2012, 03-12 Permit App: BLD-2012-0141 Mechanical, Plumbing Fixtures4�`TA'' Spokane Valley, WA 99206
Vailley' (509)688-0036 FAX: (509)688-0037
Community Development Permitcenterevalley.org
Mechanical Permit Application
• PERMIT FEE:
❑ Commercial ❑X Residential
SITE ADDRESS: Z 7 Z Z X. FF x
Building Owner w- i_„ f -.. ie.rv_ictvi,‘ uv
Name:
Phone: (S./0r1) I ) Q_ Q i 83
Fax:
Address: 9 I %i w L; of (0 L>J
t L �._
City: eco, o 1,4 a/ti
State: W
Zip: q001)4
Contractor
Name: 5,0,-,,,, z_ v-.
Cot Art4C.__
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager: 5,,avyi it ,t;1/4_
Q, -.j a/Ce_.
Name:
Phone:
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
z
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
2
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
2,
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
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
Over 50 hp — over 1,750,000 BTU
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
A6
Each hood served by mechanical exhaust
Installation or relocation of residential
INCINERATORS
APPLIANCES
UNLISTED APPLIANCES
Installation or relocation of commercial
Range, GidIbher
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
HOOD
L P STORAGE TANK
Type I
Type II
7-
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
g1d—��L-�4l
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.dl l'Lk
' Spo�ane�°'`
11703 E Sprague Ave, Suite B-3
Spokane Valley, 99206 •
(509)688-0036 (509)688-0037
permitcenter@sp evalley.org
Community Development
Plumbing Permit Application
ERMIT NUMBER: Met - 0 Z - /4
RMIT FEE:
❑ Commercial Residential
SITE ADDRESS: Z 7 Z
Building Owner
Name: U< 4 s4 L E ek A Ci -1l:1/ Phone: i 1 O- O 1 8_5 Fax:
Address: C ) 4 W L4 il COLS/ QjL tr City: .S, ° et . I L State: W A Zip: Cf ij..a (
Contractor
Name: SJvvi e a, 5 D a t Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: 5 z a_� Ohl 111
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
A
URINALS
-/,
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
10
DISHWASHER
2.
CLOTHES WASHER
2_
GARBAGEDISPOSAL
2
WATER SOFTNER
_
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
2.
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
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:
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