99-101413tt:! `I'Y OF FED RAL WAY PERMIT W): M�CS�`�_o1x.b
4335',40 First Way South MECHANICAL P..RT
Fediral Way, Wry `800'4.3 Mechardcwai.l Irrispecti<:)n Regter 7= t.v 25' '1 661-4140 13Y: FC
r53--661. 4000 EXPIRES: 10/09/99
411>DRE 5::32441 2ND PL Oni.t.: 121.
NO.: 701680--0 640
P� OJEC ` DE>CRIP' 10N:HVAC INSTALL F/P INSERT WITH ASSOCIATED GAS PIPE
OWNER�a .aaximmmaxxiw�s.
VERNON ROCKSTAD
.:52441 2ND PL S, 1121
FEDERAL WAY NA 48003
253.814.95219
n:
PROJECT VALUATION
FUEL TYPES.:GAS ELI
GAS PIPING.: 50 ft
FURN<1DOK..: 0
GAS HNT....: 0
CONY BURNER: 0
8BQ........ . 0
GAS DRYER..: 0
RANGE ....... 0
GAS LOGS.... 1
CONTRACTOR
AMERICAN HEATING SERVICES INT.
I503 -C PORILAND AV[
TACOMA NA `M404
253-539-1702
2339
FANS.........
Duct
315
WOOD. STtizViS..,.
0 1014 ..:
0`,
.FURV1t50r..... 1
G 30-50 ,;10H...:
0
MISC...........
0 SO 100.....,
0
AIR HANDLING 90PS
FUft ANKS-_
_-
<:10,000 �fo:
0 ABOVE 00UNP:
0
10,000 `i'M:
0 UNDERGROUND_
D
LENDERS'9:+tiIIxM1n�i.xO;A�:L4
SALES TAX FOR PROJECTS YITNIN Ili CITY OF FFIKAL VAY. TAX RATE : 8.25 M
SES!
�. H RLtI1 F! $ 03.25
IOTAt FEES t 83.25
M::YDit Z11Y:'G.Z'GI45RlC5:Y+'S:t'.932{iC:�t3R:'.'..'igOC �.Li::-�'.�.i�L'V.'hTC!YatStt:J;S7.:•.9t`d4P.LYiAlYJYt.tk'«9XUx3,':SIS>I_^vit..'.]104:L16+Al1.i:;.l `�:aL'TSSCC22L r,CS;:'t' ::'312tY`tY.S 1597 �Y3.�X'=Y4�W:CBi1GWu f.4.w.:.:®}w,AA�t^.l^fX�::Y�1 S:'.::tQ'W^.'��iYf:'ZGSF39Y6S��=,Y?.:S.::Y.:.S:Jr1f i'G'. 141'i••:::5:W55;1
Does the water supply systes Irontain a Pressure Reduction Device or Check valve? () Yes (! No (If "Yes' then water expansion tank ii, required on Hot Nater Tank)
Inspection Record: Mechanical Rough -in 11--,___r_1_ ,______Date Gas Piping 4�&,.J_ 03te.�_77 moi' 45 ,
MECHANICAL FINAL :„L—,�..,� ...»�_ r Date
Knits upin too 6qn AFTER ISSUAIICE IF NO wwr l': 'SIARIID.
I CERTIFY THt I#fokmtlo FiNtaISMED 81 IIF Is IR91 fm Comm t0 IN HIST of MY KIPJwlINE AND THt APPLICA>II.E CITY OF FfISLRAI NAY RLQUTAEMLNIS WILL IL
OWNED OR A;ENi W_ � 1 _ y '---=-�--�-- _. w_ DATE
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253--661--4000
ADDRESS:32441 2ND PL S
NO.: 701680--0640
PROTECT DESCRIPTION: HVAC
PERMIT NO: MEC99-0116
i1$1 ��,... �4 N ..N... .:.,.r N.,.., ... , .::I . ,:.�... ISSUED: 04/13/99
Mechanical Inspection Requests 2_52-)-661-4140 BY: FC
EXPIRES: 10/09/99
Unit:
- INSTALL F/P INSERT WITH ASSOCIATED GAS PIPE
- OWNERCONTRACTOR LENDER
VERNON ROCKSTAD AMERICAN HEATING SERVICES INC.
32441 2ND PL S, #121 7503-C PORTLAND AVE
FEDERAL WAY WA 98003 TACOMA WA 98404
}
253.874.9528 253-539-1702 i
AMERIHS083M5 i
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
----------------------
PROJECT VALUATION
FUEL TYPES.:GAS ELE
GAS PIPING.: 50 ft
FURN<IOOK..: C
GAS NWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
' RANGE....... 0
GAS LOGS...: 1
2339
FANS........... 0
HOOD........... 0
DUCT WORK.....: C
WOOD STOVES...: 0
FURN>100K...... 0
MISC.......... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COP'PRESSORS
0-3 TON......
3-I4, TON....: 0
15-30 TON_: C
30-50TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
TAX RATE : 8.25 Ut
MECH PERMIT FEE $ 83.25
OTAL FEES
$ 83.25
Does the water supply system contain a Pressure Reduction Device or Check valve? (; Yes ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in ................- Date Gas Pring ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATI FURNISHED BY HEE..,,IS'� TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ---- _____ ll �!�k = - DATE�1-3-k
FILE COPY
I
i
A6 OF-IVED 5316696 P. 03
rniraf G Btn mn,#G Drvrsrora ,
33330
APR 131"" Way 9OU111
Foderal Way.tIVA 9800
v Gffy OF FEUERAL WAY (253) MI -4000
DUILDMG DEPT. Fax (253) 661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
�] 11/
PARCEL (�t l �} CI 0 Single Family Ir' Multi -Family ❑ CommercIal 13 --
SITE LOCATION
Tenant/Owner I
Ad dics:Z/City/S tat5i
e,7//p��
Nature of Wor-k&�Ld"s
A€ PLiCANT
NarllC
Addre:
,l 944 7 602 ,?l
�Gli� .+�llcA s�z� 7�ZrriL
. --J—' r ----- a.
Contact Person - I f:¢Q t� Phone 32'12n5 F -x
Sit
MECHANICAL CONTRACTOR
Coalpnny Ntune
Address/City/St/Zip
Contact Person
Phone Fax
State L & I Conti -actor Registration # - � �<� �� cut /ns BitQ Date
(Card must ba prcaontc3)
MECHANICAL_ UNIT COUNT
fuck o,l AVOther
l apgh of pas O1DinR _r, 6Z4_.
Gnaff
Air Hut <— IOOOOcfm Tanla.
Air Handiin m 10 OOPc{in and
Furn <I OOK BTTJ'd
GM Low af A61
Undernround
F m A00K BTU'sFres
oiler B IH mig*11a 7aous
Gas trwt
Heod
Boiler BTU/H Other
Goliv Burner
Duct Work
A/C TONS
DISC I,AJhtPR r mrdy. under peoatp. olpcaury. tlut dbe idbriratim hifthhad by me is b m and m tit to the bort army inotrtedr and 6ntha tpq i YB &udlodud by dro ownit error, atw.e protmsw to v lbrm nm a'o.Y
rot -blch parph lypliq.tion is nude. l G+Mer agree [-=we hatnOsa rile aty or Fat rW Way u to aqN -9Wsn (mrtud'ets smta. a�ewfA and atuna.7i roes kbc umd in brve4podan and dererue or web ew"a. vNeh te■y he
me.1e by -y p,—.n, 14,ehL4jM Ow uoasniW..L and filed .V ir%o 0� C4 er Pede y Way ant way.rhare web daim arises aur orate terubm crab& airy. Inc1LW uK it. om.we and amplop k upon tiv sgvjr&.-y of the
v.ro�..�saon supplied to me city u • p.st of dbu gpplieation.
Owner/Agent
uw.nrr,
111MAIM lr7/99
04/08/99 THU 16:27
Date
[TX/RX NO 91051
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