2009, 02-25 Permit App: 09000448 MechanicalProject Number: 09000448 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 1 FUEL BRNG APPL / 1 GAS PIPING
Date: 2/25/2009 Page 1 of 2
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: RICHARD'S REFRIGERATION
Address: 3122 E GLASS
C - S - Z: SPOKANE WA 99217
Phone: (509) 483 -3001
Group Name:
Project Name:
Plat Key: 000499 Name: CORBIN ADD TO GREENACRES
District: East
Parcel Number: 55173.0703 Block:
SiteAddress: 18911 E ALKI AVE
Location:: CSV
Lot:
Owner: Name: KIENBAUM, W A, D J, T M, & DEN
Address: 4502 S CONKLIN RD
SPOKANE VALLEY, WA 99016
Zoning: RC Regional Commercial
Water District: 134 CONSOLIDATED ID #19
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Permits:
Released
y:,
Contractor: RICHARDS REFRIG HEAT A/C
Address: 3122 E GLASS AVE Phone: (509) 483 -3001
SPOKANE, WA 99207
Mechanical Permit
Firm: RICHARDS REFRIG HEAT A/C
Item Description Units Unit Desc Fee Amount
GAS APPLIANCE <= 100,000BTU 1 NUMBER OF $13.00
GAS PIPING 1 # OF UNITS $1.00
PROCESSING FEE 1 SELECT $37.00
Permit Total Fees: $51.00
Operator: JD Printed By: JD Print Date: 2/25/2009
Project Number: 09000448 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/25/2009 Page 2 of 2
Payment Summary:
Permit Type
Mechanical Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$51.00 $51.00 $0.00 $51.00
$51.00 $51.00 $0.00 $51.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 2/25/2009
Spokan'' a
jValley•
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter@spokanevailey.org
n Commercial
SITE ADDRESS: / J �// *
PERMIT NUMBER: 04(4C-t
PERMIT FEE:
Residential
Building
Owner
Name:
5,4r 1° Phone:
��lj/ -��'y D � Fax:
Address:
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/ /. 4 ee„ j(' /$ `j City: !/mil' State: WI Zip: `7
Contractor 4
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Name: �e /�,4
j/(/ fq Phone: �jl � �i
Address: %S ` �'�� � %S 3 -3� / Fax: � C�
31�) l g 5 City: S� State: Zip:
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License No:
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,/)�C lji y� y j �� City Business Lic: l
Contact lfY Ir /C�
Name:
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DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL
1.
FUEL BURNING APPLIANCE
Equal to or less than 100,000
/
X
$12.00
=
AMOUNT
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
l2
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
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M 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
=
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
=
.'
/
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 I HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
$10.00
=
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
$12.00
=
26
AIR CONDITIONER
4 -15 TON
X
$20.00
=
27
AIR CONDITIONER
15 -30 TON
i
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
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
SUBTOTAL
EXPIRES:
PROCESSING FEE
$35.00
VIN.
TOTAL PERMIT FEE DUE:
REVISE!) 8/26/05