2003, 10-27 Permit App: BLD-03-02932 Mechanical Fixtures10/27/2003 13:18 berJ41:14intln
City of
Spokane Valley
rsrs MCI-411E1u
Mechanical Permit Application
'139,
Fax # 888-0037 G
Protect
Address: 217 N Fox
Owner. Bret Miller
Permit
Use:
Phone (daytime contact):
892-0364
Mailing Address SAME
(street)
(city/state)
Contractor: R&R Heating and AC, Inc.
Mailing Address 4019 E Central
Spokane, Wa 99217
(street)
License: RRHEAA106BW
'hone#: 484-145
(zip)
(city/state)
(zip)
3 Unlisted appliance (additional charge)
4
5
6
7
Unlisted appliance (additional charge)
- or < 400,000
> 400,000
X
50.00 =
X
100.00 =
Used appliance (WSEC's min. AFUE rating)
Used appliance (WSEC's min. AFUE rating)
r
Bolterlrefrlgeration
- or < 100,000
X
580.00
> 400,000
X
100.00
1-100M BTU
X
15.00
8
Bol ler/refrigeration
101-500M BTU
X
28.00
9
10
11
12
13
14
Boiler/refrigeration
Boiler/refrigeration
Boller/refrigeration
501-1,000M BTU
X
39.00
1,001-1,750M BTU
X
57.00
a
+ 11750M BTU
x
95.00
Gas log, gas Insert, gas fireplace
Range
Dryer
1
X
10.00
X
10.00
X
10.00
15
16
17
Fuel buming water heater
X
10.00
Miscellaneous fuel burning appllanoe
Gas piping, (each outlet)
X
10.00
1
X
1.00
18
Duct systems
X
10.00
19
Ventilating fans
X
10.00
20
AIr handler does not include ducting)
- or < 10,000 CFM
X
12.00
21
Air handler (does not include ducting)
> 10.000 CFM
X
19.00
s
22
23
Evaporative coolers
'Type I hood
X
X
10.00
50.00
24
Type II hood
X
10.00
25
Heat pump/alr conditioner
0-3 tons 1
X
12.00
26
Air conditioner
3-15 tons
X
20.00
27
Air conditioner
15-30 tons
X
25.00
28
Alr conditioner
30-50 tons
X
35.00
29
Air conditioner
+ 50 tons
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
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
10.00
0.00
0.00
0.00
0.00
1.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
12.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
❑ Cash 0 Check 0 Visa 0 MasterCard
Faxed permits will only be accepted with payment of a major credit card
101(2710.3
Date:
Bankcard Number.
Authorized Signature:
Expires:
OCT 24 2003 13:28
Subtotal
38.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
73.00
5094841505 PAGE.01
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)
4
5
6
7
Unlisted appliance (additional charge)
- or < 400,000
> 400,000
X
50.00 =
X
100.00 =
Used appliance (WSEC's min. AFUE rating)
Used appliance (WSEC's min. AFUE rating)
r
Bolterlrefrlgeration
- or < 100,000
X
580.00
> 400,000
X
100.00
1-100M BTU
X
15.00
8
Bol ler/refrigeration
101-500M BTU
X
28.00
9
10
11
12
13
14
Boiler/refrigeration
Boiler/refrigeration
Boller/refrigeration
501-1,000M BTU
X
39.00
1,001-1,750M BTU
X
57.00
a
+ 11750M BTU
x
95.00
Gas log, gas Insert, gas fireplace
Range
Dryer
1
X
10.00
X
10.00
X
10.00
15
16
17
Fuel buming water heater
X
10.00
Miscellaneous fuel burning appllanoe
Gas piping, (each outlet)
X
10.00
1
X
1.00
18
Duct systems
X
10.00
19
Ventilating fans
X
10.00
20
AIr handler does not include ducting)
- or < 10,000 CFM
X
12.00
21
Air handler (does not include ducting)
> 10.000 CFM
X
19.00
s
22
23
Evaporative coolers
'Type I hood
X
X
10.00
50.00
24
Type II hood
X
10.00
25
Heat pump/alr conditioner
0-3 tons 1
X
12.00
26
Air conditioner
3-15 tons
X
20.00
27
Air conditioner
15-30 tons
X
25.00
28
Alr conditioner
30-50 tons
X
35.00
29
Air conditioner
+ 50 tons
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
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
10.00
0.00
0.00
0.00
0.00
1.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
12.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
❑ Cash 0 Check 0 Visa 0 MasterCard
Faxed permits will only be accepted with payment of a major credit card
101(2710.3
Date:
Bankcard Number.
Authorized Signature:
Expires:
OCT 24 2003 13:28
Subtotal
38.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
73.00
5094841505 PAGE.01