2012, 01-17 Permit App: 12000114 Furnace, Piping Permit Center
�+ 11703E Sprague Ave,Suite B-3
Ol Spokane Valley,WA 99206 PERMIT NUMBER: /)
Md (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 33. CC
Community Development perm"center c@spokanevaliev.ora
Mechanical Permit Application ❑ Commercial gilesidential
SITE ADDRESS: C 3 o> ( 6 rz t
Building Owner
Name: /� / � ,. Phone: k (11 a,�C Fax: ,Q +�/
Address: i` 3 l jr: C't CityQ)Qf( 4 v, O State: Zip: C C �-L
Contractor �l ((�,, � tt p�y
Name:fl 4 ( 6�lCa,4- t - S (Ic Phone: .�OOO r Fax: �l^� �``
Address: trice( 8 E �e� City: a State: 0017 tip:fret
License No•.-�^1+(�.. a City Business Lic:
LX-L�fL
Contact/Project Manager.
Name: ` Lcikaacrk.Ly Phone: 7W-Z2-46
#UNITS 15W--C FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU ( /1 Ct ) ( Z5 17 e
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU f
DUCT WORK SYSTEM AlLO Y
HEAT PUMP/AIR CONDITIONER 0-3 TON 0011 UCQ- The
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TONt-��l J f I• ,�� 11.
AIR CONDITIONER Over 30-50 TON h
AIR CONDITIONER Over 50 TON OA-Grp
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(dher than portables)
VENTILATION AND EXHAUST Each fan corm 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
EXPIRES: VIN:
OCASH 0 CHECK 0 VISA 0 MC
CARD#: SIGNATURE
CURRENT FEES AVAILABLE AT: httpJ/www.spokanevaliey.org//uploads/Operations_and Administration/FinancelMasterFeeScheduie.pdf
P:\Community Development\Building DivisionVodi-comm'l\PCF\DRAFT APPS\DRAFT Mechanical Permit App..doc