2005, 08-15 Permit App 05002919 Fuel Brng ApplMECHANICAL PERMIT APPLICATION (.: 29 f
Phone: (509) 688-0036; FAX: (509)•13p-0037 �'
For Inspections, Call (509) 688-0054
Community Development Department
//�� Building Division
W 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address:
Owner.
Permit Use:
Phone (Daytime Contact):
Mailing Address:
_ City
Contractor. / / L_ �-� License #:'IPoTz, L ' u) Phone #:
Mailing Address: by fee. /95 w E6 a
CiN
State
ZIp Code
State
ZirfCode
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTALTAMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000(
X
$12.00
=
/ ;)% () L,l
2
FUEL BURNING APPLIANCE
More than 100,000 •
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess 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 to or Tess than 400,000
X
$50.00
=
•
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400.000
X
S100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFR1GERATION
5D1- 1.000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1.001- 1.750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
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)
0
X
$1.00
=
1 _ U U
18
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
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
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
30-50 TON
X
S35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/1NSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS'
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR -COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA 0 MC
CARD At:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL TOTAL PERMIT FEE DUE:
09 k _( )O
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Cali (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: Permit Use:
Owner. Phone (Daytime Contact):
Mailing Address:
City
Contractor. License #:
State Zip Code
Phone#:
Mailing Address:
city
State
Zip Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
X
$6AD
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY. FOOD. PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
-
X
$6.0D
=
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 (:OS. SEE MECHANICAL
X
$6.0D
=
11
FLOOR DRAINS
AREA CASE, COIL TRENCH. CONDENSATE
X
S6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER. SUMP PUMP
X
$6.0D
=
16
WATER USING DEVICE
ICE AWOR 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
$6.13D
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: