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2012, 04-23 Permit App: BLD-2012-0482 Mechanical, Plumbing Fixtures
Sp©karte Dalley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokane-valley.ora.com Mechanical Permit Application /31-19-24/2 PERMIT NUMJ3ER: PERM3T.EE: . ❑ Commercial ,,Residential SITE ADDRESS 1 ! Zo COG.E In D r Building owner Name: j) q Ir Aant� R-oc lc Cor. S f: Phone: 9 Zf -IQ (OL 1 Fax Zip Address: , City State Contractor -. Name: SO() eN. t+ec t AA" Phone: 7147- 55 e 6 Fax: Address: JJ City State Zip License No: City Business License No: Con a - --r'- :._;. ��,•;, .w '�-,�a ,.- -,-, 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 12 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 USED APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 More than 400,000 X $100.00 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 11 BOILER/REFRIGERATION 12 GAS LOG, GAS INSERT, GAS FIREPLA 13 RANGE 0 SSP 1,001 -1,, M BTU nK R X $35.00 X $60.00 X $10.00 x $10.00 14 DRYER x $10.00 to 15 16 17 18 19 FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS VENTILATING FANS Z 3 x X x X x $10.00 $10.00 $1.00 $10.00 $10.00 to to 30 20 21 AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 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 $10.00 10 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 3-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 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 X $15.00 34 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: DCASH ❑ CHECK 0 VISA 0 MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 Permit Center ` tiok'ane 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley ore.corn Plumbing Permit Application Valley f&t, -tot 2-- oyg v PERMIT.. NUMBER: PERMIT FEE:. ❑ Commercial i Residential SITE ADDRESS +fiZ.0 /v. Coac G. Dr. Building owner DESCRIPTION OF WORK # OF UNITS X Name: TD; 4 1....e,ti4) [ oc X Cons r Phone: 9Z V— 8', 4 Li Fax 1 Address: WATER CLOSET, BIDETS City State Zip Contractor .- / 2- 2 2 URINALS Name: G, id 5.eA ` Phone: 535 -59 y K Fax: Address: TUBS City State Zip License No: = City Business License No: 4 SHOWERS (PER TRAP) on �C t act'=.: X - Name: 5 Phone: CHEN, LAVS/BASINS,UNDRY, �f,NR�,'K), ROTO, LAUNDRY„ UI I JJR��cJNJ ffIH� #0AY,,f=9(l� /CULINARY MEAT AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z X $6.00 = / 2- 2 2 URINALS X $6.00 = 3 TUBS 'Z X $6.00 = / 2- 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS CHEN, LAVS/BASINS,UNDRY, �f,NR�,'K), ROTO, LAUNDRY„ UI I JJR��cJNJ ffIH� #0AY,,f=9(l� /CULINARY MEAT X $6.00 = ' Q V 6 DISHWASHER (IF Sv gg g�^;�d 1 X $6.00 = 67 CLOTHES WASHER �, G � ' . ' -14. 1` � :, � r ��� 1 X X $6.00 $6.00 = = 6 8 GARBAGE DISPOSAL 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK ®"b E F G MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING • X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, Z X $6.00 = STEAMER PROOFER, CARBONATOR, SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK DATE: SUBTOTAL ! u b-1 ❑ VISA 9 MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05