2012, 08-10 Permit App: BLD-2012-1294 Plumbing, Mechanical Fixtures Permit Center
�C+er715,a 111 e ® 11703E Sprague Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER:
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.„„„olcVailey° (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application nj Commercial Residential
SITE ADDRESS: I E Vca(LAI uicuij WA qIOI1p
Building Owner
Name: acmes p Phone: Fax:
Address: f 0 /50)b 1 City: NI L State: 1 A / tp.ot a02,5
Contractor
Name: — Sac v u'J pi u �Jo Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: `rtAnA
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
GAS PIPING SYSTEM(each outlet) few
GAS LOG,FIREPLACE,&GAS INSERT g40 oro•
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT d•--
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 —
L P STORAGE TANKQ F
WOOD OR PELLET STOVE INSERT Froject # B t i 4- Z?7
WOOD STOVE SYSTEM–FREE STANDING RECEIVED
EXPIRES: VIN:
❑CASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE AUG 1 U 2O12
CSV PERMIT CENTER
S U R # ( REV.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
Permit Center.
$611ane 11703 E Spragutkutez,Suite B-3 •HERMIT NUMBER:
Spokane Valley,WA 99206
.00.0valey- (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application H Commercial KResidential
SITE ADDRESS: _ I (Q g02— E V f /� VI LU&3 &i V V A GM()j t,f7
Building Owner J
Name: Phone: Fax:
Address: City: State: Zip:
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
URINALS
TUBS
SHOWERS(per trap) 3
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER Z
CLOTHES WASHER
GARBAGE DISPOSAL 2
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
Project # Q`ci _IZ-IZ9
❑CASH ❑CHECK 0 VISA ❑MC EXPIRES: RECEIVED
Card# VIN: AUGi
SIGNATURE: AU1 U 2012
CSV PE RMT CENTER
SUB # I 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/Building/PlumbingPermitApplication040309.doc