99-101420CITY OF FEDERAL W(�Y
33530 First Way South
Federal Way, WR 98003
253-661-4000
ADDRESS:33.538 5TI.3 PL SW
NO.: 729805-0500
PROJECT DESCRIPTION:Adding one A/C unit.
r V "i
Mechanical Inspection Requests.; 253-661--4140
-r= OWNER:__:_________==_____________________________________T= CONTRACTOR
PAT JAN THEIL PUYALLUP HVAC INC
33635 STH PL SW ` 130 15TH ST SE
FEDERAL WAY WA 98023 PUYALLUP W 372
661-9679 845-0581
PUYALN1066
zt* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN RE T1
PROJECT VALUATION 1500
FUEL TYPES.:GAS GAS FANS..........: 0 BOILE R
GAS PIPING : 0 ft HOOD 0-3
FURN<100K... 0 DUCT WORK....,. 3-15 11
! GAS HWT....: 0 WOOD STOVES...: 0 15-30 T
Ll
DER
qq IolyDc
ERMIT NO: MEC99-0117
I55UE 4/12/99
BY: TN
EXPIRES: 10/08/99
r
OF FEDERAL WAY. TAX RATE : 8.25 Ut
FEES:
MECH PERMIT FEE $ 54.00
CONV BURNER: 0 FURN>100K.....: 0 30-50 TON --
BBQ ........ :
ON --BBQ........: 0M C......... 0+ TON..
GAS DRYER..: 0 A , HAND EL TAN -----
RANGE
----
RANGE......: 0 <:1 � ABO ROUND: 0
GAS LOGS...: 0 0, v � RGROUND.: 0 � TOTAL FEES $ 54.00
---------- - _
Does the to sup s e in a Pr re Reduction D c
- ec alve? ( ; Yes ( ) No (If "Yes" then water mansion tank is required on Hot Water Tank)
-_-
Inspectionnord: jkec1Wa17%WFin---------------- Dates ---------- Gas Piping ------------------ Date
CHANICOFINAL Date
PERMITS EXPIRE 180 AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE IN TION FURNISHEDBYME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICAB//L'/ITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER______-__ ..__.____- _ _ _ __� _------.._._-____-- DATE
FILE COPY
CTTYOF G
� ED
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 6,7,,-?
PARCEL #
BUnDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 661.4129
MEC 0CI
9
Single Family'A Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner _1�d�-' 3a n � C� Phone
Address/City/State/Zip- 1 �, t�—J
Nature of Work a _' I r n"C> I -In Project Valuation: $ - 500 -QE)
APPLICANT
Name —
.address/City/St/Zip —
Contact Person - - Phone ` rax —, -
MECHANICAL CONTRACTOR! t, n
Company Name
Address/City/St/Zip ' ' V �4 �� l I 7,;Z
Contact Person Phone -o `) 5- oss I Fw�aff - o i I - 0580
Slate L & I Contractor Registration # Exp. Date -7/1
(Card must be presented)
MECHANICAL UNIT COUNT'
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Funt>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TONS
DISCLAIMER I certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and Curter that I am autho&zd by the owner of the above premises to perform the work
for which permit application is made. I further agree to save hamiless the City of Federal Way as to any claim (mcluding costs, expenses, and attorneys fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Federay Way but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/
MEcH APP
REvrsED 7/29/98
Date J �-9
9 —
CITY Of' FEDERAL WAY
3'--3530 Fir-st Way Soutli
federal Way, WA 9800,,^)
253--661-4000
AI)tx?'[SS:33538 51,14 Pt. C-34
i'NO.: 729805-0500
PROJECT OESCRI PT ION -Adding one A/C unit.
OWNER
PAT JAN INEIL
33635 5111 PL SW
FEDERAL WAY WA 18023
661-9679
Axa CMINACTA
MECTIANICAL. PERMIT
Mectianirat. 25'-1-661-4140
CONTRACTOR . ......
PUYALLUP HVAC INC
130 1519 S1 St
PUYALLUP WA 98372
$45-0581
LENDER
� '9 - � ) Y ;1, 0
PERMli it (1LC9)--U;,17
A'
ISSUED: 04/12/99
BY: TN
EXPIRES: 10/08/99
SALES TAX fok PROJECTS VHKIN THE city Of r[KRAI VAY. TAX MIC -- 8.25 Its
PROJECT VALUATION EE 54.00
1500 1FEES:
'Do 1411Z 1,
FUEL TYPES.:GAS GAS FANS.. ......... i 11 "t, BOI sk mo ww��,� gg to, igg ",ts #g*
GAS PIPING.: 0 ft
O.
FUR#1100t..: 0 'T, N
CK
GAS NOT....: 0 40011 1�41VU7..': 0 �"N..
30
CONV BURNER: 0 FURN)RIOr"... 00-50
ON.
BBQ........: 0 0 504 JOH_ ... 0
GAS DRYER-: 0 AIR HANDLING 411f, FOIL TAKS--
RANGE ...... 0 f--10,0011 0M. @ ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000,Cfh: 0 V"DEPGROUND.: 0 TOTAL FEES 54.00
Does the water supply system contain a Pressure Reduction Device or (beck valve'? ( ) Yes ( ) No (If 'Yes" then water expansion tank is required on Not Water lank.)
Inspection Record: Mechanical Rough -in DateGas Piping Date
MECHANICAL FINAL Date
................ . ....... .......................... .......
*Nils EXPIRE too DAYS AFTER isma it No W.K is STARTED.
I ',CERTIFY THE INFORNA11011 IU211SK0 BY IN[ IS TRUE AND CORK(I 10 IN[ KS1 Of NY 9KNIEDGi 00 IK APPLICABLE CITY of FEDERAL Imy REQUIRENENTS PILL K NET.
*40 OR AGENT Q. DATE
FIELD COPY
CITY OF
�
�� ^ 7/ 33530 1ST WAY SOUTH
■ •' FEDERAL WAY, WA 98003
CORRECTION
ADDRESS: 33s58 . S• („J,
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED
4in, c -A o t. (,( u, t (-1A4 S I �1.�
BUILDING DIVISION
66 1 -4000
N
PERMIT #:
BELOW:
-4-
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE -INSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE