2006, 07-07 Permit App: 06002625 Plumbing FixturesSgan
,Valley
Cc nmunity Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. pokanevaliev.ora
Plumbing Permit Application
U Commercial
SITE ADDRESS:
-t 3 l2 NI
PERMIT NUMBER..7(�
PERMIT FEE:
Residential
fr/
Building Owner
-
-L°
S
Name:
Phone: -26 '' - 4,-.)
6/
Fax:
Address:
city:
State:
zip:
73
7
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
2
URINALS
3
TUBS
WATER CLOSET, BIDETS
X
$6.00
X
$6.00
X
$6.00
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
DISHWASHER
X
$6.00
$6.00
$6.00
7
CLOTHES WASHER
i
X
56.00
8
GARBAGE DISPOSAL
1
X
56.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
ARE CASE, COIL TRENCH,
CONDENSATE
X
56.00
12
ROOF DRAINS /OVERFLOW DRAINS
56.00
13
FOUNTAINS, DRINKING
X
56.00
14
WATER PIPING/DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
x
16
WATER USING DEVICE
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
$6.00
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK JS{ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED E126/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
®- rermJt center
Spokane 11707 E Sprague Ave, Suite 106
Vey Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development u•aw.v.spokanevailev.ore
Mechanical Permit Application U Commercial n Residential
PERMIT NUMBER
PERMIT FEE:
SITE ADDRESS:
Building Ovvner
Name: Phone: Fax:
Address: City. State: Zip:
Contractor
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
Contact ;... ..:::..: _
Name: Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.0D
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,00D
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or Tess than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 10DM BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001 - 1,75DM BTU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
X
510.00
=
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
=
16
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
X
510.00
=
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
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
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
3D
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
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
522.00
=
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD ;r.
SUBTOTAL
EXPIRES:
PROCESSING FEE
535.00
VIN:
TOTAL PERMIT FEE DUE:
REVISED 626105