2010, 06-02 Permit App: 10001574 Plumbing, Mechanical Fixtures• Spokane
.0.0Valleyr
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-00
permiteenter@spokanevalley.org
Community Development
Plumbing Permit Application
SITE ADDRESS: zJ 0 6 _ . (-7/) / C 2f
PERMIT NUMBER:
PERMIT FEE:
II
Commercial 1 Residential
7/4.2/
Building Owner
Name: / Phone: ///
,Z/ / /�U 6.26.2 y(� �Y/� � ie/2/.,-,,.9SGS'/ n/ Z (Y- / Z 3 Z Fax:
Address: ,i Z Z E— 7 7""? 9 ve City: c�"4C'K//i/2/J-F State: Zip:
Contractor
Name: j /4? m e Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: .] , /r) e Phone: (S 0 v%) 2 5-1-- / 7 S e .
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
/
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
//
Y
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
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
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
❑CASH 9 CHECK 9 VISA 9 MC EXPIRES:
Card# VIN:
SIGNATURE:
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/Building/PlumbingPermitApplication040309. doc
SOkkane
`Valley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenterAspokanevalleY.org
Conununity Development
Plumbing Permit
Application / /
SITE ADDRESS: 3 0 (� S_ �-F/ 2/ ix .5)/2
PERMIT NUMBER:
PERMIT FEE:
I)
Commercial I 1 Residential
y/ t r/i/z•
Building Owner
Name: K o Phone: /< 72 /Z 3 2 Fax:
f <? A7 e City �� ``y , /JF l ley State: j/,42 Zip: 77 e 6
Address: C/ F' z 2
/
Contractor/
Name: - %� /,v1 f Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: C/ /—Y-1 `(. Phone: CSE % yr) Z- c/ - /7 S 0
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3'
URINALS
TUBS
I
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
j
7
DISHWASHER
r
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
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
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
i'
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 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
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/Building/PlumbingPermitAppl ication040309. doc
Sjkliane
Community Development
Mechanical Permit Application
SITE ADDRESS: (2 6 j(4)/C .r
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenteraspokanevallev.org
PERMIT NUMBER:
❑ Commercial
PERMIT FEE:
Residential
,(7(77 /.9 c /4) Z / ( 11
Building Owner
Name: "(../ //2c (f -; h l(:�
Address: Z Z- �f
Contractor
Phone: (5--c91 �L? -/ 2 3e_ Fax
City:siJ� £ ///'s? / r!Fy State:
t t / Zip:
Name:
Address:
5 /9 /1'7 (
Phone:
Fax:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:k.S (% / Z S / >, 5 C
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitAppl ication040309. doc
#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
GAS PIPING SYSTEM (each outlet)
a
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
-3
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
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitAppl ication040309. doc
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Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@a,,spokanevalley.org
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: `3 Q O S ' 6/n, 0 t"
5/0c/eAn 1719 LC
Building Owner
/'leo /may C A (,
Address: 9' Z. z f t h hive
Contractor
Name:
Phone(-ol 97F— — / z3 Z Fax:
City: Po%YJ F `/, / /e y State: tt/,ci-
Zip: %Z 6
Name:
Phone: /Soy
,x S Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
R r) -i
Phone: ( a
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley. org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplicati on040309.doc
#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
I
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
/
GAS PIPING SYSTEM (each outlet)
2. -
GAS LOG, FIREPLACE, & GAS INSERT
GAS
—
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
?7
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,D01 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
i
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
Ranee, 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
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley. org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplicati on040309.doc