2008, 11-06 Permit App: 08004399 Mechanical FixturesSpokane
,_ .s Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: 6 L' / 6
(max
PERMIT
USE: F ;;'
X
OWNER Li 6.7 tic ‘e),iv \-V�S--,
EQUALS
PHONE (Daytime Contact): c,,2 r f_ /s-)
1
MAILING ADDRESS:
- OR < 100,000
)
X
A
(street)
/ 5-
(city/state)
(ZIP)
> 100,000
CONTRACTOR: At le,
1
F'
$19
LICENSE #:
A l 9 ,2 v S 13
3
MAILING ADDRESS:
,-;--5-) V
rytik l-(17\,!
lJiiv\,l\-rz--
t,
PHONE II:
`l _ `789-7 3??
-
(_,LAA ,LAA
9 7 02/ 2_
UNLISTED APPLIANCE (ADDITIONAL FEE)
(street)
(city/state)
(ZIP)
-
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
)
X
$15
-
/ 5-
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
X
550
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
- or <400,000
X
550
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
$10
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
X
510
-
16
MISC. FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. Outlet)
-
l
X
51
-
/
18
DUCT SYSTEMS
-
X
$10
=
19
VENTILATING FANS
-
X
510
-
20
AIR HANDLER (DOES NOT indude ducting)
- OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT indude ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE II HOOD
-
X
510
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
-
26
AIR CONDITIONER
3-15 TON
X
520
-
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLETSTOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
525
-
KENT
;i11
SUBTOTAL:
/ ,
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE �" 2
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
IETHOD OF
] CASH
ATE:
Spokane
.0 . Valley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT
ADDR: „I/ 6
jj
DETAILS
PERMIT
USE:
OWNER: Lr —'tf M #4
L-
EQUALS
PHONE (Daytime Contact): '7,2? 2C/2, 0
MAILING ADDRESS:
q CO 1_, & jc_ nA,K.
5pb1c-A-4/ L --r-
W12_
(street)
X
(city/state)
(ZIP)
CONTRACTOR: l IQ
+
URINALS
LICENSE #:
fA(e., e. i_ 9q 01 ( �
MAILING ADDRESS:
5517 L, AA -I\ t (vr)
Spit i
PHONE #:
57`?—c/52_73 33
i -A.4
2 `- r 2_
(street)
X
(city/state)
(ZIP)
PLUMBING FIXTURES
YNKCARD NUMBER:
JTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
5
SINKS
LAVS/BASINS, BAR FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
$6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
X
$6
*
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING .
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FDCTURE
X
$6
-
PAYMENT
❑ CHECK
__
/Vast:"PLUS
... .._..5
SUBTOTAL:
PROCESSING FEE:
$35.00
■ ■
TOTAL PERMIT FEE DUE:
YNKCARD NUMBER:
JTHORIZED SIGNATURE: