2004, 12-16 Permit App 04009415 Plumbing FixturesI II
PLUMBING PERMIT APPLICATION_
DC Phone: (509) 688-0036; FAX: (509) 688-0037
geiVaIjeY For Inspections, CaII (509) 688-0054
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Cq °IL-t )s
Phone (Daytime Contact):
SPdl� r~ �i-
City State Zip Code
Contractor: -.2-/i J- 4 e1 2✓ J License #: r AJL'q.#1/E- Phone #: 9 y-S 6 Sy
Mailing Address: `/‘-, a ) SAT ( Z IPc)
Project Address: //Z 0 7 AS( Cc t--Oc6/
Owner: SAX- C cry*2 _ lb ^D 1
Mailing Address: //607 %�G`,Uc.)._)c
9
c- L.-cf(G C-) £'— Ci S V/
City
State Zip Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
P
X
S6.00
=
2
URINALS
X
56 00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH. STALL, ON -SITE BUILT
J
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY. FOOD. PREP/CULINARY MEAT
/
X
56.00
=
6
DISHWASHER
!
X
56.00
=
7
CLOTHES WASHER
X
56.00
=
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
56 00
=
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 81B,
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
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per 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
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Siam
_ "k
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
City
Con rector: License #:
Mail ng Address:
Project Address:
Owner:
Mail ng Address:
State
Phone #:
Zip Coce
Slate
Z Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512 00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
515. 00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400.000
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100 00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100 00
=
7
BOILERREFRIGERATION
1 - 100M BTU
X
512.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
$35 00
=
11
BOILER/REFRIGERATION
More Nan 1,750M BTU
X
$60 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510 00
=
13
RANGE
X
51000
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
X
510.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515.00
=
22
EVAPORATIVE COOLERS
X
51000
=
23
TYPE I HOOD
X
$50 00
=
24
TYPE II H000
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X
820.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR 8 ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR —RESIDENCE
X
519.00
=
37
INCINERATOR — COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
("ism x
SUBTOTAL
DATE:
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.