2012, 03-02 Permit App: BLD-2012-0086 Mechanical, Plumbing FixturesStiOkaite
Valley -
40,j
Community Development
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: 16 3/ 46 "C". /vn Ave.o
v�a� k -1--41A---6-4-1037
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenterOspokanevallev.org
PERMIT NUMBER:
PERMIT FEE: 2
Building Owner
Name: Phone: Fax:
Dor �v y Sf�i-q2<o-03gt%
City: \f e�A, (p State: W A Zip. 'j4 0 Z3
Address: 16 31$ E. MP t&i 4
.e
Contractor
Name:G Fax:
E,..5 mite t Oe4,) j �nv15�. LLC. Phone: $0y7‘ig _ �d l 3 5�` y�4 ' 3 S�
Address: i City State: Zip:
2l r. pen (latdol e .5 paH,� INA q4 70
lg.
7
License No:
CO 5 M 6 q0 6 3' 7. City Business Lic:
Contact/Project Manager: Melvl1 Gkgt 1
Name: Mel l/1indeinci Phone: 5 o X764' 1013
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
i
URINALS
TUBS
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
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 EXPIRES:
Card# VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
caiia,
Spokane Valley, WA 99206
`► '� Vey (509)688-0036 FAX: (509)688-0037
perrnitcenter@spokanevalle_y.org
Community Development
Mechanical Permit Application ❑ Commercial
PERMIT FEE:
Residential
SITE ADDRESS: 16 31 F. AA 11.1,\ Ave. 1 U e f J 4 se W Ik cm 03 7
Building Owner
Name: U era `�}jny avb‘i
Phone: 50 Q - q�, 03%6 Fax:
Address: 16 J i "U I } ` AA litin /iv t
City U er a „ittte State:
w A Zip: /! ! q
H 7 O Z3
.
Contractor
Name: tb-?IYldr`t De5` GoN5'f
14,6
Phone: �roq'76Cb-1093 Fax:
5061- LJ q -3y5)
Address:
Z- ` 7 � �✓' ► N ! Q f^ I'F►1 �.
C P State:
Ci D�LQ ✓� `Q
,' U Zip: aQ20 %
�1/ r; t
License No:
�605AA0L.1O6 7
City Bus rfe
Contact/Project Manager:
Name: 44f, iv i h 5(I11 n-Q(I
Phone: 50 q_ 7( ,c l21
#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
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
EVAPORATIVE COOLERS(other than portables)
Each unit over 10,000 cfm
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
UNLISTED APPLIANCES
Range, Clothes Washer
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
HOOD
L P STORAGE TANK
Type I
Type II
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
['CASH 0 CHECK 0 VISA 0 MC
CARD*
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community-Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc