99-102072CITY OF FEDERAL WAY
Ij3530 Fi t-st Way South
pderzil Way, WA 98003
53-661.--4000
�-)DDRESS:119 S 327-fli PL
NO.: '701680-1430
PROJECT DESCRIP'TION:HVA(
OWNER�.' .....
LARRY MOKIRAUX
119 S 32111H PL, 1256
FEDERAL WAY WA 98003
253.839.5957
PERMIT NO: MEL99-0200
C C"J"t e) N.1 C., M L P C ft t4:E T ISSUED: 06/04/99
Mechard(-al lt-i,,,p(�rtlon' 2133 -661-4140 BY : FC'2
EXPIRES: 11/30/99
Unit:
- INSTALLING NEW FURNACE. t F/P INSERT WIIH ASSOCIATED GAS PIPE
to C011RA%'1(*S, ftlei'A tlq� 11KAT
CONTRACTOR -- ........... : ......... LENDER
AMERICAN HEATING SERVICES INC.
75034 PORTLAND AVE
TACOMA NA 98404
253-539-1102
"A* 17""1 VINN RLPrAIING SALES TAX fOR PROJILCIS VITHIN 101, CITY Of IFEDEIK MY. TAX RATE r 8.25 ns
.... .. . .
=n.N ... ...... UF ............. A
N*s the cater supply system contain a Pressure Reduction Device or (beck valve? ( ) Yes ( ) N (If *Y * then water expansion tank is required on Not Rater Tank)
Inspection Record: Mechanical Rough -in Date
MECHANICAL FINAL Date
--7 li 7
1,7
Gas Piping 1
M
ITS EXPIRE LINT YW
DAYS 6FILR IK1 It 90 VORK IS STARTED..
ICalify TK INFOWTION FURNISHED BY hi IS MA AND COMCI TO JK KSI Of NY KNONLIDGI AND THE APKICOU CITY Of FEKPA, RAT REOIREALNIS VILL K KT.
JOWNER 09 AGENT DATE
FIELD COPY
PROJECT VALUATION
5383
14L TYPEIJ.:GAS ELF
FANS........
0
GAS PIPING.:
50 ft
HOD. . ......
0
0-3 WA ..:
U
wl
9
GAS HNT....:
0
(FOOD STOVE"
0
tilli,
e
COHV PORNER:
0
FORK 100K..
0
30-% T;'O...:
0
BBQ.........
0
"ISC. —.. — —.:
0
501 100 .....
0
GAS DRYER..:
0
AIR HANDI-Iff: UNIT','
FUEL. TAOS ------
RANGE......:
0
<:10,000 (FM:
0
ABOVE GROONV:
0
GAS LOGS...:
I
, 10.000 (FN:
0
ENDQGROUIRJ.:
0
.... .. . .
=n.N ... ...... UF ............. A
N*s the cater supply system contain a Pressure Reduction Device or (beck valve? ( ) Yes ( ) N (If *Y * then water expansion tank is required on Not Rater Tank)
Inspection Record: Mechanical Rough -in Date
MECHANICAL FINAL Date
--7 li 7
1,7
Gas Piping 1
M
ITS EXPIRE LINT YW
DAYS 6FILR IK1 It 90 VORK IS STARTED..
ICalify TK INFOWTION FURNISHED BY hi IS MA AND COMCI TO JK KSI Of NY KNONLIDGI AND THE APKICOU CITY Of FEKPA, RAT REOIREALNIS VILL K KT.
JOWNER 09 AGENT DATE
FIELD COPY
CITY OF FEDERAL !JAY
33530 Fir-st Way South
Feder -al. Way, WA 90005
255-661•-4000
ADDRESS:119 S 327IH,PL
NO.: 701680-1430
PROJECT DESCRIPTION: HVAC
PERMIT NO: MEC99-0200
ISSUED: 06/04/99
Mechanical Inspelctiorl Requests 25'x;--661--4140 BY: FC2
EXPIRES:: 11/30/99
Unit: 256
- INSTALLING NEW FURNACE & F/P INSERT WITH ASSOCIATED GAS PIPE
irunrn
LARRY MONUTEAUX AMERICAN HEATING SERVICES INC.
119 S 327TH PL, #256 s 7503-0 PORTLAND AVE
FEDERAL WAY WA 98003 TACOMA WA 98404
i 1
253.838.5957 253-539-1702
AMERIHS083M5
:xx CONTRACTORS, PLEASE 051 LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
PROJECT VALUATION 5383r
BOILERS/CCMPRESSORS
0-3 TON...... 0
15-30 TON...: 0
30-50;'TON ... : 0
50+ TON...... 0
FUEL TANKS---------
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No
TAX RATE : 8.25 x*=
FOES.
MECH PERMIT FEE
TOTAL FEES
$ 125.25
$ 125.25
(If "Yes" then water expansion tank is required on Het Water Tank)
Inspection Record: Mechanical Rough -in ---------- Date ----------- Gas Piping ________________ Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
_. -----e
----------------------------------- -7- -----
FILE COPY
FUEL TYPES.:GAS
ELE
FANS..........:
0
GAS PIPING.:
50 ft
HOOD..... ....:
0
FURN<100K..:
1
DUCT ''WORK.,._ :
0
GAS HWT....:
0
WOOD STOVES...:
'0
CONV BURNER:
0
FURN>1OOK.....:
0
BBQ.........
0
MISC...........
0
GAS DRYER..:
0
AIR HANDLING UNITS
s RANGE......:
0
<:10,000 CFM:
0
GAS LOGS...:
1
> 10,000 CFM:
0
BOILERS/CCMPRESSORS
0-3 TON...... 0
15-30 TON...: 0
30-50;'TON ... : 0
50+ TON...... 0
FUEL TANKS---------
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No
TAX RATE : 8.25 x*=
FOES.
MECH PERMIT FEE
TOTAL FEES
$ 125.25
$ 125.25
(If "Yes" then water expansion tank is required on Het Water Tank)
Inspection Record: Mechanical Rough -in ---------- Date ----------- Gas Piping ________________ Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
_. -----e
----------------------------------- -7- -----
FILE COPY
r'stro,N
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A6 5318696 P.02
a, rd ouir. 13n2g or,
33530 Pint Wey Soaih
FodeiM Way, WA 9300'1
(253) 661.4000
Fac (253) 661A I2r11
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: %30 f
Aved
3q
PARCEL TI O - �{ Z_ single Family Multi-Fafnify O cott,nlemial Q
SITE LOCATION
Ten an t/ti u7u'r
Addre�0/C:ilylS
Phone
"Naature of Wot k
API'LICANT
Name ��
Addresa/City/stMip
r
v
PTicet Valuation:
Contact Person / _ SS/ -_ — Phone ����� / /` e Fars
MECIIANICAL CONTRACTOR
Company Natne
Ad&CS_JCi1y/tit//"ip
Contact Pei -nn Phone
State L & l Contractor Registration #
(Cord utua(Ira pre4cmW)
MECHANICAL UNIT COUNT
Fax _
Exp_ Date
a"til' p ( osloehor Goa Drycr Air Hpn&u <- 12,0009ft,enlret
t
Lftn i oP as pip' .fid
Rwt a
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06/01/99 TUE 08:39 [TX/RX NO 98951