2012, 04-30 Permit App: BLD-2012-0517 Mechanical, Plumbing FixturesSpoka e
Walley
Permit Center
11703 E Sprague Ave, B-3
Spokane Valley, WA
(509)688-0036 FAX: (5 )688-0037
penniteenter@spokanevalley.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
/12 /ti (MER- / /d/
PT NUMBER: rill
PVT FEE:
Il
Commercial ® Residential
br fri,- - 01 --/ay G✓/1 ? z®b
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: LEWIS CONSTRUCTION & DEVELOPMENT, INC Phone: 509-951-6959 Fax: 509-279-0967
Address: 8225 N Division - Suite A City: SPOKANE State: WA Zip: 99208
License No: LEWISCD9I7BN City Business Lic: 602-728-595
Contact/Project Manager:
Name: Tim Lewis Phone: 509-951-6959
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
t
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3
DISHWASHER
t
CLOTHES WASHER
1
GARBAGE DISPOSAL
t
WATER SOFTNER
FLOOR DRAIN
Area, Case, Cod, 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
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
gm
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 ® CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
C:\Users\Tim\Desktop\!LCD\!!!Projects Active\12-015 - 1328 N Robie Lane - Cheryl Brotherton\12-015 2012.04.27 Plumbing Permit Application.doc
'otw Permit Center
Kane _1i 11703 E Sprague Ave, B-3
7,, Spokane Valley, WA
/sValler (509)688-0036 FAX: (5 688-0037
Community Development permstcenterii'sipokanevallev.org
Mechanical Permit Application
SITE ADDRESS:
*MIT NUMBER: Q5f1
PERMIT FEE:
Commercial DSI Residential
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name: LEWIS CONSTRUCTION & DEVELOPMENT, INC
Phone: 509-951-6959 Fax: 509-279-0967
Address: 8225 N Division - Suite A
City: SPOKANE
State: WA Zip: 99208
License No: LEWISCD917BN
City Business Lic: 602-728-595
Contact/Project Manager:
Name: Tim Lewis
Phone: 509-951-6959
❑CASH ® CHECK D VISA DMC
CARD #:
EXPIRES:
SIGNATURE
VIN:
7
1
C:\Users\Tim\Desktop\!LCD\!!!Projects Active\12-015 - 1328 N Robie Lane - Cheryl Brotherton\12-015 2012.04.27 Mechanical Permit Application.doc
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
1
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
1
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
1
GAS PIPING SYSTEM (each outlet)
2
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
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 Wesher +te Vat
Agee-
oleUNLISTED
UNLISTEDAPPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
i
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH ® CHECK D VISA DMC
CARD #:
EXPIRES:
SIGNATURE
VIN:
7
1
C:\Users\Tim\Desktop\!LCD\!!!Projects Active\12-015 - 1328 N Robie Lane - Cheryl Brotherton\12-015 2012.04.27 Mechanical Permit Application.doc