2013, 09-09 Permit App: BLD-2013-1802 Mechanical Fixtures(Ay Fr)
Permit Center AT
e, 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevalley.ore.com
Mechanical Permit Application ❑ Commercial lq Residential
)-op
SITE ADDRESS 17301 L. Bald wr✓�
�V� WFi ^: � tMIIFC '■■ sY f h 1
560 C(
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Name: QUA ME? LOGIC Ce. AS:. Phone: ' iL# - /96,G( Fax
Address
.. :< City State Zi
Zip
sF r { L � " a
gntraetor, ,
s 'SV #.:, ".x�azac .`:m?s.EY .k+d'' '- .k'z`. ,!' ra *�...s;:v,. r t.''a '' 'r
Name: 5 eor -owt T G4, l Phone: Z 1,4 / Z z3 Fax: AVID
Address: City State Zip
License No:
City Business License No:
;.l.oitta�'t(�! W � n�. ��.? '-C ... '" iT .2 yI i
Name:
F�v�.W� Phone: 2 t g -Y 12q
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
1Z
'°
2
FUEL BURNING APPLIANCE
More than 100,000
�G r
$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
=
E
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
=4.
8
BOILER/REFRIGERATION
101 - 500M BTU
-
i X
$20.00
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
= I
E (� I
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
.i
11
BOILER/REFRIGERATION
More than 1,750M BTU
i X
x
$35.00
=
=
R P 7
$10.0a
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
&
X
$10.00
=
14
DRYER
1
X
$10.00
=
1 U
15
FUEL BURNING WATER HEATER
f
X
$10.00
=
10
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
--
2.
$1.00
Z
18
DUCT SYSTEMS
X
$10.00
=
10
19
VENTILATING FANS
L"�
X
$10.00
=
yo
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 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
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:
SUBTOTAL
C� y
❑CASH ❑ CHECK ❑ VISA ❑ MC DATE:
PROCESSING FEE
$35.00
CARD #: EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05