2008, 06-25 Permit App 08002409 Mechanical Fixturessp Okan e�
_fey.
Community Development
Mechanical Permit Application SITE ADDRESS: q� og r J t/ I
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
n Commercial
PERMIT NUMBER: Z 46C]
PERMIT FEE:
Residential
Building Owner
Name: J 77x0..t/ 0r /6/ / Jo,S ��
Phone: Fax:
Address: Soy �; r' 0
il...
City:
5Scji.6 c- State:
A-
Zip:
Contractor
4.1 Name: /,f/ H'E4_7j�G c 1 7..._
Phone: 5641 y 3 - //7O Fax:
Address: 3 Z // 5 /'.i / 6 F% Dr2 ( ve
City: State:
_
Zip: G7„,_3
License No: %.� 0 // H f-el 330
City Business Lic: GG7SZ I ��
Contact
Name:
Phone:
DESCRIPTION OF WORK
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
# OF UNITS
COST
= TOTAL AMOUNT
$12.00
$15.00
/Z
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 less 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
$12.00
8
BOI LER/RE FR I G ERATI O N
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
1
$10.00
/D
14
DRYER
$10.00
/G
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
X
x
$1.00
$10.00
r Ci
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
3
$10.00
$12.00
$15.00
$10.00
3d
23
TYPE I HOOD
$50.00
24
TYPE II HOOD
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
$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
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:
❑CASH ❑ CHECK ID VISA
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
0
$35.00
TOTAL PERMIT FEE DUE:
Effective 10-28-07
P:\Community Devclopment\Forms\Building forms\Mechanical Pcrmit Application.doc
Spokane
.jValle y-
Community Development
Mechanical Permit Application
SITE ADDRESS: 3c (o S r t)' v) D
J
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokancvallev.org,
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Building Owner
Name: •‘.1 SG A 01/P". Y/GS re
Phone:
Fax:
Address: 30 /O 5 p74U1 n
City. 5 R,/k4N6-
State: /4/4-
Zip:
Contractor
/� Name: l Lip `l e1_7/xi6
1+1
Phone: .. c./3C //74/
Fax:
Address: ZZ /r S �/ G� DR
City: 5f.)0i,e46-
State: u/4
Zip:
GfG�zo3
License No: ildpiii Amt.() / / 4 e ? 1)
City Business Lic: La? S z i 58
Contact
/�
Name: 6l2! 6 .9.44,) p/ C L
Phone: 1./. S - // 7 )
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 less 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
$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
14
RANGE
DRYER
1
1
X
$10.00
$10.00
/G
/U
15
FUEL BURNING WATER HEATER
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
18
19
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
/
/
X
X
x
$1.00
$10.00
$10.00
1
/ 0
36
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
X
X
X
$12.00
$15.00
$10.00
23
TYPE IHOOD
X
$50.00
24
TYPE II HOOD
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
$12.00
!Z
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
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:
❑CASH ❑ CHECK ❑ VISA MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Effective 10-28-07
P:\Community Dcvelopment\Forms\Building forms\Mechanical Permit Application.doe