2012, 11-05 Permit App: BLD-2012-1946 Plumbing, Mechanical FixturesS� 11703 E Sprague Ave, Suite B-3
pOltillleSpokane Valley, WA 99206
cocoolgValley (509)688-0AX: (509)688-0037
Community Development permitcent kanevalleY.ory
Mechanical Permit Application
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PERMIT NUMBER:
PERMIT FEE:
n Commercial n Residential
SITE ADDRESS: 3,g (el So c /vi t,tit&
Building Owner
Nam'tso� ✓In �f
r r' Ung
Address: (7- o Rcyli t 0 1,r1
Contractor IL�`P
Phone: 5-09- 7Z3 - Se 7 5 Fax: Gz 7 —'L z q 1
city:m-6 Oec i„02
State: Mg
Zip: cigQ2'-7
Name: 01 1-i-4--E501'J
Cor-g�- LLC_..
Address: 1)r Ut X. /0(9 U
License No: MA -7 T—(- CL l g 1 Ce
Contact/Project Manager:
Phone:95 9 ._ •.ZT7 - 68),-; Fax: q 7 — -z_-z_ C1
Zip: q 4o Z�
city -0(13 C2Cl 114✓J 5 State: W✓.
City Business Lic: (o U t D 9'G f — 1
Name: V U t 11/14, it.)
Phone:
['CASH ❑ CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Budding/MechanicalPennitApplication040309.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
/
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 Mm, including ducts
•
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan mnnectetl to a singe duct
/I
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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
f
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
['CASH ❑ CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Budding/MechanicalPennitApplication040309.doc
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11703 E Sprague Ave, Suite B-3
Spokane Valle , WA 99206
(509)688- AX: (509)688-0037
oermitcen okanevalley.ora
Community Development
Plumbing Permit Application
•
PERMIT NUMBER:
PERMIT FEE: ij
n Commercial n Residential
SITE ADDRESS: set(] JO. /%t6,L,ZO(.i,) CtV
['CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http:/fwvw.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Plumb ingPemtitAppl ication040309. doe
Building Owner
Name: R1 -r TE5Ci/ c45 C_L-C. Phone: -0 C- TZ-1_Benax: 1 Z7.- 2.241
Nico(�
1
Address: City: ,+� / State: Zip: elQozri
Contractor
Name: Phone: _
�va--�t�C' (�inni �:IhS'I-. LLC �o�'I _1es Fax. c�L7 — ZZ `1 1
G
Address: tot t -23,1C 1oGGo Ctty':F'j QZeit4{IS State: CJg Zip: not 7
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License No: mnTr F_GLci C( I GR City Business Lie: (Abet - 4,9,-+
i2 G ,-+
t t s
._
Contact/Project Manager:
Name- -Mei i1Ti SQ_) Phone: Jo7-7Z3—cf3 7
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
TUBS
2 -
SHOWERS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
LO
DISHWASHER
CLOTHES WASHER
I
GARBAGE DISPOSAL
l
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
92.--
2iPRIVATE
PRIVATESEWAGE DISPOSAL SYSTEM
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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
['CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http:/fwvw.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Plumb ingPemtitAppl ication040309. doe