1992, 09-01 Permit: 92007074 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9200
'Pi$"!l"R'R'A'di"H"It'jl'1: 'a
ISSUED
TERM.... 9 .92 ,
{.,�,�t.l[:D PERMIT DATE= {,,:r"y1.,.:.. r!..r.
ri'jr:ic* PERMIT INFORMATION ****
SITE STREET,..- 'i .]x11 A.'. i= CATALDO AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= INSTALL HEATING EQUIPMENT
PLAT::::_
BLOCK=
AREA=
OF 731 t)GS==
0011 091
1k
PARCEL@ 4'5151 0616
PLAT NAME= GUTI-IRIE:' S VAL..i...Ei:Y VIEW 04TH ADD
LOT= '� ZONE= f=iGR:i. D:iST:rr'-..
F A_ I-. WIDTH= DEPTH:=
;I: DWELLINGS=:: WATER DIST =-
OWNER== CL_ARDY, W. G,
.;T1iE:E:'T'= 13412 E CAT AI...DO
:DJF{E_SS=: SPOKANE WA 99216
INTACT NAME= NORCO HEATING
PHONE=:: 509 924 4975
1'
*). )iji'ji d+:'ii ii 'l*
PHONE NUMBER= 509 534
i... S).1. id 1:r
SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR:::: NA
..............A .. .. P
:rr:�Pm:9f.p:.y:.p:A..hdi:)i'ji'jtd{'ii'jtii'ji'ui'liali'9i'ji'3i'd@'A'di'dk'lt"k' hl L'.(..I"IHN].�.AL.. I"'LFI r1l: f.>i..ii.u.;i'u'?i'di.ri..u.;i'ji'**�:�
;i.
497S
CONTRACTOR= NORCO HEATING & AIR COND INC PHONE:
509 53.4 4975
STREET=: 5103 F TRENT AVE
ADDRESS= SPOKANE WA 44212
11I::•1 DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 25,00
GAS HTG E-::p1,ri'i100,0o0:%+T(.1 'i 12.00
:;t;S PIPING 1 1,00
i jE jE i6 ii':,f d:')i jt 'ii' ji'di'i6F9iI.ISU"'Feirvssorm'rer adYidj-a a.#. .;. .. .* ..
re
PAYMENT DATE
09/0i/92
TOTAL DUE=
PER i'•iIT T'Y'PE
ME_CHAi'1T:C;AL i'RMT
F:;
RECEIPT : PA'ri.1F:NT AMOUNT
7194 38,00
AO TOTAL.. PAID:::: 38,00
FEE AMOUNT AMOUNT I:>A]:1) AMOUNT OWING;
3€ ,00 3F3,00 ,00
30,00 ..,C'3.,T;;l,.i ,00
JOHN LARSON
JOHN LARSCON
di'
ilirli 1, YCI.
a" di';i' -0i� di..)ihi �ii' 9i� iF ii. or:.,r; .p: 9; .p.:�i� d[� ii� �ii' �)i� di..)i' �ii' 3i' ih di. .. it a i(' ii' ii' * .11' ii' bi. di..#..li, rye oi.
MECHANICAL PERMIT APPLICATION FORM
lofor,fation Worksheet
JOB STREET ADDRESS: X W7,2 £ C fQiz)//9
CITY/STATE/Z/IIP,,:/ (). /pe 99
UJ7(
OWNER: . C- e./7 4,4(�
MAILING ADDRESS: file
CONTRACTOR'
/OnAlccrtir
MAILING ADDRESS:
(Street)
PARCEL NUMBER:
c
PHONE NUMBER: 1,W
(City/State) (Zip)
LICENSE NUMBER: APR00//f7/%n/rZ-
PHONE NUMBER:�53V
/v /J4 Y /2
DESCRIPTION
(Street)
City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000'B'TU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101-500MBTU
BOILER/REFRIG 501-1,000M BTU
BOILER/R EFRIG 1,0001 1,750M BTU
BOILER/REFRIG +1,750M BTU
HEAT+IEAr PUMPI&AIROONDITIONER.SIONSig
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIRCONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS :.1
VENTILATING FANS
!EMAPORATIVEOOOLERSL._.._
TYPE I HOOD (PER 12OR 12' PTN.
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG ::.::...............
MISCELLANEOUSINOttOVEREMELSEWHEOEM
UNLISTED GAS APPLIANCE <400,000 BTU •
ULINSTED GAS APPLIANCE>400,000;BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE>400,000;BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00. =
x35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x10.00=
x solbo =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
4.2. CC)
7_ {tel
.
SUBTOTAL
$ 2.-3 (C)
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS* TOTAL PERMIT
FEE DUE
�%�
= $ rj
SIGNATURE (Cif,- PA -L/2 -
Spokane
" A- `/2 -Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675