2012, 06-18 Permit App: BLD-2012-0840 Mechanical, Plumbing FixturesCommunity Development
Plumbine Permit
STI'E ADDRESS:
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
permitcenterPspokanevalley.org
❑ Commercial 0 Residential
uL,Hbrt LJ GHtGK ❑ VISA ❑ MC EXPIRES:
Card#
SIGNAT E:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploadsICommunity_pevelopmentIDocuments/Forms/Building/PlumbingPermitApplicationO4O3O9.doc
Building Owner
Name:
Phone: G�t7 �C7 L Fax.
Address: -� %
i, City: State:
Zip: 0�
Contractor
Name: -
�l Phone: _�� d Fax: 7 Z—
S I r 8
Address: 3
y City: 0State: `�
Zip. C1 Z
License No
Contact/Project Manager:
L City Busr ess Lie: �D <
Name: \ h
Phone: �� Z/
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
4
URINALS
TUBS
Z
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, FloorKitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Pr
, /Culinary Meat
DISHWASHER
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
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamcooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture tra s
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmos heric a vacuum breakers
MEDICAL S
GA
INCEPTORS
uL,Hbrt LJ GHtGK ❑ VISA ❑ MC EXPIRES:
Card#
SIGNAT E:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploadsICommunity_pevelopmentIDocuments/Forms/Building/PlumbingPermitApplicationO4O3O9.doc
`"' O'TA„Q 11 /V3 t aprague Ave, Jlllre tS-j
p j1A`lle Spokane Valley, WA 99206
.;00Ydlley'• (509)688-0036 FAX: (509)688-0037
Community Development Permiteenter@spokanevaHey.org
SYFE
PERMIT NUMBER:
PERMIT FEE:
Building Owner C
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
Name:
Phone: g�
Z 3
Fax. T —I O 3 3
Address: 13? 7' Use-
City:
_
State: Zip:
Contractor
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
Name: Al i
Phone: Z
/_
(9
Fax: /
Address: /
City:
GAS LOG, FIREPLACE, & GAS INSERT
State: G Zip: qr Z
License No: `.
City Bus ness Lie:471,44)!5—
INCINERATORS
r✓ S
Contact/Project
Contact/Project Manager:
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
Name:Phone:
Under 400, 000 BTU
r 3
Over 400, 000 BTU
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
#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
Over 3 - 15 h —100,001 to 500,000 BTU
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
Each fan connected to a singe duct
GAS LOG, FIREPLACE, & GAS INSERT
Each ventilations stem
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
? ,
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 h 100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 h —100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 h - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 h —1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 h — 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 thanportables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilations stem
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
Tvoe I
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
EXPIRES: VI
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #: SIGNATURE
http://Www.spokanevalley.oreuploads/Conununity_DevelopmentiDocument,VForms/Building/MechanicalPermitApplicationG4O3O9.doe