2015, 02-04 Permit App: BLD-2015-0195 Mechanical Fixturesi'aane
.0,0%lley.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Mechanical Permit Application ❑ Commercial 0 Residential
SITE ADDRESS:
CSV PERM
�F� I
IPSP
REV
Building Owner /i4/ 141-' i M6' ZX
Name: 1A t rlrt ,-)vi 4),:.
Phone:?- t�� `/q34
Fax: 5:33, -Ciz`(,
q
Address: fj-0. /1-1!30
City:.air?C.41-11d Gill (1/4
State: i --)A
Zip: 121
Contractor
Name: /y%flzi 'l foa`'itz Dz.
Phone: "qZ�,-/(43-4
nx� �i
Fax: L� i_cz,L.1 _i_/66q
Address:ity:
�C Edi ��
�i���
CCity�n
State:
i •,�
Zip:
�iZ.l�
License NoP-!J.
1��Agte,ifUSG-4i9k
.�`U�
Contact/Project Manager:
J, disi + ,3
Name: �xC,L-p10 m14264101,1
Phone: ,_ -y
l4_ C157{
# 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
I
HEAT PUMP/AIR CONDITIONER
0-3 TON
l
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
0
GAS PIPING SYSTEM (each outlet)
{
GAS LOG, FIREPLACE, & GAS INSERT
I
/
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)
'?
Ead1 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
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 Dryer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
11
L P STORAGE TANK
fType
WOOD OR PELLET STOVE INSERT
I WOOD STOVE SYSTEM - FREE STANDING
Signature ,
CURRENT FEES AVAILABLE AT: http://www.spokanevaliev.orq Quick Zink to forms, then Master Fee Schedule