2008, 08-06 Permit App: 08003050 Heat Pump, ACSiiiSkane
„ _ Valley
Community Development
Permit Center
1 1707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookanevall ev.ore.com
Mechanical Permit Application
❑ Commercial Is Residential
SITE ADDRESS C&D Og S 1 N Yo
3
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE Additional Fee
4 UNLISTED APPLIANCE
5 USED APPLIANCE
Additional Fee
SEC min. AFUE ratin
USED APPLIANCE SEC min. AFUE ratin
7 I BOILER/REFRIGERATION
8 BOILER/REFRIGERATION
9
16 BOILER/REFRIGERATION
1 BOILER/REFRIGERATION
BOILER/REFRIGERATION
E. ual to or less than 100,000
More than 100,000 -..
E•ual to or less than 400,000
More than 400,000
5
COST
TOTAL AMOUNT
E. ual to or Tess than 400,000
More than 400,000
2 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING each outlet
18 DUCT SYSTEMS
15
16
19
20
21
22
23
24 TYPE II HOOD
VENTILATING FANS
1 - 100M BTU
101 - 500M BTU
$100.00
501 - 1,000M BTU
1,001 -1,750M BTU
More than 1,750M BTU
AIR HANDLER DOES NOT include ductin.
AIR HANDLER DOES NOT include ductin.
EVAPORATIVE COOLERS
TYPE I HOOD
E. ual to or less than 10,000 CFM
Greater than 10,000 CFM
27
AIR CONDITIONER
AIR CONDITIONER
28 AIR CONDITIONER
29 AIR CONDITIONER
30
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
32 WOOD STOVE - FREE STANDING
33 REPAIR & ADDITIONS
31
34
35
36
37 INCINERATOR - COMMERCIAL
VENTILATION
SYSTEMS
0-3 TON
3-15 TON
15-30 TON
30-50 TON
More than 50 TON
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
METHOD OF PAYMENT:
❑CASH 0 CHECK ❑ VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE:
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$12.00
$15.00
$10.00
850.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
815.00
$12.00
$12.00
$19.00
$22.00
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8126/C5
Building owner
Name: /gnvD`. /V/col C(.{ok .
Phone: 9$J -.i720
City
Fax
State
Zip
Address: SAr i is
Contractor3
Name: AN 0 elZ6DoY S $t i_kr "7- tvl="Tl4lz
Phone:
7E j' -O 7(.• ®
Fax:Z
�% Z -3//g
Address: 13 go -Pe kK7- ,qt/C-
City 5 o(cA.,,c
State t.
Zip
q?Z/t!,
License No: I�it.1D E � ,5m q ti / /37
Ci Business License;No:
Contact ` '
s {® �
•
z.
Name: , !!-e. 4AiDb-ieSQY
Phone:
4.67- 59 y
1 DESCRIPTInti r writ
3
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE Additional Fee
4 UNLISTED APPLIANCE
5 USED APPLIANCE
Additional Fee
SEC min. AFUE ratin
USED APPLIANCE SEC min. AFUE ratin
7 I BOILER/REFRIGERATION
8 BOILER/REFRIGERATION
9
16 BOILER/REFRIGERATION
1 BOILER/REFRIGERATION
BOILER/REFRIGERATION
E. ual to or less than 100,000
More than 100,000 -..
E•ual to or less than 400,000
More than 400,000
5
COST
TOTAL AMOUNT
E. ual to or Tess than 400,000
More than 400,000
2 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING each outlet
18 DUCT SYSTEMS
15
16
19
20
21
22
23
24 TYPE II HOOD
VENTILATING FANS
1 - 100M BTU
101 - 500M BTU
$100.00
501 - 1,000M BTU
1,001 -1,750M BTU
More than 1,750M BTU
AIR HANDLER DOES NOT include ductin.
AIR HANDLER DOES NOT include ductin.
EVAPORATIVE COOLERS
TYPE I HOOD
E. ual to or less than 10,000 CFM
Greater than 10,000 CFM
27
AIR CONDITIONER
AIR CONDITIONER
28 AIR CONDITIONER
29 AIR CONDITIONER
30
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
32 WOOD STOVE - FREE STANDING
33 REPAIR & ADDITIONS
31
34
35
36
37 INCINERATOR - COMMERCIAL
VENTILATION
SYSTEMS
0-3 TON
3-15 TON
15-30 TON
30-50 TON
More than 50 TON
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
METHOD OF PAYMENT:
❑CASH 0 CHECK ❑ VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE:
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$12.00
$15.00
$10.00
850.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
815.00
$12.00
$12.00
$19.00
$22.00
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8126/C5