2012, 06-21 Permit App: BLD-2012-0952 Mechanical, Plumbing FixturesSp'okane�"�
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
permitcenter@snokanevallev.orR
SITE ADDRESS: 51 I f p IY. • frt tiyi YY P.
PERMIT NUMBER:
PERMIT FEE:
(l Commercial %Residential
BuildiagOr'ner' .
Name: L
Address: ZfO ▪ U iiVEie6 a *592
Contractor::
Name:nLAS I� pp g
Address: / `l0 14 • U NAlge . 4
License No: y /_1fri
Contact/Project Madager
Name: /v 1,4. LOD��
Phone: Z 1 /1' /�1`O
,42
City:-�h4L'V�V1
Fax: Z OI°l5
State: ifs,.
Zip: Z0
Phone:2 `0 `r""'� 1
Ciry
City Business Lic:
Fax: 01,1�
State:
Zip' 2
Phone: Z'�J-
OCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical
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#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & induding 100,000 BTU
t
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
i
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
I
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 dm, including 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
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
HOOD
Type
HOOD
Type P C O�-2 C t i� � �i-ti/
'
V;C'� "" ._._ i..
r!��
L P STORAGE TANK
y '7C
,
WOOD OR PELLET STOVE INSERT
! t �...,
a
TIt— .s
WOOD STOVE SYSTEM - FREE STANDING
j
OCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical
VII :
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CSV PER M NTER
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Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itcenter@s Dokanevai l ev, org
Community Development
Plumbing Permit Application` •- k/,
SITE ADDRESS: 5l l �j 1� 4
PERMIT NUMBER:
PERMIT FEE:
0 Commercial
Residential
13u110g Owocr.
Name:Phone:
Ltd 1
Fax:
o��� LLG. 21? 4ZZ •0115
Address: Z4
State: 146. Zip:0/92oca,
. UgbiGafD 7 CityPOII.U.iy
Contrattot
Name:
lg
tho
Phone:I L..,0
Fax: 2' Jtig
Address: /� I O a. U l r 1 J60GFfy Q[1. i1, City: Ji. State: p . Zip: 4141.10 ,
t'r ` (.
City usin�
License No:vop Nig g ►.►rll 154,,tis
Cantact/Project Malnrger :
Name:itlg.qa4. hetbafig Phone: Z10),(.0,?orc ,
0 OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
/J
Z^
URINALS
TUBS
/J
Z.
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
1
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
11 t' 'i J
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
SUB
JUN21 7012
CSV PER :1]-I CENTER
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc