2005, 07-22 Permit App: 05002494 AC 07/20/2005 15:48 5094841405 RR HEATING PAGE 02 ri
Mechanical Permit Application ,- - /1 Community Development Department
City of A • L1-)- L. ( Building Division
Spokane Phone: (509)688-0036: FAX: (509)688-003 11707 E. Sprague Ave., Suite 106
Valley
for Inspections, call (509)888-0054 ,) O Spokane Valley,WA 99206
i'
Project Address: 10905 E.26th Ave. Permit Use: }'
Owner: Randy Bases Phone(daytime contact): (509) 939-5082
Mailing Address: 10905 E. 26th Ave. Spokane Valley WA 99206
city state zip code Phone#: 484-1405 1
Contractor: R&R Heating &A/C, Inc. License#: RRHEAA`108BW {
Mailing Address: 4019 E. Central Ave. Spoykhane WA
99217
zio code
Description of Work
#units x Cost = Amount
- =
100000_
1 Fuel burning appliance equal to or less than , X 12.00
2 Fuel burning appliance more than 100.000 X 15.00 0.00
-
0.00
3 Unlisted appliance(additional charge) equal to or less than 400,000 X 50.00 = 0.00
more than 400,000 X 100,00 = 0.00
4 Unlisted appliance(additional charge) = 0.00
5 Used appliance(WSEC's min.AFUE rating) equal to or less than 400.000 X 50.00
6 Used appliance(WSEC's min.AFUE rating) more than 400,000 X 100.00 = 0.00
7 Boiler/refrigeration 1-100M BTU X 12.00 0.00 1
8 Boiler/refrigeration 101-500M BTU , X 20.00 = 0.00
9 Boiler/refrigeration 501-1,000M BTU X 25.000.00
00 - 0.00 �
10 Boiler/refrigeration 1,001-1,750M BTU X 35.
11 Boller/refrigeration +1,750M BTU X 80.00 -=
0.00
12 Gas log,gas insert,gas fireplace X 10.00 = 0.00
13 Range
X 10.00 = 0.00
0.00
14 Dryer X 10.00 =
15 Fuel burning water heater X 10.00 - 0.00
0,00= IE'
16 Miscellaneous fuel burning appliance X 10.00 = ,
17 Gas piping, (each outlet) X 1.00 = 0.00 1', i
18 Duct systems X 10.00 = 0.00 I
19 Ventilating fans
20 Air handler(does not include ducting) equal to or lees than 10,0000 CFM X -
12.00 0.00 i
15.00II
- 0.00 X
21 Air handler(does not include ducting) Greater than 10,000 CFM = 0.00
-
22 Evaporative coolers X 10.00 =
23 Type I hood X 50.00 - 0.00
24 Type II hoodX 10.00
25 Heat pump/air conditioner 0-3 ton 1 X 12.00 == 12.00 I
26 Air conditioner 3-15 ton X 20.000.00
1.
27 Air conditioner 15-30 ton X 25.00 = 0.00
28 Air conditioner 30-50 ton , X 35.00 = 0.00
29'Air conditioner more than 50 ton X 60.00 = 0.00 i'
30 LPG storage tank X 10.00 = 0.00
31 Wood or pellet stove/insert X 10.00 = 0.00
32 Wood stove-free standing X - 25.00 =
0.00
33 Repair&additions X 15.00 = 0.00
34 Ventilation systems - =
X 12.00 0.00
X 12.00 0.00
35 Ventilation mechanical exhaust =
36 Incinerator-residence - ~ 0.00 X 18.00 =
37 Incinerator-commercial X I 22.00 = 0.00
Method of payment: 0 Cash 0 Check 0 Visa 0 MasterCard Subtotal 12.00
1!
Card#: ON FILE Processing Fee35.00 I,
Date: Expires: Jun-06 Total Permit Fee Due: 47,00
Authorized Signature: 1
JUL 20 2005 17:02 5094841405 PAGE.02 1
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