2012, 04-03 Permit App: BLD-2012-0283 Mechanical, Plumbing Fixturesl
Spokane
essOValley.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@sookanevalley.orv,
Mechanical Permit Application
Commercial
PERMIT NUMBER: g ld -12-
PERMIT
2 -
PERMIT FEE: 7 y„.0 -ex
Residential
083
SITE ADDRESS:
Building Owner
173 3 S 6-nra7oG,yie
Name:
1
Address:
35
Contractor
144,51°7 State: by ✓)
Zip: 7170 r!.
Name:
Phone:
Fax
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
DCASH D CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
VIN:
httpl/wwwspokanevalley.org/uploads/Community Development/Documents/Fors/Building/MechanicalPermitApplication040309.doe
#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)
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 dueling)
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,/-
///���
VENTILATIONANDEXHAUST
Each ventilation system
M1�
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Raan lothes W3:$• -
' p., �
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
LP STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
DCASH D CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
VIN:
httpl/wwwspokanevalley.org/uploads/Community Development/Documents/Fors/Building/MechanicalPermitApplication040309.doe
�p®�kanka° e
.cessEley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pemitcenter(a)snokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: /? 3 3 (Sene
n Commercial g Residential
❑CASH ❑ CHECK ❑ VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevaliey.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_DevelopmenVeocuments/Forms/Building/PlumbingPennitAppl ication040309. doc
Building Owner1
At
Nam . Z' t d
1
/�y�i : d%%Phnne: i d _7 —g y Fax
piMace:
Address:
S i,r
�
5Qo
��Kf City. State:Lei
Zip: -7
Contractor
! j 7
j j 7
Name: l
Phone:ity:Fax:
Address: C "—_
City: State:
Zip:
License No: 7"..I
City Business Lic:
Contact/Project Manager:
.
Name:
Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
O_
ul_ 2
URINALS
TUBS
SHOWERS (per trap)
Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat`�;�{,y�,DISHWASHERICLOTHES
icci OSINKS
*J2��.Lav/Basins,
WASHERp
1
GARBAGE DISPOSAL
/�,
0 1
WATER SOFTNER
0s4 -) 1
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
Ic
and/o offee maker, hose bib, steamer proofer, carbonator, swamp cooler
Z
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
r
REPAIR OR ALTERATION
Water piping, drainage or vent piping,;
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTNE DEVICE
Other than atmospheric type vacuum breakers
t�_.
\1
i��,rr
MEDICAL GAS
ir�
jre° r
INCEPTORS
1
❑CASH ❑ CHECK ❑ VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevaliey.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_DevelopmenVeocuments/Forms/Building/PlumbingPennitAppl ication040309. doc