2004, 09-30 Permit App BLD-04-07816 Gas PipingSfiaane
Project Ad
. 'Owner..
Mailing Address: J�
Contractor.
Mailing Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Cont`rnunity Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036;• Fax_ (509) 688-0037
FOR INSPECTIONS, . CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): S'`%I'`- 79/
City •
License*: Phone #: .
State . Zip Code
DESCRIPTION OF WORK
iFOF
UNITS
X
-
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100 000
X
515.00
=
t
EuEC8URNONGAPPLtari.'E
Morettran 100,000
X
579.00
=
3
UNUSTEDAPPLIANCE (Adddlonat 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 tooriessthan 400,000
X
550.66
=
6
USED APPLIANCE (WSEC min. AWE
rating)
Morethan400,000
X
S100.00
-
-
7
BOILER/REFRIGERATION
- 1 - SOOM BTU -
X
315.00
_
D
BON-ER/REFRIGERATION
101 - 500M BTU
X
526.00
=
9
BOILER/REFRIGERATION
561- 1,000M BTU
X
339.00
=
/
10
BOILER/REFRIGERATION
1 e01 -1750M BTU
X
$57.00
=
tt
Mocethart 1 750M BTU
X
545.00
BORER/REhttxutRALION
t2
GAS LOG, GAS INSERT, GAS FIREPLACE
_
_
X
510.00
=
13
RANGE
X
510.00
=
t4
DRYER
X
Stem
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
-
X
MOO.
=
11.J1
GAS PIPING (each outlet)
-
x
S1A0
=,
L -Ira
t8
DUCT SYSTEMS
Y51o.00
=
19
VENTILATING FANS
-
X
S10.o0
=
20
AIR HANDLER (DOES NOT include ducting)
• Equal to or less than 10,000 CFM
X
51200
=
21
AIR HANDLER( DOES NOT include ducting)
Greater than 10,000 CFM
X
$19.00
=
22
EVAPORATIVE COOLERS
- X
510.o0
=
23
TYPE HOOD
X
$50.00
=
24
TYPE It HOOD
X
$10.60
=
e 25
HEAT PUMPtAIR CONDITIONER '
03 TON
X
512.00
=
26
' AIRCONOrONER
3-15 TON
X
$20.00
=
27
AIRCONDtTIONEt
15-3OTDN
X
525.00
=
23
AIR CONDITIONER
30,50TON
_
X
$35.00
=
2s
AIR CONDITIONER
More Mar; 50 TON
X
$60.00
=
30
LPG STORAGE TANK
-
X
$10.00
=
' a1
WOOD OR PELLET STOVE/INSERT
X
- $10.00
=
32
X
325.00
=
WOODSTOVE- FREE STANDING
METHOD OF PAYMENT:
ElCASH 0 CHECK 0 VISA El MC
CARD ft
DATE.
SUBTOTAL
PROCESSING FEE
$35.00
EFPtRES'
TOTALPERMLT FEE DUE:
AUTHORIZED SIGNATURE:
C2t
Zip Code
„offiValley
Project Address:
Owner:
Mailing Address:
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
SuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688.0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):
Contractor. License #:
Mailing Address:
City
State
Phone #:
Zip Code
City
State
Zip Code
DESCRIP110N OF WORK
*OF
TOTAL
UNITS
X
COST
-
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
`
X
$6.00
=
2
URINALS
-
X
56.00
=
3
TUBS
-
X
$6.00
_
4
SHOWERS (FER TRAP)
BATH. STALL, ON -SITE BUILT
X
S6.00
=
5
SINKS
LAVSIBASINS, BAR FLOOR.
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY4MEAT
X
S600
=
6
DISHWASHER
_. ._..
_.
X
.- $6.00
=
7
CLOTHES WASHER
X
56.00
=
8
GARBAGE DISPOSAL
X - $6.00
=
9
WATER SOFTENER
X 56.00
=
10
ELECTRIC HOTWATER TANK
NOTE IF GAS SEE MECHANICAL
X $6.00
=
11
FLOOR DRAINS -
AREA, CASE, COIL TRENCH,
X 56.00
=
CONDENSATE
12
ROOF DRAINS/OVERFLOW DRAINS
, X . 56.00
=
13
FOUNTAINS DRINKING
X
I
56,00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
L INSTALLATION. 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 BM STEAMER, PROOFER.
CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKERGHECK
VALVE, ANDRP-BP,D. FOR:
VATS TANKS, BOILERS
X
$6.00
=
18
INTERCEP URS
GREASE TRAP, SAND TRAP,
• CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
- X
56.00
=
20
MISCELIANEOUS PLUMBING FIXTURE
X
56.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE EXPIRES
SUBTOTAL
PROCESSINGFEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARDNUMBER:
AUTHORIZED SIGNATURE: