2007, 06-08 Permit App 07002188 Plumb & Mech FixturesPLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community evelopment Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: 12-503 C Oe 5nn tr?AVC Permit Use:
Owner. DAN 1 E (_ GOL-061ZAP7e Phone (Daytime Contact): .
Mailing Address: 1250-3 E OESM l 7 Avt- 5Po (<ANF- WALL^/ WA
Contractor. o w"C-k License #:
Mailing Address:
City
State
'7R - 6o9
99ZI6
Zip Code
Phone #:
BANKCARD
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
0 OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS PER TRAP
BATH STALL ON-SITE BUILT
X
$6.00
=
5
SINKS
IAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
1 $6.00
-
6•dO
7
CLOTHES WASHER
X
$6.00
-
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
$6.00
-
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
-
13
FOUNTAINS, DRINKING
X
1 $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
MEDICAL GAS r oude
NITROUS, OXYGEN
X
$6.00
-
20 1
MISCELLANEOUS PLUMBING
FIXTURE
X
$6,00
-
21
PRNATE SEWAGE DISPOSAUSYS
X
$20.00
-
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
-
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
LATE: EXPIRES: I
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD
AUTHORIZED SIGNATURE:
a� MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
` For Inspections, Call (509) 688-0054
Project Address:
Owner:
Mailing Address:
Contractor: _
Mailing Address:
EA
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 100,000
X
$12.00 -
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 -
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 -
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
BOILER/REFRIGERATION
101 -500M BTU
X
$20.00 -
9
BOILER/REFRIGERATION
501 • 1,000M BTU
X
$25.00 -
10
1 BOILER/REFRIGERATION
1,001 -1,750M BTU
X
$35.00 -
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 -
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00 -
13
RANGE
X
$10.00 -
14
DRYER
X
$10.00 -
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
1 MISC. FUEL BURNING APPLIANCE
x
$10.00 -
17
GAS PIPING each outlet
X
$1.00 -
18
DUCT SYSTEMS
X
$10.00 -
19
VENTILATING FANS
X
$10.00 -
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 -
21
AIR HANDLER IDOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 -
22
EVAPORATIVE COOLERS
X 1
$10.00 -
23
1 TYPE HOOD
X
$50.D0 -
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 -
26
AIR CONDITIONER
3.15 TON
X
$20.00 -
27
AIR CONDITIONER
15-30 TON
X
$25.00 -
28
AIR CONDITIONER
30-50 TON
X
$35.00 -
29
AIR CONDITIONER
More than 50 TON
X 1
$60.00 -
30
LPG STORAGE TANK
X
$10.00 -
31
1 WOOD OR PELLET STOVE/INSERT
X
$10.00 -
32
WOOD STOVE - FREESTANDING
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
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00 -
METHOD OF PAYMENT:
I] CASH [I CHECK ❑ VISA ❑ MC
CARD x
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE'
MECHANICAL PERMIT APPLICATION Community Development Department
�� Building Division
ul'v"°
-+ Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
.iilIiiilliFwFor Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Address:
2503
✓; pe--5/tir7' Aver'Permit
Use:
Owner: VA
r ��
1 -�r�
Phone (Day
'7Ilq Mf UALt,E�
Mailing Address:
125 o 3
CD�'iM1.r% A r'ti
=
Contractor: 0 W/�'t-yL License #:
Mailing Address:
Phone #:
AUTHORIZED SIGNATURE.
DESCRIPTION OF WORK
• OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less Than 100,000
X
$1200
=
2
FUEL BURNING APPLIANCE
More than 100.000
X
515.00
=
3
UNLISTED APPLIANCE AddiOonal Fee
Equal to or less man 400,000
X
550.00
=
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$10000
=
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or less man 400,000
%
$50.00
=
6
USED APPLIANCE CWSEC min. AFUE ratio
More than 400,000
X
$10000
=
7
BOILER/REFRIGERATION
1.100MBTU
X
$1200
=
8
BOILERIREFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILERMEFRIGERATION
501 - 1,000M BTU
X
425.00
=
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
$35.00
=
11
BOILEIUREFRIGERATION
More than 1,750M BTU
X
$6000
=
12
GAS LOG, GAS INSERT. GAS FIREPLACE
%
910.00
=
13
RANGE
X
$1000
=
14
DRYER
X
910.00 =
15
FUEL BURNING WATER HEATER
X
910.00 =
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING each outlet
X
51.00 =
18
DUCT SYSTEMS
X
$1000 =
19ffHANDLER
ANS
X
910. DO
20DOES
NOT include ductin
E ual to or less man 10,000 CFM
X
912. DO21DOES
NOT include duchn
Greater than 10,000 CFM
X
9150022COOLERS
X
9100023
X
950 DO =
24
TYPE 11 HOOD
X
910.00 =
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
912.00 =
26
AIR CONDITIONER
3-15 TON
X
$20.00 =
27
AIR CONDITIONER
15-30 TON
X
$2500 =
2a
AIR CONDITIONER
30-50 TON
% 1
935.00 =
29
AIR CONDITIONER
More than 50 TON
X
$60.00 =
30
LPG STORAGE TANK
X
$10.00 =
31
WOOD OR PELLET STOVEIINSERT
X
$1000 =
32
WOOD STOVE - FREE STANDING
X
$25 DO =
33
REPAIR i ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
912.00
35
VENTILATION MECHANICAL EXHAUST
X
$72.00
36
INCINERATOR—RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
0 CASH Q CHECK ❑ VISA ❑ MC
DATE
EXPIRES
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
535.00
_
AUTHORIZED SIGNATURE.
eke
4;00 .
Project Address
Owner:
Mailing Address
Contractor:
Mailing Address:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
City State
License #:
Cry
Zip Code
Phone #:
BANKCARD NUMB
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
-
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
-
2
URINALS
X
$600
-
3
TUBS
X
$6.00
-
4
SHOWERS PER TRAP
BATH, STALL ONSITE BUILT
X
$600
-
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
1 $6.00
-
7
CLOTHES WASHER
X
$6 DO
=
8
GARBAGE DISPOSAL
X
$600
=
9
WATER SOFTENER
X
$600
-
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$600
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$600
-
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$600
-
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
MEDICAL GAS r outlet
NITROUS, OXYGEN
X
$6.00
-
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
-
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
'
22
INDUSTRIAL WASTE
INTERCEPTOR
X
f15.00
=
METHOD OF PAYMENT:
❑ CASH ❑CHECK [IVISA ❑ MASTERCARD
DATE: EXPIRES.
SUBTOTAL
PROCESSING FEE
f35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMB
AUTHORIZED SIGNATURE: