2008, 11-07 Permit Apps 08004425 Fans, Plumbing FixturesSpokane
�`vaile.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial IT Residential
SITE ADDRESS: i t121 L F Cg..i,'aN
Building Owner
Name: Tossrit n
Phone: (20 )310-c3C 1
Fax:
Address: ittil I. 6444
City: S421c4A/E 1%kU/.y
State: '�1m
Zip:
2/b
Contractor
Name: G0044 0E4111(
Phone: 3 3 `- 952 �S
5
3 Fax: 533
- v329
Address: p 0 x �`! ��
City: spy, �f
State: b✓
Zip:
9,270
/Y
License No:
City BusinesssLic:
Contact
Name: `CZJt) M
c�
qILap_ Phone: 0 -)310-6431
1
2
DESCRIPTION OF WORK ,
# OF UNITS
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
$12.00
FUEL BURNING APPLIANCE
More than 100,000
$15.00
3
4
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
More than 400,000
$50.00
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
$50.00
6
7
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
More than 400,000
1 - 100M BTU
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501-1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
$60.00
12
GAS LOG, GAS INSERT. GAS FIREPLACE
$10.00
13
RANGE
S10.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
$10.00
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
$1.00
$10.00
19
VENTILATING FANS
$10.00
20
21
22
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
$12.00
$15.00
$10.00
23
TYPE I HOOD
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
$50.00
X
$10.00
$12.00
26
AIR CONDITIONER
4-15 TON
$20.00
27
AIR CONDITIONER
15-30 TON
$25.00
28
AIR CONDITIONER
30-50 TON
$35.00
29
AIR CONDITIONER
More than 50 TON
$60.00
30
LPG STORAGE TANK
$10.00
31
WOOD OR PELLET STOVE/INSERT
$10.00
32
33
34
WOOD STOVE - FREE STANDING
$25.00
REPAIR & ADDITIONS
$15.00
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR - RESIDENCE
$19.00
37
INCINERATOR - COMMERCIAL
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
®,SUa11ey
r
Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development uninv.sookanevallev.ort
Plumbing Permit Application
Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: l t121, F C2Qv.of
Building Owner -
Name: . o% M)L1C?Z
Phone:/2v�.�31U' 62,0 i
ll)O4
Fax:
Address: (42,I ( („201,44
City:
C rve-, Vl1Ga`i
State: •
IniA
Zip: 92/6
Contractor
...
Name: (rQa yAI
Phone: 535'59Nc
Fax: ,535„, sc,
Address: 5� ZH e �Lti 0 __ _4v
City: SP;12d.n/>'
State: ivfl
Zip: 9fliz
License No:
City Business Lic:
Contact
-
Name: T0') MIL.bta.
Phone: aoa)3/U:Q'oI
DESCRIPTION OF WORK
i1 OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET. BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
5
SHOWERS (PER TRAP)
SINKS
BATH. STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
Z
X
X
$6.00
$6.00
•C0
IZ.o0
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS. SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW 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
20
21
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
NITROUS. OXYGEN
,v5,nLt. t4yt Vic .T p4R- l4kohey
sat I
X
X
X
$6.00
$6.00
$20.00
4:- CIO
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535,00
TOTAL PERMIT FEE DUE: