2008, 07-10 Permit App: 08002663 Mechanical, Plumbing Fixturesot
Permit Center
S okane 11703 13 Sprague Ave, Suite 13-3
p Spokane Valley, WA 99206
Valley• (509)688-0036 FAX: (509)688-0037
Community Development permitccntcr(u7snokancva1lcy.org
Mechanical Permit Application n Commercial ,Q Residential
PERMIT NUMI3ERg- 110(4_5
PERMIT FEE:
63
SITE ADDRESS:
fib -8 S -63I4�w�
en. 37
Building Owner
y
/ .
Name: Soo( U 4
Phone: 22��D"" 7 Fax:
Address:
5 ICC/ /
City, �%.� State:
��
Zip: On
Contractor
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Name: IP 2!J'I 444-Gr(ffiv %CAL
Iyr
p Fax:
Phone: L_M-S3
Address. D l'7 1- -7
/
City: <2%"se �U/l� IIbt • State:
-
'c s�
i lA
"�7
Zip: 211/
License No: Ai ctc%'1.c 4 l J /4
City B siness Lic:
Contact
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
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)
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE 1 HOOD
X
$50.00
24
TYPE 11 HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
12°°
26
AIR CONDITIONER
4-15 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:
❑CASH ❑ CHECK ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8126/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
SOOkane 11703 E Sprague Ave, Suite B-3
VAl ley Spokane Valley, \VA 99206
(509)688-0036 FAX: (509)688-0037
Community Development permitcenter{<7snokanevalley.org
Plumbing Permit Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
Ys is s
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
-
-
Name: /1I
Aiec//� _ N I Com. (
CDR/DS
Phone:
Fax:
Address:
/'
City:
State:
Zip:
License No:
City Business Lic:
Contact
-
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
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
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
so
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
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 DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: