2005, 04-25 Permit App 05001319 Vent FanPLUMBING PERMIT APPLICATCON-
I x Phone: (509) 688-0036; FAX: (509) 688-0037
�Wky For Inspections, Call (509) 688-0054
Project Address: 12-503 C G C5 ✓ L7 A c
Owner. VA,J/E L
Mailing Address: i2-503 R vL<- 5(
City
Contractor. 61.v
Mailing Address:
(' _-� /' j 1 / _:"! 7
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
PermitUse: AEV,Rez'T f- R-00-1 cq
Phone (Daytime Contact): 57 - -3 ? - 3- y '{ Z
KA"Vt-
License #:
Phone #:
City State Zip Code
BANKCARD NU
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET BIDETS
X
$6.00
=
2
URINALS
X
$6.DD
-
3
TUBS
X
$6.00
-
4
SHOWERS PER
BATH STALL,ONSITE BUILT
X
$6.00
-
5
SINKS
LAVSBASINS, BAR, FLOOR KITCHEN,
LAUNDRY. UTILITY, JANITOR PHOTO.
X-RAY FOOD, PREP/CULINARY MEAT
X
$6.00
=
) _ CID
6
DISHWASHER
X
$6,00
-
7
CLOTHES WASHER
X
$6.01)
-
6 -LnD
8
GARBAGE DISPOSAL
X
$6.00
-
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
$S.DD
-
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
-
13
FOUNTAINS DRINKING
X
$6.DD
-
14
WATER PIPING/DRAIN-IN WASTE,
VENT PLUMBING REVERSAL
NSTALLATION, ALTERATION, REPAIR
REVERSALS
X
$6.DD
-
�' U
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.DD
=
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.DD
-
19
MEDICAL GAS outlet)
NITROUS OXYGEN
-
20
MISCELLANEOUS PLUMBING
FIXTURE
-
21
PRIVATE SEWAGE DISPOSAL/SYS
22
INDUSTRIAL WASTE
INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH1;y CHECK ❑VISA ❑ MASTERCARD
DATE I L/ -25 -Cs EXPIRES:
SUBTOTAL
2-`l -O't7
PROCESSING FEE
$15.00
TOTAL PERMIT FEE DUE:
Si-,�
BANKCARD NU
AUTHORIZED SIGNATURE:
Project Address:
Owner.
Mailing Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Contractor. License #:
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Phone #:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS X
COST TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,1300
X
$12.00 -
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 -
3
UNLISTED APPLIANCE AddiSonal Fee
Equal to or less than 4013 D00
X
$50.130 -
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 -
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00 -
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 -
8
BOILERIREFRIGERATION
101 - SODM BTU
X
$20.00 -
9
BOILER/REFRIGERATION
501-1,DODM BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00 -
11
BOILER/REFRIGERATION
More than 1.750M BTU
X
S60.D0 -
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.DD -
13
RANGE
X
$10.00 '
14
DRYER
X
510.00 '
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING each outlet
X
$1.0D -
18
DUCT SYSTEMS
X
$10.00 -
19
VENTILATING FANS
X
$10.00 -
20
AIR HANDLER DOES NOT include dude
Equal to or less than 10,000 CFM
X
$12.00 -
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00 -
23
TYPE HOOD
X
$50.00 -
24
TYPE II HOOD
X
$10.00 -
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 -
28
AIR CONDITIONER
3.15 TON
X
$2D.D0 -
27
AIR CONDITIONER
15-30 TON
X 1
$25.00 -
28
AIRCONDITIONER
30-50 TON
X
$35.00 -
29
AIR CONDITIONER
More than 5D TON
X
$60.00 -
30
LPG STORAGE TANK
X
$10.00 '
31
WOOD OR PELLET STOVE/INSERT
X
$10.00 -
32
WOOD STOVE - FREE STANDING
X
$25.00 '
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
579.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑ CASH O CHECK ❑ VISA ❑ MC
CARD #,
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE: io, . Qli
AUTHORIZED SIGNATURE: