2010, 06-18 Permit App: 10001809 Plumbing, Mechanical FixturesSpokane
Valley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial 0 Residential
SITE ADDRESS: %I Z.0 5 - )2eese
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor -F bwl\x,e/L
/
Name: :4'L, C,O�(.5Tk2t) C l 1 0 Al, / AiC • Phone: , 32 y) ' 19 1 q I Fax: sz' " `191Q
Address: 3611 IJ - CA a &.,,C.- ST . City: SPoKprJ E State: WA Zip: C) 92.GS
f
License No: ST IA 0 _I- 969 i_... City Business Lic:
Contact/Project Manager:
Name: ` vAso l\I Phone: Gle' I _ I 9 D 3
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
1
SHOWERS (per trap)
I
SINKS
SINKS
Lav/Basins, Bar, Floor, Krtcthen, Laundry, Wily, Janitor, Photo, X-ray, Food,
Prep/Ccinary Meat
4 -
DISHWASHER
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coit, 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
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vert piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK XVISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: rr under the quick links for Forms, Master Fee Schedule.
Stiokane
Valley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development
Mechanical Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 42,D S • IZe1✓SE LAI •
Building Owner
Name:
Phone:
Fax:
Address:
City:
State: Zip:
Contractor
Name: STF2,4'4-i'l_ C tD nL SI Ii,J C' T1 D , C. Pbone 32- 19 19
city: S?wA-/.1,
Address: 3(01' 1 C n„ lseEt S,
Fax: 32B..-7919
State: W fi
zp: g92DS
License No: S1-R4-34-c•z 9 (p 9 L�
Contact/Project Manager:
City Business Lic:
Name:
Phone:i 5 (_
vr,.��,.-.
❑CASH ❑ CHECK VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www. spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doe
—
#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 CONDI11ONER
0-3 TON
1
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
I
GAS PIPING SYSTEM (each outlet)
2
.
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)
Each unit up to 10,000 dm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each wit over 10.000 dm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
?j
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 ❑ CHECK VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www. spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doe