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2008, 06-03 Permit App: 08002093 Mechanical FixturesjW1eyy• Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www spokanevallev orQ C"S' -'q 0(3 PERMIT NUMBER: PERMIT FEE: Community Development Mechanical Permit Application ❑ Commercial Residential SITE ADDRESS: \,A VL W sj I Y Z)C I U Q - Building Owner t DESCRIPTION OF WORK Name: Phone: Fax: Address: 'S Ci State: Zip: v b Contractor 2 FUEL BURNING APPLIANCE Name: h 1 n12 Phone: (OS $ Fax: Ci Address: � City 1 State: Zip: $. Y License No: { `gyp NTH .L �O City usiness Lic: F�1' (o O ) 51-A 7 Contact QY r More than 400,000 X Name: Phone: USED APPLIANCE SEC min. AFUE rating) DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE Additional Fee Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE Additional Fee More than 400,000 X $100.00 = 5 USED APPLIANCE SEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE SEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE I X $10.00 = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING each outlet X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 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 0-3 TON X $12.00 = 26 AIR CONDITIONER 4-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: []CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: Effective 10-28-07 SUBTOTAL EXPIRES: PROCESSING FEE $35.00 VIN: TOTAL PERMIT FEE DUE: P:\Community DevelopmentWorms\Building fo-sWechanical Permit A.pplication.doc LOOK up a l.Ontractor, MULA WUll Ul rluuiUU,i LlVl 11JN 1111 11 Topic Index Contact Info Search Home .6. Safety Claims a insurance Workplace Rights Trades 8 Licensing Find a Law or Rule Get a Form or Publication' Look Up a Contractor, Electrician or Plumber Printer Friendly Version Genera [/Specialty Contractor A business registered as a construction contractor with L81 to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. s License Information License HIGHTH1061 NN Licensee Name HIGH TECH HEATING/COOLING INC Licensee Type CONSTRUCTION CONTRACTOR 601561737 Verify Workers Comp Premium UBI Status Ind. Ins. Account Id Business Type CORPORATION Address 1 5803 PRESLEY RD Address 2 City COEUR D'ALENE County OUT OF STATE State ID Zip 83814 Phone 2087659355 Status ACTIVE Specialty 1 HTG/VENT/AIR CONDITIONING Specialty 2 UNUSED Effective Date 8/15/1994 Expiration Date 2/27/2010 Suspend Date Separation Date Parent Company Previous License IPADCO"'1170A Next License Associated License Business Owner Information Name Role Effective Date DUTOIT, PATRICIA A 01/01/1980 SAFFEELS, JOHN 01/01/1980 SAFFEELS, SHERRY 01/01/1980 Bond Information Bond I Bond Expiration Date Help https://fortress.wa.gov/lnilbbip/Detail.aspx?License=HIGHTHI06INN 6/3/2008 Look Up a Loniractor, rieclnciau,r vi r1u,11ucl —k-11— Ll Lull 'Savings Information No Matching Information Insurance Information g Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date NATIONWIDE Until #2 CBIC WA8713 02/25/2002 Cancelled $6,000.00 02/27/2002' #1 CBIC WA8713 07/21/1994 02/25/2002 $4,000.00 02/15/2008 'Savings Information No Matching Information Insurance Information g Summons / Complaints Information No Matching Information Start a New Search Printer Friendly Version About LEH I Find a job at L£tl I Informacion en espanol ( Site Feedback 1 1-800-547-8367 NflA `D Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the state of Washington. Access Agreement I Privacy and security statement I Intended Uselexternat content policy I Staff only link Visit access.wa.gov https://fortress.wa.gov/lni/bbip/Detail.aspx?License=HIGHTHI06INN 6/3/2008 Company Effective Expiration Cancel Impaired Received k Insurance Name Policy Number Date Date Date Date Amount Date NATIONWIDE MUTUAL INS 412 CO ACP7570636464 02/25/2007 02/25/2009 $1,000,000.00 02/15/2008 NATIONWIDE 1711 INS CO ACP7560636464 02/25/2006 02/25/2007 $1,000,000.00 02/07/2006' NATIONWIDE 410 INS CO ACP7550636464 02/25/2005 02/25/2006 $1,000,000.00 05/02/2005 1 NATIONWIDE INSURANCE #9 CO ACP7540636464 02/25/2004 02/25/2006 $1,000,000.00 02/23/2005 NATIONWIDE P#8 INS CO ACP7530636464 02/25/2003 02/25/2004 $1,000,000.00 02/20/2003 NATIONWIDE 47 INS CO ACP7520636464 02/25/2002 02/25/2003 02/06/2002 ALLIED #6 MUTUALINS ACP7510636464 02/25/2001 02/25/2002 02/26/2001' ALLIED GROUPINS 1#5 CO ACP7500636464 02/25/2000 02/25/2001 GREAT =#4 AMERICAN PAC9013837 02/25/1997 02/25/2000 TRINITY INS 43 CO TM4983210 02/25/1996 02/25/1997 #2 TRINITY TM498321001 02/25/1995 02/25/1997 1#1 TRINITY TM498321000 02/25/1994 02/25/1995 Summons / Complaints Information No Matching Information Start a New Search Printer Friendly Version About LEH I Find a job at L£tl I Informacion en espanol ( Site Feedback 1 1-800-547-8367 NflA `D Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the state of Washington. Access Agreement I Privacy and security statement I Intended Uselexternat content policy I Staff only link Visit access.wa.gov https://fortress.wa.gov/lni/bbip/Detail.aspx?License=HIGHTHI06INN 6/3/2008