2012, 01-31 Permit App: 12000232 Mechanical, Plumbing Fixtures- Si okan ems'"`
_.Valley
Permit Center
11703 E Sprague Ave, Suite B-3
, Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER: -Z 3 Z
PERMIT FEE: 70
n Commercial 1 1 Residential
SITE ADDRESS: iik;k9 N- SVP. -e-7 AGy
4r k4,14 V� `le y `'') `q 9y.Zv 6
Building Owner
Name: f' i iµ k Phone: 6 f Ed J O Fax:
City. 1" � ri+2- State: Ind/ Zip: eral br
Address: 311.. N- t:fe-rri AZ,
.Lis
Contractor
Name:Phone: Fax:
(i„,v w,,1L,,,q
Address: J City: `d,.,) - it State: Zip:
License No: City Business Lic.
Contact/Project Manager:
Name:L r e t` y c", -Z Phone: ,C--dV " l X?' x9-3---,
-
# OF UNITS
PLUMBING FIXTURE ON A TRAP
- TOILETS
i
URINALS
TUBS
i
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
tglaiy R ALTERATION
Water piping, drainage or vent piping
• PHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
['CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309. doc
17 V11a1Spokane Valley,WA 99206
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Vaey- (509)688-0036 FAX:(509)688-0037
®,. PERMIT FEE: a
Com...zity Development permitcenter@spokanevalley.org
Mechanical Permit Application I Commercial I I Residential
SITE AiDRESS: Z'20 J -(M ,, L o L/ /4
BuildiQg j+wner
Name: //,11- L Phone: 50 -7�' --d x7Fax:
Addre::s: 3 ,.)/7v L%ed/ Lir City: State: W Zip:
Contractor
Name: 7,62.i,,v,e- Phone: Fax:
Addre„;: /9 City: State: Zip:
License No; City Business Lic:
Contar,t/proje"t Manager: •
Name: Phone:
#U NITS
FURNACES&SUS'ENDED 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 CONDI TONER 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 1j50,000 BTU •
_
AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 cfm,incudin_gducts
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
EXPIRES: VIN:
OCASH 0 CHECK O VISA OMC
CARD#: SIGNATURE
http://www.spokanevalley.org/uploads/Community_Development/Documents/Fomes/Building/MechanicalPermitApplication040309,doc
ovuttaue
Spokane Valley, WA 99206
Vey' (509)688-0036 FAX: (509)688-0037
permitcenter !,spokanevalley. org
Community Development
Mechanical Permit Application
n Commercial
rDltivu 1 IN ULviDL51‘.. 7 _
PERMIT FEE: ? D o'er
Residential
SITE ADDRESS: 4?t7 l,. ver% ree,
U,l/ey, 409
Building Owner '.
Name: /
l irGeC,c
Phone: �Olf_ Y% _8/9.5- D Fax:
Address: 3s -f7 %l)• (,tp //✓xJ_ Gr
City:`�' State:
`✓
Zip:
"'Do4
Contractor
Name:
mel, /7 'tfi , ‘6,6,,l/:z�
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
#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
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp- 1,000,001 to 1,750,000 BTU
Over 50 hp - over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
INCINERATORS
Each ventilation system
Each hood served by mechanical exhaust
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
HOOD
L P STORAGE TANK
Type I
Type H
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES: VIN:
SIGNATURE
http://www.spokanevalley.org/uploads/Community Development/Documents/Fonns/Building/MechanicalPermitApplication040309.doc