2012, 05-16 Permit App: BLD-2012-0549 Plumbing, Mechanical FixturesSpokane
4SUalley•
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
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ptitec ncra�snokanevallev.oie
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial hZ� Residential
SITE ADDRESS:
5, J220eeomac
Building Owner
Nance ..._...\ 4:04 t 4.)sr "rs Phone Fax
p.p
Address: as° 7 C . s�%nej_mfiarrLACity. �'a n,�,u State. ANA Zip. I IQ no
Contractor
Nance: LQo. r whom") 1 ".Phone Fax:
�'�o� V 'hCity:
Addiess' State Zip:
License No GOLD51144ir 43.4C^ (* City Business Lie
Contact/Project Manager: , •:„. - _ • • , . t ' },. • r .
Name • • ' Phone.
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
TUBS
�j
.7
SHOWERS (per trap)
Ik+
SINKS
Lav/Basins. Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
/
{O
DISHWASHER
I
CLOTHES WASHER
I
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
¢¢
J
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
i
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
❑CASH ❑ CHECK
Card#
SIGNATURE:
0 VISA
0 MC
EXPIRES
VIN.
RECBV TD
CSVPENMIi CENTER
MAY
Project �F L�J�C! G l_Z2012
Name , , LIC
Dual nllldi iF I
P.\Community Development 02 Administration 03 Fonns - Official Versions\Pei nit CenteftPlumbtng Pennit Application 04-03-09 dg doe
permit Center
Spokane
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
Val ley . (509)688-0036 FAX: (509)688-0037
Community Development Demutcenler�lsnokanevallev org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
SITE ADDRESS:
af5ci'S S , d'noe.e¢rbO L.Yan18'
Building Owner
Phone:
Fax:
Name'
Address: ifs 7 s , .-(.ler+t 7' L4,3 Cityate F'�i+, i..i M .e eCc State. I/=,S\
Zip. l�a l b
Contractor
Name
a s rt . rra-ter
Phone 5C.#Bt j 4,05 Fax:
Address
City
State.
Zip
License No 2 -&MG+%-* �bLe eat&
City Business Lie
Contact/Project Manager:
Name
Phone
❑CASH 0 CHECK 0 VISA 0 MC
CARD #.
EXPIRES
SIGNATURE
VIN t'�ii (l G ��1� 01 1
I'rojc-ct� Mb�(�—�Z-
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#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)
Z
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 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
.3
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
94
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 II 1 r
L P STORAGE TANK
1
I in -t i Or- f
WOOD OR PELLET STOVE INSERT
1 CST
PEI-Miif c-izi,r.-r-r,
WOOD STOVE SYSTEM - FREE STANDING
1
❑CASH 0 CHECK 0 VISA 0 MC
CARD #.
EXPIRES
SIGNATURE
VIN t'�ii (l G ��1� 01 1
I'rojc-ct� Mb�(�—�Z-
11aR1I � LIf�
JUUfftitiai
P \Community Development \02 Administration Forms - Official Versions\Pennit Centei\Mechanical Permit Application 04-03-09 dgddgttttdoe