2004, 10-21 Permit App BLD-04-08000 Convert to GasSforiane
.0,0Valley
Project Address:, w a r7
Owner.. O, 10
Mailing Address: 5 -r
-Contractor: 6s. rcl of h(e av4['cc,"
Mailing Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Corrirnunity Development Department
BuildirFgDivision
f1707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509,1 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, .CALL (509) 688-0054
Permit Use:
r C/^ Phone (Daytime/Contact): i "Cc/) �'92- -j '4-ti
7r ( ,Ties rriln R. %ice 117 0,7-
• City • State C . Zip Code
License #: Phone #: /14$-C2'
•
St
I
DESCRIPTION OF liVORK
,�`�G'C '
v,..f
UNITOFS
__
X
' CAST .:
QlC
TOTAL.
AMOUNT
.4
1
, FUEL BURNING APPLIANCE
Equal to or less than 100,000
/
X
S15_00
=
'
-`2--FlIEBURNINS-APPL-Alan.
1"4--,
3
UNLIS I tDRPPLIANCE (R&M:are( Fee)
Maretaar 101 000
X
$19110
=
I
Equal to- or less than 400,000
X
S50.00
=
4
UNLISTED APPLIANCE(Additional Fee)
' More than 400,000
X
, $100.00
-
5
USED APPLIANCE (WSEC min. AFUE .
Ong)
Equal to oriels than 400.0o0
X
' $50.00
6
USED APPLIANCE (WS-EC mint AFUE
rating)
More than 400,900
X
5100.00
=
7
BOLLER/REFRIGERATION
• 1 - LOOM BTU •
X
$15.00 I
_
8
BOXER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
. 9
BOILERIREFRIGERATION
501-1,000M BTU
X ,
$39.00
=
f
1b
BOILERIREFR1GERATION
1,001-1,750M.BTU
X
$57.00
=
' tt '
BOiLERfREFRLGERATION
More than 1,750M BTU
X
535.00
=
12
GAS -LOG, GAS INSERT, GAS FIREPLACE
•X
S10.00
=
t3
RANGE
X
S10.00
=
14 •
DRYER
X
510_00
=
15 I
FUEL BURNING WATER HEATER1
1
X
$10.00
16 l
MISC. FUEL BURNING APPLIANCE
X
$to o
=
f 17
GAS PIPING /each outlet)
`
�%
I
1 X
S1.00 I=l
^
� l.,
G
I
1 15 f
DUCT SYSTEMS
✓ \
X
- 510.00
=
19
VENTILATING FANS •
X
S1Qoo
= 1
20
AIR HANDLER (DOES NOT include ducting)
I E_gual to or less than 10.000 CFM
X
$1200
=
21
AIR HANDLER (DOES NOT include ducting)
Greater bran 10,0oo CFM
X
1
S19.0o
_
-
'
22
EVAPORATIVE COOLERS
' X
' $10.00
=
'
23
TYPE l HOOD•
X
S50.00
=
24
- TYPE It HOOD
X
$10.00
• _
25
HE ATPUMP/AIRCONDITIONER -
0-3 TON
'
. X
.
' $12.00 -
=
'
26
' AIR CONDITIONER
3-15 TON
• X
l 520.00
=
—7
A1Rti:ONDt'rIONER -
1
1-,3(FTON'
X
$25.00
25
AIR CONDEMNER
30 50 TON
t
X
$35.00
20 °
AIR CONDITIONER
More than 50 TON •
X
' 560.00
` _
30
• LPG STORAGE TANK
X
510,00
=•
• 3.1
WOOD OR PELLET STOVE/INSERT
X
S10.00
=
32 c
WOOD -STOVE- FREE STANDING
X
$25_00
=
METHOD -OF PAYMENT:
Ef CASH 0 CHECK CIVISA Q .MC
CARD #.
DATE:
SUBTOTAL
! CIO
PROCESSING FEE
535.00
EXPIRES.
• TOTALaER.'4t4T FEE DUE:
ip Code
AUTHORIZED SIGNATURE:
*lane
,'alley
Project Address:
Owner.
Mailing Address:
Contractor.
Mailing Address.
PLUMBING PERMIT APPLICATION
City of Spokane Vaffey Community Development Department
t uikfingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):
City
State Zip Code
License #: Phone #:
City
State
Zip Code
DESCRIPTION OF WORK
•
#OF.
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
- WATER CLOSET, BIDETS
X
36.00
_
, 2
URINALS
X
. 56.0o
=
3
TUBS
X
56.00
_
4
SHOWeRS rr€R TRAP)
BATH. STALL, ON -SITE BUILT
X
56.00
=
5
SINKS
-
LAVSBASINS, BAR:FLOOR,
IOTCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT -
'
-
X
ss oo
=
.
6
DISHWASHER
_
_
x
56.00
7
CLOTHES WASHER
,
X
56.00
=
6
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
?
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
4
" 56.00
(
=
12
ROOF DRAINS/OVERFLOW GRAINS
- '
.I
X S6A0 I = I
I
13
FOUNTAINS. DRINKING -1X
36.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION,ALTERAIDON,
REPAIR, REVERSALS
X
$6.00
-
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
36.00
_
=
16
WATER USING DEVICE
- ICE AN/OR COFFEE MAKER,
HOSE BB, STEAMER, PROOFER,
CARBONATOR. SWAMP COOLER
X
56.00
=
17
CROSS CONNECTION DEVICE'
VACUUMBREAKER,CHECK .
X
(
56.00
-
VALVE, AND RPBP.D. FOR:
VATS TANKS BOILERS
X
56.00
=
is
INTERctetURS ...
.. GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
19
MEDICAL PAS (peraufet)
NITROUS, OXYGEN
X
MOO
=
20
MISCELLANEOUS PLUMBING FIXTURE
-
-
X
36.00
=
METHOD OF PAYMENT -
Q CASH D CHECK El VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERM -FEE -DUE:
BANKCARD: NUMBER:
AUTHORIZED SIGNATURE: