2005, 03-04 Permit App: 05000475 Heat Pump, ACUZ/ 11 / ZUU0 177: Jci
Project Address:
Owner.
Mailing Address:
Contractor:
Mailing Address:
01774441 JC1
MN nGH 1 11 `,J
MECHANICAL PERMIT APPLICATION
Phont : (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
17/0 , //4/7 L ,,.
1
f 4.21172'
L
i l ,
AP
C
License #:
Permit Use:
Ph•ne (De
40i
i� r t I Oi
I/ A. ,
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Contact):
Gt/ Phone*.
r
21, Code
C
•
Codd
20 _ AIR MANGLER (DOES NOT;nclude due0r10)
21 AIR HANDLER (DOES NOT includo ducting)
E- uai to or les than 10,000 CFM
Omelet than 10,000 CFM
22 EVAPORATIVE COOLERS
x
x
612,00
115,00
$10.00
23 i H00D
4 TYPE II HOOD
25 EAT PUMP AIR CONDITIO
26 AIR CONDITIONER
27 AIR CQNDfoN .
28 P CONDITIONER
29 AIR Ci CNTIONER
ER
0-3 TON
1.15 TON
$50.00
1540 TON
X
x
520.00
525.00
30- r TON
More then 50 TON
X
30 LPG STORAGE TANK
a1
WOOD OR PELLET STOVE/INSERT
X
x
32
WOOD STOVE - FREESTANDING
33 REPAIR & ADDmONS
34 VENTILATION SYSTEMS
$35.00
560.00
510.00
310.00
525.00
X
35 VENTILATION MECHANICAL EXHAUST
39 INCINERA OR - REI MD E
3T INCINERATOR - COMMERCIAL
X
X
115.00
$12.00
512,00
515.00
$22.00
110
METHOD OF PAYMENT:
Q CASH D CHEC "'VISA ❑ MC
CARD •
AUTHORIZ O SIGNA R
OATS
EXPIRES oft/D tP
SUBTOTAL,
la.oD
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
FEB 11 2005 08:59
q7I p0
5094841505 PAGE.01
DESCRIPTION OF WORK
SOF UNITS
X
X
COST
512.00
TOTAL AMOUNT
1
FURL BURNING APPLIANCE
Equel to or leso than 100 coo
2
FVL BONING APPLIANCE
Moro lean 100,000.
x
515,00
=
3
UNLISTED APPLIANCE (AdOtuonal Fee)
Equal to or Igss than 400000
X
$50.00
4
UNLISTED APPLIANCE fAtidttional rem)
Mme than 400 000
X
S1D0.04
it
5
USED APPLIANCE SEC min. AFUE ratin.
• 141 to or Imo than 400 000
X
550.00
6
USED APPLuWCE (WSEG m n. AFUE raun0)
M0P Iran 400 000
1 . 100M BTU
X
x
5100,00
. $12,00
-
=
7
BOILER/REFRIGERATION
5
BOILER/REFRIGERATION
101 - SOOM BTU
X
$20,00
-
9
BOILER/REFRIGERATroN
501 - 1;000M BTU
X
$25.00
10
BO t ER/REFRIGERATION
1 001. 1.750M ETU
X
$35.00
11
BOILERJREFRIGERATION
More Ulan 1 750M BTU
X
330 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
S10 OD
13
RANGE
X
510.00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC, FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (peen outlet)
_ )C
X
51,00
510,00
=
t
19
DUCT SYSTEMS
19
VENTILATING FANS
X
iin on
_
20 _ AIR MANGLER (DOES NOT;nclude due0r10)
21 AIR HANDLER (DOES NOT includo ducting)
E- uai to or les than 10,000 CFM
Omelet than 10,000 CFM
22 EVAPORATIVE COOLERS
x
x
612,00
115,00
$10.00
23 i H00D
4 TYPE II HOOD
25 EAT PUMP AIR CONDITIO
26 AIR CONDITIONER
27 AIR CQNDfoN .
28 P CONDITIONER
29 AIR Ci CNTIONER
ER
0-3 TON
1.15 TON
$50.00
1540 TON
X
x
520.00
525.00
30- r TON
More then 50 TON
X
30 LPG STORAGE TANK
a1
WOOD OR PELLET STOVE/INSERT
X
x
32
WOOD STOVE - FREESTANDING
33 REPAIR & ADDmONS
34 VENTILATION SYSTEMS
$35.00
560.00
510.00
310.00
525.00
X
35 VENTILATION MECHANICAL EXHAUST
39 INCINERA OR - REI MD E
3T INCINERATOR - COMMERCIAL
X
X
115.00
$12.00
512,00
515.00
$22.00
110
METHOD OF PAYMENT:
Q CASH D CHEC "'VISA ❑ MC
CARD •
AUTHORIZ O SIGNA R
OATS
EXPIRES oft/D tP
SUBTOTAL,
la.oD
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
FEB 11 2005 08:59
q7I p0
5094841505 PAGE.01