99-100670CITY OF FEDERAL WAY PERMIT NO: MEC99-0044
33530 First Way South MECHANICAL PEuI'r
ISSUED: 02/10/99
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 08/08/99
ADDRESS:29422 18TH ALOE S
NO.: 672050-0040
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE & HWT CHANGEOUT
= OWNER CONTRACTOR
MARY PORTER GRIFFIS HEATING INC
29422 18TH AVE S 402 E MAIN
FEDERAL WAY WA 98003 AUBURN WA 98002
253.941.8359 253/735-3880
GRIFFHI088DZ
2
LENDER
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CONTRTI7 T6llF.H RENG SALES A J THI CITY OF FEDERAL MAY. TAX RATE = 8.25
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PROJECT VALUATION 2959 �-
FUEL TYPES.:GAS ? FANS.......... 0; BOILUS/''PRESSORS - CH PERMIT FEE $ 83.25
GAS PIPING.: 0 ft HOOD.. ... , 0 0� T(N,
FURN<100K..: 1 DUCT WORK ....... 0'-s .345 TO « :' all
GAS HWT..... 1 WOOD S 01
,
.,
CONV BURNER: 0 FURN>100K.....X50
BB 0 MISC..........~ 0 SQ+T 0
GAS DRYER..: 0 AIR HANDLING UNIT FUEL TANKS- - -
RANGE ...... : 0 <:10,000 CFM: ABOVE GROU 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROU TOTAL FEES $ 83.25
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Does the mater supply system co .n a Red n Device or Che k ? O s No (If 'Yes" then water expansion tank is required on Hot Water Tank)
Inspectio o - Date Gas iping Date
• AL N Date
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PERMITS EXPIR EER ISSUANCE IF NO NORK I STARTED.
I CERTIF 111E INFO O FURNISHED BY HE I RU CORRECT TO THE REST OF NY KRONLEDGE AND THE APPLICABLE CITY OF FEDERAL PAY REQUIREMENTS BILL BE NET.
OWNER 01 I� _ DATE .��40
FILE COPY
BUII.DINGDMMON
affcWrG 33530 First Way South
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- Federal Way, WA 98003
(206) 661-4000
Fax (206) 661-4129c
APPLICATION FOR BUILDING PERMIT
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APPLICATION # C l
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•'�a'•� :.::`', �:'.•.•.Y..'.'•.���``���;•"•,�,;���:'••'�'��'��•`;>�?�~?�?�� Address p�
Tenant (if known) Lot # Assessor's Tax #
DO Lto
Building Owner's Ne Address
2 a��E2 9y Q011 /0 vF s
Ci State vj.A Z �Ps o 0 3 Phone
Nature of Work /15 7-o G'AS C ��lN � v 14c
Name (F,M,L)
Address
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ct Person Day Phone Other Phone Fax ' % a5'3-73�- 3Yd0 a a-z_'7sc_c�uis�
Company Name
Address
city State Zi
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes 0 No
Name
Address
Contact Person
LEGAL DESCRIPTION
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Phone
Fax
Name (F,M,L)
Address
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ct Person Day Phone Other Phone Fax ' % a5'3-73�- 3Yd0 a a-z_'7sc_c�uis�
Company Name
Address
city State Zi
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes 0 No
Name
Address
Contact Person
LEGAL DESCRIPTION
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Phone
Fax
Name
Address
Contact Person
LEGAL DESCRIPTION
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Phone
Fax
Name
Contractor Name --
Citv A J
Contact -
H
License # GR
Address
Address
state .wA zip
Phone Fax
,O s z --121
N
Urinals
Dish Washers
Electric Water Heaters
F}I�F- i •? +r+l:{tJ=3 is
MECHANICAL EVALUATION ONLY S "-5-
Fuel
Fuel T e (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Under round
BBQ s
Wood Stoves
3-15 Tons
DISCLAIMER: Icer* under penalty of perjury that the information famished by me is true and correct to the best of my knowledge, and fiuther, that I am authorized by the owner of
the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including cos% expenses, and
attomeye feesin stigation and defense of such cl ' c h may be made by any person, including the undersigned, and filed against the City of Federal Way, but only
where c aim arises out of
liance of the city, inclu ' cos and employees, upon the accuracy of the information supplied to the city as a part ofthis application.
Owner/Anent: a Date: /V /
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