2005, 03-04 Permit App: 05000626 Heat Pump, ACUt/ 1Q/ LVU:J 11.:J1 Liz$404-ilotio
-313
S
MECHANICAL PERMIT APPLICATION
1:!%1*'
rN Phone: (509) 688-0036; Fipt (50) 688-0037
For Inspections, Call (S09) 688-)054
KK MLA I I NU
Project Addres
Owner.
Mailing Address:
Contractor:
Meiling Address:
.,-, in • d I !c
Permit Use:
YAUL 11l/bl
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phon - Daytime Contact);
rte 1, e
License It:
7_ BOtLER/REFRIGERATIc,N
BOILER/REFRIGERATION
1301 L ERIREFRIGERATION
10 8OILLER/REFRIGERAT1ON
111 noiLEFuRErRictRAT10N
43. GAS OG CAS INSERT GAS FIREPLACE
13 RANGE
14 DRYER.
1, 5 FUEL BURNINiriWATER HEATER
19 SC, FUEL SURNING APP • NCE
• 17 , GAS PIPING Joao() 00$!01,)
18 DUCT SYSTEMS
. 100M STU
.312:00
101 -500M BTU
601 -1 000M
536.00
19 VEN IATING FANS
310.00
510.00
510.00
510,00
$ l on
310,00
510.00
20 AIR HANDLER (DOES NOT include ducting)
21 AIR HANDLER (DOES NOT include ducti
22 APORATIVE OOOLE S
23 TYPE !HOOD
24 . TYPE.Il dtX)D
25 HEAT pUMP/AIR CONDITION R
20 , AIR CONDITIONER
27 AIR GOND ION _R
28 (l!R CONDITIONER
29-_ALUONOITIONER
30 LPG STOMQE TANK
E-Uai So or ie$3 Ulan 10 000 CFM
512130
GICAter than 10,000 CFM X
X
X
X
0-a TON
4.15 TON
610.00
$50.00
$20.00
31 WOOD OR PELLET STOVE/INSERT .
32 , w000 STOVE - FREE STANDING
„ J1. _ REP R & ADDITION$
Jct VEN numoN SYSTEMS
35 `/FAILATION MEctiPaICA1 EJ(NAUST
30 INGINERAT9R - RESIDENCE
0_ 7 INCINERATOR - COMt11ERCh t.
METHOD OF PAYMENT:
X 560.00
X 310.00
''x $10.00
525,00
❑ CASH [] CHECK IAVISA ID MC
CAROM: 5r /1,,F; le
AUTHORIZED SIGNATURE;
FEB 18 2005 11.16
DATE:
EXPIRES. '/ (.0
X $15,00
X
$i 00
X $12.00
X 518
X 522
SUBTOTAL
PROCESSING FEE
TOTAL PgRMIT FEE DUE:
$35.00
td,. 00
5094841505 PAGE.01
DESORIPTION Or WORK
II OF UNITS
X
COST
-
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
_Evil to or leu otan 100.000
X
X •
stZ.00
315,00
i
=
a
2 FUEL- OUR)!}EP_APPLWVCE
Mora man 100.000
3 UNLISTED APPLIANCE (Aootilortal Fee)
Equal to or lass then 400,000
X
550.00
•
4 UNLLSTED APPLIANCE (AddlUona Pee) ^ More man 400 000
X
5100.00
re
5 USED APPLIANCE (WSEC min,AFUE railnp) Equal to or lass than 400,000
X
X
560.
5100,00
_
p
13 USED dePLIANCE (WSEC rnin, AFUE rating) Most 0040°,3°°
7_ BOtLER/REFRIGERATIc,N
BOILER/REFRIGERATION
1301 L ERIREFRIGERATION
10 8OILLER/REFRIGERAT1ON
111 noiLEFuRErRictRAT10N
43. GAS OG CAS INSERT GAS FIREPLACE
13 RANGE
14 DRYER.
1, 5 FUEL BURNINiriWATER HEATER
19 SC, FUEL SURNING APP • NCE
• 17 , GAS PIPING Joao() 00$!01,)
18 DUCT SYSTEMS
. 100M STU
.312:00
101 -500M BTU
601 -1 000M
536.00
19 VEN IATING FANS
310.00
510.00
510.00
510,00
$ l on
310,00
510.00
20 AIR HANDLER (DOES NOT include ducting)
21 AIR HANDLER (DOES NOT include ducti
22 APORATIVE OOOLE S
23 TYPE !HOOD
24 . TYPE.Il dtX)D
25 HEAT pUMP/AIR CONDITION R
20 , AIR CONDITIONER
27 AIR GOND ION _R
28 (l!R CONDITIONER
29-_ALUONOITIONER
30 LPG STOMQE TANK
E-Uai So or ie$3 Ulan 10 000 CFM
512130
GICAter than 10,000 CFM X
X
X
X
0-a TON
4.15 TON
610.00
$50.00
$20.00
31 WOOD OR PELLET STOVE/INSERT .
32 , w000 STOVE - FREE STANDING
„ J1. _ REP R & ADDITION$
Jct VEN numoN SYSTEMS
35 `/FAILATION MEctiPaICA1 EJ(NAUST
30 INGINERAT9R - RESIDENCE
0_ 7 INCINERATOR - COMt11ERCh t.
METHOD OF PAYMENT:
X 560.00
X 310.00
''x $10.00
525,00
❑ CASH [] CHECK IAVISA ID MC
CAROM: 5r /1,,F; le
AUTHORIZED SIGNATURE;
FEB 18 2005 11.16
DATE:
EXPIRES. '/ (.0
X $15,00
X
$i 00
X $12.00
X 518
X 522
SUBTOTAL
PROCESSING FEE
TOTAL PgRMIT FEE DUE:
$35.00
td,. 00
5094841505 PAGE.01