2004, 10-06 Permit App: BLD-04-07858 Heat Pump, ACTe 9l d
SOSTVBV6OS
City of
Spokane Valley
Mechanical Permit Application
£2:ST VOW 8d d85
Fax * 888-0037
Project
Address: 1606 N Holiday
Permit
Use:
Owner; Beau Chandler
Phone (daytime contact): '
928-0551
Mailing Address SAME
(street) S ity/state) (zip)
Contractor: R&R Heating and AC, Inc.
License: RRHEAA106BW
Mailing Address 4019 E Central
Phone*: 484-1405 -
Spokane, Wa 99217
(street) (city/state) (zip)
Description of Work
# of units
Cost
=
Amount
1
Fuel burning appliance
. or < 100.000
i 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
os
0.00
4
Unlisted appliance (additional charge)
> 400000
X100.00
=
0.00
Wed ed appliance (WSEC's min. AFUE rating)
- Or < 100,000
X
, 580.00
•
0.00
6 Used appliance (WSECs min. AFUE rating) > 400,000
X
100.00 =
0.00
7 Boiler/refrirleration 1_rnnru OTIC
..
,. _
- --
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Boiler/refrigeration
Boiler/refrigeration
Boiler/refrigeration
Boller/refrigeration
101-500M BTU
501-1.000M BTU
X
1,001-1,750M BTU
X
28.00
39,00
57.00 =
Gas log, gas insert. gas fireplace
Range
Dryer
+ 1.750M BTU
X
95.00 =
10.00
X
Fuel burning water heater
X
10.00
10.00
Miscellaneous fuel burning appliance
Gas piping, (each outlet)
Duct systems
X
10.00
7
X
10.00
X
1.00
Ventilating fans
X
10.00
Alr handier (does not Include ducting)
Air handler (does not include ducting)
Evaporatibe coolers
Type I hood
X
10.00
- or < 10,000 CFM
X
12.00
> 10.000 CFM
X
19.00
X
10.00
Type 11 hood
X
Heat pump/air conditioner
Air conditioner
Air conditioner
Air conditioner
Air conditioner
0-3 tons
1
X
X
3-15 tons
15-30 tons
X
X
30-50 tons
X
LPG storage tank
+ 50 tone
Wood or pellet stoveAnsert
WOW stove - free Vending
X
X
X
❑ Cash 0 Check ❑ Visa 0 MasterCard
Faxed permits will onry be accepted with payment of a major credit card
Date: Expires:
Bankcard Number.
Authorized Signature:
TO/T0 3SCd
SNIlt13H NN
X
50.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
o.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
amidommfteste
Subtotal
10.00
12.00
20.00
25.00
35.00
60.00
10.00
10.00
25.00
12.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
47.00
6-7M SL-
SOSTVBV6OS 9T:ST V00Z/BZ/60