2004, 09-17 Permit App: BLD-04-07681 Mechanical FixtureT0'30idd SOGIVEO60S
City of
kane Valle
Mechanical Permit Application
SS:GO 7002 GT d3S
Fax # 688-0037
Project
Address: 14023 E Desmet
Permit
Use:
Owner: Robert Havens
Phone (daytime contact):
534-7914
Mailing Address SAME
(street) fcitylstete) (Hp)
Contractor: R&R Heating and AC, Inc.
License: RRHEAA106BW
Mailing Address 4019 E Central
Phone#: 484-1405
Spokane, Wa 99217
(street) (cltylstate) (zip)
Description of Work
# of units
Cost
=
Amount
1
Fuel burning appliance
- or < 100,000
1
X
15.00
=
• 15.00
2
Fuel burning appliance
> 100,000
X
19.00
=
0.00
3
Unlisted appliance (additional charge)
- or <400,000
X
50.00
=
0.00
4
Unlisted appliance (additional charge)
> 400,000
X
100.00
=
0.00
5
Used appliance (WSEC's min. AFUE rating)
• or < 100,000
X
580.00
=
0.00
6
Used appllance (WSEC's min. AFUE rating)
> 400,000
X
100.00
=
0.00
7
Boller/refrigeration
1-100M BTU
X
15.00
=
0.00
8
Bolledrefrigeration
101-500M BTU
X
28.00
=
0.00
9
Boiler/refrigeration
501-1,000M BTU
X
39.00
=
0.00
10
Boller/refrigeration -
1,001-1,750M BTU
X
57.00
=
0.00
11
Boller/refrigeration
+ 1,750M BTU
X
95.00
=
0.00
12
Gas log, gas Insert, gas fireplace
-
X
10.00
=
0.00
13
Range
-
X
10.00
=
0.00
14
Dryer
-
X
10.00
=
0.00
15
Fuel burning water heater
-
X
10.00
=
0.00
16
Miscellaneous fuel burning appliance
•
X
10.00
in
0.00
17
Gas piping, (each outlet)
•
X
1.00
s
0.00
18
Duct systems
-
X
10.00
=
0.00
19
Ventilating fans
•
X
10.00
=
0.00
20
Arr handler (does not include ducting)
- or < 10000 CFM
X
12.00
=
0.00
21
Alr handler (does not Include ducting)
> 10.000 CFM
X
19.00
=
0.00
22
Evaporative coolers
-
X
10.00
=
0.00
23
Type I hood
-
X
50.00
=
0.00
24
Type 11 hood
-
X
10.00
=
0.00
25
Heat pump/alr conditioner
0-3 tons
X
12.00
=
0.00
26
Air conditioner
3.15 tone
X
20.00
=
0.00
27
Air conditioner
15-30 tons
X
25.00
=
0.00
28
Air conditioner
30-50 tons
X
35.00
=
0.00
20
Alr conditioner
+ 50 tons
X
60.00
=
0.00
30
LPG storage tank
-
X
10.00
=
0.00
31
Wood or peuet stove/Insert
-
X
10.00
=
0,00
32
Wood stove - free standing
-
X
25.00
-�
=
0.00
0
Cash CI Check 0 Visa 0 MasterCard
Faxed permits vI0 only be accepted with payment or a major mart card
Date: Expires:
Subtotal
15.00
PIUS Processing
Fee
35.00
Total Permit Fee
Due
50.00
Bankcard Number.
Authorized Signature:
TO/T0 391dd
D 1C4(
9NIlti3H ya S2ST78p60S BE:LO 700E/LT/60