2003, 12-15 Permit App: BLD-03-03265 Wood StoveOT1 t>T
Spokane
,,,,•••'Valley
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509 - 688 -0036 - Phone
509 - 688 - 0037 - Fax
Mechanical Permit Application
PROJECT
ADDRESS:
PERMIT
/
soil A-CC__
US E: I / l C/o-coo/PSI-6
PHONE (Daytime Contact): `
OWNER: K, ,' e_ r p _ I, r r
(— Y� i�
MAILING ADD ESS:
AMOUNT
(street) (city /state)
(Z2)
CONTRACTOR: C t vi e _r--_
LICENSE #:
X
MAILING ADDRESS: - •
•
PHONE #:
2
FUEL BURNING APPLIANCE
(street) (city /state)
(ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
= OR < 100,000
X
' $15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
= OR <400,000
X
$50
-
9
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
5100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528
=
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
=
13
RANGE
-
X
$10
=
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
-
X
$10
=
16
MISC FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. Outlet)
-
X
91
=
18
DUCT SYSTEMS
-
X
$10
=
19
VENTILATING FANS
-
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
910
-
23
TYPE I HOOD
-
X
550
_
24
TYPE II HOOD
-
X
$10
=
25
HEAT PUMP /AIR CONDITIONER
0-3 TON
X
512
=
26
AIR CONDITIONER
3-15 TON
X
520
=
27
AIR CONDITIONER
15-30 TON
X
925
=
28
AIR CONDITIONER
30-50 TON
X
$35
=
29
AIR CONDITIONER
+50 TON
X
560
=
30
LPG STORAGE TANK
-
X
510
=
31
WOOD OR PELLET STOVE/INSERT
-
X
510
=
32
WOOD STOVE - FREE STANDING
-
f
X
$25
=
5
•
a
41ENT
vrsa' iu ; .;:
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
IETHOD 0
] CASH
ATE:
Spokane
,,,,.•'Valley
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509 - 688 -0036 Phone
509 - 688 - 0037 - Fax
Plumbing Permit Application
PROJECT
ADDRESS:
DESCRIPTION
PERMIT
USE:
OWNER:
X
PHONE (Daytime Contact):
MAILING ADDRESS:
AMOUNT
(street)
(city /state) (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS:
-
PHONE #:
2
(street)
(city /state) (Lll')
PLUMBING FIXTURES
ALNKCARD NUMBER:
EXPIRES:
UTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
$6
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP /CULINARY/MEAT
X
' $6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
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
$(_
12
FOUNTAINS, DRINKING
X
86
-
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
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
$6
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
E PAYMENT
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
• CHECK ❑
• �.__.__:`�: _
TOTAL PERMIT FEE DUE:
ALNKCARD NUMBER:
EXPIRES:
UTHORIZED SIGNATURE:
Spolca�ne~
•Va11ey
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 • Fax: 509.921.1008 • cityhall @spokanevalley.org
Kyle Feight
504 S. Arc
Spokane, WA 99016
RE: Fees for woodstove
To the City of Spokane Valley,
I will pay the City of Spokane Valley $5.00 on 12/15/2003 and will fmish payment on this permit
12/24/2003.
Thank you,