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2013, 06-28 Permit App: BLD-2013-1274 Mechanical, Plumbing FixturesSpokarrle .0,001wValley Community Development Permit Center 11707 E Sprague Ave, uite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevallev.ore.com Mechanical Permit Application o Commercial AResidential SITE ADDRESS 31.0q S. y G+^ t i diY k�4 � -Buildibg:owner :�> ,_ ��,;..., ,�'.��:�,.._ .-P ... .� tz r �� � a ... ..� �r.�, �. Name: pt04rNoytC,I 4L k Coy% S7 Phone: 9 Z'i -rf6 ef Fax Address: City State Zip �, of l .. $ :.,y Y+y }: F y� ti _ f� ..i N.• .. riq Y�L Oti ^c+i,�'�. %a�isY<-,S d�l -3iY: i'r,.PAaG;Y>•�2'3i-S b..>..�..,�Y9s,. : ra J V' � y * P 3; , r :-n Si;Fi5:. 'i . 9Py my �+S'�'1� L.7'a Name: A. i i D S !, y1 Phone: Fax: Address: City State Zip License No: City Business License No: O�O �yys*5M1s}�,`� '+i� .¢ 5 t .A.. `- "^s. e' r xaY,Q,ff��.vd, i+,�'�}'?', t^.M .'l^'*4p.'�i�Y eo..�.�`.*:�.14"+`�`? s. -S• „.i ,. t�4.. _-r..,``&A Kff '3.. ¢:„ V-..yF $�, ''t-Sa4.:.:-"m_ .r" -r `pt..TfiS� '7 Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 '11 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or Tess than 400,000 X $50.00 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 l0 13 RANGE X $10.00 14 DRYER X $10.00 �o 15 FUEL BURNING WATER HEATER X $10.00 10 16 MISC. FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) 3 X $1.00 3 18 DUCT SYSTEMS X $10.00 /0 19 VENTILATING FANS L'1 X $10.00 40 20 AIR HANDLER • OES NOT include ductin. ) Equal to or Tess than 10,000 CFM X $12.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X $50.00 24 TYPE II HOOD X $10.00 IU 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 Z 26 AIR CONDITIONER 3-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 32 WOOD STOVE - FREE STANDING X $25.00 33 REPAIR & ADDITIONS X $15.00 34 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH 0 CHECK 0 VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL 617 PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 Permit Center 11707 E Sprague Ave, uite 106 p"okane Spokane Valley, WA 99206 Valley (509)688-0036 FAX: (509)688-0037 Community Development www•.spokanevallcy.ora.com Plumbing Permit Application o Commercial ist Residential SITE ADDRESS 3 ou S. 4/16.--c i L ✓i AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = Name: 0 i c.. riA0Y1A 406 it rrMS Phone: 9' 9 G q Fax Fax WATER CLOSET, BIDETS 3 X $6.00 Address: City State URINALS Zip X ' YY %r3Y •,'�A '+" �^t '�' s'Z-,,43, it'�,1OP Avg �� .i, . Ak 4 ;x.,. £ -��'. �,i _ ,. FX.. _, Ir��.N':xS �'N a•..,!�n .e._ w x" '3 � "'�Y-_ .ri+� F' �`" + X, �,.'p ,�c� tc_. .v, '?,mss -b A ..�.. "�' .R...d,. -t L` .,I."! k �"�f-�.&fryi F+_s`"i .. t . ,� ';;"`. 3 TUBS _ � ^ :. 's _ 4,.. •- 'i Name: (f) c•14 i rt/lee kun i ra 1 4' P/U m bi Ll gPhone: Fax: 11 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT Address: / City State = (o Zip SINKS License No: City Business License No: X $6.00 = 6 6 .... tt( ,.,T • ` ,. �'+', � g 1 y.4.1.,V4' , �� 'j �i :.. .pxe � 1".," . ^`F .'eSxr+ 1 ".--7i. •,,. 'R^1 �( �, '":1�`���� �� � �.i� �k�"'kR .e4, r R2, $3 :g q 'ky� `l ��. A�x` �' �S .»�J' -R.. x� y gy.�i„ ?if �. Y.., � �. :d a...- Name: • Phone: 1. X $6.00 = AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 3 X $6.00 = 1 8 2 URINALS X $6.00 = 3 TUBS 3 X $6.00 = 11 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT 1 X $6.00 = (o 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT % SCJ X $6.00 = 6 6 DISHWASHER 1 X $6.00 = 6 7 CLOTHES WASHER 1. X $6.00 = 6 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE 1 X $6.00 = / 6 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER 3 X $6.00 = ' 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK DATE: SUBTOTAL I) l 0 VISA 0 MASTERCARD PROCESSING FEE 035.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05