99-10186233.530
F
rEDERAL. South�'rw'.0
ir-st Way HANICAL kPERMIT
rederal Way, WA 98003 Tr-i�pecfA(:)r-i FJequest.; 253-661-4140
253-6161-4000
of)DF{ESS:10'31 SW J50TtJ PL
NO.: 542243-0190
PROJECT DEscRiP,r1ON:MfC - R111RO GAS TO GAS fURNA(1
OWNER..........
Jim MURPHY
1031 SW 35010 PL
FEDERAL WAY WA 98023
838-6980
is* CONTRACTORS, PLt
CONTRACTOR ... �� . . . ...........
PUYALLUP HVAC INC
130 1510 ST SE
POYALLUP NA 98372
845 -0581
PUYALNIO"K
LENDER
qq-IDi5rua
PEkMll NU; MLC99-01;6
11ScJ1JLD: 05/14/99
BY: til's
LXPIRES: 11/09/99
CQ 17;� "LA RIPLVIIAL SALES TAX FOR PROJECTS VITKIN IRE CITY of f(KM NAT. TAX RATE : 8.25 M
PROJECT VALUATION
ism
FUEL TYPES.:GAS
?
FANS.. ..
Pol(WOMPAISMS
GAS PIPING.:
0 ft
WD..
'1
10-3 TOO,
0
DOLT
GAS HWf.... :
0
WOOD S f OVLS
1)
15-30 Tb'IL.
A
(ORV BURNER:
0
FURN)HOK'....:
30-50 1011 ...
0
880 ........ :
0
50f TON......
0
GAS DRYER—:
0
AIR HANIAM 11KIIS
FUEL TAKE--_ -
-
RANGE......:
0
(40,000 Cfe':
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 J":
0
UNDERGROUND.:
0
FfCl'l : -
"101 vtgmil fEE S 5111.00
TOTAL FEES
$ 54.00
.— ... .... ...Z .... = ..... s 1....=a :,.... ... ...... ------- — ------ --- .L ----------------------------------
Does the water supply system contain a Pressure Reduction Device or Check valve? ) Yes No (if *Yes' then water expansion tank is required on Not Water lank)
laspection Record: Mechanical Rough -in Date Gas Piping D ae -7.
NLCRANI(Al FINAL Date
.............. .......
PERMITS EXPIRE 180 DAYS AFTER IMKI If NO WRt IS STARTED.
I CERTIFY INE INFORMATION rURNISKED BY K IS In[ W CORRECT 10 IK BES1 Of NY KNKEKE AND THE AFFLICAKE CITY OF FEIM MY RLOUIRiNtRIS VILt. BE BET.
0WHiR OF AGENT DATE _ �l�t t.' W�_`
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way Sautli
Federal Way, WA 95003
253-661-4000
ADDRESS:1031 SW 350TH
NO.: 542243--0190
PROJECT DESCRIPTION MEC
f= OWNER
JIM MURPHY
1031 SW 350TH PL
FEDERAL WAY WA 98023
838-6980
pp pp � � p u PERMIT NO: MEC99-0176
a� � !!,� � amu, �,.,. '°�i "''N ...II... ��,,, , . c„; ; ±I.,..,, il;,;, W ➢:;;;,. l ;' li "� II ..1{.. .,u,.. ISSUED: C) 5 f 14 f 9 `�'
Mechanical InSp>ecti.cn 1Reques1,,s 253--661-41401 BY: H1'S
EXPIRES: 11/09/99
PL
- RETRO GAS TO GAS FURNACE
CONTRACTOR=______::___________________ _________________ LENDER
PUYALLUP HVAC INC
130 15TH ST SE
PUYALLUP WA 98372 !
845-0581
PUYALHI066MK
:s: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 M
PROJECT VALUATION 1500 ' sEES:
FUEL TYPES.:GAS ?
FANS.,........:
0
BOILERS/CC"PRESSORS MECH PERMIT FEE $ 54.00
GAS PIPING.: 0 ft
HOOD....... ..:
0
0-3 T?N.... .: 0
FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 TON...: 0
{
CONV BURNER: 0
FURN>100K.....:
0
30-50 TON...: 0
BBQ......... 0
MISC...........
0
50+ TON...... 0
i
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0 °
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 54.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No
Inspection Record: Mechanical Rough -in ---------------- Date ----------- Gas Piping
MECHANICAL FINAL Date
(If "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
.�Y�,Q�(.---------------------------------------------------____.._____ DATE
FILE COPY
CITY OF ,� ,; r ..� BUIMING DMSmN
•�� 33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: o r 1 ar7Q
MEC f -
PARCEL # Single Family'P-' Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner -aY� M mar
Address/City/State/Zip O 3 Jw
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
4
MECHANICAL CONTRACTORl\'
Company Name ` v
n o�
nG
Phone U ID S- W q Z
Project Valuation: $
Phone Fax
Address/City/St/Zip uiwxe ►tl4 J V- I 7rr
ContactPersonL31 G �,-�'Jr'�� Phone t� �J �us- Fax CaS 11
Slate L & I Contractor Registration # 4) 0529
SUN A �j0� M K 7l,Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
\:_)", UL)
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Lengthofgaspiping
Range
Air Handling > = 10 000cfm
Above Ground
Futn <100K BTUs
Gas Log
Unit Heater
Under ound
Furn>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas HWt
Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
13130's
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information finished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premises to perfOrn the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and fled 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 accuracyof the
information supplied to the city as a part of this application.
Owner/Agent
MecH-App
Revcs® 7/29/98
Date 6 l