2012, 05-07 Permit App: BLD-2012-0483 Mechanical, Plumbing FixutresWalley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcy ora nom
Plumbing Permit Application
SITE ADDRESS
❑ Commercial
°VIA N 41--
t3&61- zoiz -t 'y
PERMITNUMBER:
PERMIT FEE:.
Lt Residential
Building owner
DESCRIPTION OF WORK
# OF UNITS
X
Name: 'ID ;-0, w'''4.. /tL \ Imo: ( / 6 sr
Phone: (_) Z Lir, 'f
Fax
1
Address:
WATER CLOSET, BIDETS
City
State
Zip
Contractor ' -- -
_
17
2
URINALS
Name: (;.. ) a
1-e_t:.1
Phone:
Fax:
Address:
TUBS
City
State
Zip
License No:
=
City Business License No:
4
SHOWERS (PER TRAP)
CO tneti
X
$6.00
=
Name:1A,L,\.
5
Phone: 2 ( f j- ge Z ei
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
..
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
•2--
X
$6.00
=
_
17
2
URINALS
X
_
$6.00
=
3
TUBS
X
$6.00
=
i Z
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
..
X
$6.00
=
6
DISHWASHER
)
X
$6.00
=
7
CLOTHES WASHER
(
X
X
$6.00
$6.00
=
=
(e
8
GARBAGE DISPOSAL
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE 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,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
.7
X
$6.00
=
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 DISPOSALJSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
SUBTOTAL
❑ VISA ❑ MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit
Spokane 11707 1 Sprague Avc, Suite 106
...„„.0 Val ley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokancvallaLeom
Mechanical Permit Application o Commercial rResidentia
SITE ADDRESS
191A N. ti(_6,04-61i-
2,e
ii -o(183
PERMIT NUMBER:
PERMIT FEB:
Building owner
Name: 0.: vtc, , kt .i.:%:.. r_ co,- - ' = Pito • (1 - '..-.' ,-- Fax
Address: City State Zip
Contractor . . . , . .
.
Name: ,,,. i,,, ' , ' t,4 ' Phone: Fax:
,
Address: City State Zip
License No: City Business License No:
Name: - Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
i Z.
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
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
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
1,001 - 1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60,00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00 '
=
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)
'2,
X
01.00
=
18
DUCT SYSTEMS -
1
X
$10.00
=
1 C'
19
VENTILATING FANS
2_
X
$10.00
=
Z -C
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
X
$12.00
$15.00
=
=
21
AIR HANDLER (DOES NOT include ducting)
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
=
24
TYPE 11 HOOD
1
X
010.00
=
JO _
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 0 CHECKDATE: 0 VISA 0 MC
EXPIRES:
CARD #.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTIIORIZED SIGNATURE:
REVISED S/26/05