2010, 04-12 Permit App 10000991 Gas Piping Permit Center
11703 E Sprague Ave,Suite B-3 I% t�q I
C;
Okane Spokane Valley,WA 99206 PERMIT NUMBER: l l� l
Valley- (509)688-0036 FAX:(509)688-0037
permitcenter@n,spokanevalley.org PERMIT FEE: 2 �U i^
Community Development ) r
Mechanical Permit Application Commercial
Commercial Residential
SITE ADDRESS: 7C / 7 Er,4 t i vt
Building Owner ��tt
Name: t r 1 W bb r/7 Phone:So? ti 5/ S 7$6 Fax:
Address: 76 / 7 E E(�C r p{ City: S flo tit rt? Vq(/+r State: w A Zip: Cn
7 2./2
Contractort t M1 P� i„ b- tq' i1103
Name: JC./ry SW ter Phone: 501 ,45-6, aysz,Fax: 569 ys& c373
Address: Po.?4 /5 3Y 6 City: S�Jekgh State:
License No:, f E LK, F7r2 H 9 zi-9 City Business Lic: T ! 1J
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
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:
❑CASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Bui Iding/MechanicalPermitAppl i cati on040309.doc
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
IC -661(
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name Peck Plumbing Et Heating UBI No. 602449199
Phone 5094562430 Status Active
Address Po Box 19346 License No. PECKPPH949BE
Suite/Apt. License Type Construction Contractor
City Spokane Effective Date 1/5/2006
State Wa Expiration Date 1/5/2012
Zip 99219 Suspend Date
County Spokane Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company Sweet's Services Inc
Other Associated Licenses
License Name Type Specialty Specialty Effective Expiration Status
1 2 Date Date
PECKPH*011 BM Peck Plumbing Construction General Unused 1/14/1999 1/16/2006 Relicensed
EtAmp; Heating Contractor
Business Owner Information
Name Role Effective Date Expiration Date
Sweet, Jerry J President 01/05/2006
Sweet, Jennie R Vice President 01/05/2006
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
1 CBIC SE1325 12/22/2005 Until Cancelled $12,000.0001/05/2006
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
3 FEDERATED 9160267 05/01/2008 05/01/2010
MUTUAL INS CO $1,000,000.0005/11/2009
CONTINENTAL
2 WESTERN INS CNP2563332 03/06/2006 03/06/2009 $1,000,000.00 02/19/2008
CO
CONTINENTAL
1 WESTERN INS CNP2563332 03/06/2005 03/06/2006 $1,000,000.0001/05/2006
CO
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
littns://fortress.wa.gov/lni/bbin/Print.asnx 4/12/2010