2003, 09-19 Permit App BLD-03-02512 Mechanical Fixtures*lane
,,,,,Walley
Mechanical Permit Application
Spokane Va:iey, if A 99206
11707 East Spr a9,:ie Avenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
PROJECT
ADDRESS: 1 ,
r-f - r\
PERMIT
USE:
OWNER: ( ,
PHONE (Daytime Contact
'
MAILING ADDRESS. �
h
(city/state) (ZIP)
CONTRACTOR: -
• ' pl _' // �^
T
LICENSE #:
MAILING ADDRESS: •//
/3(it r
11.
4, erg,
PHONE #: ; i _,
Y 2/ ,'
(street)
(dty/state) (ZIP)
METHOD OF PA
❑ CASH 0
DESCRIPTION OF WORK
6 OF UNITS
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)
> 400,000
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
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
MLSC FUEL BURNING APPL.
-
X
$10
=
17
GAS PIPING (ea. Outlet)
-
P
X
$1
-
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
510
-
23
TYPE I HOOD
-
X
$50
-
24
TYPE II HOOD
-
X
510
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIRCONDITIONER
15.30TON
X
$25
-
28
AIR CONDITIONER
30-50 TON
X
$35
=
29
AIR CONDITIONER
+50 TON
X
$60
-
30
LPG STORAGE TANK
-
X
$10
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
WOOD STOVE - FREE STANDING
-
X
$25
-
14ENT
^ M I
VISA ' roast , .
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: 1 i 1 f/
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Y
METHOD 0
❑ CASH
DATE:
SPolane
.,,,Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99 0 ,
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) (ZIP) •
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
$6
5
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, Lflt1 Y, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CUL/NARY/MEAT
X
$6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WA t MtTANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
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 COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONVECTION DEVICE
VACUUM BREAKER CHECK VALVE, AND
RP.BP.D. FOR VATS, TANKS, BOILERS
X
$6
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
X
$6
HOLDING TANK
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MSG PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
1111.11.0
-^ -_ - • : _
__ �.-_..;
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
• SINEVIII❑
TOTAL PERMIT PEE DUE:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: