2005, 03-25 Permit App 05000923 Heat Pump, AC'MECHANICAL PERMIT APPLICATION
Phone: (509) 688-00.36; FAX: (509) 688-0037
/ For. Inspections, Call (509) 688-0054
Project Address: 1 7/_5- L. c- , +^rtC
Owner 4,4%,k S Lva -c ,'. S' t
Mailing Address: 5 0,w, 1
Contractor: f--` C �ii. (-7 r..L.rc --
Mailing Address: 2 a
Permit Use:
Community Development Departmen
Building Divisior
11707 E. Sprague Avenue, Suite 1 DE
Spokane Valley, WA 9920E
Phone (Daytime Confact): L1.-9 Y - r). g '.-)(-;
. i. 1 14) , • 9°0.GI
v city I1 State Zip C'otle
t 'r. $ License#: cfcl-' CC5 11111.2 Phone#: y44, ".?`i/l
t n State • . Zro Code
DESCRIPTION OF WORK
*OF UNITS
X
COST
=
TOTAL. AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$t2.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
_
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 •
$100.00
=
• 7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
S20.00 .
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001-1,750M BTU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
=
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
• $10.00
=
13
RANGE
•X
$10.00
=
14
DRYER
X
510.00
=
•
15
FUEL BURNING WATER HEATER
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
X
S10.00
=
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
510.00
=
23
TYPE I H000
X
550.00
=
24
TYPE 11 HOOD
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
'
.;
X
. 512:00
=
26
.AIR CONDIT-IONER
3-15 TON
X
520.00 •
.=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVEJINSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR 5, 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 fl CHECK ❑ VISA ID MC
CARD #:
DATE:
SUBTOTAL
1 2
PROCESSING FEE
535.00
EXPIRES
TOTAL PERMIT FEE DUE:
v-'
').
AUTHORIZED SIGNATURE:
Contractor.
at/Valley
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address:
Owner.
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Mailing Address: .
State Zip Code
Phone*:
•
City
License*:
Mailing Address:
Zip Code
City
State
DESCRIPTION OF WORK
-
R OF UNITS
X
. COST -
_
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS'
X
- 56.00.
_
2
URINALS
X
56.00
=
3
TUBS
—'
X
56.00
=
4
BATH. STALL ON -SITE BUILT ' .
X
56.00
SHOWERS (PER TRAP)
5
•
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
"LAUNDRY. UTILITY, JANITOR, PHOTO,
X-RAY. F00D..PREP/CULINARY MEAT
X
56.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
56.00
8
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
X
S6.00
=
10 •
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
S6.00 -
_
11
FLOOR DRAINS
AREA. CASE. COIL, TRENCH, CONDENSATE
X
56.00
=
12
'ROOF DRAINS/OVERFLOW
DRAINS
-
X
S6.00
=
13
FOUNTAINS, DRINKING
X
S6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
.REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/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
S6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00 -
_
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
-
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
. $35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: