2012, 04-18 Permit App: BLD-2012-0429 Plumbing, Mechanical FixturesSiolcannee
tFValley
Community Development
Mechanical Permit
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, 9206
(509)688-0036 F 09)688-0037
pennitcenter(3spo valley.org
Application
SITE ADDRESS: :J Z Z N. /lc Do n aa `d(
4 PERMIT FEE:
PERMIT NUMBER:
Commercial %Residential
Building Owner -
Name: .,j--l�dN� )ushAorclt.k,
Phone: a 63_777s Fax:
Address: cf so 1 /1/ Borin en
Contractor
Name:
Address:
City: 51so
Phone:
City:
tri
State: w A
Fax:
State:
Zip: ff97.7,4
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
I 1, VE
SIGNATURE CSVPERfi"i-)-
EXPIRE: r [-/
http.//www.spokanevalley.org/uploads/Community Development/Documents/Forms/
CENTElR
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Project � otcLI%z-LysjName I
Submittal ,j
Burlding/M itApplicafion040309.doc
#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
Yes
1
HEAT PUMP/AIR CONDITIONER
0-3 TON
1
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
J
GAS PIPING SYSTEM (each outlet)
0
2
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS ABSORPTIONS SYSTEM
0 lo 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 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfrn, 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
Each ventilation system
l
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 I
HOOD
Type II
1 P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
f
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
I 1, VE
SIGNATURE CSVPERfi"i-)-
EXPIRE: r [-/
http.//www.spokanevalley.org/uploads/Community Development/Documents/Forms/
CENTElR
//�A,PR la X012
Project � otcLI%z-LysjName I
Submittal ,j
Burlding/M itApplicafion040309.doc
Spat ne
ey.
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036509)688-0037
permiteentertls valley.ory
Community Development
Plumbing Permit �ApplicatioAAPc n' 7�
SITE ADDRESS: __5-212_ /V- / cDapnr151 �d .
n Commercial
Residential
Building Owner
Name: xuSyvirt ¢.'rctwk
Address: 4G° q /1: (3a vi nen R1
Contractor
Name:
Address
License No:
Phone: 8633_ 77 75 pax:
City: Seo kne ,tti� State: La Zip: (.92 1
Phone:
City:
City Business Lie:
Fax:
State:
Zip:
Contact/Project Manager:
Name:
Phone:
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CSV PERMIT CENTER
APR 1 0 .i1O12
I;Project C Flu -/Z- yLC,/
Name v✓1i16r
JUU/TIIY=
CURRENT FEES AVAILABLE AT: http://www.spokanevatley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309 doc
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
I
CLOTHES WASHER
r
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
3
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
1 H17 .f"ikir
it
1
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CSV PERMIT CENTER
APR 1 0 .i1O12
I;Project C Flu -/Z- yLC,/
Name v✓1i16r
JUU/TIIY=
CURRENT FEES AVAILABLE AT: http://www.spokanevatley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309 doc