2012, 08-31 Permit App: BLD-2012-1481 Mechanical, Plumbing FixturesSpokane
®,...Valley.
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 F�09)688-0037
permitcenter@sp alley.org
• Community Development
US Plumbing Permit Application
PERMIT NUMBER:
T FEE:
Commercial Residential
SITE ADDRESS:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
AUG 3i2I2
S' PEPERMIT CENTLR
SUB CS
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
Building Owner
Name: Q 1 P- s L 0 t i Phone:
r� l l� t I�'* Co �' 7G-3 s q a`� 7 Fax:
ui, r /� �
Address: S o "l C r ►v o t� f 0. / City: IQ(W IVB a v4 Lti--- State: (,) p Zip:91J 445-
Contractor
Name: C 4. vvx. Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: �
7
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
eC, kir.:
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3 2x-, v,r.: 1 -
DISHWASHER
CLOTHES WASHER
1 ee- V
GARBAGE DISPOSAL
( ea v„,:1 -
-:F,WATER
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 1 re,_ t../rt I -
PRIVATE SEWAGE DISPOSAL SYSTEM
I
WATER HEATER
If Gas, See Mechanical I eA tdrii 1 -
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
Project
'3 i`.'1- ^J 2 / ...LS/
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
AUG 3i2I2
S' PEPERMIT CENTLR
SUB CS
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
Sokane 11703 E Sprague Ave, Suite B-3
p Spokane Valley, WA 99206
.000Valley. (509)688-0036 FA 9)688-0037
Community Development Pennitcenter(a spok lev.org
Mechanical Permit Application
PERMIT NUMBER:
Commercial
ERMIT FEE:
/'fResidential
SITE ADDRESS:
Building Owner
Name: Qt CV. S r„ Phone: 6-0 y 'j ' 3 cj Fax:
Address: I'� 50 • j ivivT 0.T
City: (y m 0. v, Lie_ State: A_ Zip: Q
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
ct
Phone:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
AUG 3
rs`✓ P
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
?‘') TEE
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
t -
1 CO- v.,r0-
FURNACES
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
1 ec. 0., i--
`HEAT
HEATPUMP/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 ea Ur-, IL
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
3 e f., t/r, ' 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
APPLIANCES
}c,o_mmercial
Range, Clothes10211Q
` -e0. 0y1;1 -
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over400,000 BTU
HOOD
Type I
HOOD
Type II
1 e lin ..t
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
i D_ r
WOOD STOVE SYSTEM - FREE STANDING
'-
/ 2
- ((.f� Q�
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
AUG 3
rs`✓ P
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
?‘') TEE