2012, 10-05 Permit App: BLD-2012-1754 Plumbing, Mechanical Fixtures Permit Venter
Sj()lane 11703 E Sprague Ave,Suite B-3 I PERMIT NUMBER: .
P Spokane Valley,WA 99206 a(d_t Z"r Y
Valley' (509)688-0036 F. :509)688-0037
, , PERMIT FEE:
Community Development permitcenter@aspok:..ievalley.org
14.echanical Permit Application n Commercial rg] Residential
SITE ADDRESS: / 3/Z /�4' L/(
Building Owner joli! J , 4„,..,Name: f Ztf'� Phone: Fax:
Address: City: State: Zip:
1.- ale,� -
Name: ''I C,� Phone: Fax:
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
#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 f
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) 3
GAS LOG,FIREPLACE,&GAS INSERT r
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 fi
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,ClotheslYd9Mf 0(4 e r k
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II 1
L P STORAGE TANK ,,L,.,,, ,,,,
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM—FREE STANDING i E-'w t —.—_ �to--I� r/ 759
EXPIRES: # " 'IN:`= _
❑CASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE
SIS ,
http://www.spokanevalley.org/uploads/Community D evelopment/Documents/Forms/Building/Mechanic erwitA/ltcation040309.doc I
, Permit Center
""'• rs' 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
.0.0Valley' (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter r,spokanevallev.org
Community Development
Plumbing Permit Application ❑ Commercial 0 Residential
STYE ADDRESS: 16312 E 10th In
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor (ITJ) P 1 ott le,vi &.
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS g /
SHOWERS(per trap) ./r f
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER `
CLOTHES WASHER I
GARBAGE DISPOSAL
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 proofer,carbonator,swamp coder 3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including 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
lid—I Z 1751-1.
OCASH 0 CHECK 0 VISA 0 MC EXPIRES:
.
•
Carta# VIN: 'r v
SIGNATURE:
4
t-F_P''i `a - , '
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-0 -09ifg.doe