2013, 05-31 Permit App: BLD-2013-1040 Plumbing, Mechanical Fixtures Community Development /l.l -t 3- lb 140
Permit Cer' -1
11703 E Shue Ave,Suite B-3
Spokane Valley,WA 99206
Va11ey PHONE: (509)720-5240
FAX: (509)688-0037 '',.�` 3 12013
•
Plumbing Permit Application ❑ Commercial _Residential
CSV PERMIT C; � FEE:
s' U� S li t` �t t -'.l. 1 =1
SITE ADDRESS: 1�� g <, • �� Cele S t_3 8 l w ;�.
Building Owner nn �r tit` t q� ,/
Name: O�,i� �-C �k 1 lcll.:11r� Phone: r, .(,7 �� Fax:
! -� City: �j State: Zip:
Address: LL. .L— F . `�5 Vti� "�Ztcl � 9q6-.Q
Contractor rice_(-?Ul r\ ur-to K
L t7 fl,'G c!' () ctt Fax: C�' ( i d qc)
Name: C Phone: '\
Address: 3g(--) G .,� City:,._e� Q ( State: ( y� Zip.License No: Z lL R,;l Q S City Business Lic: �[ C
C�'r�c �U i CC
Contact/Project Manager: bot La-Z �,� �- -e ceq o <4@q-,
Name: �J� Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS �/
TUBS (�
SHOWERS(per trap) 2.
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, v'
SINKS Prep/Culinary Meat
143
DISHWASHER
CLOTHES WASHER I
GARBAGE DISPOSAL
WATER SOFTNER i
FLOOR DRAIN Area,Case,Coil,Trench,Condensate f
ROOF DRAIN/OVERFLOW DRAINS I
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 3
PRIVATE SEWAGE DISPOSAL SYSTEM I
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 :A
CURRENT FEES AVAILABLE AT: http:/Iwww.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
�, Project #
I j- Lb4-f0
Community'I7evelopment e
�ITy ''A„ Permit Center RECEIVED
SpOkane 11703 E Sprague Ave,Suite B-3
pokane Valley,WA 992 ! F u=, 1
4.0 S
Valley PHONE: (509)720-5240 06
FAX: (509)688-0037
CSV PERMIT CLFEE
Mechanical Permit Application ❑ Commercial -esidential _________,
SITE ADDRESS: ` glA" I -------
Building Owner )CtY\ \CAUA-(1/-
Name: Phone:ciao 5(7 ` Fax: p
Address: 1 4 j t
City:�f0g4j'l12 0je Stater Zip: C `037
Contracto?T
Name: iii .C.. gr,je
�� Phone: q R , c,gv(( Fax:CD1 (C cf,Z p
Address: � g . - City f 6_<z G y State:j, y( Zip:? /�)C�
License No:CCO S URTi,CG i 21 City Business Lic: `"g "`2
Contact/Project Manager: 17 , Cic " l l 04-1"
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 I
DUCT WORK SYSTEM ,
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-15 TON I
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 S
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 Dryer i
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I I /
HOOD Type II 1
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE S - M—FREE STANDING
Signature ..' -
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.org Quick link to forms,then Master Fee Schedule