2008, 12-05 Permit App: 08004659 ResidenceSpokane
Valley•
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookanevallev.org
PERMIT NUMBER: k'6, rj
PERMIT FEE:
New Construction
❑ Addition/Remodel
❑ Other:
Li Accessory Bldg
❑ Deck
SITE ADDRESS: '7\
ASSESSORS PARCEL NO: tlt
LEGAL DESCRIPTION:
Building Owner': r
DIMENSIONS:
L/ 4.4_')'
. .• ., 5 :
Name:
\\.... ...1,.b
MAIN FLOOR TO SQ.
FTG: \-yIe,4
c.�..\,..e_\..t-,.
Address`. ^
c.cc
\\
City:
,... r -w
State:
State R ' Zip.z\c,�
Phone ,.,•
qt •:-• 4.'W1/4
Fax:
Fax:
qti.s.-�'N'ck.
:.Contact Person;
Name:
Phone: . VcCj%
Describe the scope of work in detail:
Cen.i.iii Ori'i S;
DIMENSIONS:
L/ 4.4_')'
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG: \-yIe,4
2FLOOR SQ. FTG:
�� D
Address:
IMPERVIOUS SURFACE
AREA:
,�- Svv
FINISHED BASEMENT
SQ. FTG: —
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
etc'. ees. c.., qa
Exp Date:
City Business Lic. No:
Cost of Project: S
\ �S,gtiJ
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
')-..\-‘I/C,
DIMENSIONS:
L/ 4.4_')'
# OF STORIES:
TOTAL HABITABLE SPACE:
\\1
MAIN FLOOR TO SQ.
FTG: \-yIe,4
2FLOOR SQ. FTG:
�� D
UNFIN BASEMENT SQ. FTG:
..
IMPERVIOUS SURFACE
AREA:
,�- Svv
FINISHED BASEMENT
SQ. FTG: —
GARAGE SQ. FTG:
PC11 ��C,
CONSTRUCTION TYPE:
DECK/sOV.�P/A�TI 'SQ. FTG:
/"r'�7
` w• T . _ - - :
30% SLOPES ON
PROPERTY:-
SEWER OR SEPTIC?
# OF BEDROOMS:
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/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) All 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 subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2115+07
0 Check
❑ Mastercard
Expires:
DATE: r2 ' j - 0 b
❑ VISA
VIN#:
Permit Canter
11707 13 Sprague Ave, Suite 106
Spolome Valley. WA 99206
(509)633-0036 FAX (509)633-0037
CauelmnitY DeveloPmeat
Plumbing Permit Application U Commercial I7 Residential
yeactimkzammacsuatsam
PERMIT NUMBER:
PERMIT FEE:
SITZ ADDRISS: • at
\
Binding Wine, -
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•••
: • ,
'-'1.V....Cs'
SOP UNITS
..--......c•-• ,
.
„ ::: : '.. . , ' s),.,:i7;.1..'.:.:
...,., . - . .
•
TOTAL AMOUNT
,
TC4LETS
Nanic
,.
X
woo
•
Phone: FEr.:
2
URINALS
A.ddreav
X
54100 ,
•
City: - St Z112:
3
TUBS
•
• \
isiiii-•
"' -r -. '
' • "
' —
.''...'•'..
,__. ..--
! '. -'. . ..:71.1.,'";,.k74.14n71..''''' -,.:. ,,, :
- , ,
aATH, STAU., ON-SfTE BUILT
. - . -
Nemec
•
,..
6
. I Phone: Pax:
LAVS/BASINS. BAR. FLOOR. KITCHEN.
LAUNDRY, UTILITY. JANITOR. PHOTO,
x, -RAY. ri.w. PREP/CA./UNARY MEAT
S -.\
'
X
' Moo
.
Addresit
e
,_
OtSHWASKr
City: Static Zip:
X
58.03
m
Ueense No:
k
7
CLOTHIEV/ASHEB
1 07 Business Licamepo:
x
04.00 -
•
4
GARkwn otsPosm.
. .
.--•-•
',,...---
.r.., NI:. v•40-,(;)11.-.i.i.T.,,.."-Mi i,i'^'.' ,....::•:0% : •':'.. •.,,,-,-
--7441-41e11,r,?,...•;:-.'.',:',, '.. . ''''.,'1%. 'T • , . , , , q .• ••••.
"NY - ..' • '
,", --,
,, .•
. • •:-
_ - - f.
' ' • ^'
-, - . -
;
NW=
WATER SOFTENER
.
X
' Phone:
•
19
AUIWORIZED SIGNATURE:
UM= awes
DESCRIPTION OF WORK
SOP UNITS
X
COST
•
TOTAL AMOUNT
1
TC4LETS
WATER c1.9SET, BIDETS
,.
X
woo
•
2
URINALS
X
54100 ,
•
3
TUBS
•
• \
X
WOO
•
4
SHOWERS (PER TRAP)
aATH, STAU., ON-SfTE BUILT
).-
X ,
WOO
•
,..
6
S21KS
LAVS/BASINS. BAR. FLOOR. KITCHEN.
LAUNDRY, UTILITY. JANITOR. PHOTO,
x, -RAY. ri.w. PREP/CA./UNARY MEAT
S -.\
'
X
' Moo
.
-,
e
,_
OtSHWASKr
X
58.03
m
k
7
CLOTHIEV/ASHEB
\
x
04.00 -
•
4
GARkwn otsPosm.
. .
,
X
56.00
..
9
WATER SOFTENER
.
X
$0,00
•
19
EtECTRIC HOT WATER TP,IK
' NOTE: IF AS. SEE MECHANICAL
X
}5.00
•
11
AREA, CASE. COIL. TRENCH, coNDENsATE
1
X
WOO
•
12
=dr:OVERFLOW
DRAMS
1
-
,
x
, sa.00
•
•
_
13
FCCNTNNE. DRINKING
-
,
X
40.00
I,
,
14
WATER PIPING.ORAIN-IN WASTE.
VENT. PL2#3240, REV;RSAL
NSTALLATION, ALTERATION, REPAIR,
REVIR.5ALS
$
KW
'
15
SEWAG(JECTOR .
•
GRINDER. SUMP PUMP
X
, 5500
.1
16
WATER USING DEv10E •
ICE AMOR COFFEE MAKER. HOSE BIB,
sTEAmER
.
PROOFER. CARBONATOR, SWAMP COOLER
x
$0.00
-
17
CROSS CONNECTION DEVICE
VACUUM BREAKI.R. CF—IM. ( VALVE.,
AND R.P.B.P.O. FOR VATS, TANKS, BOILERS
X
311.00
, •
10
VITERCEPTORS
GREASIrtRAP, WO TRAP,
CHEMICAL HOLONQ TANK
X
$5.00
•
19_
MEDICAL GAS (per exast)
NITROUS, ormeN
X
56110
•
24
MISCELLANEOUS FUMING
FIXTURE.
X 58,00
s,
21
SWAGE INSPOSAI.ISYs
,
X U0.00
•
, zt
.PRNATE
-NouirrRIALwAsia
INTERCEPTOR .
—
X 515.00
,•
IMETHOO OF PAYMENT:'
0 CASH 0 CHECK . - 0 VISA 0 MASTERCARD
, Cardi EXPLFtES:
silaiiSTAL
PROCUS1/43 PE
535.00
TOTAL PERIN FEE ME
AUIWORIZED SIGNATURE:
UM= awes
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
Conmamity Devclopmrnt (509)688-0036 FAX (509)688-0037
www.s0okanevdlev.Org .�J
Mechanical Permit Application 0 Commercial G Residential
PERMIT NUMBER:
PERMIT FEE:
SITSADDRESS: 0\1
... ., ,.. �..;..:,: ._
Balldiag0)r0er RORa._i a..\ C -...°C..
Name: Phone: Fax:
Address: City. Stale: - Zip:
Contractor. !
.�. _..... .. _.
Names Phone: Fax:
Address: - City Stale: Zip:
license No: City Business Lie:
COMM1-,„ ;.:� C "r '-.4cliy
.. e'i..,.. ,_d �r L.h'I __l7^^ `,Sj�".95 ..
Na01k km;
DESCRIPTION OF WORK .
...
0OP UNITS'
X
COST
0
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
EOUMb IF then 100,000
k
X
512.00
•
2
. FUEL BURNING APPLIANCE • ' "
More ton /00.000
X
515.00
•
3
UNLISTED APPLIANCE (Additional Fee)' '
• End loot kw than 400.000
X
8.50.00
•
4
UNLISTED APPLIANCE (Additional Fur
Mori then 400.000
X
9100.00
•
6
USED APPLIANCE MSEC min, AFUE rima)
" r: E091119.1 hep ten 400.000
" -
X
85000
•
0
USED APPUANCE MSEC mho: AFUE ramp)
t .. +. MOZt an 400.000
X
- 9100.00
•
7
BOILER'REFRIGERATON`''''.• -
• '" 1'=10011BTU
X-
912.00
•
6
BOILER/REFRIGERATION ' l't - .
' -' 101.500MBTU
X
920.00
•
9
BOILER/REFRIGERATION l'I .: -
- ... 601=1.00014 BTU
X
025' .00
•
10
BOILER/iEFRIGERATION°+':' -
' ` 1.001= 1.7501.1 BTU
X
935.00
11
BOILER/REFRIGERATION'."' -
Ma01W 135014 BTU
X060.00
•
12
GAS LOG, GAS INSERT, GAS FIREPLACE
%
X
�' 110.00
•
13
RANGE
X
910.00
-
14
DRYER
X
110.00
-
15
FUEL BURNING WATER HEATER.
\
X
910.00
-
16
MISC, FUEL BURNING APPLIANCE '
' ""
X
510.00
•
17
GAS PIPING (eaoti oude0 ".: d:' '�' - ` -
' X
91.00
•
16
DUCT SYSTEMS.... , -.r--
X
910.0o
•
10
VENT/ ATING FANS, .. .....
- .
13r .
X
910.00
•
20
NR HANDLER (DOES NOT 4ioiudi du*c)'"
I Leal le crag 6»n 10.000 CFM
X
912.00
31
NR HANDLER (DOER NOT khduG'du0Ni01' -
'; Son* then 10.000 CPM
'..
, 'X .
915.00
•
22
EVAPORATIVE COOLERS '!',::.' .':'r -. ..
... ..
...
.X
• 910.00
23
TYPEII1000 ., .
. ..
X
050.00
•
24
TYPE II HOOD
r X
510.00
•
25
HEAT PUMP/AIR CONDITIONER' -"
- 0.1 TOIL
X
$12.00
•
2e
• AIR CONDrnONER . .
.3-1510,4
X
920.00
•
27
NR CONDRIONER
• 16J010N
X
525.00
•
26
AIR CONDITIONER" ...>.-. -
.,., .. ''60 TON
X
135.00
•
20
AIR CONDMONER:. .. .. - .
:: ' MON ten 50 TON '
t
. X
960.00
•
30
LPO STORAGE TAN.... - .•
-.
X :
510.00
•
31
WOOD OR PELLET STOVE/INSERT =''
, ..
...
. X
. :10.00
•
32
W000 STOVE - FREE STANDING
X
025.00
•
33
REPAIR & ADDITIONS - '
X
915.00
•
34
VENTILATION SYSTEMS
x
912.00
35
VENTILATION MECHANICAL EXHAUST -
X
512.00
30
INCINERATOR -RESIDENCE ' •
X
019.00
.
37
INCINERATOR -COMMERCIAL ; - "
X
922.00
.
METHOD OP PAYMENT:
OCASH O ax O VISA O we• E)mIREB:
c i
V1NCARD* '' .
ByrTOTAL
RQCBsswo PFEE
935.00
TOTAL MOOT FEEWE:
AITIBORLZZBD SIGNA7VRE:
Project Number: 08004659 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/5/2008 Page 1 of 3
Project Information:
..........
Permit Use: SFR W/ATT GAR
Setbacks: Front 33 Left: 7 Right: 12 Rear: 59
Site Information•
Plat Key:
Name: Range
Contact: HOMESTEAD CONSTRUCTION INC
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206-3666
Phone: (509) 342-1408
Group Name:
Project Name:
District: Sout
Parcel Number: 45334.0609 Block:
SiteAddress: 4015 S BATES RD
Location:: CSV
Zoning: R-4
Water District:
Area: 11,503 Sq Ft
Nbr of Bldgs: 0
Review Information:
SF Res Urban District
Width: 0
Nbr of Dwellings: 0
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION IN
Address: 312 S FARR RD
SPOKANE, WA 99206-3666
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
12/5/2008 By: tmelbourn
Released By:
Sewer Review
Permits:
Originally Released: 12/1/2008 By: tschmidt
Released By:
Operator: JD
Originally Released: 12/1/2008 By: jdavis
Printed By: jmm
Print Date:
12/5/2008
Project Number: 08004659
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/5/2008 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Building Height 22
Building Permit
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Building Characteristics
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,066 $101,259.34 1,066 $101,259.34
847 $63,253.96 847 $63,253.96
147 $2,205.00 147 $2,205.00
80 $1,200.00 80 $1,200.00
691 $13,129.00 691 $13,129.00
Totals: 2,831 $181,047.30 2,831 $181,047.30
Units Unit Desc
1 SELECT
I SELECT
1 SELECT
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
Permit Total Fees:
Mechanical Permit
Units
Fee Amount
$1,452.95
$4.50
$581.18
$2,038.63
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Unit Desc
NUMBER OF
NUMBER OF
4 NUMBER OF
1 NUMBER OF
Operator: ,ID Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$40.00
$10.00
$72.00
12/5/2008
Project Number: 08004659 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/5/2008
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
Notes:
Units
3
5
2
1
1
1
1
3
Plumbing Permit
Page 3 of 3
Firm: HOMESTEAD CONSTRUCTION
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
(509) 892-0454
Fee Amount
$18.00
$30.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$102.00
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$2,038.63
$72.00
$102.00
$2,038.63
$72.00
$102.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,038.63
$72.00
$102.00
$2,212.63 $2,212.63 $0.00 $2,212.63
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: jmm Print Date: 12/5/2008
Spokane
Valley•
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookanevallev.org
PERMIT NUMBER: k'6, rj
PERMIT FEE:
New Construction
❑ Addition/Remodel
❑ Other:
Li Accessory Bldg
❑ Deck
SITE ADDRESS: '7\
ASSESSORS PARCEL NO: tlt
LEGAL DESCRIPTION:
Building Owner': r
DIMENSIONS:
L/ 4.4_')'
. .• ., 5 :
Name:
\\.... ...1,.b
MAIN FLOOR TO SQ.
FTG: \-yIe,4
c.�..\,..e_\..t-,.
Address`. ^
c.cc
\\
City:
,... r -w
State:
State R ' Zip.z\c,�
Phone ,.,•
qt •:-• 4.'W1/4
Fax:
Fax:
qti.s.-�'N'ck.
:.Contact Person;
Name:
Phone: . VcCj%
Describe the scope of work in detail:
Cen.i.iii Ori'i S;
DIMENSIONS:
L/ 4.4_')'
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG: \-yIe,4
2FLOOR SQ. FTG:
�� D
Address:
IMPERVIOUS SURFACE
AREA:
,�- Svv
FINISHED BASEMENT
SQ. FTG: —
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
etc'. ees. c.., qa
Exp Date:
City Business Lic. No:
Cost of Project: S
\ �S,gtiJ
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
')-..\-‘I/C,
DIMENSIONS:
L/ 4.4_')'
# OF STORIES:
TOTAL HABITABLE SPACE:
\\1
MAIN FLOOR TO SQ.
FTG: \-yIe,4
2FLOOR SQ. FTG:
�� D
UNFIN BASEMENT SQ. FTG:
..
IMPERVIOUS SURFACE
AREA:
,�- Svv
FINISHED BASEMENT
SQ. FTG: —
GARAGE SQ. FTG:
PC11 ��C,
CONSTRUCTION TYPE:
DECK/sOV.�P/A�TI 'SQ. FTG:
/"r'�7
` w• T . _ - - :
30% SLOPES ON
PROPERTY:-
SEWER OR SEPTIC?
# OF BEDROOMS:
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/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) All 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 subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2115+07
0 Check
❑ Mastercard
Expires:
DATE: r2 ' j - 0 b
❑ VISA
VIN#:
Permit Canter
11707 13 Sprague Ave, Suite 106
Spolome Valley. WA 99206
(509)633-0036 FAX (509)633-0037
CauelmnitY DeveloPmeat
Plumbing Permit Application U Commercial I7 Residential
yeactimkzammacsuatsam
PERMIT NUMBER:
PERMIT FEE:
SITZ ADDRISS: • at
\
Binding Wine, -
% N -..,s '., 7...
•••
: • ,
'-'1.V....Cs'
SOP UNITS
..--......c•-• ,
.
„ ::: : '.. . , ' s),.,:i7;.1..'.:.:
...,., . - . .
•
TOTAL AMOUNT
,
TC4LETS
Nanic
,.
X
woo
•
Phone: FEr.:
2
URINALS
A.ddreav
X
54100 ,
•
City: - St Z112:
3
TUBS
•
• \
isiiii-•
"' -r -. '
' • "
' —
.''...'•'..
,__. ..--
! '. -'. . ..:71.1.,'";,.k74.14n71..''''' -,.:. ,,, :
- , ,
aATH, STAU., ON-SfTE BUILT
. - . -
Nemec
•
,..
6
. I Phone: Pax:
LAVS/BASINS. BAR. FLOOR. KITCHEN.
LAUNDRY, UTILITY. JANITOR. PHOTO,
x, -RAY. ri.w. PREP/CA./UNARY MEAT
S -.\
'
X
' Moo
.
Addresit
e
,_
OtSHWASKr
City: Static Zip:
X
58.03
m
Ueense No:
k
7
CLOTHIEV/ASHEB
1 07 Business Licamepo:
x
04.00 -
•
4
GARkwn otsPosm.
. .
.--•-•
',,...---
.r.., NI:. v•40-,(;)11.-.i.i.T.,,.."-Mi i,i'^'.' ,....::•:0% : •':'.. •.,,,-,-
--7441-41e11,r,?,...•;:-.'.',:',, '.. . ''''.,'1%. 'T • , . , , , q .• ••••.
"NY - ..' • '
,", --,
,, .•
. • •:-
_ - - f.
' ' • ^'
-, - . -
;
NW=
WATER SOFTENER
.
X
' Phone:
•
19
AUIWORIZED SIGNATURE:
UM= awes
DESCRIPTION OF WORK
SOP UNITS
X
COST
•
TOTAL AMOUNT
1
TC4LETS
WATER c1.9SET, BIDETS
,.
X
woo
•
2
URINALS
X
54100 ,
•
3
TUBS
•
• \
X
WOO
•
4
SHOWERS (PER TRAP)
aATH, STAU., ON-SfTE BUILT
).-
X ,
WOO
•
,..
6
S21KS
LAVS/BASINS. BAR. FLOOR. KITCHEN.
LAUNDRY, UTILITY. JANITOR. PHOTO,
x, -RAY. ri.w. PREP/CA./UNARY MEAT
S -.\
'
X
' Moo
.
-,
e
,_
OtSHWASKr
X
58.03
m
k
7
CLOTHIEV/ASHEB
\
x
04.00 -
•
4
GARkwn otsPosm.
. .
,
X
56.00
..
9
WATER SOFTENER
.
X
$0,00
•
19
EtECTRIC HOT WATER TP,IK
' NOTE: IF AS. SEE MECHANICAL
X
}5.00
•
11
AREA, CASE. COIL. TRENCH, coNDENsATE
1
X
WOO
•
12
=dr:OVERFLOW
DRAMS
1
-
,
x
, sa.00
•
•
_
13
FCCNTNNE. DRINKING
-
,
X
40.00
I,
,
14
WATER PIPING.ORAIN-IN WASTE.
VENT. PL2#3240, REV;RSAL
NSTALLATION, ALTERATION, REPAIR,
REVIR.5ALS
$
KW
'
15
SEWAG(JECTOR .
•
GRINDER. SUMP PUMP
X
, 5500
.1
16
WATER USING DEv10E •
ICE AMOR COFFEE MAKER. HOSE BIB,
sTEAmER
.
PROOFER. CARBONATOR, SWAMP COOLER
x
$0.00
-
17
CROSS CONNECTION DEVICE
VACUUM BREAKI.R. CF—IM. ( VALVE.,
AND R.P.B.P.O. FOR VATS, TANKS, BOILERS
X
311.00
, •
10
VITERCEPTORS
GREASIrtRAP, WO TRAP,
CHEMICAL HOLONQ TANK
X
$5.00
•
19_
MEDICAL GAS (per exast)
NITROUS, ormeN
X
56110
•
24
MISCELLANEOUS FUMING
FIXTURE.
X 58,00
s,
21
SWAGE INSPOSAI.ISYs
,
X U0.00
•
, zt
.PRNATE
-NouirrRIALwAsia
INTERCEPTOR .
—
X 515.00
,•
IMETHOO OF PAYMENT:'
0 CASH 0 CHECK . - 0 VISA 0 MASTERCARD
, Cardi EXPLFtES:
silaiiSTAL
PROCUS1/43 PE
535.00
TOTAL PERIN FEE ME
AUIWORIZED SIGNATURE:
UM= awes
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
Conmamity Devclopmrnt (509)688-0036 FAX (509)688-0037
www.s0okanevdlev.Org .�J
Mechanical Permit Application 0 Commercial G Residential
PERMIT NUMBER:
PERMIT FEE:
SITSADDRESS: 0\1
... ., ,.. �..;..:,: ._
Balldiag0)r0er RORa._i a..\ C -...°C..
Name: Phone: Fax:
Address: City. Stale: - Zip:
Contractor. !
.�. _..... .. _.
Names Phone: Fax:
Address: - City Stale: Zip:
license No: City Business Lie:
COMM1-,„ ;.:� C "r '-.4cliy
.. e'i..,.. ,_d �r L.h'I __l7^^ `,Sj�".95 ..
Na01k km;
DESCRIPTION OF WORK .
...
0OP UNITS'
X
COST
0
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
EOUMb IF then 100,000
k
X
512.00
•
2
. FUEL BURNING APPLIANCE • ' "
More ton /00.000
X
515.00
•
3
UNLISTED APPLIANCE (Additional Fee)' '
• End loot kw than 400.000
X
8.50.00
•
4
UNLISTED APPLIANCE (Additional Fur
Mori then 400.000
X
9100.00
•
6
USED APPLIANCE MSEC min, AFUE rima)
" r: E091119.1 hep ten 400.000
" -
X
85000
•
0
USED APPUANCE MSEC mho: AFUE ramp)
t .. +. MOZt an 400.000
X
- 9100.00
•
7
BOILER'REFRIGERATON`''''.• -
• '" 1'=10011BTU
X-
912.00
•
6
BOILER/REFRIGERATION ' l't - .
' -' 101.500MBTU
X
920.00
•
9
BOILER/REFRIGERATION l'I .: -
- ... 601=1.00014 BTU
X
025' .00
•
10
BOILER/iEFRIGERATION°+':' -
' ` 1.001= 1.7501.1 BTU
X
935.00
11
BOILER/REFRIGERATION'."' -
Ma01W 135014 BTU
X060.00
•
12
GAS LOG, GAS INSERT, GAS FIREPLACE
%
X
�' 110.00
•
13
RANGE
X
910.00
-
14
DRYER
X
110.00
-
15
FUEL BURNING WATER HEATER.
\
X
910.00
-
16
MISC, FUEL BURNING APPLIANCE '
' ""
X
510.00
•
17
GAS PIPING (eaoti oude0 ".: d:' '�' - ` -
' X
91.00
•
16
DUCT SYSTEMS.... , -.r--
X
910.0o
•
10
VENT/ ATING FANS, .. .....
- .
13r .
X
910.00
•
20
NR HANDLER (DOES NOT 4ioiudi du*c)'"
I Leal le crag 6»n 10.000 CFM
X
912.00
31
NR HANDLER (DOER NOT khduG'du0Ni01' -
'; Son* then 10.000 CPM
'..
, 'X .
915.00
•
22
EVAPORATIVE COOLERS '!',::.' .':'r -. ..
... ..
...
.X
• 910.00
23
TYPEII1000 ., .
. ..
X
050.00
•
24
TYPE II HOOD
r X
510.00
•
25
HEAT PUMP/AIR CONDITIONER' -"
- 0.1 TOIL
X
$12.00
•
2e
• AIR CONDrnONER . .
.3-1510,4
X
920.00
•
27
NR CONDRIONER
• 16J010N
X
525.00
•
26
AIR CONDITIONER" ...>.-. -
.,., .. ''60 TON
X
135.00
•
20
AIR CONDMONER:. .. .. - .
:: ' MON ten 50 TON '
t
. X
960.00
•
30
LPO STORAGE TAN.... - .•
-.
X :
510.00
•
31
WOOD OR PELLET STOVE/INSERT =''
, ..
...
. X
. :10.00
•
32
W000 STOVE - FREE STANDING
X
025.00
•
33
REPAIR & ADDITIONS - '
X
915.00
•
34
VENTILATION SYSTEMS
x
912.00
35
VENTILATION MECHANICAL EXHAUST -
X
512.00
30
INCINERATOR -RESIDENCE ' •
X
019.00
.
37
INCINERATOR -COMMERCIAL ; - "
X
922.00
.
METHOD OP PAYMENT:
OCASH O ax O VISA O we• E)mIREB:
c i
V1NCARD* '' .
ByrTOTAL
RQCBsswo PFEE
935.00
TOTAL MOOT FEEWE:
AITIBORLZZBD SIGNA7VRE: