2004, 11-05 Permit App 04009026 Fireplace & PipingProject Address:
Owner: lay
Mailing Address:
Contractor: _
Mailing Address:
MECHANICAL PERMIT APPLICA `TON
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
o q _q02(jo
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Phone #:
AUTHORIZED
DESCRIPTION OF WORK
NOF 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 10D,000
X
$15.00
=
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,01)0
X
$50 -OD
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00
=
5
USED APPLIANCE EC min. AFUE ratio
Equal to w leas Oren 400.000
X
$50.00
=
6
USED APPLIANCE WSEC min. AFUE ratio
More than 400 000
X
$100.00
=
7
BOILER/REFRIGERATION
1 -100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - WW BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 -1 000M BTU
X
$25.00
=
10
SOILERIREFRIGERATION
1,001 -1 750M BTU
X
$35.00
=
11
BOILERIREFRIGERATION
MOre than 1.750M BTU
X
$80.00
=
12
GAS LOG GAS INSERT GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
18
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING each outlet
/ X
$1.00
18
DUCT SYSTEMS
X
$10.OD
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER ES NOT include duc5
Equal to m less than 10,000 CFM
X 1
$12.00
=
21
AIR HANDLER ES NOT include ducting)
Greater than 10 000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$`-0
_
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
$12.00
=
28
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30.50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$00.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVEIINSERT
X
$10.00
=
32
WOOD STOVE -FREESTANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35VENTILATION
MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR -RESIDENCE
X
$19.00
37
1 INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK t] VISA ❑ MC
r'ARn a
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
AUTHORIZED
n
"7
Project Address:
Owner.
Mailing Address:
Contractor:
Mailing Address:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
City
License #:
Zip Code
Phone #:
um
BANKCARD NUM
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
S OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
-
3
TUBS
X
$6.00
_
4
SHOWERS PER TRAP
BATH STALL ONSITE BUILT
X
$6.00
=
5
SINKS
LAVSfBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
6
GARBAGE DISPOSAL
X
$6.0
-
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 DRAINSIOVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.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 r outlet
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
1 $15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
nA1 EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUM
AUTHORIZED SIGNATURE: