2005, 07-12 Permit App 05005022 Plumbing & Mech FixturesSkae
! wky
J
Project Address:
Owner. R -QA,
Mailing Address:,
Contractor:
Mailing Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
732 y 4- Z vel. d Aee-
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 1,06
Spokane Valley, WA 99206
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
9 O UNITS
X
COST = TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
12.01 =
2
FUEL BURNING APPLIANCE
More than 100,0130
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 40D,000
X
$100.00 =
5
USED APPLIANCE SEC min. AFUE ratinal
E ual to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X
$100.00 -
7
BOILERIREFRIGERATION
1-ioOM BTU
X
$12 -OD -
e
BOILERlREFRIGERATION
101 - 500M BTU
X
$20.00 -
9
BOILERIREFRIGERATION
501 -1 ODOM BTU
X
$25.00 -
10
BOILERIREFRIGERATION
- 1,001 -1 750M BTU
X
$35.DO -
11
BOILERIREFRIGERATION
More than 1,750M BTU
X
$60.00 -
12
GAS LOG GAS INSERT GAS FIREPLACE
X
$10.00 1-
13
RANGE
X
$10.00 -
14
DRYER
X
$10.00 -
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
MISC. FUEL BURNING APPLIANCE
X
$1 D.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 DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 -
22
EVAPORATIVE COOLERS
X
$10.00 -
23
TYPE I HOOD
X
$50.00 -
24
TYPE II HOOD
X
$10.00 -
25
HEAT PUMP/AIR CONDITIONER
OJ TON
X
$12.00 -
26
AIR CONDITIONER
3.15 TON
X
$21.00 -
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
$60.OD -
30
LPG STORAGE TANK
X
$10.00 -
31
32
33
34
34
35
36
WOOD OR PELLET STOVEANSERT
WOOD STOVE - FREE STANDING
REPAIR 8 ADDITIONS
VENTILATION SYSTEMS
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN 43S
X
X
X
X
X
X
$10.00
$25.00
$75.00
$12.00
$12.00
$19.00
37
INCINERATOR -COMMERCIAL
X
$22.00 -
METHOD OF PAYMENT:
❑ CASH ❑ CHECK !rJVISA ❑ MC
CARD P.
7 121605 SUBTOTAL
DATE: _ PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION Community Development Department
Building Division
�ne Phone: (509) 688-0036; FAX: (509) 688-0037 1 7 E. Sprague Avenue, Suite 106
11111lowky For Inspections, Call (509) 688-0054 OD Spokane Valley, WA 99206
Guc�i o� /�yL
Project Address: / L Permit Use:
Owner li-e-C2eysI=401"Nhone(Daytime ontact): �iUo 79304102
Mailing Address: / D / � .W✓1�,41 e
/� }— / City % State Zip Code
Contractor �YY'e-1/ e 41e LL Gticense #[Y�� x-239 Phone #: 5-p9
MailingA dress: /1020 E ZNra %�2Ly�%��� � "� .579m -G
BANKCARD NUMBER:_
AUTHORIZED SIGNATURE:
REDA AEu
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.DD
-
2
URINALS
'��
X
$6DD
-
3
TUBS
2
X
$6.00
-
4
SHOWERS PER TRAP
BATH, STALL, ONSITE BUILT
2
X
$6.00
-
LAVS/BASINS, BAR, FLOOR KITCHEN,
5
SINKS
LAUNDRY, UTILITY, JANITOR, PHOTO,
X
$6.0D
=
X-RAY, FOOD, PREP/CULINARY MEAT
8
1 DISHWASHER
X
I $6.D0
I -
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
$6.0D
-
ROOF DRAINS/OVERFLOW
12
DRAINS
X
$&00
-
13
FOUNTAINS, DRINKING
X
$6.00
-
WATER PIPING/DRAIN-IN WASTE,
NSTALLATION, ALTERATION, REPAIR
14
VENT PLUMBING, REVERSAL
REVERSALS
X
$6.00
-
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
-
ICE AN/OR COFFEE MAKER, HOSE BIB,
16
WATER USING DEVICE
STEAMER
2
X
$6.00
=
PROOFER, CARBONATOR, SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
17
CROSS CONNECTION DEVICE
AND R.P.B.P.D. FOR: VATS, TANKS BOILERS
X
$6.00
-
GREASE TRAP, SAND TRAP,
18
INTERCEPTORS
CHEMICAL HOLDING TANK
X
$6.00
-
19
MEDICAL GAS (per outlet)
NITROUS OXYGEN
X
$6.00
-
MISCELLANEOUS PLUMBING
20
FIXTURE
X
$6.00
-
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
-
INDUSTRIAL WASTE
22
INTERCEPTOR
X
$15.00
-
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑ CASH [ICHECK P1'SA n MASTERCARO
$35.00
—
REDACTED
DATE: D EXPIRES: - I
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:_
AUTHORIZED SIGNATURE:
REDA AEu
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
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his site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
N bodies of q�ater, steep, �sI pes or of er critical areas.
SITE PLA /��\J 11�.II //�\)
Signed: D
Date: / `Z
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DATE
2-15-05
JOB NO.
0490 -JG
SHEET NO.
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GARAGE
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PROPOSED 720 SF
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111.27'
his site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
N bodies of q�ater, steep, �sI pes or of er critical areas.
SITE PLA /��\J 11�.II //�\)
Signed: D
Date: / `Z
ID REVISIONS
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DRAWN BY
CHECKED BY
OXT
DATE
2-15-05
JOB NO.
0490 -JG
SHEET NO.
C1