2003, 09-18 Permit Application: BLD-03-02553 Mechanical & PlumbingSpokane
,.Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206
509 - 688 - 0037 - Fax
PROJECT I_
ADDRESS: A�1 tic) 4L1 t DS li�i
1 �1)I`-1� I
DESCRIPTION OF WORK
PERMIT
USE:
OWNER ' lL V � -^
1 `�, 1 1
X
PHONE (Daytime Contact):
310— 3a-?, —a i
MAILING ADDRESS:
,2-3) C) t -r-- A ) ) s--- .
i 1e DCy qg aa-.2
(street) (city /state)'
f (ZIP)
= OR < 100,000
CONT*° �` /I
JM \
X
LICENSE #: 4EN �T. c_4 ��
�
MAILING ADDRESS:
51aot s.-Pee. 9A\\ �' .
V
PHONE #c
,5 — 4 -acg.-3 \ ■
> 100,000
(sr \� Vi\) - 9a ?-7.
,
(street) (city /state)
(ZIP)
METHOD OF PA
❑ CASH
DATE: y � " 93
w.
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
= OR < 100,000
ja, /
X
$15
=
/
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
=
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
= OR <400,000
X
$50
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
=
5
USED APPLIANCE (WSEC min. AFUE rating)
= or < 400,000
X
$50
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
7
BOILER /REFRIGERATION
1 - 100M BTU
X
$15
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
$57
=
11
BOILER/REFRIGERATION '
+1750M BTU
X
$95
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
/
X
$10
/0
13
RANGE
--
/
X
$10
=
14
DRYER
-
X
$10
/
15
FUEL BURNING WATER HEATER
--
/
X
$10
=
/0
16
MISC. FUEL BURNING APPL.
-
X
$10
=
17
GAS PIPING (ea. Outlet)
-
3
x
$1
-
3
18
DUCT SYSTEMS
-
/
X
$10
19
VENTILATING FANS
-
L%
X
$10
=
20
AIR HANDLER (DOES NOT include ducting)
= OR < 10,000CFM
/
X
$12
=
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19
22
EVAPORATIVE COOLERS
-
X
$10
=
23
TYPE I HOOD
-
/
X
$50
-
50
24
TYPE II HOOD
-
X
$10
25
HEAT PUMP /AIR CONDMONER
0-3 TON
/
X
$12
=
/Z
26
AIR CONDITIONER
3-15 TON
X
$20
27
AIR CONDITIONER
15-30 TON
X
$25
28
AIR CONDITIONER
30 -50 TON
X
$35
29
AIR CONDITIONER
+50 TON
X
$60
30
LPG STORAGE TANK
-
X
$10
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
WOOD STOVE - FREE STANDING
-
X
$25
vfENT
— I ,a
SUBTOTAL:
// .7Q
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE: y � " 93
w.
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
METHOD OF
❑ CASH
DATE:
CCIY (A' ��
Spokane
,,,.. Valley
Plumbing Permit Application
11707 East Spraguq Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA '992Q6
509-688-0037 - Fax
PROJECT
ADDRESS: � \ �S \�q e og
PERMIT
USE:
OWNER: m�� Es 60 1\m.,(, r
PHONE (Daytime Contact):310_3ay —C(ogi 1
MAILING ADDRESS:
5—? M s . .Y fel-11 s�. cent b3 .___3
COST
(street) (city /state ) (ZIP)
AMOUNT
CONTRACTOR: \ x \13:\ \ v� / 05,08,60,-,
l
LICENSE #: �� 0
v I
9
MAILING ADDRESS:
57 aq s . 84 s-r , 3P-n\r
PHONE #:
sm.. -- 4cR -3 \\
1
- L` _ 1
/ Z
(street) (city/ t� ate) (ZIP)
URINALS
PLUMBING FIXTURES
SANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
y
X
$6
-
/ Z
2
URINALS
X
$6
-
3
TUBS
/
X
$6
-
4
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
1
X
$6
-
6
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP /CULINARY/MEAT
/�
Yn
X
$6
-
��
6
DISHWASHER
/
X
$6
-
Io
7
CLOTHES WASHER
/
X
$6
-
So
8
GARBAGE DISPOSAL
/
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
/
X
$6
-
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN -IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
/
X
$6
-
15
WATER USING DEVICE
ICE AND /OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
/
(
X
$6
-
(p
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
_
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
VISA
1 as
_ .__.___.. -
SUBTOTAL:
�/
(/
PLUS PROCESSING FEE:
$35.00
❑ an= •
TOTAL PERMIT FEE DUE:
/, f w
SANKCARD NUMBER:
AUTHORIZED SIGNATURE: