2013, 04-29 Permit App: BLD-2013-0691 Plumbing, Mechanical Fixtures1r " ae_ _ ''
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Permit Center
11703 E Sprague Suite B-3
Spokane Valley, 9206
(509)688-0036 F : (509)688-0037
permitcenterrdspokanevallev.org
Community Development
Plumbing Permit Application
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IT NUMBER:
ERMIT FEE:
Fl Commercial ® Residential
SITE ADDRESS:
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
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
0
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
gas
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 ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.oro/ under the quick links for Forms, Master Fee Schedule.
C:\Users\Emily\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\W9TZDOKJ\13-045 2013 04 19 Plumbing Permit Application.doc
Silokane
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague
Spokane Valley,
(509)688-0036 F
uite B-3
266
09)688-0037
permitcenter "spokanevallev.ors
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•ERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
SITE ADDRESS:
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 Ei CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
C:\Users\Emily\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\W9TZDOKJ\13-045 2013 04 19 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
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
0 D
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
4
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
elec
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 Ei CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
C:\Users\Emily\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\W9TZDOKJ\13-045 2013 04 19 Mechanical Permit Application.doc