2003, 09-15 Permit App: BLD-03-02476 Remodel*tam
Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: RCO%
\,.....
: 'Y \GV\ cM 1
PERMIT
USE:
OWNER
COST
EQUALS
AMOUNT
PHONE (Daytime Contact):
MAILING ADDRESS:
Cov..0
C) N
C'A . \V\
515
(street)
2
(city/state)
(ZIP)
CONTRACTOR:
X
519
=
LICENSE #:
3
MAILING ADDRESS:
= OR <400,000
X
PHONE #:
-
4
(street)
> 400,000
(city/state)
(ZIP)
METHOD OF PA
❑ CASH 0
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
$ OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
515
-
2
FUEL BURNING APPLIANCE
>100,000
X
519
=
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
= OR <400,000
X
550
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
= or <400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1-100M BTU
X
515
=
8
BOILER/REFRIGERATION
101- 500M BTU
X
528
-
9
BOILER/REFRIGERATION
501-1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001-1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
-
X
510
-
16
MISC. FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
X
51
-
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
510
=
20
AIR HANDLER (DOES NOT include ducting)
= OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE II HOOD
-
X
510
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
-
26
AIR CONDITIONER
3-15 TON
i
X
520
-
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
$25
-
AEN
T
VISA ' 4
SUBTOTAL:
PLUS PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: -
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
1ETHOD 0
3 CASH
)ATE:
CIT}.' (
Spoltane
.0001ley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PLUMBING FIXTURES
DESCRIPTION
DETAILS
PROJECT
ADDRESS:
X
PERMIT
USE:
OWNER: �" �(�7y,Qvi
•
�� \
PHONE (Daytime Contact):
MAILING ADDRESS:
1
(street)
(city/state)
(ZIP)
CONTRACTOR
2
LICENSE #:
MAILING ADDRESS:
X
PHONE #:
-
3
(street)
(city/state)
(ZIP)
PLUMBING FIXTURES
•
ANKCARD NUMBER
UTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, SPALL, ON-SITE BUILT
X
$6
-
5
SINKS
LAVs/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
$6
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
=
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
_
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
VISX
F ?
"° `/ '-"t•
i
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
III■
GVifim 'CC.
TOTAL PERMIT FEE DUE:
•
ANKCARD NUMBER
UTHORIZED SIGNATURE: