2013, 04-24 Permit App: BLD-2013-0680 Plumibng, Mechanical FixturesWpoliane
Permit Centel/
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application
7PPERMIT NUMBER:
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ERMIT FEE:
SITE ADDRESS:
Coaq6 e,LysiPt
❑ Commercial IZResidential
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nutmeg vWner
Name: G i& 1.- b7 2 L/ Phone: 4,. ///, Fax: a
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Address:Alt,fio•City: poaidc t State
Zip:
Contractor
Name: G vG f lr1 az Phone: C1/��' n�j Fax:
GV
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Address:State:
Address: Z/7 . Um Uners! / T . City ffJti�yQN
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License No: G,(/L I /,. i / / f 0/ `Q City Business Lic:
Contact/Project eager:D
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Phone:
Name: ipN /`-' i�i� !ice L L
1 OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
Z,
SHOWERS (per trap)
SINKS
Lev/Basins, Bar, Floor, Kitchen, Laundry, Utlity, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
lif
CLOTHES WASHER
/
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
ce nd/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
/
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Induding 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
OCASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
•
Permit Center
4.111.1°Ntivoi. 11703 E Sprague Ave, Suite B-3
i� Spokane Valley, WA 99206
Vd1ley (509)688-0036 FAX: (509)688-0037
Community Development permitcenter@sookanevallev.org
Mechanical Permit Application
SITE ADDRESS:
Building Owner
Wooq 5. Oiyi/f/fri6
•
PERMIT NUMBER:
PERMIT FEE:
(1 Commercial Residential
T
Name: L G % ,�/��L L C� Phone: 417Z411/
7 4 y� // Fax: — O` % c�yy
Address: IO AJ. (�ilJl #�v0 Crty O ' 14s State: Zip: P,Za :,
Contractor
Name: GM- L� G
Address: 2/0 )1).
/L,. r r/�/ 4`t taO
License No: A // 0,44safL 6
Phone: 4114„, aZ f
City:G)pGL,� 1JA i&f
City Business Lic:
Fax:
State:
Zip: OIQ
Coetact/PProoject Manager
Name
• Kent II%l
Phone,,
--'
IF I L C/
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & induding 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 indude ducting)
Each unit up to 10,000 dm, including duds
AIR HANDLER (DOES NOT indude ducting)
Each unit over 10,000 dm
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 Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
1100D
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Oficial VersionsWermit Center\Mechanical Pennit Application 04-03-09 dg.doc