2004, 08-03 Permit App: BLD-04-07209 Heat Pump, ACti0'301dd SOSTt'81760S
City of
Spokane Valley
Mechanical Permit Application
SS :60 b00Z VT inr
i7ai
Fax # 888-0037
Project
Address: 2001 N Grady Ln
Permit
Use:
Owner. Mason Hiatt
Phone (daytime contact):
922-6318
Mailing
Address: SAME
(street) (ay/state) fzlp)
Contractor. R&R Heating and AC, Inc.
License: RRHEAA108BW
Mailing
Address: 4019 E Central
Spokane, Wa 99217
Phone* 484-1405
-
(street) (city/state) (zip)
Description of Work
# of units
Cost
s
Amount
1
Fuel burning appliance
- or < 100,000
X
15.00
=
0.00
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 apptance (WSEC's min. AFUE rating)
- or < 100,000
X
580.00
=
0.00
6
Used appliance (WSEC's min. AFUE rating)
> 400.000
X
100.00
=
0.00
7
Boiler/refrigeration
1-100M BTU
X
15.00
=
0.00
8
Boiler/refrIgeration
101-500M BTU
X
28:00
=
0.00
- 9
Boiler/refrigeration
501-1,000M BTU
X
39.00
=
0.00
10Boiler/refrigeration
1,001-1,750M BTU
X
57.00
=
0.00
11
Boiler/refrigeration
* 1,750M BTU
X
95.00
=
0.00
12
Gas log, gas insert, gas fireplace
-
X
10.00
=
0.00
13
Range
_
14
15
16
17
18
19
20
21
22
23
24
25
28
27
28
29
30
31
Dryer
Fuel buming water heater
Miscellaneous fuel buming agpllance
Gas piping. (each outlet)
Duct systems
X
X
10.00
10.00
10.00
x
10.00
Ventilating fans
X
X
1.00
10.00
Air handler (does not include ducting)
Air handler (does not include ducting)
Evaporative coolers
Type 1 hood
X
10.00
- or < 10,000 CFM
X
12.00
> 10,000 CFM
Type 11 hood
Heat pump/air conditioner
Air conditioner
Air conditioner
Air conditioner
Air conditioner
X
X
X
X
19.00
10.00
$0.00
10.00
0-3 tons
1
X
12.00
3-15 tan
X
15-30 tons
30-50 tons
X
X
20.00
25.00
35.00
LPG storage tank
* 50 tons
Wood or pellet stove/insert
X
X
80.00
10.00
32 Wood stove - free standing
Cash ❑ Check 0 Visa 0 MasterCard
Rued permits wtll only be accepted with payment of a meior credit card
Date: Expires:
Bankcard Number:
Authorized Signature:
TO/TO 39Vd
9NI1C3H NN
X
10.00
25.00
Subtotal
0.00
0.00
0.00
0.00
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
12.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
47.00
50Stb8b60S Zb:60 b00Z/17t/L0