2012, 06-19 Permit App: BLD-2012-0924 Mechanical, Plumbing FixturesCommunity Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcenter[;a3spokanevalley. org
PERMIT NUMBER:
PERMIT FEE:
(1 Commercial ]Residential
SITE ADDRESS: 611"4 14, Hp► p..14
Building Owner
Name:
it'I. aXI,
�s LL G
Address: ' I id t fry' �.`I'� �? �1C/
Contractor //��
Name: 14 EJ i h� A Q 4 ES I� Phone: /f 1 / , 69100 Fax (vita • 0
Address: /J 1,.� 14�G r r ( NI E4:„.
City: 1p hi �ivL( State: Wb..
License Nov: 14V l 14 NH 15.4,14,* (! %�` " City Business Lica VV
Contact/ProjectvManger:
Name I�Gr Jr►1 t..t1 r^�ni►� .
City:���Q KIN t 6
Phone: /� (/d - [.�'/0
0
Fax: 'Or ,
State: h
Zip:eilsoca,
Zip: 141 217C:::,
OCASH 0 CHECK 0 VISA 0 MC
CARD #
EXPIRES:
SIGNATURE
1 fly 2012
P:\Community Development\02 Administration\03 Forms - Official Versions\Pennit CentersMechanical Permit Appl Et3' 3- 141,c 0 ENTER
SUB rt
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & induding 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)
GAS WG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
1
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or Tess
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 — aver 1,750,000 BTU
AIR HANDLER (DOES NOT indude ducting)
Each unit up to 10,000 dm, including duds
AIR HANDLER (DOES NOT indude 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
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 1
11000
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
j
WOOD STOVE SYSTEM — FREE STANDING
P r o j e c i 4
OCASH 0 CHECK 0 VISA 0 MC
CARD #
EXPIRES:
SIGNATURE
1 fly 2012
P:\Community Development\02 Administration\03 Forms - Official Versions\Pennit CentersMechanical Permit Appl Et3' 3- 141,c 0 ENTER
SUB rt
Spokane"
•Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perrnitcenter@spokanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS: 1 �I'h:S"fr lr"
1
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
Building Owner
,:_:
Name: Phone: Fax:
l.N 1. ' M L Le, X17 i 1 ZZ a 011'5
Address: " d,�
' J µ ii ‘f71J.-*L919 Ci131:9 w State: e
Zip: Q(i‘/)ix„
I
Contractor
�f 1/,40,104:74
Name: n V i i4 DD t'i - 1/ l , [�4O Fax: 9 .4 of — i 6
F�c�a
V`
*coPhone:
s j nW � Lay Stater:
s i ` l 1 ^�• ` ViCity:
Address: k� �. N I l%ffrtH
Zip:
License No:16W •• 11 City Susmess Lic:
154
Contact/Project:Manager:
Name: 1 Iset np
VL(s 1 / 1 . ,1 Y
r
/
Phone: /� i� _120
l� V
# 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
4
DISHWASHER
1
CLOTHES WASHER
i
GARBAGE DISPOSAL
/
WATER SOFTNER
FLOOR DRAIN
Area, Case, Cod, Trench, Condensate
I
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Cottee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traEs, 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 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
I Project #
RECEIVED
JUN 1 9 2012
CSV PERMIT CENTER
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit A pli91013409 dkdoc ? E V