2008, 11-25 Permit App: 08004619 Mechanical FixturesSPermit Center
�'T+'���� 11703 E Sprague Ave, Suite B-3
pOkaIIe Spokane Valley, WA 99206
jVdlley` (509)688-0036 FAX: (509)688-0037
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application n2 n Commercial
SITE ADDRESS: (-1/9 0 7 hi. �J 0:7 i ,I G; aL.A
qui 9
PERMIT NUMBER:
PERMIT FEE:
Residential
Building Owner
Name:
ma{ -I N1 (dQ t o -t-e
Phone: Fax:
g - aq, 7 8
Address: 7) Jr- 0 % N . .�f3 j,, JGi tai
`1
City: 5po .�. 1�f?DYP .State:
gee,
1 ( i¢. Zip.0g) / 4
W , t l C
Contractor
Name:
3W .AJ P {
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
(O _fop (
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
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
5
6
7
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
X
X
X
$50.00
$100.00
$12.00
8
9
10
11
12
13
14
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
101 - 500M BTU
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
$20.00
$25.00
$35.00
$60.00
$10.00
r>�
$10.00
$10.00
15
16
17
18
19
20
21
22
23
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE HOOD
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
$10.00
$10.00
$1.00
$10.00
$10.00
$12.00
10
f)
$15.00
$10.00
$50.00
24
25
26
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
4-15 TON
X
X
X
$10.00
1 '0
5J
$12.00
$20.00
27
28
AIR CONDITIONER
AIR CONDITIONER
15-30 TON
X
$25.00
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
34
VENTILATION SYSTEMS
r
X
$15.00
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
/z
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK %VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: