2003, 12-15 Permit App: BLD-03-03272 Mechanical Fixtures12/12/2bt9J 1b: J.1 7n'74a41On0
City of
Spokane Valley
Mechanical Permit Application Fax # 688-0037
Project
Address: 1421 N Oberlin
- or < 400,000
Permit
Use:
%001 =
Owner. Jim Greene
4 Unlisted appliance additional charge)
Phone (daytime contact):
926-7981
Mailing Address SAME
street
(city/state
zl
Contractor. RSR Heating and AC, Inc.
- or < 100,000
License:
RRHEAA106BW
Mailing Address 4019 E Central
Spokane, Wa 99217
street
Phone#:
(city/state)
484-1405
(zJ
Descr/ tion of Work
# of units
Coat I Amount
7 Boiler/refrigeration
1 Fuel1urning appliance
- or < 100,000 1 1 1 X
15-0011 15.00
0.00
2 Fuel burning appliance
> 100,000 1 1 X
19.0011 0.00
28.00 =
unymea appiiance aaamonai charge)
- or < 400,000
I X
%001 =
0.00
4 Unlisted appliance additional charge)
> 400,000
X
100.00 =
0.00
5 Used applianoe (WSEC's min. AFUE rating)
- or < 100,000
X
580.00 -
0.00
6 Used appliance SEC's min. AFUE rating)
> 400,000
X
100.00 =
0.00
7 Boiler/refrigeration
1-100M BTU
X
15.00 =
0.00
8 Boiler/refrl erabon
101 -SWM BTU
X
28.00 =
0.00
9 Boiler/refrigeration
501-1,000M BTU
X
39.00
0.00
10 Boiler/refrigeration
1,001-1,750M BTU
X
57.00 =
0.00
11 Boiler/refri tion
+ 1,750M BTU
X
95.00
0.00
12 Gas log, gas insert, gas fireplace
-
X
10,00
13 Range
-
X
10.00 =
0,00
14 Dryer
-
X
10.00 fl
0.00
15 Fuel burning water heater
-
X
10.00 a
0.00
16 Miscellaneous fuel burning appliance
-
X
10.00
0.00
17 Gas piping, (each outlet)
X
1.00 =
1.00
18 Ducts stems
X
10.00 =
0.00
19 Ventilating fans
-
X
10.00 =
0.00
20 Air handler does not include ducting)
- or < 10,000 CFM
X
12.00 m
0.00
21 Air handler does not Include ducting)
> 10,000 CFM
X
19.00 =
0.00
22 Evaporative coolers
-
X
10.00 =
0.00
23 Type I hood
-
X
50.00 =
0.00
24 Type 11 hood
-
X
10.00
0.00
25 Heatpump/air conditioner
0-3 tons 1
X
12.00
12.00
26 Air conditioner
3-15 tons
X
20.00 =
0.00
27 Air conditioner
15-30 tons
X
25.00 =
0.00
26 Air conditioner
30-50 tons
X
35,00 =
0.00
29 Air conditioner
+ 50 tons
X
60.00 =
0.00
30 LPG storage tank
-
X
10.00 -
0.00
31 Wood or pellet stove/insert
-
X
10.00 =
0.00
32 Wood stove -free stand)
-
X
25.00 -
0.00
❑ Cash ❑ Check ❑ Visa ❑ MasterCard
Faxed permits wN only be accepted with payment of a major credit card
Date: Expires:
Bankcard Number.
Authorized Signature:
Subtotal
Plus Processing
Fee
Total Permit Fee
Due
28.00
35.00
63.00
DEC 09 2003 15:46 5094841505 PAGE.01