2013, 03-12 Permit App: BLD-2013-0405 Plumbing, Plumbing Fixtures Community Development 4-4./v�� T J
mCenter PERMIT NUMBER:
Spo""`"''A Wit 03 E Sprague Ave,Suite B-3
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11LLne Spokane Valley,WA 99206 PERMIT FEE:
a,,f Valley° PHONE: (509)720-5240
FAX: (509)688-0037
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: Wrt+ (pu d Va e- r l ori. 3S v?3 .3 .c) 0,2 7
Building Owner
Name: UU J�il_ V D tLeZ(q KO,' Phone: Fax:
Address: (�t '7 O UZ r t� City:s .,C/, 04/(), State: w' 4- Zip:e/470 /12
Contractor C r
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap) 1
LavlBasins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, ,(l
SINKS Prep/Culinary Meat q/
DISHWASHER 1
CLOTHES WASHER
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 cooler
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
Signature
0/(/'
CURRENT FEES AVAILABLE AT:http:tlwww.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.
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�,, ; Permit Center PERMIT NUMBER:
pokane 11703 E Sprague Ave,Suite B-3
��allev Spokane Valley,WA 99206 PERMIT FEE:
J PHONE: (509)720-5240
FAX: (509)688-0037
Mechanical Permit /Application ❑ Commercial g] Residential
SITE ADDRESS: (�OOJ/C3u1 74641?-(--Q-- (0(0 C tt l�,� r 5 r� �`� `� n`i�
Building Owner f ,Z,C tL a NC.Of/'
Name: (f)A, tJgA Phone: C3 ?(( — j—,� •7 Fax:
Address: , p(�,G Li t 01 City: r, K et State: „v4_ Zip: 4
Contractor a
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
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
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)
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 2.
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 REE STA DI G
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms,then Master Fee Schedule