2003, 10-16 Permit App: BLD-03-02800 Gas Log, Piping 10/16/2003 09:09 5094841505 RR HEATING PAGE 01/01
City of2..q-00�
Spokane Valley Mechanical Permit Application Fax#688-0037
Permit
Project Use:
Address: 1918 S Stanley
Phone(daytime contact):
Owner: Steve Trabin 536-5050 •
Mailing Address SAME
(street) jcity/state) (zip)
Contractor: R&R Heating and AC, Inc. License: RRHEAA106BW
Mailing Address 40195 Central Phone#: 484-1405
Spokane,Wa 99217 (zip) -
(street) (city/state)
Description of Work *of units Cost = Amount
1 Fuel burning appliance -or< 100,000 X 15.00 = 0.00
00.
X 19
2 Fuel burning appliance > 100,000 0.000.00
3 Unlisted appliance(additional charge) -or<400,000 X 50.00
4 Unlisted appliance(additional charge) >400,000 X 100.00 =
0.00
5 Used appliance(WSEC's min. AFUE rating) -or< 100,000 , X 580.00 = 0.00=
X 100.00 0.00
8 Used appliance(WSEC's min. AFUE rating) >400,000
7 Boiler/refrigeration
1-100M BTU X 15.00 F = 0.00
= 0.00
101-500M BTU X 28.00
8,Boiler/refrigeration ' " . - 0.00
9 Boiler/refrigeration 501-1.000M BTU X 39.00.
10 Boiler/refrigeration 1,001-1,750M BTU X 57.00 s 0.00
11 Boiler/refrigeration + 1,750M BTU X , 95,00 0.00
12 Gas log,gas Insert, gas fireplace - 1 X 10.00 = 10.00
13RR ng - X 10.00 = 0.00
14 Dryer - X 10.00 = 0.00
15 Fuel burning water heater - X 10.00 = 0.00
18 Miscellaneous fuel bumIng appliance - X 10.00 = 0.00
17 Gas piping,(each outlet) - 1 X , 1.00 = 1.00
18 Duct systems - 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 = 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 II hood - X 10.00 - 0.00
25 Heat pump/air conditioner 0-3 tons X 12.00 = , 0.00
28 Air conditioner 3-15 tons X 20.00 - 0.00
27 Air conditioner 15-30 tons X 25.00 - 0.00
28 Air conditioner _ 30-50 tons X 35.00 - 0.00
29 Alr 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 an Ing - - X 2500 = 0.00
0 Cash 0 Check Visa 0 MasterCard Subtotal
11.00
Faxed permits will only be accepted with payment of a major credk card Plus Processing
Fee 35.00
Date: )0 i 1/0 16 3 Expires: Total Permit Fee
Due 46.00
Bankcard Number.
Authorized Signature:
OCT 13 2003 09 18 5094841505 PAGE.01