2013, 09-16 Permit App: BLD-2013-1871 Stove InsertAccent Stove & Spa Inc.
Paoli Curler
11703E Sprague Ave, SuiteB-3
Spokane Valley, WA 99206
(509)686.0036 FAX: (509)628.0037
Community Development a"hw wolculeeallay.�p
Mechanical Permit Application `/ ❑ Commercial
SITE ADDRESS: 1 i7 L J \ �/�-�`
`1 L- • C}< &fl
509325-9282 p.1
COPY
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PERMIT NUMBER:
PERMIT FEE:
Residential
Building Owner
Name: FC� \1Vn-rd t-nQv-\^l r• -i
Phone:�(�'C2t.�_�i Fax:
Adoess: 1 l`i) \ � t= . -1 C r c- O r-,c:ty:a
,,`w1rte 'otu 120 j stacc
R
zip: 910.--7
Contractor
Nemo
CC
Phone:(ScCI) 32S-1-% TOO Fax.
( 03`1'%
33S-1 8 2-
Address:
`10^13 t3 ."1-3 ii i S 1 s±
city: --)12:'=:=,ir-Fa J\P Sa
I i 7 41)
ZiP: Ct 9l 7-7_ en
r
Licata No:
2- . .1 n n
f� `i,EI\I1 SS 15-3:1--7
City Busincas Lic:
Coote ct'.
Namc:
42&,/
/ ' tom- (G
Phone. (5 D''(} 32-S - t SOO
1
i
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
Equal to or less than 103,003
tit OF UNITS X
X
COST
TOTAL AMOUNT
512.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Ecual lo or less than 403,000
X,
sso.00
5
UNLISTEDAPPLIANCE LAddNoral Fee)
More then 430000
5100 00—
USED APPLIANCE (NSEC min. AFUE rating)
Equal to or less than 400.000
X
Pa 550,03. 1- P=A
'1.11
8
USED APPLIANCE (WSEO min. AFUE rating)
More than 400,000
X
5100.03
7
BOILER/REFRIGERATION
1 - 130M BTU
x
8
501_E JREFRIGERATION
101 - SCOM BTJ
x
51200
:.RO,GO 1 ti=',
113 r
9
80I LE R!R EF R I G ERATI ON
501 -1.OXM BTU
X
525 00
10
B OI L E R!R EF R: G ERATI O N
1 001 - 1 75014 3TU
X t
11 5-5.001 h
^C'hl-r c r'1
11
BOILER/REFRIGERATION
More than 1,750M BTU
560 00
12
GAS LOG. GAS INSERT GAS FIREPLACE
I3
RANGE
J l
"X^
14
DRYER
X—
15
FUEL BURNING WATER HEATER
X
1—S'0:001
�5:➢.00J
11
S'0.30�
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
X
51.00
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
x I 510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess than 10,007 CFM
X
512.00
21
AIR HANDLER LOC ES NOT Include cud ino)
Greater than 10 000 CFM
X
515 DO
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE IH000
X
550 00
24
TYPE It HOOD
X
51000
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
51200
26
AIR CONDITIONER
4-15 TON
X
525.00
27
AIR CONDITIONER
15-30 TON
X
525.00-
28 AIR CONDITIONER
30-50 TCN
X
S35.c0
29
AIR CONDITIONER
.More than SC TON
X
560 07
30
LPG STORAGE TANK
X ; 510Cil
31
WOOD OR PELLETSTOVE/INSERT
X
510.00
1 p . 0(3
32
WOOD STOVE • FREE STANDING
X
$25.00
33
REPAIRS ADDITIONS
X
116.08
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE
X S1500
37
INCINERATOR - COMMERCIAL
X 522 00
METHOD OF PAYMENT:
CCASH ❑ CHcCK SA MC ot
EDACTEd
CART
RED GST
-�
AUTHORIZED SIGNATURE: /.&-Ce4AW tifr,
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to 5O5 DAN
G52014-030.
SUBTOTAL
PROCESSING FEE
OTAL PERMIT FEE DUE:
Io
335.00
L
.53(