2004, 10-06 Permit App: BLD-04-07860 Water Heater•
*lane
.00fey
Project Address: 36 . � 5 j U _4c- ?.L:
. Owner.. IZl r,` LLi C1- ,� /r -S
Maitin§ Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley CoMrnunity Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509)688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, . CALL. (509) 688-0054
Permit Use:
Phone (Daytime Contact):
Er(-
Mailing Address: /e /�{ � [ a <%
Contractor. ,/ % „� 46/x,
City State
License #: F yL 3s L L- Phone #:
Ip Code
/✓k
(19 .2e)
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
f
# OF
X
COST
i
TOTAL
AM
1
FUEL BURNING APPLIANCE
Equal to or less than 100 000
4
X
$15.00
• - •, APPLIANCE
Marethartw00,000
X
$19.00
=
3
UNLISTED APPLIANCE (Additorad Fee)
Equal ea or less than 400 000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400 000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE
ratingt
Equal to or less than 400,000
X
550.00
6
USED APPLIANCE (WSEC min- AFUE
rating)
More than 400,000
X
5100.00
=
7
BOILER/REFRIGERATION
1 -10OM BTU •
X
X
$%500
$28.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
9
BOILER/REFRIGERATION
501 - 1,000M BTU
_
X
$39.00
=
10
BOILER/REFRIGERATION
1,001 -1,750M BTU
X
$57.00
=
tt
BOILER/REFRIGERATION
Moaethan 1,750M BTU
X
$95.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
•X
$10.00
13
RANGE
X
610.00
=
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
510.00
=
(C. •
16
MISC. FUEL BURNING APPLIANCE
f
X
$10.00
=
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
810.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal In or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT indude ducting)
Greater than 10,000 CFM
X
819.00
=
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
=
=
24
TYPE II HOOD
X.
$10.00
=
25
HEAT PUMP/AIR CONDITIONER •1:)3
TON
X
812.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
" X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
24
AIR CONDITIONER
LPG STORAGE TANK
More than. 50 TON •
X
X
$60.00
810.00
30
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOODSTOVE- FREE STANDING
X
525.00
METHOD OF PAYMENT:
EICASH IDCHECK 0 VISA Q MC
CARD #:
DATE:
SUBTOTAL
it-, DU
PROCESSING FEE
535.00 ,,-
EXPIRES.
TOTALPERMIT FEE DUE:
AUTHORIZED SIGNATURE:
•d‘„
SO°line
40,,Valley
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Devefopment Department
BuffdingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
/\ Permit Use: •
Project Address: 367 X51 1gt t-l�t,%
Owner: NO— f tifi-7( C!C. L s
Mailing Address:R-�
Phone (Daytime Contact):
Contractor. /6/ (A;
Mailing Address: �' C� L0
License #:
City State Zip Code
04.1. 35 2-2- Phone #: 47" C
'20l
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
*OF TOTAL
UNITS X COST AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X $6.00 =
2
URINALS
X • S6.00
3
TUBS
X *8.00 =
4
SHOWERS (PER TRAP)
BATH, STALL, ONSRE BUILT
X *6.00
5
SINKS
LAVSIBASINS, BARFLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR. PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X 56.00
6
DISHWASHER
X *6.00
7
CLOTHES WASHER
X 56.00 =
8
GARBAGE DISPOSAL
X $6.00 = •
9
WATER SOFTENER
X *6.00 =
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X $6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,.
CONDENSATE
X $6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X 58.00
13
FOUNTAINS, DRINKING
X *6.00 =
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTER/61ON,
REPAIR, REVERSALS
X $6.00 =
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X *8.00
16
WATER !)SING DEVICE
ICE AN/OR COFFEE MAKER
HOSE BIB, STEAMER, PROOFER
CARBONATOR, SWAMP COOLER
X 56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK '
VALVE, ANDRP.B.P.D. FOR:
VATS, TANKS, BOILERS
'.
X
*6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
*6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
*8.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=•
METHOD OF PAYMENT:
SUBTOTAL
0 CASH 0 CHECK 0 VISA Q MASTERCARD
PROCESSING FEE
$35.00
DATE EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: