1991, 10-07 Permit: 91006552 Furnace, Piping SPOKANE COU3''ITY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91006552. ISSUED PERMIT DATE-: 10/07/91 PAGE=:: ,.,;
**************************** PERMIT INFORMATION ***•***** kr******** **** ***
SITE STREET= 15715 E" VALLEYWAY AVE PARCEL..4= 13543--0623
ADDRESS= SPOKANE WA 99206
PERMIT USE= (2)GAS FURNACE & PIPING
PLATO= 002756 PLAT NAME= VERA
BLOCK= LOT= ZONE= UR-3.5 DI ST.= �i F.
AREA=: F/A= F WIDTH= 180 DEPTH= 640 R/'W-:
4 OF BLDGS= 4 DWELLINGS= 1 - WATER DIST = VERA
OWNER= STREET, FRANK PHONE= 509 924 35.33
STREET= 15715 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TED MARTIN PHONE. NUMBER= 509 924 8088
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
.****** **•****ae**************** MECHANICAL.. PERMIT ******* x '********
CONTRACTOR= MARTIN SHEET METAL INC PHONE= 509 924 0888
STREET= 3808 N SULLIVAN RI) 103
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE:. Y 25.00
GAS HTG E UIP4100, 000}BTL! 2 24.00
GAS PIPING2. 2.00
******************************* PAYMENT SUMMARY ****•************** •xi•**** M•
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
10/07/91 7366 51 .00
TOTAL DUE= .00 TOTAL PAID== 51 x 00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
.0
ME:CF•IANICAL� E'F'kMT �'_..___..___.—.— __
5151 .00
1 n0
.00 .______� c .00_..__.___.____1 .___. _.___..__.____..__.._.._ __.____._____ . _
51 .00 51 .00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
*•r x*** **************•x********* THANK YOU ***** ***** • • **• •x*•x*b••*** ***• *
MECHANICAL PERMIT APPLIOATIbN FORM I/
i
Inforrr ::on Worksheet
JOB STREET ADDRESS: g I / 1/A Le-- Y
CITY/STATE/ZIP: VC K2 A j)/3-L 6 Cc 4 " - : PARCEL NUMBER:
OWNER: riz/4/4' c S'tF &&1 PHONE NUMBER: �. -'' 3 S-: 3
MAILING ADDRESS: c A/►,
(Street) (City/State) (Zip)
CONTRACTOR: MARTIN SHEET METAL INC. LICENSE NUMBER: MARTISM170KW
PHONE NUMBER:
MAILING ADDRESS: BLDG. 103 SPOKANE INDUSTRIAL PARK SPOKANE, WA 99216
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
W>`>'D IN ERT >` »>s>€> `> i ` > REEN-M»<<<BE 25.00...........................................................................................................................................
GAS WATER HEATER x 10.00 =
GAS EQUIPMENT<100 000 RTU{INCL1J ES :'::::: 2. x 12.00 = 2 4/
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
...........................................................................................................................................
HEAT PUMP &AJ.R:.CONDITIONER 0;3 TONS`:' ::;::::. x 12.00 =
............................................................................................................................................
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 =
...........................................................................................................................................
............................................................................................................................................
HEAT PUMP&AIR CONDITIONER 1:5. 30 TONS >' >ax 25.00 =
• HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
NEAT PUMP&AfR CONDITIONER+50 TONS . A_:;`` x•60.00 = : • . • .
VENTILATING FANS" . . •
• x 10.00 = • •
EVAPORATIVt COOLERS >:::: x 10.00 =
. '.TYPE I HND (PER 12' OR 12'.PTN. OF HOOD). . _ ..• • .- . x50.00..=.. • . .
ne .I : . . x10.00.- • -
CLOTHES DRYER • •• .. - x'10.00'= ' ' .
•
- _ G ...........�...:n.:::.:................... ,...:. ..::...,......._.... .x10:00
-.GAS LOG - x 10.00
MISCELt.ANEOUS(NOT COVERED ELSEW IERE <`:<`: x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
17 iNST : �GrAS ELr A CE.y4001t087U..:..,,,. •;:::;:.;>;:-::->t:
x100.00
USED APPLIANCE<400,000.BTU x 50.00 = .
x1 00.00=
AIR HANDLER<10,000 CFM x 12.00 =
:AI.R:fIAND:I431110 004>QFN[<> >> ><'>:>::.,,.,,::.,,.:;.:::,;.E:.::::.;.;.::::::.,,. x'15.00
SUBTOTAL $
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE _$ S/
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675