2007, 03-13 Permit App: 07000685 ResidenceSalley
Coroner ity Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA. 99206
(509)688-0036 FAX: (509)688-0037
www.sDokanevalley. oIQ:corrl-,
11 wt
Residential Constr-uctioli R
Permit Application
D
7ig7
New Constructiol
Q, Addition/Remodei
ot,Other:
kccessory Bldg
❑ Deck
SITE ADDRESS
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
•-1-A 1
- ;Y J1.:,:R
n 4sb
}
„�i"1:i^ .Si; •. {.• •11._T
Name:
r-,,,1 , .-, X
UNF!N BASEMENT SQ. FTG:
_
IMPERVIOUS SURFACE
AREA:.15
FINISHEDEMENT �
SQ. FTG:_ _
Address:
` 3\'')._ N._
, -
,
CONSTRUCTION TYPE:
Ci • .
. -
Zi.:
QN
c- t
Phone: c:
C -�_s, Fax:
l._ -
1`k.
e7`Gx-!JG:Ti,,r�;� m:„;�; •
:..'ti .. _ x..+� .,I.r•..•.. u4A. .•i,� . `•.
Name:
Phone:
Describe the scope of work in detail:
.1 .,7'f,- } L: ;�• ,7•... •r•:1 �, '•.• 'f'� :! ilf tea•” � 9
;�E�.Iji�cw"�ii?7j�'_ � ..,• •1-.�r �,,;�'}, rs r.;'i•..�...x:,:-'
?•M • _-ul w•• ...'r!-:.C4e._'3:.� �" �,1L-�?S..:i•...:.i:.�i[_�...::v,.:tz.`
Name:
Address:
Phone:
Fax:
Lic No:
.,. Date:
Ci Business Lic No: \-\\,skr, c•• c.
Cost of Project:
4 �
t
$
**************The followinc MUST be complete: (write N/A if not aDDlicable)**********************
HEIGHT TO PEAK
.
DIMENSIONS:
4i 1, (....y Y-'��
# OF STORIES:
TOTAL HABSPACE
ITABLE
2-42Dco C
MAIN FLOOR TO SQ.
FTG:\ 10 �
274" FLOOR SQ. FTG:
q 2- /
UNF!N BASEMENT SQ. FTG:
_
IMPERVIOUS SURFACE
AREA:.15
FINISHEDEMENT �
SQ. FTG:_ _
GARAG 'SQ. FTG
j 2
DECK/COV. PATIO SQ. FTG:
305 SLOPES ON
PROPERTY: —
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE
SEWER OR SEPTIC?
S
The permItee verifies, acknowledges and agrees by their signature that 1) if this permit Is for construction of or on a dwelling, the
dwelling i /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) AU 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: 6) Plans or additional Information may be required to be submitted, and subsequentlyaapproved before
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard) •
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard Expires:
0 Other
Authorized Signature:
. REARED 12s12C06
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
-Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development WWW sookancvallev ore corn
Mechanical Permit Application [f Commercial
SITE ADDRESS:
7
PERMIT NUMBER:
PERMIT FEE:
Residential
Building ownerv c-ir \ n, rut C _,V-,\,•
-
- ' •,
Name:
"Phone:
Fax:
Address:
City:
• •State-
Zip:
Contractor
Name
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
ct ' _ �
Confo_ -e _
- - -
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
• TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
312.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
515.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
3100 00
5
USED APPLIANCE (W SEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
6
USED APPLIANCE (W SEC min AFUE rating)
More than 400,000
X
5100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
320 00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525 00
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
535 00
11
BOILER/REFRI GERATION
More than 1,750M BTU
X
560 00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
X
$10.00
14
DRYER
ItX
510.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
51.00
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X'
510.00
20
AIR HANDLER (DOES NOT include ductino)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
31500
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
24
TYPE II HOOD
X
Y
X
550.00
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
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
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR 8 ADDITIONS
x
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR — RESIDENCE
x
519.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
OCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE.
EXPIRES
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/a&05
Conn -amity Development
Plumbing Permit
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookaneva» ev.ora.com
Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial [Residential
SITE ADDRESS:
Bulldiupowua
Name•.
Phone:
Fax:
Address:
.Contietur'
City:
State:
Zip:
T -4 -
Name:
Phone:
Fax:
Address:
City :
State:
Zip:
license No:
City Business license No:
Name:
Phone:
AVIHORIZED SIGNATURE:
ItEVIEJID 11/W05
DESCRIPTION OF WORK
0 OF UNITS
X
COST
•
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
a
X
58.00
2
URINALS
-
X
58.00
3
TUBS
‘
X
58.00
•
1
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
58.00
•
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
-
X
58.00
•
8
DISHWASHER
\
X
58,00
a
7
CLOTHES WASHER
\
X
58.00
a
8
GARBAGE DISPOSAL
X
56.00
•
9
WATER SOFTENER
X
58.00
•
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
58.00
=
11
FLOOR DRAINS
. AREA, CASE, COIL, TRENCH, CONDENSATE
‘
X
58.00
•
12
ROOF DRAINSIOVERFLOW
DRAINS
X
58.00
a
19
FOUNTAINS, DRINKING
I
X
58.00
=
14
WATER PIPINGIDRA N -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
58.00
15
SEWAGE EJECTOR -
GRINDER, SUMP PUMP
X
58.00
=
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
58.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$8.00
•
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
s
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
•
20
MISCELLANEOUS PLUMBING
FIXTURE
X
58.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
=
22
INDUSTRIAL. WASTE
INNTERCEPTORX
515.00
•
METHOD OF PAYMENT:
0 CASH 0 CHECK , ' - 0 VISA 0 MASTERCARD
Cards EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AVIHORIZED SIGNATURE:
ItEVIEJID 11/W05
Project Number: 07000685 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/13/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ ATT GAR
Setbacks: Front 30 Left 20 Right: 11 Rear: 20
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (000) 000-0000
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range
District: Sout
Parcel Number: 45334.0613 Block:
SiteAddress: 4012 S BATES RD
Location:: CSV
Zoning: UR -7
Water District:
Urban Residential -7
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information •-
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
3/9/2007 By: TMELBOU
Released By:.
Sewer Review
Permits:
Originally Released:
3/6/2007 By: CJJANSSE
'Released By: -
Originally Released: 3/13/2007 By: jdavis
Operator: JD Printed By: JD Print Date: 3/13/2007
Project Number: 07000685 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/13/2007 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Description Grp fl Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 V13
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Fee Amount
$50.00
$50.00
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,082 $98,851.52 1,082 $98,851.52
924 $69,004.32 924 $69,004.32
80 $1,200.00 80 $1,200.00
1,102 $20,938.00 1,102 $20,938.00
Totals: 3,188 $189,993.84 3,188 $189,993.84
Units Unit Desc
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,497.75
$4.50
$599.10
$2,101.35
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
• Print Date:
Fee Amount
$10.00
$12.00
$40.00
$10.00
$72.00
3/13/2007
Project Number: 07000685 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/13/2007 Page 3 of 3
Plumbing Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6 00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Notes -
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $2,101.35 $2,101.35 $0.00 $2,101.35
Mechanical Permit $72.00 $72.00 $0.00 $72.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$2,319.35 $2,319.35
$0.00 $2,319.35
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed 13y: JD Print Date: 3/13/2007
Project Number: 07000685 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ ATT GAR
Setbacks: Front 30 Left: 20 Right: 11 Rear: 20
Site Information:
Plat Key:
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (000) 000-0000
Group Name:
Project Name:
Name: Range
District: Sout
Parcel Number: 45334.0613 Block:
SiteAddress: 4012 S BATES RD
Location:: CSV
Zoning: UR -7
Water District:
Area: .00 Acres
Urban Residential -7
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: .
Landuse/Zoning/HE Conditions
Released By: T y- 34. °i
Sewer Review
Released By:. •
Permits:
Approach
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
Item Description Units Unit Desc Fee Amount
APPROACH -CONST IN ROW 1 NUMBER OF $50.00
Operator: JD Printed By: JD
Permit Total Fees: $50.00
Print Date: 3/6/2007
Project Number: 07000685 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2007 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Description Grp Type Notes
1&2 FAMILY R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
Building Permit
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
This Application:
Sq Ft Valuation
1,478 $135,030.08
1,180 $22,420.00
Total Project: .
Sq Ft Valuation
1,478 $135,030.08
1,180 $22,420.00
Totals: 2,658 $157,450.08 2,658 $157,450.08
Units Unit Desc
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
SELECT
SELECT
SELECT
Fee Amount
$1,318.55
$4.50
$527.42
Permit Total Fees: $1,850.47
Mechanical Permit
Firm: HOMESTEAD CONSTRUCTION
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Units
3
5
Operator: JD Printed By: JD
Permit Total Fees:
Plumbing Permit
(509) 892-0454
Fee Amount
$10.00
$12.00
$40.00
$10.00
$72.00
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Unit Desc
NUMBER OF
NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$30.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$96.00
3/6/2007
Project Number: 07000685
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2007
Notes-
Page 3 of 3
Payment Summary:
Permit Type Fee Amount
Approach $50.00
Building Permit $1,850.47
Mechanical Permit $72.00
Plumbing Permit $96.00
Invoice Amount
$50.00
$1,850.47
$72.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,850.47
$72.00
$96.00
$2,068.47 $2,068.47 $0.00 $2,068.47
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 3/6/2007
Salley
Coroner ity Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA. 99206
(509)688-0036 FAX: (509)688-0037
www.sDokanevalley. oIQ:corrl-,
11 wt
Residential Constr-uctioli R
Permit Application
D
7ig7
New Constructiol
Q, Addition/Remodei
ot,Other:
kccessory Bldg
❑ Deck
SITE ADDRESS
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
•-1-A 1
- ;Y J1.:,:R
n 4sb
}
„�i"1:i^ .Si; •. {.• •11._T
Name:
r-,,,1 , .-, X
UNF!N BASEMENT SQ. FTG:
_
IMPERVIOUS SURFACE
AREA:.15
FINISHEDEMENT �
SQ. FTG:_ _
Address:
` 3\'')._ N._
, -
,
CONSTRUCTION TYPE:
Ci • .
. -
Zi.:
QN
c- t
Phone: c:
C -�_s, Fax:
l._ -
1`k.
e7`Gx-!JG:Ti,,r�;� m:„;�; •
:..'ti .. _ x..+� .,I.r•..•.. u4A. .•i,� . `•.
Name:
Phone:
Describe the scope of work in detail:
.1 .,7'f,- } L: ;�• ,7•... •r•:1 �, '•.• 'f'� :! ilf tea•” � 9
;�E�.Iji�cw"�ii?7j�'_ � ..,• •1-.�r �,,;�'}, rs r.;'i•..�...x:,:-'
?•M • _-ul w•• ...'r!-:.C4e._'3:.� �" �,1L-�?S..:i•...:.i:.�i[_�...::v,.:tz.`
Name:
Address:
Phone:
Fax:
Lic No:
.,. Date:
Ci Business Lic No: \-\\,skr, c•• c.
Cost of Project:
4 �
t
$
**************The followinc MUST be complete: (write N/A if not aDDlicable)**********************
HEIGHT TO PEAK
.
DIMENSIONS:
4i 1, (....y Y-'��
# OF STORIES:
TOTAL HABSPACE
ITABLE
2-42Dco C
MAIN FLOOR TO SQ.
FTG:\ 10 �
274" FLOOR SQ. FTG:
q 2- /
UNF!N BASEMENT SQ. FTG:
_
IMPERVIOUS SURFACE
AREA:.15
FINISHEDEMENT �
SQ. FTG:_ _
GARAG 'SQ. FTG
j 2
DECK/COV. PATIO SQ. FTG:
305 SLOPES ON
PROPERTY: —
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE
SEWER OR SEPTIC?
S
The permItee verifies, acknowledges and agrees by their signature that 1) if this permit Is for construction of or on a dwelling, the
dwelling i /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) AU 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: 6) Plans or additional Information may be required to be submitted, and subsequentlyaapproved before
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard) •
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard Expires:
0 Other
Authorized Signature:
. REARED 12s12C06
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
-Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development WWW sookancvallev ore corn
Mechanical Permit Application [f Commercial
SITE ADDRESS:
7
PERMIT NUMBER:
PERMIT FEE:
Residential
Building ownerv c-ir \ n, rut C _,V-,\,•
-
- ' •,
Name:
"Phone:
Fax:
Address:
City:
• •State-
Zip:
Contractor
Name
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
ct ' _ �
Confo_ -e _
- - -
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
• TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
312.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
515.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
3100 00
5
USED APPLIANCE (W SEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
6
USED APPLIANCE (W SEC min AFUE rating)
More than 400,000
X
5100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
320 00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525 00
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
535 00
11
BOILER/REFRI GERATION
More than 1,750M BTU
X
560 00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
X
$10.00
14
DRYER
ItX
510.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
51.00
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X'
510.00
20
AIR HANDLER (DOES NOT include ductino)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
31500
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
24
TYPE II HOOD
X
Y
X
550.00
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
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
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR 8 ADDITIONS
x
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR — RESIDENCE
x
519.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
OCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE.
EXPIRES
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/a&05
Conn -amity Development
Plumbing Permit
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookaneva» ev.ora.com
Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial [Residential
SITE ADDRESS:
Bulldiupowua
Name•.
Phone:
Fax:
Address:
.Contietur'
City:
State:
Zip:
T -4 -
Name:
Phone:
Fax:
Address:
City :
State:
Zip:
license No:
City Business license No:
Name:
Phone:
AVIHORIZED SIGNATURE:
ItEVIEJID 11/W05
DESCRIPTION OF WORK
0 OF UNITS
X
COST
•
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
a
X
58.00
2
URINALS
-
X
58.00
3
TUBS
‘
X
58.00
•
1
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
58.00
•
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
-
X
58.00
•
8
DISHWASHER
\
X
58,00
a
7
CLOTHES WASHER
\
X
58.00
a
8
GARBAGE DISPOSAL
X
56.00
•
9
WATER SOFTENER
X
58.00
•
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
58.00
=
11
FLOOR DRAINS
. AREA, CASE, COIL, TRENCH, CONDENSATE
‘
X
58.00
•
12
ROOF DRAINSIOVERFLOW
DRAINS
X
58.00
a
19
FOUNTAINS, DRINKING
I
X
58.00
=
14
WATER PIPINGIDRA N -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
58.00
15
SEWAGE EJECTOR -
GRINDER, SUMP PUMP
X
58.00
=
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
58.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$8.00
•
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
s
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
•
20
MISCELLANEOUS PLUMBING
FIXTURE
X
58.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
=
22
INDUSTRIAL. WASTE
INNTERCEPTORX
515.00
•
METHOD OF PAYMENT:
0 CASH 0 CHECK , ' - 0 VISA 0 MASTERCARD
Cards EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AVIHORIZED SIGNATURE:
ItEVIEJID 11/W05