2012, 05-07 Permit App: BLD-2012-0582 Gas PipingCommunity 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@spokanevalley.org
PERMIT NUMBER:
PERMIT FEE: ,r' 2s,_4101
Commercial n Residential
SITE ADDRESS: $ 7 6 3
Building Owner
Name:
Address:
Contractor
Phone:
City:
Fax:
State: e/4- Zip:�j
Name:
Address:
7
License No: /)c?' co" 0,8 I V /��c
Contact/Project Manager: `i`t 7e,
Name:
Phone: LCCA7p� Fax: 7'
City: S State: / 9 Zip: C,9 /7
City Busin sei s Lic: / ,.� / - 60 - lq�C�3 !( l
Phone: _ 881
EJCASH ❑ CHECK
CARD #:
ISA ❑ MC
EXPIRES:
SIGNATURE
P:1Community Development111 Forms\A. Building\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
VIN:
#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)
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
EJCASH ❑ CHECK
CARD #:
ISA ❑ MC
EXPIRES:
SIGNATURE
P:1Community Development111 Forms\A. Building\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
VIN: