2003, 10-10 Permit: BLD-03-02738 Wood Stove(III UF'
Spokane
Val ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MECHANICAL PERMIT
Permit #: BLD -03 -02738
Job Address: 1519 N ARC ST Applied: 10/10/2003
GREENACRES WA 99016 Issued: 10/10/2003
Description: WOOD STOVE Expires: 04/07/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: JAMES BEX
Applicant: JAMES BEX Phone: (509) 000 -0000
Address:
Contractor: Phone:
Address: Lic No:
General Information:
SUPPLEMENTAL PERMIT
WOOD STOVE - FREE STANDING
N
1
Fees:
MECHANICAL PROCESSING FEE
WOOD STOVE - FREE STANDING
Total Calculated:
Deposits /Receipts:
Total Due:
35.00
25.00
60.00
60.00
0.00
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is /will
be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
J wt t� s
Print Name
Staff Initials
h& 3e
THIS IS NOT A RECEIPT
rota
Date
*tam
,0, . Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206 509 - 688 -0037 - Fax
For Inspections, call 509- 688 -0054
PROJECT
ADDRESS: t' (1
2-C.,
PERMIT
USE:
WRIER oriF}'N/‘.L -S
(/(/' i
`X
PHONE (Daytime Contact):
MAILING ADDRESS:
Iv LS-1
42. c
0410Q s --, w
CPO t t
(street)
$15
(city /state)
(ZIP)
CONTRACTOR:
FUEL BURNING APPLIANCE
> 100,000
LICENSE #:
X
MAILING ADDRESS:
-
PHONE #:
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR < 400,000
(street)
$50
(city /state)
(ZIP)
METHOD OF PA
pi CASH ❑ CHECK ❑ ❑ •.
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
EXPIRES:
DESCRIPTION OF WORK
9OFUNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
= OR < 100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR < 400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
8100
5
USED APPLIANCE (WSEC min. AFUE rating)
• or <400,000
X
$50
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
8100
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
815
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
-
13
RANGE
-
X
$10
-
14
DRYER
-
X
$10
15
FUEL BURNING WATER HEATER
--
X
810
-
16
MISC. FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. Outlet)
-
X
$1
-
18
DUCT SYS 1 EMS
-
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
$10
-
23
TYPE I HOOD
-
X
550
-
24
TYPE II HOOD
-
X
$10
-
25
HEAT PUMP /AIR CONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITTIONER
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
-
/
X
$25
-
D- 5
KENT
VISA ' • t
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
pi CASH ❑ CHECK ❑ ❑ •.
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
EXPIRES:
1
vIETHOD OF
] CASH
>ATE:
snr_ 4 t_k.kane
1 . Va11ey
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206 509 - 688 -0037 - Fax
For Inspections, call 509 - 688 -0054
Plumbing Permit Application
PLUMBING FI
PROJECT
ADDRESS:
DESCRIPTION
PERMIT
USE:
OWNER:
X
PHONE (Daytime Contact):
MAILING ADDRESS:
(street)
(city /state) (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS:
-
PHONE #:
2
(street)
(city /state) (ZIP) .
X
PLUMBING FI
;ANKCARD NUMBER
,UTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
AMOUNT
2
URINALS
X
$6
-
3
TUBS
X
$6
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP /CULINARY/MEAT
X
$6
$6
6
DISHWASHER
X
$6
7
CLOTHES WASHER
X
8
GARBAGE DISPOSAL
X
$6
$6
=
9
WATER SOFTENER
X
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
12
FOUNTAINS, DRINKING
X
-
13
WATER PIPING/DRAIN -IN
WASTE, VENT, PLUMBING .
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
$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
$6
-
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
-
PAYMENT
it4'a
❑ CHECK • ■ I .- ._ ---_
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
C DTb C.
TOTAL PERMIT FEE DUE:
;ANKCARD NUMBER
,UTHORIZED SIGNATURE: