2013, 07-29 Permit App: BLD-2013-1497 Air Pressure Test•
Spokane
jValley®
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Mechanical Permit Application ❑ Commercial
esidential
Project # 99 7
RECEIVED
13
PERMIT FEAF R
SITE ADDRESS: J O(�� C12c 4sY
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Building Owner
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Name:
Phone:6 r_
Fax:
Address: S 7 C -tz 4< L � CL` �{D
/1�(,/)-6764.
City: •�ect l�/f�1' i ( v
State: O �
Zip: g0 iJ
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Contractor ,�GUh.F.4,- v�res� U2-
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Name:.
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager: — Ti/ 6,,,/,‘,/,4? _ 4/g -t4
Name: `L
Phone:z 3,_5 *s
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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)
j
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 Dryer
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
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick Zink to forms, then Master Fee Schedule
1
SENTINEL
FIELD SERVICES, INC_
Monday, July 29, 2013
Buyer: Jennifer D. Watkins
Property Address: _1306 S Custer Road, Spokane Valley WA
HUD Case #: _562-215260
To Whom It May Concern:
Sentinel Field Services, Inc. (SFS), acting as an authorized agent for the United States Department of Housing
and Urban Development (HUD) in the scope of Field Service Management, hereby grants permission to the
above Buyer to pull a permit for an gas inspection for the HUD -owned property located at the address
above. The buyer is responsible for a y and all fees that apply to this permit and inspection.
By signing this agreement, the Buyer agrees to Hold Harmless SFS for any fees, fines or damages to the
above -designated property, and/or any neighboring or adjacent property resulting from the requested permit
and inspection.
By pulling the permit and performing the inspection at the property. the buyer accepts all terms of
conditions provided in the authorization letter as well as all associated fees.
Buyers' billing address
Buyers' SSN and/or Dr' : 's li =sen .. er (if required):
Selling Agent Si: r a / I .ii 'hone number'b f - O llate 17- al 40
Buyer's Signatu ; .. _ �t /r�_�11. i .� hone numberx) T 0222 -Date 7.30 -13
This form is not valid unless signed.
Sentinel Field Services, Inc. I 375 South State Street, Suite D, Clearfield, Utah 84015 1 801.920.6764