2004, 11-15 Permit App 04009079 Change Oil to GasProject Number: 04009079 Inv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Site Information:
Plat Key: 000000 Name: unknown District: G
Date: 11/15/2004 Page 1 of 2
Permit Use: CHANGE OIL TO GAS - FURNACE & PIPING Contact: SCHIMMELS, MIKE & CAROL
Address: 5713 S MOHAWK DR
C - S - Z: SPOKANE, WA 99206-8314
Setbacks: Front Left: Right: Rear: Phone: (509) 993-2249
Group Name:
Project Name:
Parcel Number: 55063.0203 Block:
SiteAddress: 3700 N FLORA RD
Location:: SPO
Zoning: I-2 Light Industrial
Water District 999 UNKNOWN
Area: 1,341.00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Plan Review
Lot:
Owner: Name: SCHIMMELS, MIKE & CAROL
Address: 5713 S MOHAWK DR
SPOKANE, WA 99206-8314
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Contractor: PJ'S PLUMBING & HEATING
Address: 14924 N SHADY SLOPE RD
SPOKANE, WA 99208
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
PROCESSING FEE
Mechanical Permit
Firm: PATRICK DELAPENA/PJ'S PLMB
Phone:
Units Unit Desc
1 NUMBER OF
1 # OF UNITS
1 SELECT
Permit Total Fees:
(509) 465-0681
Fee Amount
$12.00
$1.00
$35.00
$48.00
Operator: DMD Printed By: DMD
Print Date: 11/15/2004
Project Number: 04009079 Inv: I
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permit Type
Mechanical Permit
Fee Amount Invoice Amount
$48.00 $48.00
Amount Paid
$0.00
Date: 11/15/2004 Page 2 of 2
Amount Owing
$48.00
$48.00 $48.00 $0.00 $48.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions ()flaws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 11/15/2004
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Project Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
F-6 c'+-
Owner: < iL t?'; c v-1-11 1 k- ✓t c -rr rj M
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Contractor: 2 T '` (1-)G `z " l b
Mailing Address: i i' - Sri/a /.:t
City
License #: r.‘ 5 ?L t-k 7 K-Z'
State Zip Code
Phone#: c"a`f -6?s•Ci-
State
Zip Code
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
S100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
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
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
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 (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
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
$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
515.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
ElCASH 0 CHECK 0 VISA ❑ MC
("AM') #.
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
�J•
�% �i L�
AUTHORIZED SIGNATURE: