2012, 12-07 Permit App BLD-2012-2143 Plumb, Mechanical FixturesSpokan-
�Ualley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development
Plumbing Permit Application
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PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS: Z S LTS
Building Owner
Name: ,y ak:IAP ftteijrc Phone: cy.�tr4-at 5 Fax:
Address: to :xi - K'r S-ioi: s $$z Crty: S,7c,144„3 - State: Zip: IT 1
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Contractor
Name: +Q� PFax:
�� I''1��� Phone:5-yc-�-C't '�i �� � l�S
Address: i r..r, - ';.mo4-1< City: 5sv.a.,;:-1 State: i/ Zip: �rt1Cj,
+1 �T. L
License No: Rt4 i St 1't i Q City Business Lic:
V G�
Contact/Project Mana er:
Name: Jr431\ C401 Phone: 561_r zS
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2,-
URINALS
TUBS
2.
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
f
CLOTHES WASHER
1
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
l
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
['CASH ❑ CHECK ❑ VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
Spokane
Val ley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
❑ Commercial Q Residential
SITE ADDRESS:
5.2-5 5 ;R:Virc
Building Owner
Name: 2 I�C�1 e fa '#"t &T'
Address: 8 l G^_ ;T e jO
Contractor
Phone: 50,) _ 5. Gs c; Fax:
City: 3,4e0
State: • 64 k
Zip: 'MU f
1-iPRES
Address: i2»�
Name:
License No: 64e4Arkiii
3tam,
Contact/Project Manager.
Phone: S °i 'EE+6-trios Fax:
City: ST a ,JC 0State:
City Business Lic:
Zip:9Za6
Name: goc_E-►4
Phone:0q-'-i3b
1 I
#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
li
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)
2-
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
3
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
1
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
CASH ❑ CHECK ❑ VISA ❑ MC
CARD#:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration103 Forms - Official VersionsWermit Center\Mechanical Permit Application 04-03-09 dg.doc