2004, 09-02 Permit App BLD-04-07555 Plumbing Fixturesjne
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Project Address: � 4 •
Owner: S C-1 _
Mailing Address: 1 0 Jo
6 Cnll I`UC
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildrngDivision
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): 4 a<C- /4 a'/1
Contractor. C O.J,2CtE Co } License #:
Mailing Address t 3PIACDVE
City (uF C Ci{ (2 PState
Phone #
City
uLts
State
Zip Code
va, ga'Ll S-24(1(
qo
Zip Code
DESCRIPTION OF WORK
#OF
UNITS
X
=
TOTAL.
AMOUNT
COST
1
TOILETS
WATER CLOSET, BIDETS
I
X
$6.00
=
/!
v • aO
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
= .
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITEBUILT
i
X
$6.00
=
(9- Oa
5
SINKS
LAVS/BASINS, BAR, FLOOR
KITCHEN, LAUNDRY, UTILTLY,
JANITOR. PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
1
X
$6.00
=
/p� }1�
V , C/
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
6
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
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION.
REPAIR REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICEAN/OR COFFEE MAKER
HOSE BIB, 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
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK
DATE'
❑ VISA 0 MASTERCARD
SUBTOTAL
C f
i Lvv
PROCESSING FEE
--77
a r'
TOTAL PERMIT FEE DUE:
i-7T-"'"
a S J L/
EXPIRES _...
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
Sfolane
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community 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
Project Address: Permit Use:
Owner.
Mailing Address
Contractor: License #: Phone #:
Phone (Daytime Contact):
City
State
Mai ing Address:
Zip Code
c
State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPUANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE
Equal to or less than 400,000
X
$50.00
=
rating)
6
USED APPLIANCE (IA/SEC min. AFUE
rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - IOOM BTU -
X
$15.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39.00
=
10
BOILER/REFRIGERATION
1,001-1,750M BTU
X
$57.00
=
It
BOILER/REFRIGERATION
More than 1,750M BTU
X
595.00
=
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
=
Is
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
$19.00
=
22
EVAPORATIVE COOPERS
X
$10.00
=
23
TYPE I HOOD
-
X
1 $50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDmONER
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
30SOTON
X
$35.00
=
29
AIRCONOIT1ONER
More than50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
- $10.00
=
32
X
$25.00
=
WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
El CASH 0 CHECK 0 VISA El MC
CARD 3'
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE
Zip Code
AUTHORIZED SIGNATURE: