2006, 03-07 Permit Application: 06000690 Gas FireplaceSo`�an
alley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
wix'w.spokaneva11ev.ore.com
Mechanical Permit Application
PERMIT NUMBER: e:t
PERMIT FEE:
n Commercial Residential
SITE ADDRESS:
Building owner '71-0 S L JP":
Name:
Phone: 7 1 d ' t.) 6 14
Fax:
Address: i it 5 0 cA E A I K,
City: //d (C u 4 e 1%; j t / e
State: )„,.' if
Zip:
cg03 7
_ Contractor _ .
Name: ti A■ 4 ,✓ J ( t( s ---r -A C ,
Phone: .7 16 •- Q (p i L-f
Fax
Address: (b a. I- S. .4 - e., %
City: V,...: .- &t r� H, (e
State: (.,/ A
Zip:
G
T (e 3 l
License No: F L A AA E 9 S 9 T 9
City Business License No:
Contact ... =,! ' `.....
.
Name: J 06 k
Phone: 7 1 0 ''- 0 (o 7
DESCRIPTION OF WORK
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
# OF UNITS
X
COST
X
$12.00
= TOMOUNT
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
$12.00
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,00DM BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
(D
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
x
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
tj
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
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE IHOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
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
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDITIONS
34
VENTILATION SYSTEMS
X
$25.00
X
$15.00
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
36
INCINERATOR - RESIDENCE
37
INCINERATOR - COMMERCIAL
X
$12.00
X
$19.00
X
$22.00
METHOD OF PAYMENT:
DCASH D CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Spokane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)6E8-0037
www.spokan eval l ev. ora. com
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS:
Building owner
Name:
Phone:
Fax:
Address:
City.
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City :
State:
License No:
Contact
City Business License No:
Zip:
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 826/05
DESCRIPTION OF WORK
# 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
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X $6.00
=
6
DISHWASHER
X $6.DD
=
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 X $6.D0
PROOFER, CARBONATOR SWAMP COOLER
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS, BOILERS X $6.00
=
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 DISPOSAL/SYS
X $20.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X $15.00
=
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
$35.00
Card# EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 826/05