2004, 10-21 Permit App: BLD-04-07999 Safety Inspection WoodstoveSTioliane
4,000VaHey
Project Addr- ss:
Owner..
Mailing Address:
Contractor.
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuiIdingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, . CALL (509) 688-0054
•%' Permit Use:
I 'Phone (Daytime Contact):
A,1
I . City
Mailing Address:
License #:
State
Phone #:
WARP)
Zip Code
DESCRIPTION OF IIYQRK
1 FUEL BURNING APPLIANCE
UE 8URN4N1 sG APPLLANt;E
City
*OF
UNITS I X
Equal to or less than 100,000 1 X
Mares 100,000
COST
815.00
a
State
TOTAL
AMOUNT
Zip Code
3 UNLISTEDAPPLUANCE (Add ffonai Fee)
4 UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC minx AFUE
5 rating
USE APPLIANCE (WSEC min AFUE
6 rating)
X
Equal to or less than 400 000 1 1 X
More than 400,000 X
Equal to or fess than 400,000
7 BOILER/REFRIGERATION
More than 400,000 1 1 X
8 BOILER/REFRIGERATION
9 BOILER/REFRIGERATION
10 BOILER/REFRIGERATION
11 BOILER/REFRIGERATION
12 GAS LOG, GAS INSERT, GAS FIREPLACE
1 - 100M BTU • 1 1 X
101-500MBTU I I X
501 -1,000M BTU 1 1 X
1,001
- 1,750M BTU 1 1 X
More than 1,750M BTU 1 1 X
13 RANGE
14 DRYER
15 FUEL BURNING WATER HEATER
X
X
x
16 MISC. FUEL BURNING APPLIANCE
17 GAS PIPING (each outlet)
$18.00
550.00
$100.00
550.00
$100.00
X
X
18 DUCT SYSTEMS
" 19 VENTILATING FANS
20 AIR HANDLER (DOES NOT include ducting)
21 AIR HANDLER (DOES NOT Include ducting)
$15.00
$26.00
$39.00
$57.00
r
895.00
$10.00
$10.00
$t0.00
$10.00
X
X
X
$10.00.
• Equal to or less than 10,000 CFM 1 I X
22 EVAPORATIVE COOtERS
Greater than 10,000 CFM 1 1 X
23 TYPE HOOD
24 TYPE It HOOD
25 HEAT PUMP/AIR CONDITIONER
26 AIR CONDIONER
X
x
x
03 TON 'X
3-15 TON
-27- A1R CONDITIONER
T5•20TON
ON
x
$1.00
510.00
$10.00
$12.00
$19.00
$10.00
$50.00
$10.00
28 AIR CONDtTtONNR
30-50 TON
$12.00
820.00
$25.00
29 AIR CONDITIONER
30 LPG STORAGE TANK
More than 50 TON
X
X
$35.00
860.00
31 WOOD OR PELLET STOVE/INSERT
32 WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
D CASH ❑ CHECK ❑ VISA OMC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPfRES:
X
x
1 lx
$10.00
$10.00
825.00
SUBTOTAL
PROCESSING FEE
CV
$35.00
TOTALPERMIT FEE DUE: