2012, 03-26 Permit App: BLD-2012-0232 Plumbing, Mechanical Permitscpokkne
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Community Development
Plumbing Permit Applicationio
SITE ADDRESS: 2(6,19 S. w rV l t r p, Nes
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMIT NUMBER:
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PERMIT FEE:
n Commercial ❑ Residential
7<n.
Srakm-r‘i6 t/Au�y 1.04
['CASH 9 CHECK 9 VISA 9 MC
Card#
SIGNATURE:
EXPIRES.
VIN:
RE :EIVED BY
CITY OF SPOKANE VALLEY
MAR 2 6 2012
NE,�ujQ• NTEB
1"
CURRENT FEES AVAILABLE AT: http://www.spokanevalley orq/ under the quick links for Forms, Master Fee SchedTh4
http://www spokanevalley.org/uploads/Community Development/Documents/Fors/Building/PlumbingPermitApplication040309.doe
Building Owner MIe.N Lv` A .14 „fFN /SEEN
Name: MIG'- et_ A 4FFrJS VM Phone: %Fax:
Address: SZ/ 4 s, t-trnie,z j L,q City: k(F tik /,
State:LA) A Zip./
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Contractor i lD
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Name: Ow , r6L Phone: Fax:
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Address: City. State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
/
URINALS
111 -TUBS....
'
SHOWERS (per trap)
'SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN DRINKING
rWATERVIPING/DRAIN=IN:WASTE'
Installation, Alterations, Repair, Reversals
I
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
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 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 9 CHECK 9 VISA 9 MC
Card#
SIGNATURE:
EXPIRES.
VIN:
RE :EIVED BY
CITY OF SPOKANE VALLEY
MAR 2 6 2012
NE,�ujQ• NTEB
1"
CURRENT FEES AVAILABLE AT: http://www.spokanevalley orq/ under the quick links for Forms, Master Fee SchedTh4
http://www spokanevalley.org/uploads/Community Development/Documents/Fors/Building/PlumbingPermitApplication040309.doe
eSpSliane
sMalley
Community Development
Mechanical Permit
Pemrit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenteraspokanevallev.orp
Application
15L0-7012-732
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
Building Owner .'
Name: M f r f}'4Gi A /4 A-//5SP A
Address: 3 2/ r/ 5, W,3ne j✓ L,
Contractor
Phone: /f_q)'/z, _/'33Fax:
( �l / State: tv4_ Zip:,, S/J 37
City: 1 //e x- /1ii 4_
Name: i91. , . /c -r2
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lie:
Contact/Project Manager:
Name:
Phone:
❑CASH D CHECK D VISA DMC
CARD #:
EXPIRES:
SIGNATURE
VIN:
RE :EIVED BY
CITY OF SPOKANE VALLEY
MAR 2 6 2012
E 1,111"1 way
BY:
rm
http://www.spokanevalley org/uploads/Community_Development/Documents/Fos/Building/MechanicalPerrmtApplication04030-97doc
#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 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
stEach.faniconnecteddife Inge tlrct
3
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
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH D CHECK D VISA DMC
CARD #:
EXPIRES:
SIGNATURE
VIN:
RE :EIVED BY
CITY OF SPOKANE VALLEY
MAR 2 6 2012
E 1,111"1 way
BY:
rm
http://www.spokanevalley org/uploads/Community_Development/Documents/Fos/Building/MechanicalPerrmtApplication04030-97doc