2012, 09-05 Permit App: BLD-2012-1500 Plumbing, Mechanical FixturesPermit Center
Spokane
11703 E Sprague Ave, Suite B-3
Spokane ally, WA 99206
4°,0Val ley- (509)688-0036 F..AX: (509)688-0037
Community Development permitcentennWsnokancvallev ore
Mechanical Permit Application
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 381 2 S, / Z /-'LRAM L -t L4$46
Building Omner ..-1.1),,;‘, N t5`S T'nA S
Name I
Phone.
Address: 1,607 JM2L_I ern- L44.te
City G._e 1e /,,OzQ
State (AL,
ZIP: c)9016
Contractor r Fj R -�.-� �-I b- A/ch
( Phone' 509 ,L1€14, /c(05 Fa\ SO9, 14E54-,8 352_
Name
Address: 5207 )4' FLbg-/DA
Cin 5�.5tSi�N�
State: (�A
Zip 992.17
License No: RA \* )Otot..0
City Business Lie'
Contact/Project Manager: Leyj f- Ca-rA1 iir tori)
Name: �E..,/%1-/3
Phone 509. car44- -/5G9
❑CASH 0 CHECK 0 VISA 0 MC
CARD #
EXPIRES
SIGNATURE
VIN
O
CSV PERMIT CENTER
P:\Community Development\02 Admmistranon\03 Forms - Official Versions\Permit Center\Mechanical Perm Aprpllclaithn 0$-43-09/g doe REV. #.
1
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to 3 mcludmq 100,000 BTU
f
FURNACES 3 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)
Z.
GAS LOG FIREPLACE. 8 GAS INSERT
/ 1
APPLIANCE VENTS INSTALLATION RELOCATION. REPLACEMENT
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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 ducbna)
Each unit up to 10.000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE ODOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
q
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 I
rh
HOOD
Type II
Project it
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5/� r-- � I5L
L P STORAGE TANK
r !\1£D
WOOD OR PELLET STOVE INSERT
R
R
L L.
WOOD STOVE SYSTEM - FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD #
EXPIRES
SIGNATURE
VIN
O
CSV PERMIT CENTER
P:\Community Development\02 Admmistranon\03 Forms - Official Versions\Permit Center\Mechanical Perm Aprpllclaithn 0$-43-09/g doe REV. #.
1
CURRENT FEES AVAILABLE AT htto.//www sookanevallev orq Quick link to forms, then Master Fee Schedule
P \Community Development \02 Admmisnanon\03 Forms - Official Versions\Pertmt Center\Mechanical Permit Application 04-03-09 dg.doc
//F.Permit Center
SA kane 11703 E Sprague
ue Ave, Suite 3-3
Spokane Valley, WA 99206
coo$OValley (509)688-0036 FAX- (509)688-0037
pennncenter(lspokanevaUev.org
Community Development
Plumbing Permit Application
•
B(d-Iz- 15 v0
PERMIT NUMBER:
PERMIT FEE:
n Commercial n Residential
SITE ADDRESS: 33 1( S.
-.43,304_45 Cskac
Building Ottner _Sty,/ )(l.. N,DEST I�1�
Name —II)I C(L Phone Fax
City: Gi eeej ,,to s State: wp., Zip 439O/6,
S- i -at_ e (.4 -...j` -C
Address: ass. --Ts
• ,
Contractor Gold Seal Mechanical Inc.
Name. Phone 5c:/:7'S35594 Fax. 50 ,535,935
Address. 5524 E Boone Cir Spokane State. WA Zip: 99212
License No GOLDSM*290C4 City. Business Lir
Contactl'roject Manager: Lexington Homes, Inc.
Name' .-2/ate,osJG—S Phone: Sof),9ZL4.,!5/9
# OF UNITS
PLUNIBING FIXTURE ON A TRAP
TOILETS
��jj
3
URINALS
TUBS
et—
tSHOWERS
SHOWERSIyer Imam
2-
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, A -ray. Food..
Prep/Culinary bleat
DISHWASHER
i
CLOTHES WASHER
firI
v/
GARBAGE DISPOSAL
/
WATER SOFTNER
FLOOR DRe. IN
Area Case, Col Trench, Condensate
ROOF DRAIN/OVERFLOW DRARIS
FOUNTAIN, DRINKING
WATER PIPINGIDRAIN-INWASTE
Installation. Alterations. Repair. Reversals
WATER USING DEVICE
Ice and/or Coffee maker. hose bib. steamer proofedcarbonator, swamo cooler
+�
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Includina traps. vents except Aachen type grease interceptors functiamna as f.ture trans
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
-_
Project # G . —
-
-
rr r
a e
❑CASH ❑ CHECK ❑ VISA 0 MC EXPIRES
Card# VIN
SIGNATURE:
SEP 0 5 2012
CSV PERMIT CENTER
SUB #El]
REV. #ED-
P \Community Development\02 Administration\03 Forms - Oficial Versions\Pennit Center\Plumbing Permit Application 04-03-09 dg doc
CURRENT FEES AVAILABLE AT. http://www spokanevalley orq/ under the quick links for Forms, Master Fee Schedule.
P:\Community Development\02 Administration\03 Fonns - Official Versrons\Pennit Center\Plumbrng Permit Application 04-03-09 dg.doc