99-100590CITY OF FEDURAL WAY
33530 First Way Sou ti -i MECHANICAL PER04-11"I"
Federal Way, WA 98003 Me(:'fianical Inspection Requests 253-661--4140
59-661-4000
61)DRESS:4112 SW 325TH ST
tIO.. 873201--0050
PROJECT DESCRIPT ON-NVAC - IMSTAffltl� NEW FURNACE, OWT AND ASSOCIATED GAS PIPE
OWNER CONTRACTOR .... —
NANCY MURRAY PUYALLUP HVAC INC
4112 SW 92510 ST 130 15TO ST SE
FEDERAL WAY WA 18023 PUYA1.09 WA 98372
PROJECT VALUATION
FUEL TYPES -CAS
OAS PIPING.: 20
FURH< 1001. , -, I
GAS I
CONY BURNER: 0
BOO......... 0
GAS DRYER-: 0
RANG(....... 0
SAS LOGS...: 0
n* CaNIRKTORS, FtEmE
3100
? FANS., .......< G
ft 1100#"' it
DRT w0pr P
WOOD sioyb 0
0
HIS(- 0
AIR HANDLING OMITS
<:10,000 CFM: 0
> 10,000 CFM: 0
1 84 . 5-0581
R
1S 1U Tom—: 0
'0,50 14 ... : 0
501 TON— - , 0
MEL TANTS_._.__.....
A80vt
ARS--------
A80vt GROUND: 0
t1ffD[RGROUND.! 0
LFNDIP
n-
-I CIUS 1�1
I- I
PERMIT NO: MEC99--0036
ISSUED: 02/09/99
BY: KL -C
EXPIRES: 08/07/99
V111K IzAtts TAX FOR PRWECIS 911111 THE CITY Of FEMK NAY. TAX RATE :: 8.25 US
4 Ana.=—. ZU U— I Z=V .— ... ....
Does the crater supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes
Inspection Record: Mechanical Rough -in
MECHANICAL FINAL
TOTAL FEES
$ 97.25
( ) No (If *Yes" then eater expansion tank is required on Not Water Tank)
—" "'' P., t " L Gas Pipin 11.)a
)Omlls EXPIRE 180 DAYS 417111BSUAK(f It NO YOU IS SIARI`10.
t aralry THE INf0RMAI'Hw [URNISOto By "t Is Iml all amm to In osl of NY AND IN[ APPLKAKF CITY Of F[KRAL MAY PIQUIREHINTS 011-1 BU MIT.
OWNER OR AGENT t DATE
FIELD COPY
TA UZI,SEE
8 97. 5
M�
4 Ana.=—. ZU U— I Z=V .— ... ....
Does the crater supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes
Inspection Record: Mechanical Rough -in
MECHANICAL FINAL
TOTAL FEES
$ 97.25
( ) No (If *Yes" then eater expansion tank is required on Not Water Tank)
—" "'' P., t " L Gas Pipin 11.)a
)Omlls EXPIRE 180 DAYS 417111BSUAK(f It NO YOU IS SIARI`10.
t aralry THE INf0RMAI'Hw [URNISOto By "t Is Iml all amm to In osl of NY AND IN[ APPLKAKF CITY Of F[KRAL MAY PIQUIREHINTS 011-1 BU MIT.
OWNER OR AGENT t DATE
FIELD COPY
CITY OF FEDERAL WAY
33 500 First Way South
Federal Way, WA 98000 Mechanical Inspection Requests 253-661.-4140
253-661--4000
ADDRE.SS:4112 SW 325TH ST
NO.: 873201-0050
PROJECT DESCRIPTION -HVAC - INSTALLING NEW FURNACE, HWT AND ASSOCIATED GAS PIPE
- OWNER ____________ ________________________________________ CONTRACTOR=_____==:w=====_____:________________= ________= LENDER
NANCY MURRAY PUYALLUP HVAC INC
4112 SW 325TH ST130 15TH ST 5E
FEDERAL WAY WA 98023 PUYALLUP WA 98372
253.927.8640 845-0581
1 PUYALHI066MK
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
PERMIT NO: MEC99-0086
ISSUED: 02/09/99
BY: KLC
EXPIRES: 08/07/99
TAX RATE : 8.25 ***
PROJECT VALUATION 3100 ' FEES:
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS MECH PERMIT FEE $ 97.25
GAS PIPING.:
20 ft
HOOD..........: 0
0-3 TON,....:
0
fr FURN<100K..:
1
DUCT WORK.....: 0
3-15 TON....:
0
E GAS NWT....:
1
WOOD STOVES...: 0
15-30 TON...:
0
CONV BURNER:
0
FURN>100K.....: 0
30-50 TON...:
0
BBQ........:
0
MISC..........: 0
50+ TON.....:
0
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
Does the water supply system contain a Pressure Reduction Device or Check valve? ( } Yes () No (If "Yes" then water expansion tank is req
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 AND CORRECT TO
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT
---
CI(�J -------------------------------
DATE _slL
FILE COPY
69sool RECEIVED BY
C1rYOF G COMMUNITY DEVELOPMENT DEPARTW7N-
uv FEB 8 1999
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: ' / r� z i
PARCEL #
SITE LOCATION
Tenant/Owner , n
BUII DING DIVISION
33530 First Way South t
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC 09 -
Single FamiltQ Multi -Family 0 Commercial ❑
Phone 2�J_E6�0
Address/City/State/Zip I l 2' S w 3 J '
CIO
Nature of Work —rNd-0- I � 1 ` I N, �' � "_ qL_:' PI P � , Project Valuation: $ -3, 0
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/.
Phone Fax I
` - �j�g
Contact Person \� \W) Phone r 3 - g 4 — F
State L & I Contractor Registration # OC CLQ Exp. Date -7' i/
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type aslother
Gas Drver
Air Handling < = 10 000cfin
)reel Tanks:
Length of as piping 2 (
Range
Air Handling > = 10 000cfin
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Dud 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 further 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 (mcluding costs, cTcrues, 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
I
information supplied to the city as a par of this application.
Owner/Agent
Mecti.APP
Revrs® 7/29/98
Date � 1 41