2012, 05-16 Permit App: BLD-2012-0659 Mechanical, Plumbing FixturesSpokane
�d i i ius Jprague Ave, wire is -s
Spokane Valley, W 99206
Valley(509)688-0036 F 509)688-0037
Community Development permitcenter@spo evallev.org
Mechanical Permit Application
0 PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS:
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Building Owner UC
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Name: C 4 f (6,
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Phone: 1,,..5-(_ c 3
7 Fax:
Address:
City:
State:
Zip:
Contractor
Name:
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
MR 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
GAS LOG, FIREPLACE, & GAS INSERT
7 --
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
VENTILATION AND EXHAUST
VENTILATION AND EXHAUST
Each ventilation system
3
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
L P STORAGE TANK
Type II
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
•
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechaincaiPetmit4pprwation04i? :doe_ -----
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poxane
11 /U3 E JpragUG HVG, JU1le 1S-,
Spokane Valley, U 99206
(509)688-0036 (509)688-0037
permitcenter@s evalley.org
Community Development
Plumbing Permit Application
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SITE ADDRESS:
�KMIT NUMBER:
RNIIT FEE:
n Commercial Residential
❑CASH ❑ CHECK grcISA E MC EXPIRES:
Card# VIN:
SIGNATURE:
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CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/CommunityDevelopment/Documents/Forms/Building/PlumbingPelmitApplication040309.doc
Building Owner 5 UG
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Name: 6'7-4 r /os /
4 d_0d Phone: €7,57, d .2 3 J Fax: s. 3 y—//S Z
Address:t �d
k/ 3 f k City: •
��O l� N c State: cc., .e
Zip s O
Contractor
Name: 66 .. 4 c ti
(c_,....._ (, Phone:4 , 4 cy3 A -O i 83-- Fax:
Address:
City:State:
<ua <(/a4._ Gc)!r
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name: /4 a, (j 4
N „,, Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3
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 6 -
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
I
❑CASH ❑ CHECK grcISA E MC EXPIRES:
Card# VIN:
SIGNATURE:
'� , , le
t:'utUrrli(tai
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/CommunityDevelopment/Documents/Forms/Building/PlumbingPelmitApplication040309.doc