2006, 01-10 Permit App: 06000081 Mechanical Fixtures01/10/2006 15:42 5094848332 HKHLAI1NU 1- -
Permit Center
,,,,. „ ��.�_ 11707 E. Spra�n.te Ave.. Suite 106
S,p0kanle Spokane Valley, WA 99206
J,��� � (509)688-0036 FAX: (509)688-0037
V ,�. lI_r m_ PERMIT NUMBER:
Community Development IPERMIT FEF.:
Mechanical Permit Application CI Commercial ❑ Residential
SITE ADDRESS 13004 E. 28th Ave. Spokane Val ey, WA 99216
Building owner:
Name: Craig Stelling
I'hone: 922-5931
Fax:
Address: 13004 E. 28th Ave.
City: Spokane Valley State: WA
Zip:
99212
Contractor: R & R Heating & A/C, Inc.
Name:
I phone: 484-1405
Fax: 484-8332
Address: 4019 E. Central Ave.
City: Spokane
State: WA
Zip:
99217
License No: RRHE_AA'106BW
City Business License No:
DESCRIPTION OF WORK
# OF UNITS X
COST = TOTAL AMOUNT
1 FUEL BURNING APLIANCE
Equal to or less than 100,000
1 X
12.00 =
12.00
2 FUEL BURNING APLIANCE
Mo e than 100,000
X
15.00 =
0.00
3 UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
50.00 =
0.00
4 UNL15TED APPLIANCE (Additional Fee)
Mo •e than 400,000
X
100.00 =
0.00
5 USED APPLIANCE (WSEC's min. AFUE rating)
Equal to or less than 400,000
X
50.00 =
0.00
6 USED APPLIANCE (WSEC's min. AFUE rating)
Mo -e than 400,000
X
100.00 =
0.00
7 BOILER/REFRIGERATION
1-100M BTU
X
12.00 =
0.00
6 BOILER/REFRIGERATION
1 )1-500M BTU
X
20.00 =
0,00
9 BOILER/REFRIGERATION
501-1,000M BTU
X
25.00 =
0.00
10 BOILERIREFRIGERATION
1,0)1-1,750M BTU
X
35.00 =
0.00
11 BOILER/REFRIGERATION
More than 1,750M BTU
X
60.00 =
0.00
12 GAS LOG, GAS INSERT, GAS FIREPLACE
X
10.00 =
0.00
13 RANGE
X
10.CO =
0.00
14 DRYER
X
10.00 =
0.00
15 JFLJEL BURING WATER HEATER
X
10.00 =
0.00
16 MIS. FUELBURNING APPLIANCE
X
10.00 =
0.00
_
17 GAS PIPING (each unit)
X
1.00 =
0.00
18 DUCT SYSTEM
X
10.00 =
0.00
19 VENTILATING FANS
X
10.00 =
0.00
20 AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,0000 CFM
X
12.00 =
0.00
21 AIR HANDLER (DOES NOT include ducting)
Greatw than 10,000 CFM
X
15.00 =
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 IHEATPUMPIAIR CONDITIONER
0-3 TON
1 X
12.00 =
12.00
26 JAIR CONDITIONER
3-15 TON
X
20.00 =
0.00
27 AIR CONDITIONER
15-30 TON
X
25.00 =
0.00
26 AIR CONDITIONER
_
30-50 TON
X
35,00 =
0.00
29 AIR CONDITIONER
More than 50 TON
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 STOVE7 - FREE STANDING
X
25.00 =
0.00
33 REPAIR & ADDITIONS
X
15.00 =
0.00
34 VENTILATION SYSTEMS
X
12.00 =
0.00
35 VENTILATION MECHANICAL EXHAUST
X
12.00. =
0.00
36 INCINERATOR - RESIDENCE
X
=
O.CO
37 INCINERATOR -COMMERCIAL
X
_18.00
22.00 =
_
OM
_
METHOD OF PAYMENT: /
❑ CASH ❑ CHECK ❑ VISA ❑ MC DATE: �� �C �C
CARD #: ON FILE EXPIRES: 0606
Authorized Signature: u/ � vv��Y�*Ci
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
24.CO
35 C0
59.00
JAN 10 2006 16:02 5094848332 PAGE.01