2005, 04-13 Permit App: 05001139 AC04/08/2005 Elf:1(
City of
Spokane Valley
Project Address:
Owner:
Mailing Address:
Contractor:
Mailing Address:
5by4ti414U
1923 N. Hodges Lane
Patrick Melby
1923 N. Hodges Lane
(street)
R&R Heating and AC, Inc.
4019 E Central
(street)
MM MCP -11111
Mechanical Permit Application
05- 1139
Fax # 688-0037
Permit Use:
Phone (daytime contact): 893-8909
Spokane Valley WA
city
License#: RRHEAA'106BW
Spokane
99016
State (zip)
Phone#: 484-1405
WA 99217
Authorized Signature:
APR 08 2005 08:23
5094841405
PAGE.01
Description of Work
*of units
Cost
@
i-iy vuuo
Total Amount
1
Fuel burning applianoe
- or < 100,000
X
12.00
=
0.00
2
Fuel burning appliance
> 100,000
X
15.00
=
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 appliance (WSEC's min. AFUE rating)
= to or <400,00
X
50.00
=
0.00
6
Used appliance (WSEC's min. AFUE rating)
> 400,000
X
100.00
=
0.00
7
Boiler/refri • eration
1-100M BTU
X
12.00
=
0.00
8
Boiler/refri • eratlon
101-500M BTU
X
20.00
=
0.00
9
Boller/refrigeration
501-1,000M BTU
X
25.00
=
0.00
10 Boiler/refrigeration
1,001-1,750M BTU
X
35.00
=
0.00
11 Boiler/refrigeration
+ 1,750M BTU
X
60.00
=
0.00
12 Gas log, gas insert, gas fireplace
-
X
10.00
=
0.00
13 Range
-
X
10.00 =
0.00
14 Dryer
-
X
10.00 =
0.00
15 Fuel burning water heater
-
X
10.00 =
0.00
16 Miscellaneous fuel bumin• a• •liance
-
X
10.00 =
0.00
17 Gas piping, (each outlet)
-
X1.00
=
0.00
18 Duct systems
-
X
10.00 =
0.00
19 Ventilatln• fens
X
10.00 =
0.00
20 Air handler (does not include ducting)
- or < 10,000 CFM
X
12.00 =
0.00
21 Air handler (does not include ducting)
> 10,000 CFM
X
15.00 =
0.00
22 Eva•orative coolers
-
X
10.00 =
0.00
23 Type I hood
-
X
50.00 =
0.00
24 Type II hood
-
X
10.00 =
0.00
25 Heat um /air conditioner
0-3 tons
1
X
12.00 =
12.00
28 Air conditioner
3-15 tons
X
20.00 =
0,00
27 Air conditioner
15-30 tons
X
25.00 =
0,00
28 Air conditioner
30-50 tons
X
35.00 =
0.00
29 Air conditioner
+ 50 tons
X
60.00
30 LPG store tank
-
X
=
10.00 =
0.00
31 Wood or
0.00
pellet stove/insert
-
X
10.00
32 Wood
=
0.00
stove - free standing
-
X
25.00 =
0.00
33 REPAIRS &B ADDITIONS
X
15,00 =
0.00
34 VENTILATION SYSTEMS
X
12.00 =
0.00
35 VENTILATION MECHANICAL EXHAUST
X
12.00 =
0.00
36 INCINERATOR - RESIDENCE
X
19.00 =
0.00
37 INCENERATOR - COMMERCIAL
X
22.00 =
0.00
0 Cash 0 Check • Visa ❑ MasterCard
Faxed
SUBTOTAL
12.00
permits will only be accepted with payment of a major credit card
Date:
PROCESSEING FEE
35.00
Expires: 06/06
TOTAL PERMIT FEE DUE:
47.00
Ranlrr r 1 Ail rr•k .- n_ ca_
Authorized Signature:
APR 08 2005 08:23
5094841405
PAGE.01