2012, 01-06 Permit App: 12000045 Pipingrerun LCULCI
S okane 11703 E Sprague Ave, Suite 13-3
p Spokane Valley, WA 99206
dam'$ Valle3r (509)688-0036 FAX: (509)688-0037
Community Development permitcentert sookanevalley.orr
Mechanical Permit Application
❑ Commercial
PERMIT NUMBER: i9-I(S
PERMIT FEE: 3 g• Oc)
Residential
SITE ADDRESS: I 03 5 At. len de
SPC l."4/4" 4 r
Building Owner •
Name: 1j4 .4s7,
5 %le 4. d
Address: (-Z 0
Phone: 9 _ .74
City: 54( vlok,
Fax:
State: r� Zip:
Contractor
Name: Sour' m// l&mAC
Address: 277 , , 5-3 a�G
Phone: 2 7a _22 if
Fax:
City: SP'\
State: w t_ Zip: 5, c-222
License No:
City Business Lic:
Contact/Project Manager:
Name:
/ �N QSO/r�
Phone: ei -2 2
G
DCASH D CHECK ❑ VISA D MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://wwwspokanevalley. org/uploads/Community_Development/Documents/Fonns/Building/MechanicelPennitAppl ication040309.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
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 LOG, FIREPLACE, & GAS INSERT
1
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 r
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 I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
DCASH D CHECK ❑ VISA D MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://wwwspokanevalley. org/uploads/Community_Development/Documents/Fonns/Building/MechanicelPennitAppl ication040309.doc