2012, 05-18 Permit App: BLD-2012-0632 Mechanical, Plumbing Fixtures_Malley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pen:Mk:until . alley org
Community Ikvelopment
Plumbing Permit Application
SITE ADDRESS: Jkl.31 U F
&D, 12.0 6
PERMIT NUMBER:
32-
PERMIT
Z
PF,RMIT FEE:
❑ Commercial I/J Residential
IAL
Building Owner
Name:
L.PlA1ST')2.U(tT70r�1 %AIC Phone: a5I-1903 Fax: 3Z' - 4-1 I9
__)-rr2M-I1
;Address:..to 11 NI (` Ai 1 Sig rt S'T city: SpuKAki E. State: tioA zip:
) q 2,1:5
.
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: c. zA iAT T 9 6 Si Lb, City Business Lie: is p 2 3 cy t
Contact/Project Manager:
2
Name: Sv l� �T1Q %1-t- Phone: C i s I -19 o f
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2_
URINALS
TUBS
(
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
f
�f
DISHWASHER
I
CLOTHES WASHER
I
GARBAGE DISPOSAL
I
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 woofer, carbonalor, swamp cooler
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Induding 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 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN.
SIGNATURE:
P:\Community Development\02 Administration\03 Forma - ficial Veasions\Permit CenterlPlumbing Permit Application 04-03-09 dg_doc
Spokane
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
,it Ln'a spokanevalley.ort
❑ Commercial
t t9• Zbl2.Ob3�-
PERMIT NIJMBER:
PERMIT FEE:
Residential
S[TE ADDRESS:
Building Owner
Name: J7 !2AN'._ C DAV-T12U (T7 ft/ li ! AI e
Address: StoI 1 e_A-I ► e _ `��
Contractor
Phone: 151_)_1 o? Fax: 32b--1-91 ai
City: STD \41S
C\4p
State: wA
zip: q"12 1) S
Name:
Phone:
Fax:
Address:
City
State:
Zip:
License No: iQ 1' 110 L X
Contact/Project Manager:
City Business Lic: [0 b 2 3) 5 lB 3 i
Name: Tna_-1 c_TnA:
Phone:
:1YC 71 it \I r )IY Y\Yll
-
#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
1
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
1
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPT IONS 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
AJR 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
Under 400,000 BTU
UNLISTED APPLIANCES
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
1
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #
EXPIRES
SIGNATURE
VIN.
P:\Community Development\02 Administration\03 Forms - Official Versions Tema Centc&Mechanical Permit Application 04-03-09 dg.doc