2003, 11-13 Permit App BLD-03-03053 WoodstoveSpokane
....*Valley
Mechanical Permit Application
Spokane Valley, WA 99206
11707 East Sprague Axrenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
PROJECT �7 �j1 /;
ADDRESS: / / 26 f L 4 7`, J�
PERMIT
USE: i) 0O U�%
`� Co
OWNER %(Daytime
1-7,,,,,,,1-7,,,,,,,r riV2�/�->�r�f-'�
PHONE (Dti� c7
Contact):f5i �2 �jy2
MAILING ADDRESS:
/ 9 o ZS E e 6(wc-
i/ 410 Kg 2 N rK2 r s (-J 9 57ei/4,
(street)
(city/state) (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS: - •
PHONE #:
(street)
(city/state) (ZIP)
METHOD OF PA
❑ CASH 0
DESCRIPTION OF WORK
# OF LIMITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
' $15
.
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR<400,000
X
$50
.
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
.
5
USED APPLIANCE (WSEC min. AFUE rating)
. or < 400,000
X •
• $50
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,009
X
$100
7
BOILER/REFRIGERATION
1-100M BTU
X
$15
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
.
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
.
10
B
BOILER/REFRIGERATION
1001 - 1,750M BTU
X .
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
.
13 '
RANGE
-
X
$10
14
DRYER
-
X
$10
15
FUEL BURNING WATER HEATER
-
-
X
$10
.
16
MISC FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. Outlet)
-
X
$1
-
18
DUCT SYSTEMS
-
X
$10
-
19
VENTILATING FANS
-
X
$10
.
20
AIR HANDLER (DOES NOT include ducting)
• OR <10,000CFM
X
$12
.
21
AIR HANDLER (DOES NOT include ducting)
>10,000 CFM
X
$19
-
22
EVAPORATIVE COOLERS
-
X
$10
.
23
TYPE I HOOD -
-
X
$50
-
24
TYPE II HOOD
-
X
$10
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
$60
-
30
LPG STORAGE TANK
-
X
510
.
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
WOOD STOVE -FREE STANDING
-
/
[
X
$7-5
-
-Jr G, Lr
_o`�
vIENT
VISA
SUBTOTAL:
c:i'C--
PLUS PROCESSING FEE
$35.00
a .a.
if_ _
TOTAL PERMIT FEE DUE: 0 0�
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
THODO
CASH
Sfaana e�""°'
,,_=Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
PROJECT
ADDRESS: -
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(street)
(city/state) (ZIP)
CONTRACTOR
LICENSE #:
MAILING ADDRESS:
-
PHONE #:
(street)
(city/state)
(LLF)
PLUMBING FIXTURES
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
$6
-
3
TUBS
-
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD; PREP/CULINARY/MEAT
X
' $6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGEDISPOSAL
X
$6
-
9
WATERSOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINICNG '
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
-
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COF»Et MAKER HOSE BIB,
STEAMER, ?ROOFER CARBONATOR,
SWAMP COOLER
X
- $6
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
RP.B.P.D. FOR VATS, TANKS, BOILERS
X
$6
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE' TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$6
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
V/54' '
' !Pith[cjN$r -
SUBTOTAL:
PLUS PROCESSING FEE:
-
$35.00
■
TOTAL PERMIT FEE DUE:
TE:
VKCARD NUMBER
IHORIZED SIGNATURE:.