2013, 01-28 Permit App: BLD-2013-0137 Mechanical Fixtures -28-2013 09:19 FROM:AIR DESIGN HEATING & 509489270C 0 py
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���• 11703 E Spraguc Ave•Suite 13-3 PERMIT NUMBER:Spokane Volley,WA 90206
_jVd]ley (509)ERR.nn 6 FAX (509)685 0037PERMIT FEF.: * 6,l•QD
Community Development pcnnilcenlerr Spokane% Ic.v ��
Mechanical Permit Application ❑ Commercial 24esidential
SITE ADDRESS: ot 1'V glyiei'JRDek--
Building Owner
Name: Phone. Fax:
Addrres•//l mg N DiUvi, zeize
g./ City ,,,24 ,AAIf State. ka Zip: 997J
Contractor
..
Nemo: /R 0.f- I N 4 Phone: i _^. f Fax' s • 7/
Address: City: Stale:
Zip:� ' r
1 / • Lie�Y� 6l-'P r, AlJr ,
I eansC o. / i �� City Rncincss Lic
—
CnnracvProjeet Manager;
—
Mime:: phone. A. ,. '
*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 52 TON
GAS WATER HEATER
-
GAS PIPING SYSTEM(each outlet) -.
GAS LOG,FIREPLACE,&GAS INSERT illiE
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT _•_, -_
KEPAIRS OR ADDITIONS
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 010 3 hp-100,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-15 hp-100,001 t0 500.000 9TU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15-30 hp-500,001 to 1,000,000 Rill
BOILER,COMPRESSORS,ABSORPTIONS SYSTEMOver 30 h.-1 000.001 to 1,750 000 BTU
•
BOILER,COMPRESSORSABSORPTIONS SYSTEM Over 50 hp-over 1,750,000 BTU
AIR HANDLER(DOT'S NOT include ducting) Eault unit up to 10,000 cfm,Induding ducts
AIR HANDLE.,RJDOES NOT include ducting) Each unit over 10,000 can
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fan connected to a singe duct
VENTILATION AND EXHAUST Each venthation 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 Undcr400 000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II
L P STORACC TANK
WOOD OR PELLET STOVE INSERT ILI
WOOD STOVE SYSTEM-FREE STANDING _ `
I]CASH q CHECK VISA CI MC EXPIRES REDACTED VIM: •
CARD#: SIGMM E
REDACTED - - ,y
/Illi This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
hupwwww.spokancvatiey.org/uploatts/Community Dcyclopment/Documcnut/Porms/BuildingfivleehanicalPcrmitApplicati0n04009.d0C
Permit Center
oya 11703 E Sprague Ave,Suite B-3
Ile PERMIT NUMBER:
e�' Spokane Valley,WA 99206
Vdl (509)688-0036 FAX:(509)688-0037
Community Development permitcenter(dspokanevallev.org PERMIT FEE:
Mechanical Permit Application L/ �/J��.� ❑ Commercial'r® Residential
SITE ADDRESS: (7 0 Z N S6f4 46 49C� ,�/ J*„/�(/V v���Z/ '9006
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name:LEWIS CONSTRUCTION&DEVELOPMENT,INC Phone:509-951-6959 Fax:509-279-0967
Address: 12402 N.DIVISION#197 City:SPOKANE State:WA Zip:99218
License No:LEWISCD917BN City Business Lic:602-728-595
Contact/Project Manager:
Name:Tim Lewis Phone:509-951-6959
#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) 2
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 i4� ,�
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 elec
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
EXPIRES: V
❑CASH 0 CHECK 0 VISA 0 MC �--
CARD#: SIGNATURE
1 t
C:\Users\Tim\Desktop\!Lewis Construction and Development Inc\!!!Projects Active\10-040-402 N Shamrock\06 Permitting\10-040 2010.08.06 Mechanical Permit
Application.doc