2013, 01-22 Permit App: BLD-2013-0090 Mechanical, Plumbing Fixturesa„Valley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itcenterla spokanevallev.ors
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS: 11 C7 t v' tyc
Building Owner
Name: nn hone: ((��
M U's � Co—C.�(�,.� �i'� t� i.t C� i G L-1 ;�I��t� tlOc Ci Q M Z�c'� , %7 7- io� Fax:
Address: iq Sv (.e) . �e k\ et the c -r, e t jity: j e, State: Zip: (Q 12,(^,e?
�7 U �C"rPU tT cy . \C'in �� ZS I L(
Contractor
Name: Phone: Fax:
�1�t ac Co4�s{7_Lic t0a1
Address: G M e_ City: State: Zip:
License No: cvl✓t,,_,. c c (Qra--7 G —7 City Business Lic: 6,c) I L_v.:0 l t Q 2 0
Contact/Project Manager:
Name: �e - G' �1 V oe2 ., a Phone: .zc �, . 6,6,0 - Co 1 3
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3 -
URINALS
V
TUBS
SHOWERS (per trap)
a
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
I
CLOTHES WASHER
I
GARBAGE DISPOSAL
I
WATER SOFTNER
D
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
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
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❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
/ Permit Center
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11703 E Sprague Ave, Suite B-3
L l Spokane Valley, WA 99206
'S V it ley (509)688-0036 FAX: (509)688-0037
pennitcenteri spokanevallev.ore
Community Development
Mechanical Permit Application
Sik&ane
n Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS: 1 �� t .� L v`F' S -T )C -
Building Owner
Name: Phone: Fax:
/t�vc� tot1 1/1onocg iM �,r\ Zv�3 77 7. �ct7��
Address: -t r'5 O v L6:74
' to? City: 66.euc: �f e cie. t-�! �
State:
Zip: i
Contractor M • `�t Oz1 M1
� �•,�� rc i6,t ��es- � �iL1D
Name: Phone: Fax:
Address:
City:
State:
Zip:
License No:cviG Z ,- CC b C8 -7 G
City Business Lie: 6 (i 1 Co I 0 30
Contact/Project Manager:
Name: S� -e'v 1 / ✓ . e\X
Phone: Zoog «0 oc
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
Ep..,,
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
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#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
\/ e -S
HEAT PUMP/AIR CONDITIONER
0-3 TON
\
7 e <j 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
GAS PIPING SYSTEM (each outlet)
3
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
4
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
r
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
5
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 1irltePT r -ier
•- 1
UNLISTED APPLIANCES
Under 400,000BTf `""'--""---------
UNLISTED APPLIANCES
Over 400,000 BTI)
µ`
HOOD
_
Type I j t C) E' C?
.
[ _i_
^
HOOD
Type II 1
F' rte'
L P STORAGE TANK
r
Li
WOOD OR PELLET STOVE INSERT
'j
WOOD STOVE SYSTEM - FREE STANDING
1
'.
j ; f ;
' L d ,; ;
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
Ep..,,
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
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