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2010, 06-09 Permit App: 10001688 Hot Water Heater /�11, Permit Center Woo-lane \ 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: O - Io &c Spokane Valley,WA 99206 ..40000015 Vc lleY. (509)688-0036 FAX (509)688-0037 PERMIT FEE: Community Development Permitcenter�a spokanevallev.or> � t1 j\ Mechanical Permit Application n Commercial N Residential SITE ADDRESS: /Z LOIS. E A2-ci e— Building Owner ,A).,.___. , jT �, Name: "�' ( q __)------- Phone: Fax: Address: /..3 Ta S ram City 'Ir'.--- d,..,, , State: 2,00 . Zip: �p�fb c ' rContractor \s r - ll.kr-419-.f iptiG - s.v-ipUy '2- Name: /. / Phone: Fax: Address: Co 7 70 pij City. om — State:�r'�j� Zip: q 8 r-ct License No: "(5�, ..,2? I c City Business Lic: JJ�c a T 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 1 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 EXPIRES: VIN: ❑CASH ®CHECK ❑VISA ❑MC CARD#: SIGNATURE http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc Contractors or Tradespeople Detail Page 1 of 2 Washington State Department of lb,, Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > fa Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Ken's Contracting UBI No. , 602209597 Name Services Status Active Phone No. (208) 664-0649 License No. KENSCS*984LC Address 6770 West Harbor Drive Construction License Type Suite/Apt. Contractor City Coeur D'alene Effective Date 6/3/2002 State Id Expiration Date 6/3/2012 Zip 83814 Suspend Date County Out Of State Specialty 1 Plumbing Business Type Individual Specialty 2 ij Unused Parent Company tz,:i Business Owner Information 8 Hide All Name Role Effective Date Expiration Date Reimer, Kenneth John Owner 06/03/2002 Bond Information 4.1 Bond Bond Account Effective Expiration Impaired Bond Recei Bond Company Cancel Date Number Date Date Date Amount Dat Name httns://fortress.wa.gov/lni/hhin/Result.asnx 6/9/2010 Contractors or Tradespeople Detail Page 2 of 2 AMERICAN 3 STATES INS 6490351 06/01/2007 Until $6,000.00 05/04/ Cancelled CO EMPIRE FIRE 2 & MARINE INS FS801190 06/01/2004 Until 06/03/2007 CO $6,000.00 08/12/ Cancelled CUMBERLAND Until 1 CAS & MB904301061 06/01/2002 Cancelled 07/20/2004 $6,000.00 06/03/ SURETY CO `° Assignment of Savings Information No records found for the previous 6 year period Insurance Information id Company Policy Effective Expiration Cancel Impaired Re Insurance Amount Name Number Date Date Date Date I AMERICAN 8 STATES INS 01C1078695 09/18/2009` 09/18/2010 $1,000,000.00 07/: CO MARYLAND 7 SCP40961790 07/22/2008 07/22/2009 $1,000,000.00 06/i CASUALTY 6 MARYLAND SCP40961 790 07/22/2006 07/22/2008 $1,000,000.00 06/: CAS CO MARYLAND 5 'SCP40961790 07/22/2005 07/22/2006 $500,000.00 06/: CAS CO NORTHERN 4 INS CO OF SCP40961790 07/22/2004 07/22/2005 $500,000.00 ' 08/1 NEW YORK ZURICH 3 Q00219582 07/23/2003 07/23/2004 $1,000,000.00 ' 07/: INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information :+ No unsatisfied warrants on file within prior 6 year period Accor 7 Washington State Dept.of Labor and Industries. Use of this site is subject to the laws of the state of Washington. AlikWashingti Access Agreement Privacy&Security Statement Intended Use/External Content Policy Staff Only httns://fortress.wa.gov/lni/bbin/Resultasnx 6/9/2010