2008, 06-25 Permit App 08002410 Mechanical FixturesSpo`
leyt
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
n Commercial
PERMIT NUMBERS -94 I (>
PERMIT FEE:
s--
Residential
SITE ADDRESS: L/rl c L(
-5
Building Owner
Name:
>.,95on�
0vc OS6e 2
Phone: Fax:
Address: 30 Z
S. V l {/) I,
C►ty,� k , State:
/ f }-
1
Zip:
Contractor
j
(
Name: /Jfito
gel, 7/N G
Phone: 13 - / -2() Fax:
Address: 3z//
S hi/6/f D%Z
City: s{7�%L/i tlG State:
�-
Zip: GjGz
License No: �,�{
/ i9 CO /}%�g�!$3
City Business Lie: C j 7 5-Z / j $
Contact
Name: Rlel .3-.0
C',4 �t,/Y/ L C-
Phone: / / 7l%
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
/
$12.00
$15.00
3
4
5
6
7
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or Tess than 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
$50.00
$100.00
$50.00
$100.00
S12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$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
$10.00
14
15
DRYER
FUEL BURNING WATER HEATER
$10.00
$10.00
/d
16
17
18
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
$10.00
$1.00
$10.00
'
u/
19
20
21
22
VENTILATING FANS
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
$10.00
$12.00
$15.00
$10.00
..3U
23
TYPE I HOOD
$50.00
24
TYPE II HOOD
$10.00
25
26
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
4-15 TON
l
X
X
$12.00
$20.00
fZ'
27
AIR CONDITIONER
15-30 TON
X
$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
WOOD STOVE - FREE STANDING
$25.00
33
REPAIR & ADDITIONS
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR - RESIDENCE
$19.00
37
INCINERATOR - COMMERCIAL
$22.00
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00f
J>'
Effective 10-28-07
P:1Community Development\Forms\Building for \Mechanical Permit Application.doc
- Sri&an
�Valley-
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.spokanevalley.org
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 2O i
Building Owner 5:6150 j 0 vG/z Nos 6E2
Name:
Phone: Fax:
Address: -30 L h t ! I.)
City: S L NG State: 41/4--
Zip:
Contractor
Name: /J J 0 �E4-7/ v L
Phone: Fax:
Address: 3z /i S /,i, Cuff (>,2_
City: SPosCiQ/410- State: kj4--
Zip: ofCl7._,;,3
License No: /4.4u/. A9 530 D
City Business Lic: L o7s z / 5b,
Contact
Name: 1 8,A.) C,/}-I,vl r'3E 1. 4
Phone: `7 3 5 - // 76/
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
$12.00
$15.00
3
4
5
6
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
$50.00
$100.00
$50.00
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$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
$10.00
/0
14
15
DRYER
FUEL BURNING WATER HEATER
r
$10.00
$10.00
/0
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
$1.00
$10.00
I0
19
VENTILATING FANS
3
$10.00
-?n
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
$50.00
24
TYPE II HOOD
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
1
$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
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR - RESIDENCE
$19.00
37
INCINERATOR - COMMERCIAL
522.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA 24
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
IZd
Effective 10-28-07
P:\Community Dcvclopmcnt\Forms\Building forms\Mechanical Permit Application.doc