2006, 09-25 Permit Application: 06003838 Piping, Storage TankSPokane
MECHANICAL PERMIT APPLICATION
Phone: (509) 688 -0036; FAX: (509) 688 -0037
For Inspections, CaII (509) 688 -0054
Project Address: 1 1 1 31 E= f}I K Ave
Owner: mar }�a�+.� i )
Mailing Address: r11/3/'! E_ Al K i
Contractor: Pi rme r t t a S
Mailing Address: 3 3 a (-1 E, -Then"/-
A V e
License #:
Axle
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact): 50.9_95/
S o'SG r■P Va (er L.J
City State
-680
99.206
Zip Code
—9 92
9 9 -2 a-2
RY)Fjat G'Lo 55 LL Phone #: 509— 535
9p o.Kar e w A
Crty State
Zip Code
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512 00
=
2
FUEL BURNING APPLIANCE
More than 100.000
X
$15 00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100 00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100 00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35 00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510 00
=
13
RANGE
X
510 00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
I
X
51.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512 00
=
AIR HANDLER NOT include ducting)
Greater than 10,000 CFM
X
$15 00
=
21
(DOES
EVAPORATIVE COOLERS
X
$10 00
=
22
23
TYPE I HOOD
X
550 00
=
24
TYPE II HOOD
X
$10 00
=
25
HEAT PUMP /AIR CONDITIONER
0-3 TON
X
512.00
=
26
AIR CONDITIONER
3 -15 TON
X
520 00
=
27
AIR CONDITIONER
15 -30 TON
X
$25.00
=
28
AIR CONDITIONER
30 -50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
1
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25 00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
❑ CASH 'CHECK ❑ VISA ❑ MC
rnon a
SUBTOTAL
DATE
PROCESSING FEE
535.00
EXPIRES.
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE
PLUMBING PERMIT APPLICATION
De Phone: (509) 688 -0036; FAX: (509) 688 -0037
[,1 For Inspections, CaII (509) 688 -0054
Project Address:
Owner:
Mailing Address:
State Zip Code
Phone #:
Permit Use:
Community Development Department
Building C vision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
Contractor:
Mailing Address:
City
License #:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
N OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6 00
=
2
URINALS
X
$6 00
=
3
TUBS
X
$6 00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6 00
5
SINKS
LAVS /BASINS, BAR. FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY. FOOD, PREP /CULINARY MEAT
X
$6 00
=
6
DISHWASHER
X
$6 00
=
7
CLOTHES WASHER
X
$6 00
=
8
GARBAGE DISPOSAL
X
$6 00
=
9
WATER SOFTENER
X
$6 00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6 00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6 00
=
12
ROOF DRAINS /OVERFLOW
DRAINS
X
$6 00
=
13
FOUNTAINS, DRINKING
X
$6 00
=
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6 00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P B P.D. FOR VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20 00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X $15.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
_
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: