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2009, 02-11 Permit App: 09000305 Gas Appliance\ RECEIVED 02/10/2009 15:18 5096880037 SV PERMIT CENTERFR 02/10/2009 15:02 5098912496 HOME COMFORT SERVICE PAGE 01 *lime 40,17aller CITY OF SPOKANE VALLEY Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 c:ermItcenter©sookanevAllev org MECHANICAL PERMIT APPLICATION Q COMMERCIAL SITE ADDRESS:3E13 S BATES RD El RESIDENTIAL BUILDING OWNER NAME:Scorr BURNS NANE:SCOTT BURNS ADOREss:3613 8 BATES RO CITY;$POKANE VALLEY STATE:WA ZIP:99206 PRONE:509-994-7957 FAX: CELL: CONTACT NAb1E:SCOTT BURNS PHONE:509-994-7957 FAX: cEu: CONTRACTOR NAME:HOME COMFORT SERVICES N92LING ADDRESS:9212 E MONTGOMERY SUIT 605 CITY:SPOKANE VALLEY PRONE:509-466-3911 STATE:WA EAx:509-891-2496 Zip:99206 CELL: CONTRACTOR LICENSE NO.:NONEccs97712 No.:L0840679 EXPIRES:0810912009 CITY BUSINESS LICENSE MANUFACTURER:Goo0MAN PREVIOUS ADDRESS: PROPOSED USE: Effective October 28, 2007 Page 1 of 2 http://www spokanevalley,org(uploads/Community_Development/Documents/Forms/Building/Mechancial Permit App.1.doc RECEIVED 02/10/2009 15:18 5096880037 SV PERMIT CENTERFR 02/10/2009 15:02 5098912496 HOME COMFORT SERVICE PAGE 02 DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that; 1) if this permit is for construction or on a dwelling, the dwelling is/will be served by potable water. 2) Gwneiehip of this City of Spokane Valley permit inure to the property owner. 3) The signator i5 the property owner or has permission to represent the property owner in this transaction. 4) All construction is to he done In full compliance with the City of Spokane Vaney Development cods. Referenced codes are available for review at the city of Spokane Valley Permit Center, 5) The City of Spokane Valley permit is not permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) plans or additional information may be required to be submitt,d and subsequently approved before this application can be processed. Signature Date:02/11(2009 Method of payment: ❑ Cash ❑ Check XI Visa 0 Mastercard Bankcard#r REfAGT EXf ). VIN# Authorized Signature: �tel (A;7.4 �� dIP, Effective Oather2007 �%.PJzrr"•'4I F�/J 7 Page 2 of 2 http://wwwspokanevalley,Org(upmm loads/Counity_Development/DDcumentS/ rMS/Building/Mechanclai Permit App.1.doc C > 3 C W r0 = T o > 40 N _ c c no C . U ro0 -0 0 a) .0 a 0 c N +' as 00 C .0 • mc W N c A W O ✓ C er En N OO N O L ro • U -02N L ! c .0 O 403 oc a o • U > v,ac E O C N re c o > m 2 a DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100 000 1 X $12.00 = 13,00 2 FUEL BURNING APPLIANCE Mora then 100,000 X $15.00 = 3 UNLISTED.APPUANCE (Additional Fee) Equal to or less than 400 000 X $50,00 4 UNLISTED APPLIANCE (Additional Fee) More than 400 000 X $100.00 = 5 USED APPLIANCE (WSEC min. AGUE rating) Equal to or lace than 400,000 X 350-00 = 6 USED APPLIANCE (WSEC min. AFUE rating) M=m than 400,000 X $100.00 7 BOILER/REFRIGERATION 1- 100M BTU X $12.00 = 8 BOILERIREERIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 • 1 00061 BTU X $25.00 = 10 BOILER/REFRIGERATiON 1,001- 1 75011 OTU X S35.00 = _r 11 6QtLER/REFRIGERATION More than 1,75011 BTU X X $50.00 $10,00 = = This document contains confidential credit card information and has been redacted pursuant to RCW 42.56.23015). 12 GAS LOG, GAS INSERT, GAS FIREPLACE 13 RANGE X $10.00 - 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 = 18 DUCT SYSTEMS X $10.00 = X $10.00 - 19 VENTILATING FANS 20 MR 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 910.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER• 4.15 TON X $20.00 = 27 AIR CONDITIONER 15-30TON X $25.00 = a 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR C0ND1T10NER More than 59 TON X . $60.00 = 10 LPG STORAGE TANK X 410.00 = i 31 I WOOD OR PELLET STOVE/INSERT X 410.00 = F 32 WOOD STOVE - FREE STANDING X $25.00 e I 33 REPAIR O ADDITIONS X 415.00 - 34 VENTILATION SYSTEMs X 112.00 - I 35 VENTILATION MECHANICAL EXHAUST X $12.00 = I 35 INCINERATOR -RESIDENCE X $19.00 a L , 37 INCINERATOR - COMMERCIAL __- X 422.00 = SUISTOTAL 13.00 PROCESSING FEE $35.00 TOTAL PERMIT FEE WE: 50.00 DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that; 1) if this permit is for construction or on a dwelling, the dwelling is/will be served by potable water. 2) Gwneiehip of this City of Spokane Valley permit inure to the property owner. 3) The signator i5 the property owner or has permission to represent the property owner in this transaction. 4) All construction is to he done In full compliance with the City of Spokane Vaney Development cods. Referenced codes are available for review at the city of Spokane Valley Permit Center, 5) The City of Spokane Valley permit is not permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) plans or additional information may be required to be submitt,d and subsequently approved before this application can be processed. Signature Date:02/11(2009 Method of payment: ❑ Cash ❑ Check XI Visa 0 Mastercard Bankcard#r REfAGT EXf ). VIN# Authorized Signature: �tel (A;7.4 �� dIP, Effective Oather2007 �%.PJzrr"•'4I F�/J 7 Page 2 of 2 http://wwwspokanevalley,Org(upmm loads/Counity_Development/DDcumentS/ rMS/Building/Mechanclai Permit App.1.doc C > 3 C W r0 = T o > 40 N _ c c no C . U ro0 -0 0 a) .0 a 0 c N +' as 00 C .0 • mc W N c A W O ✓ C er En N OO N O L ro • U -02N L ! c .0 O 403 oc a o • U > v,ac E O C N re c o > m 2 a