2005, 06-17 Permit App 05001892 Heat Pump06/01/2005 11:51 5094641405 RR HEATING
PAGE 01
City of
Spokane Valley
Mechanical Permit Application
Fax # 888-0037
rroject
Address: 9615 E. 4t11
Permit
Use:
Owner: MT Management
Phone (daytime contact):
922-3942
Mailing Address: SAME
(street) (ctty/state) (zip)
Contractor. R&R Heating and AC, Inc.
License: RRHEAA106BW
Mailing Address: 4019 E Central
Phone#: 484-1405
Spokane, Wa 99217
(street) (city/state) • (zip)
Description of Work
# of units
Cost
=
Amount
1
Fuel burning appliance
- or < 100,000
X
12.00
=
0.00
2
Fuel buming appliance
> 100,000
X
15.00
=
0.00
3
Unlisted appliance (additional charge)
- or <400,000
X
50.00
=
0.00
4
Unlisted appliance (additional charge)
> 400,000
X
100.00
=
0.00
5
Used appliance (WSEC's min. AFUE rating)
= to or <400,00
X
50.00
=
0.00
6
Used appliance (WSEC's min. AFUE rating)
> 400,000
X
100.00
=
0.00
7
Boiler/refrigeration
1-100M BTU
X
12.00
=
0.00
8
Boiler/refrigeration
101-500M BTU
X
20.00
=
0,00
9
Boiler/refrigeration
501-1,000M BTU
X
25.00
=
0.00
10
Boiler/refrigeration
1,001-1,750M BTU
X
35.00
=
0.00
11
Boiler/refrigeration
+ 1,750M BTU
X
60.00
=
0.00
12
Gas log. gas insert, gas fireplace
-
X
10.00
=
0.00
13
Range
-
X
10.00
=
0.00
14
Dryer
-
X
10.00
=
0.00
15
Fuel burning water heater
-
X
10.00
=
0.00
16
Miscellaneous fuel burning appliance
-
X
10.00
=
0.00
17
Gas piping, (each outlet)
-
X
1.00
=
0.00
18
Duct systems
-
X
10.00
=
0.00
19
Ventilating fans
-
X
10.00
=
0.00
20
Air handler (does not include ducting)
- or < 10.000 CFM
X
12.00
=
0.00
21
Air handler (does not include ducting)
> 10,000 CFM
X
15.00
=
0.00
22Evaporative
coolers
-
X
10.00
=
0.00
23
Type I hood
-
X
50.00
=
0.00
24
Type II hood
-
X
10.00
=
0.00
25
Heat pump/air conditioner
0-3 tons
1
X
12.00
=
12.00
26
Alr conditioner
3-15 tons
X
20.00
=
0.00
27
Alr conditioner
15-30 tons
X
25.00
=
0.00
28
Air conditioner
30-50 tons e
X ,
35.00
=
0.00
29
Air conditioner
+ 50 tons
X
60.00
=
' 0.00
30
LPG storage tank
-
X
10.00
=
0.00
31
Wood or pellet stove/insert
-
X
10.00
=
0.00
32
Wood stove - free standing
-
X
25.00
=
0.00
0 Cash 0 Check g 111sa 0 MasterCard
Subtotal
12.00
Fazed permits will only be accepted with payment of a major credit card
/ I
Plus Processing
Fee
35.00
Date: lD-- P'L5 Expires: 06/06
Total Permit Fee
Due
47.00
ankcard Number.
Authorized Signature:
n rue
z NArME/4 l�J
JUN 01 2005 13:01
5094841405 PAGE.01