2005, 08-09 Permit App 05002826 Mechanical FixturesMECHANICAARMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-003?
For Inspections, CaII (509) 688-0054
Project Address: etZI-1 EAg r 77IZ04:
Owner. IL R. .
Mailing Address: \t Nit/ A
Contractor. Sim
Mailing Address:
Permit Use: ',Fa -
Phone (Daytime Contact): �cr -ifli . ZZ&+IS
aroL.. t 4.74 99GoS'
u�ut� JG+Zv. GA LA �5�1 of License #: N%4 tkul: DV Phone #: 9 -' - 40
Community Development Department
0
Building Division
1707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
5 Z„ V (10
City State Zip Code
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 - __
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 (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
S100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 5D0M 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
2-
x
$10.00
=
lC) d
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
GAS PIPING (each outlet)
3
X
$1.00
=
Z 12-917
3
18
DUCT SYSTEMS
.3
X
$10.00
=
3O "'
19
VENTILATING FANS
II
X
$10.00
=
4/0
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.0D
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.0D
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
/
X
$20.00
=
Zd 4.
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
$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:
❑ CASH 0 CHECK ❑ VISA 0 MC
CARD
DATE:
SUBTOTAL
`Z,5' Dd
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
1f0
AUTHORIZED SIGNATURE:
•
Project Number: 05002826 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 1 FURNACE, 2 WTR HTRS, 3 PIPE,3 DUCT SYS,4
VENT FAN,1 A/C, 2 DRYER
Setbacks: Front
Site Information:
Left: Right: Rear:
Plat Key: Name: HUTCHINSONS ADD
Parcel Ntunber: 45183.0127 Block:
SiteAddress: 8120 E BROADWAY AVE
Location:: CSV
it: 8/9/2005 Page 1 of 2
Contact: INLAND EMPIRE RESIDENTIAL RESO
Address: 116 W INDIANA AVE
C - S - Z: SPOKANE, WA 99205
Phone: (509) 789-2245
Group Name:
Project Name:
r
Lot:
District: Nort
Owner: Name: INLAND EMPIRE RESIDENTIAL R
Address: 116 W INDIANA AVE
SPOKANE, WA 99205
Zoning: UR-3.5 Urban Residential 3.5
Water District: 005 HUTCHINSON Hold: El
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 60
Nbr of Bldgs: 0
Review Information:
Review
Plan Review
Nbr of Dwellings: 0
EF,,g4.AU
Permits: 3,..,:iczzi..:ig&-.,.'.'Ltftie..VV.,**..-AAMt.a'tgff.N,gV:Q;i:oKr.7a4Vza
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
PROCESSING FEE
7...."17,',SNMEtTATIVEMONSigigAVIN,Mie ItiN3411:11*.15.Y. +41.4,144*.t4r:r4MPANindffit
Released By:
Mechanical Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Units Unit Desc
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 SELECT
Permit Total Fees:
Fee Amount
$30.00
$20.00
$12.00
$3.00
$20.00
$30.00
$20.00
$10.00
$35.00
$180.00
Operator: DMD Printed By: DMD
Print Date:
8/9/2005
Project Number: 05002826
Notes:
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Inv: 1
Fee Amount Invoice Amount
Mechanical Permit $180.00 $180.00
$180.00 $180.00
ate: 8/9/2005 Page 2 of 2
Amount Paid Amount Owing
$0.00 $180.00
$0.00 $180.00
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 of laws 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: 8/9/2005