2012, 07-25 Permit App: BLD-2012-1188 Mechanical Fixtures Permit Center I, \.‘()—LC{Z—) , sx
r +s��tiviran 11703 E Sprague Ave,Suite B-3
7 l�xLi`1�G''^ Spokane Valley,WA 99206 PERMIT NUMBER:
Vdlicy` (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development 1ermitcenter@sookanevallev.ora
Mechanical Permit Application n Commercial fiResidential
SITE ADDRESS: / 4/ (Q it.... - s•" Gy
ik
Building Owner
Name: eir,/vPhone: S j..,„13%r� Fax:
Address. j I L.f : City: :
'7"0 I t � 1 '� �� �ja iv.3[l`#':i+.,.:!�»,,, StateAir
Zip: / 1.�:.. $
Contractor
Name:a4_ 0....,
i P'CvoT'i o4A-t c Phone: .. pOy
( Fax: gap(c h3
Address: IW ?LE_ CW(� City: State: W.. i
Zip:f 6
License NoBcpffaticregSfiti City Business Lic:
Contact/Project Manager. r,
Name: ZI��_Cif
J p4 I U Phone: /14--Zz t Tb
#UNITS \AI i i t t?i0"/1'f 0I
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU r
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU c.i,1120 P i i a(0
DUCT WORK SYSTEM
i tiHEAT PUMP/AIR CONDITIONER 0-3 TON
�Sw !*
AIR CONDITIONER Over 3-15 TON I L+r) `a
AIR CONDITIONER Over 15-30 TON o
AIR CONDITIONER Over 30-50 TON Flit a.4C C I:"
AIR CONDITIONER Over 50 TON
-GAS_WATER HEATERi0,,,, 7
GAS PIPING SYSTEM(each outlet) t
itty
GAS LOG,FIREPLACE,&GAS INSERT
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT $if � jil � "I)�
REPAIRS OR ADDITIONS ,,, r
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less #`-4` r•:..c.e yce e t.
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 ctm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 cfm
EVAPORATIVE COOtERS(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
1 APPLIANCES Range.Clothes Washer
k
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
-er
HOOD Type I
HOOD Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM—FREE STANDING
EXPIRES: VIN:
❑CASH 0 CHECK 0 VISA ❑MC
CARD#- SIGNATURE
CURRENT FEES AVAILABLE AT: httpJ/www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division\Iodi-comm9\PCF\DRAFT APPS\DRAFT Mechanical Permit App..doc