2013, 02-04 Permit App: BLD-2013-0167 Plumbing, Mechanical Fixtures _ rermit ;enter -.
S O%1 ne 11703 E Spragu Suite B-3
Spokane Valley, 99206 3 RMIT NUMBER:
P
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter@spokanevallev.org
Community Development
Plumbing Permit Application (l Commercial ❑ Residential
SITE ADDRESS: /1 '/3 E` s�J/1/! 4/-e to
Building Owner
Name: Yy7e G'G� 7GC y Phone: y6-7_ 5 3 ay Fax:
Address: j,7/7 � �/�d�'S' City: f��,4State: i•E� Zip: qy �S
Contractor !
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 7
URINALS
TUBS •
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
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 ert d/or Coffee maker, It ib -teamer proofer,carbonator,swamp cooler 1
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
Project # —t 3 — I
❑CASH IDCHECK IDVISA ID MC EXPIRES: RECEIVED
Card# VIN: FEB +,
SIGNATURE: B 0 4 2013
CSV PERMIT CENTER
SUB # , REV. #
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/BuildinWPIumbingPermitApplication040309.doc
�'�^�00‘ Permit center
*Wane11703E Sprague Ave,Suite B-3
p Spokane Valley,W' 09206PERMIT NUMBER:
1.Vayley (509)688-0036 F14.....,309)688-0037 `PERMIT FEE:
Community Development permitcenter@s_pokanevallev.org
Mechanical Permit Application n Commercial iZResidential
SITE ADDRESS: /3(;/3 -7/'/2%e,
Building Owner
Name: 7" v/ o PS/e hC// Phone: �0 3 —5 JO y Fac
Address: "?-7/7 G% 67-rft v es City: Snd Awe e State: 117,L Zip:79.•2 e,,g
Contractor
Name: 7q!y/-e e?5- e Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: C--
Name: /tel Yit err t� Phon
#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 rpq
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 0100. .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.li>el214 1,/r e r $- 2
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II
LPSTORAGETANK Project # )1d �1 — 1,6 7
WOOD OR PELLET STOVE INSERT �at����`
WOOD STOVE SYSTEM–FREE STANDING E
EXPIRES: VIN:
❑CASH ❑CHECK ❑VISA 0 MC
CARD#: SIGNATURE FE3 4 2013
CSV PERMIT CENTER
SUB # I j REV. = (
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc