Address: ,Z _I I Al. C usrpt sr.
Contractor
Phone: 9
5IgD
City: 0lV1n‘l€
Fax: 326- t ?I .
State: �A Lip: GI 017 DS
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:C-MArI "969 Lt\
Contact/Project Manager:
City Business Tic:
Name:
Phone: �i4G 1 —
. nn ,11e v
• �.
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
I
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,030 BTU
DUCT WORK SYSTEM
I
HEAT PUMP/AIR CONDITIONER
0.3 TON
I
AIR CONDITIONER
Over 315 TON
AIR CONDITIONER
Over 1530 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 BID a less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Deer 3 - 15 hp - 100,001 to 503.030 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
O+a 15-30 hp -500001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp- 1 000,001 to 1,750000 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 rent
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan mnneded 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 Waster
UNLISTED APPLIANCES
Under 403,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
I
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
['CASH ❑ CHECK ❑ VISA ❑ MC
CARDS:
EXPIRES'
SIGNATURE
VIN:
RECE YED
CSV PEppRMITCENTER
P:\Community Developmentl02 Administration \03 Fonts - Uncial Versions\Penmit Centa\Mech:mica) Permit Application 0403-09 dg.dee MAR2 8 2012
Project f:_.6.n1G-IZThe 4I
!Name _/ - •1'C
SuufTlitiai if
>S�okane
�f Valley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenterra sookanevallcv. ora
Community Development
Plumbing Permit Application
SITE ADDRESS: 1122 S. CALA)
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
Building Owner
Name: `T22,, / i 2 1
, L c-ik si-eA)Qxio V / f i Phone: cis i —) / p D 5Fax: Jzb " 1 q
ii,
Address: D I I AiC A L \S1?t!1_ 1ST City: SZO KA State: tjA
J l
Zip: (lei
,, cS
Contractor
Name: Phone: Fax:
Address: City. State:
Zip:
License No: j-)2, r Lai -r' (c (3 , 'h City Business Lic:
Contact/Project Manager:
Name: ASC)/ V, Phone: 95/_ / q D 3
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2—
URINALS
TUBS
I
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
1 L�
DISHWASHER
f
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
.3
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
['CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
RECEIVED
CSV PERMIT CENTER
MAR 232fl12
Project# ldl-12-Ze1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 0#itatif051g.doc fevlf . K
..
Submittcti ;F