2004, 04-21 Permit App: BLD-04-04161 ACT0'39Fld S0STPBt'60S
City of
Spokane Valley
Mechanical Permit Application
.7V•OV YVVv ry vvv
Fax # 688-0037
Project
Address: 2002 N. Grady Ln
Permit
Use:
Owner: Mike Hittle
Phone (daytime contact):
892-2100
Mailing Address SAME
(street)
Contractor. R&R Heating and AC, inc.
(city/state)
License: RRHEAA106BW
(z p)
Mailing Address 4019 E Central
Spokane, Wa 99217
(street)
Phone#: 484-1405
(city/state)
(zip)
3 Unlisted appliance (additional charge)
4
5
6
Unlisted appliance (additional charge)
- or < 400,000
> 400,000
X
100.00
Used appliance (WSEC's min. AFUE rating)
7
Used appliance (WSEC's min. AFUE rating)
Boiler/refrii eration
- or < 100,000
X
580.00
> 400,000
x
100.00
1-100M BTU
X
15.00
8
9
10
11
12
13
Bol ler/refrigeration
101-500M BTU
X
28.00
Boiler/refrigeration
Boller/refrigeration
Boller/refrigeration
501-1,000M BTU
X
39.00
1,001-1,750M BTU
X
57.00
+ 1,750M BTU
X
95.00
Gas log, gas insert, gas fireplace
14
15
16
Range
Dryer
X
10.00
X
10.00
X
10.00
Fuel burning water heater
X
10.00
Miscellaneous fuel burning appliance
X
10.00
17
18
Gas piping, (each outlet)
19
20
21
22
Duct systems
X
1.00
X
10.00
Ventilating fans
X
10.00
Air handler (does not include ducting)
Air handler (does not include ducting)
23
24
25
Evaporative coolers
Type 1 hood
- or < 10,000 CFM
X
12.00
> 10,000 CFM
X
19.00
X
10.00
X
50.00
Type 11 hood
26
X
10.00
Heat pump/air conditioner
Air conditioner
0-3 tons
1
x
12.00
3-15 tons
X
20.00
27
Air conditioner
15-30 tons
X
25.00
28
Air conditioner
30-50 tons
X
35.00
29
Air conditioner
50 tons
X
60.00
30
31
32
LPG storage tank
X
10.00
Wood or pellet stove/insert
X
10.00
Wood stove - free standing
X
25.00
0.00
0.00
0.00
0.00
0,00
0.00
0.00
0.00
0.00
0.00
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
❑ Cash 0 Check 0 Visa 0 MasterCard
Faxed permits will only be accepted with payment of a major credit card
Date: Expires:
Bankcard Number.
Authorized Signature:
TO/T0 39tid SNIlt73H ad
Subtotal
12.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
47.00
SOSibBb60S LS:80 b0 2/tZ/b2�
Description of Work
# of units
Coat
=
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)
4
5
6
Unlisted appliance (additional charge)
- or < 400,000
> 400,000
X
100.00
Used appliance (WSEC's min. AFUE rating)
7
Used appliance (WSEC's min. AFUE rating)
Boiler/refrii eration
- or < 100,000
X
580.00
> 400,000
x
100.00
1-100M BTU
X
15.00
8
9
10
11
12
13
Bol ler/refrigeration
101-500M BTU
X
28.00
Boiler/refrigeration
Boller/refrigeration
Boller/refrigeration
501-1,000M BTU
X
39.00
1,001-1,750M BTU
X
57.00
+ 1,750M BTU
X
95.00
Gas log, gas insert, gas fireplace
14
15
16
Range
Dryer
X
10.00
X
10.00
X
10.00
Fuel burning water heater
X
10.00
Miscellaneous fuel burning appliance
X
10.00
17
18
Gas piping, (each outlet)
19
20
21
22
Duct systems
X
1.00
X
10.00
Ventilating fans
X
10.00
Air handler (does not include ducting)
Air handler (does not include ducting)
23
24
25
Evaporative coolers
Type 1 hood
- or < 10,000 CFM
X
12.00
> 10,000 CFM
X
19.00
X
10.00
X
50.00
Type 11 hood
26
X
10.00
Heat pump/air conditioner
Air conditioner
0-3 tons
1
x
12.00
3-15 tons
X
20.00
27
Air conditioner
15-30 tons
X
25.00
28
Air conditioner
30-50 tons
X
35.00
29
Air conditioner
50 tons
X
60.00
30
31
32
LPG storage tank
X
10.00
Wood or pellet stove/insert
X
10.00
Wood stove - free standing
X
25.00
0.00
0.00
0.00
0.00
0,00
0.00
0.00
0.00
0.00
0.00
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
❑ Cash 0 Check 0 Visa 0 MasterCard
Faxed permits will only be accepted with payment of a major credit card
Date: Expires:
Bankcard Number.
Authorized Signature:
TO/T0 39tid SNIlt73H ad
Subtotal
12.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
47.00
SOSibBb60S LS:80 b0 2/tZ/b2�