99-104233CITY OF FEDERAL WAY
33530 First Way <iotjth
Fpderia l Way. WA 98003
253--661--4000
AI)I)RES8:30908 STI.1 PL
NO.: 241330-.0150
PROJECT DESCRIPTION:MV0 - QG WHI
OWNER..... = ----- — ----
PICHARD ELOFSON
30908 SIN PL SW
FEDERAL WAY WA 98023
253-84-3582
MAIrrT VALUATION Vin
FUEL IYPtS.:GAS
GAS PIPING.: 0
FURN<100t..: 0
GAS NMT..... 1
CORV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
GAS FANS_ ......... 0
ft HOOD_ ....... 0
I'll'T NAPr. _ — 1
WOOD STOVES—: 0
FURV)1099'. , ": 0
MISC _.. _.: !)
AIR HANDLING UVITS
<:10,000 Crm; 0
> 10j0011 CFO: 0
V 3
1rispec_(A(.-)n Reqtjests 253--f561-411,40
CONTRACTOR
wa 5 A i, h�j tee%
J
30-50: i"1N ... 0
Sol OR...... 0
FUEL YANKS------
ABOVE
ANKS----- ABOVE GROUND., 0
UNDIR00UND.:
LENDER
rq y Se r re r
14-1
9cl - icy a33
PERMI T NO: MEC99--0381
BY: FC2
EXPTRES: 04/25/00
Ci-RUNIIJIG SALES TAX I'Off PROJI(IS 911'11111 Ili CITY Of FEDERAL NAY. TAX RATE = 8.25 M
FEES:
TOTAL FEES
$ 23.50
... . ...... r .... ..... ............... -
Does the water supply systes contain_a Pressure Reduction Device or Check valve? Yes ( ) No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record:
Mechanical Rough -in ------ Date Gas Piping Date
MECHANICAL FINAL___.._Date-, - ------
........ . .... . . . . ...................... ....... .............
PEKNITS [XPIRL IN DAYS Affla ISSIPAVE It' 90 WORK is STARTI#. 4
I CERTIFY 1K INFORNA11011 f 011111shte By Of Is IRUL An CORRECT TO 111t NST * NY KNOW [KAND Ifft APP1.1001-1 C11Y Of F[KRAL WAY REQUIRIALIRS HILL
OWNER OR AGENT DATE
FIELD COPY
=*=VxVj
r
CITY OF FEDERAL WAY
33.530 First Way .Soutil
Federal Way, WA 98003
253--661-4000
ADDRESS:30908 5TH PL S
NO.: 241330-0150
PROJECT DESCRTPTION:HVAC - G/G WNT
Mechanical Inspection Requests 253--661-4140
PERMIT NO: MEC99-0381
ISSUED: 10/29/99
BY: FC2
EXPIRES: 04/2.5/00
= OWNERCONTRACTOR=____________=__-:____=__=________________:=__ = LENDER
RICHARD ELOFSON
I
30908 5TH PL SW
FEDERAL WAY WA 98023
253-839-3582
I
i
---- ------------ --- ------ _
ttt
CONTRACTORS, PLEASE USE
LCCATICK CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX
RATE : 8.25 ;=#
PROJECT VALUATION 500
SEES:
FUEL TYPES.:GAS GAS
FANS..........; 2
30ILERS/CIMPRESSORS MECH PERMIT FEE
$ 23.50
GAS PIPING.: 0 ft
HOOD.
3
0-3 TO,,,......:�
FURN<10 K..: 0
� �
D '! d R ... .:
3 TO_—-
GAS HWT....: 1
WOOD SHOVES. �
15-30 i
CONV BURNER: 0
FURN>1OOK.....: ;
30-5(3 ION...: 0
BBQ........: 0
MISC..........: 0
50+ ION.....: 0
I
GAS DRYER..: 0
AIR HANDLING UNIIS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0 TOTAL FEES
$ 23.50
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
MECHANICAL FINAL
Date ---------- Gas Piping ---------------- Date
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS IRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT \k,, DATE
FILE COPY
OCT -29-99 11:25 FROM-NORTHWEST-CASSIMAR
``carr t>R G
V V
206-374-0634 T-649 P-01/03 F-730
17
BunjxKc Drv1noN
33530 First Wry Sortlh
Fcdcud Wey, WA 98003
(253) 661.4000
Fax (253) 661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL 9 `� 1 -53 0 ® ✓� Single Family O Multi -Family O Commercial ❑
SITE LOCATION
Tcnant/Owner P–t AIW t- U S bK� Phone '� �' Z
AddmWCity/State/Zip -3Dc10S 5 L S 6L,,�A,
Nature of Work ������ � 0 � ^ aA'C Project Valuation: $ &2)
APPLICANT
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zipp .
Contact Person 50
State L & I Contractor Registration Wcls Exp. Date
(Card mw¢ be prarnted)
MECHANICAL UNIT COUNT
Fucl ar
Lznj6h ofRAS plyinitRxnM
GaeDrW
Air Handlip < - 10,0006m
Air Handlin > -10 000cfm
Fuel Twdn.
Above Ground
Furn <100K B U%
GuLon
Unit Heatar
U nd
Fum>I00KB
Fans
Boilar BTU/H-
Mieoellinemn
Gm Hut
Hood
Boiler BTEJ/H
Olhcr
COnv Burner
Duct Werk
AIC TONS
other
REQ
-Wood Stoves
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D=9t appikapen u made, l f &a qpw to uve Maw= O c City of Fadcw wey u b any ebtim CmeMdt eot< eapmum& and asomeys' fad roamedin invw6jack t ma aarauc ormxh claizX wlkh OW be
mads by any R'—1 inaiadblt To widowpot and W mahat em dry of pedaw way but
inf—d0 n supplied to die ei1y W~ of thio applies . . oNY rN+e such claire ariw outo[are �aGanae of do eiry,1ne11tlinQ ils *mom and mpployeu, upon at aamaaey of dr
Owner/Agent .�
VccaA"
8c u= Intw
F : 91mam—N
10/29/99 FRI 11:25 [TX/RX NO 70851
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