2006, 05-09 Permit App: 06001736 Heat PumpMECHANICAL PERMIT APPLICATION )n Community Development Department
- +� J� Building Division
Phone: (509) 638-0036; FAX: (509) 688-003711707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 -in
a6. Spokane Wiley, WA 99206
Project Address: CI' ? » ' C n4eA 'Co( Permit Use P 1 7177 C dn. _
Owner. Ch /ad • C eta_ A_ Phone (Da me Contact): 9 7 2 - (� 9 3
Mailing Address: 2 °/ 7 7 O N. LerM-0 1
Contractor.
Mailing Address:
N
/94/
dry Slate Zip Code
C License #: ± 0251' Phone #: 927^ .Pkv/ /7JD -z2St6
sfz/Gia -CP oleo.* Vi; wa
Stan zm code
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
S OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
312.00
=
2
FUEL BURNING APPLIANCE
More than 100,000 -
X
$15.00
=
3
UNLISTED APPLIANCE (Addthonal Fee)
Equal to or less than 400,000
X
350.00
=
4
UNLISTED APPLIANCE (Additional Fee)
- More than 400,000
X
3100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE ralinq)
More than 400,000
X
5100.00
=
7
BOILER/REFRIGERATION
1- 100M BTU
X
312.o0
=
8
BOILER/REFRIGERATION
101 .500M BTU
X
320.00
=
9
- BOILER/REFRIGERATION
501 - 1.000M BTU
-
X
325.00
=
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
335.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
=
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
310.00
=
13
RANGE
c•
X
310.00
=
14
DRYER
X
310.00
=
15
FUEL BURNING WATER HEATER
X
310.00
=
16
MISC. FUEL BURNING APPLIANCE
X
310.00
=
17
GAS PIPING (each meet)
X
31.00
=
18
DUCT SYSTEMS
X
310.00
=
19
VENTILATING FANS
X
310.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
112.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
315.00
=
22
EVAPORATIVE COOLERS
X
310.00
=
23
TYPE I HOOD
X
550.00
=
24
TYPE II HOOD
--
X
310.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
/
X
312.00
=
/ 2. 0 0
26
AIR CONDITIONER
3-15 TON
X
320.00
=
27
AIR CONDITIONER
15-30 TON
X
325.00
=
28
AIR CONDITIONER3450
TON-
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
-
X
360.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
310.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR 8 ADDmONS
X
315.00
=
34
VENTILATION SYSTEMS'
X
312.00
=
35
VENTILATION MECHANICAL EXHAUST
X
312.00
=
36
INCINERATOR -RESIDENCE
X
319.00
=
37
INCINERATOR - COMMERCIAL
X
322.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD P
SUBTOTAL
/ ``
r Q 0
DATE:
PROCESSING FEE
535.00!1
EXPIRES:
TOTAL PERMIT FEE DUE:
4, 7. DO
AUTHORIZED SIGNATURE