2006, 06-01 Permit App: 06002100 Plumbing & Mechanical FixturesrcrmiI i. ULcr
Spo an 11707 E Sprague Ave, Suite 106
�Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Connunity Development www.svnkanevalley.or;
Plumbing Permit Application D Commercial
PEANUT NUMBER.: c91 V
PERMIT FEE: IgQ,s-
Residential
SITE ADDRESS: 3 t i ,Y
&Ark -e -c re t
Building Owner
, ,� _ `
Name: MIC— (7V�"ti, r'
Phone: '3 Za -
Fax:
6
Z S'lert^--{
,, l
Address: 3 L 4 S • �5 [-�f
CITY: at -r-rte
$ State: ('v pi-
Zip: 97 a t Lo
Contractor
.
•
Nairn:
ittidk'Y.S'nt{J S
IJhone:
Fax:
Address:ity.
State:
Zip:
License No:
City Business Lic:
Contact"
i6t
7 --rt L.—(,230
---- •'..
Name:
?bone
DESCRIPTION OF WORK
B OF UNITS X
COST =
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
is
2
URINALS
O
X
56.00
3
TUBS
2
X
56.00
2-
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
1
X
56.00
Co
5
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN.
LAUNDRY, UTILITY, JANITOR PHOTO.
X-RAY. FOOD, PREP/CULINARY MEAT
S
X
56.00
6
DISHWASHER
r
X
56.00
7
CLOTHES WASHER
1
X
56.0D
6
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
0
X
56.00
10
- ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
2-
X
56.00
12
11
FLOOR DRAINS
AREA, CASE, COIL TRENCH,
CONDENSATE
X
56.00
12
ROOF DRAINS/OVERFLOW DRAINS
V
X
$6.0D
13
FOUNTAINS, DRINKING
O
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
/a
X
56.00
(P
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER. CARBONATOR, SWAMP
COOLER
X
56.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE.
AND R.P.B.P.D. FOR VATS, TANKS,
BOILERS
D
X
56.00
16
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
0
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
0
X
56.00
2D
MISCELLANEOUS PLUMBING FIXTURE
0
X
56.00
21
PRIVATE SEWAGE DISPOSAUSYS
O
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
0
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHEC
Card#
AUTHORIZED SIGNATURE:
REVISED S/26/O5
EXPIRES:
VIN:
SUBTOTAL
PRDCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
/01
_ ®\ ran Center
Sp%ne ® rem
in
E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037 /
Community Development waR'snnkann'allev.orq ' �•
Mechanical Permit Application ❑ Commercial Residential
PERMIT NUMBER
PERMIT FEE:
SITE ADDRESS: 3 1 it
S . Le -j- (&9-,
Building Okner,^,
Name: IVVvv--C2.2141,4..---
TJ�
v"'t'
Phone:'23�Z 02sV
Fax: 3 ktu...
I
p,
�
Address: 3 1 5 , j 6.01„...,_
l
City. tfret Mv3
State:
�,y
Zap. c7 96 //i.)
.,-., . _ ...--
Conatractor'
-� -,.,:'"-: -"•.,-.
i-
..
Name: )Y1.QArt___,
Phone:
Fax:
Address:
City.
State:
Zip:
License No:
City Business Lic:
Contact'I'> ?_;''--'.-, IL -L -t30
.... .... ::,.,
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
x
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
(,S
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
850.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100.0D
7
BOILER/REFRIGERATION
1- 100M BTU
X
512.00
8
BOILER/REFRIGERATON
101 .500M BTU
X
520.00
-9
BOILER/REFRIGERATION
501 - 1,000M BTU
x
$25.00
10
BOILER/REFRIGERAT1DN
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
$10.0D
13
RANGE
X
510.00
14
DRYER
x
510.00
15
FUEL BURNING WATER HEATER
x
510.00
16
MISC. FUEL BURNING APPLIANCE
X
$10 00
17
GAS PIPING (each outlet)
3
X
51.00
18
DUCT SYSTEMS
/
x
510.00
(U -
19
VENTILATING FANS
x
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include dulling)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
x
$10.00
23
TYPE I I -100D
x
550.00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
x
$12.00
/1-
26
L
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDrrtONER
15-30 TON
x
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
AIR CONDITIONER
More than 50 TON
X
360.00
3D
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
x
510.00
32
WOOD STOVE - FREE STANDING
x
525.00
33
REPAIR & ADDRIONS
X
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK VISA ❑ MC
CARD fi
AUTHORIZED SIGNATURE:^ E/y
REVISED V26/05
EXPIRES:
VIN:
SUBTOTAL
W
PROCESSING FEE
S35.DD
TOTAL PERMIT FEE DUE:
9s