2012, 07-18 Permit App: BLD-2012-1140 Plumbing, Mechanical Fixtures rermn Lenter
`i 11703 E Sprague Ave,Suite B-3
® Ile Spokane Valley,WA 99206 PERMIT NUMBER:
Valley- (509)688-1 FAX:(509)688-0037 PERMIT FEE:
permitcentL ,,pokanevalley.org
Community Development
Plumbing Permit Application /� �A /_ I/Commercial Al Residential
SITE ADDRESS: l S 0/ L IC r�i� /T`"t' 5 K 9f'C, z7y 99 2/
Building Owner
Name: Ora v e! L j /'f� Phone:/J!'�Q JZ‘_3_41‘o Fax:
Address: ys-// w /I/,e l�,//r,� • ` City: �� State:
/ d S�G�'C!!!� 4,4 Zip: f9
Contractor 19 /D� ���
C t.
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS tY
TUBS
SHOWERS(per trap) 1
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, /�r
SINKS Prep/CulinaryMeat J
DISHWASHER 1
CLOTHES WASHER I
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,swamp cooler 3
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 {tfi
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK ❑VISA ❑MC EXPIRES: Project #111W —
Card# VIN: Q l iL
SIGNATURE: RECEIVED
JUL182012
CSV PERMIT CENTER
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for orAPI15?aslr Er he ule.cjE V Dr
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
-.�.. _ Permit(:enter
Sc okane 11703E Sprague Ave,Suite B-3
Wp Spokane Valley,WA 99206 PERMIT NUMBER:
alley (509)688-00? 'k X:(509)688-0037
Community Development
permitcenter, Kanevalley.org PERMIT FEE:
}„ Mechanical Permit Application // I I Commercial 14 Residential
A
SITE ADDRESS: /S / 3 E >Fl(� A"(r c S90 k aft, (7 CL`ley 99z16,
Building Owner
Name: l `> j k/� Phone: 5C7 2 6 3 b l6Q
�a V� G K>� Fax:
Address: q5-11 1j17 /(I Lv k r'r k le J City: ka rrQ State: 4 Zip: CI '?2
Contractor 2
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#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 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
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT /+� �^-®–
WOOD STOVE SYSTEM–FREE STANDING PPOfeCt # 6t`�L— " It°
❑CASH ❑CHECK IDVISA CIMC PIRES: R E C E I V E
D
CARD#: SIGNATURE
JUL 182012
CSV PERMIT CENTER
http://www.spokanevalley.org/uploads/Community Development/Documents/F rmsS/$uifdu icalJPermilAglatini40309.doc