2012, 08-01 Permit App: BLD-2012-1236 Mechanical, Plumbing Fixtures�. 1Iey
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcententsnokanevallev.org
SITE ADDRESS: I Og 14. �YH Fi W
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
Building Owner.
Name: V N d ✓C� j ! Phone: / 'i1 #7
Address: /I h f
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i NlJEP—o *iv
Contractor f
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Contact/Project Manager. •
Name:
Address:
License No: LI?
Fax: C
State: ks
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zip: �� 2c
Phone: /(/ -
City%/,j/�/70►-, `
Fax: . Q 14
State_ II,`s
zip:46f'Z c
City Business Lic:
Name:
Phone: 1-1-
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#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
I
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
I
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)
i
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 indude dulling)
Each unit up to 10,000 dm, induding duds
AIR HANDLER (DOES NOT indude ducting)
Each unit over 10,000 dm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
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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
H000
Type I _.,,,..,.. ..
HOOD
Type II
L P STORAGE TANK
1" `- FSC: "
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WOOD OR PELLET STOVE INSERT
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WOOD STOVE SYSTEM — FREE STANDING
MASH 0 CHECK ❑ VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P:\Community Devetopment\02 Administration\03 Forms - Official VersionsTarnit Center\Mechanical Penhit Application 04-�3439dg.doc
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•
•
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentengspokanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS: :dog:.t4 N411 ki
•
PERMIT NUMBER:
PERMIT FEE:
0 Commercial x Residential
• Building Owner
Name: io, 4lo,dior,ft urc„,,. Phone:Al, 40,719 Fax: .7.: , oil'
Address: 10 . ii iq 5r...44ty r..0 cityrol,„ANt a La", S e Nt. Zip: 1 eitoCr:
Contractor
Name
-10..+ --.. Los L , 6,-, Phone: f, I. (1 Fax
.i.7,- ga 4,:ta) City:o4. c t LALyState:
Address: i 0 a isi kige/.
h. zip44 gc.9/
License No: 10. N I, 00 *1143 City Business Lic:
• Contact/Project Manager:
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..
Name: K•gAil 1.14 VI IND n g)-1.
Phone •• 11- (./c0c)
...
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
f---"
URINALS
TUBS
2.
SHOWERS(per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
4
DISHWASHER
I
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
I
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
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EICASH El CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CI; r
SUB
P:\Community Development\02 Administration\03 Forms - Official Versions \Permit Center\Plumbing Permit Application 04-03-09 dg.doc