99-103332CITY OF FEDERAL WAY
33530 First Way Soutr, �' ".:: �.::;" .,,� "'" ��M::�l;;: M';:.°iW'' .... ' ,;.� ";;: . :: '::..T.
Federal Way, WA 90003 Mecrlanical Inspection Requests 253-66.1-4140
253-661-4000
ADDRESS:29829 2ND AVE SW
NO.: 513700-0090
PROJECT DESCRIPTION:MEC - RETRO HEAT PUMP CHANGEOUT (HEAT PUMP)
= OWNERCONTRACTOR
KENNETH MOGREN PUYALLUP HVAC INC
29829 2ND AVE SW ' 130 15TH ST SE
FEDERAL WAY WA 98023 PUYALLUP WA 98372 41
253/941-3200 ' 845-0581 ,
PUYALHIO66MK A
lt
iii CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN
PROTECT VALUATION 2600
FUEL TYPES.:? ? FANS....... 0 BOIL'
GAS PIPING.: 0 ft HOOD..........: 0' 0
FURN<10OK..: 0 DUCT WORK.....0 3-15 T
GAS HWT.... . 0 WOOD STOVES C
CONV BURNER: 0 FURN>100K..... 0 -5^
BBQ......... 0 MISC........... 1 + T'Oh.. ..: 0
GAS DRYER..: 0 AIR HANDLING UNITS P)KS------
RANGE ...... : 0 <=10,0 0 E SROU 0
GAS LOGS...: 0 > 10: Oz 'D ERG 0
Does the wa r pply t
Inspection
ssur duction Device
Ive?
N THE CITY
_-__ mA
03
PERMIT NO: MEC99-0288
ISSUED: 08/26/99
BY: FITS
EXPIRES: 02/21/00
EDE-AL 'RAY. TAX RATE : 8.25 Us
I
TOTAL FEES $ 83.25
/6
Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
ugh-lJ4 ............... Date j \ Gas Piping
Date
Date
PERMITS EXPIRE 180 DAY TER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFO ON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
yy��
OWNER OR .1' 1. 11j,—DATE
FILE COPY
PARCEL #
39� V
B1Ju.DING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6611000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: () -1 Z I La
MEC 06
I - DMp
Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION ��nn (a 1 �
Tenant/Owner Kenne-th ! 1 1 W re n Phone Ca,53J 41 r3 Z/w
Address/City/State/Zip C-�`20'aq a Q ue- v'—C)
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Project Valuation: $ a W
Phone Fax
q
Address/City/St/Zip ` � t " �rQ
Contact Person v' cL 1 karws
Phone` 3 S- 6
Siate L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax " ' — a " 9
Exp. Date 7/
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000efin
Fuel Tanks:
L—ength of gas piping
Range
Air Handlin > = 10 000cfin
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Hood
Boiler BTU/H
Other
tHwt
v Burner
Dud Work
TONS
Other
DISCLAIMER: I certify, under penalty of pctluy, that the information fumished by me is true and coned 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 (including costs, erpenses, 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, mchrding its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
MEcH APP
Revs® 7/29/98
Date
41
CI TY OF FEDERAL RAL WAY
33530 Fi. t st; Way South
F ede r'a:l Way, WA 9800)
253....661.--4000
ADIP.E%.SS:d:'982'1.4 2ND AVE
NO.: 51.3700--0090
PROJECT D SCRIFITTON:MEC
OWNER
rENNETH MOGREN
29829 201) AVE SW
FEDERAL WAY WA 98023
253/941-3200
q 9 - lb 333D
PFRMIT NO: MLC99-0298
Meeh arlical Itispection RequesLs '25,.1 (:,61,4140 BY: ZITS
EXPIRES: 02/21/00
SW
- RETRO HEAT PUMP CHANGEOUT (HEAT PUMP)
=it COMIBACTORS, rLTffit W t0CAT
PROJECT VALUATION
2600
FUEL TYPES.:?
?
FANS.....,. ,,. 0
AAS PIPING.:
0 ft
HOOD. ...
FURN<IOOL.,:
0
DUCT;V,PY.,..
GAS ONT.....
0
0001,
CONV BURNER:
0
FUPH,INt. 0
BBQ........:
O
MISC........... t
GAS DRYER_:
0
AIR HANDLINU UNIT
k;ANGE....:.:
0
<:10,000 CFM: 0
GAS LOGS.. , :
0
1 10,00(! Qh; '.'•
CONTRACTOR
PUYALLUP HVAC INC
130 15TH 5T SE
PUYALLUP WA 98312
845-0581
PUYALH1066MX
LENDER
t'(OK 1712 WN KMBIN SALES TAX rOR PROJECTS 011811 TK CITY Of FE1ETtAi, NAY. TAX RATE = 8.25 t#a
................... V. ..4s
FEES:
MICH PERMIT FEE 83.25
504 TON..,... O
FUEL TANkS-------...
ABOVL GROUND: 0
UNDERGROUND,: 0 TOTAL FEES S 83.25
Does the eater supply sYstes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes" then water expansion tant is required on Hot Nater Tank)
Inspection RAcord: Mechanical Rough -in
MECHANICAL FINAL.
Date
Date
PERMITS EXPIRC 180 LAYS AFTER ISSUANCE If NO V Nt IS STABLED.
I CERTIFY TAE INFORMATION FURNISED ff ME I5 IRK. AND CORRECT TO THE
OWNER OR AGENT��.,.
Gas Piping .._,_..........__ ..._._.. Date
.^J F:IL n::Y«:L�G1C 0: .0:'.�4�1i:]'.`9l:wxmSYF#SiCh_�^.w'.dy5�iE.".$t3ilGxLfi.�w;F'9iiRCai9FiPiFY:'dIK�D31 'a9
VEST OF MY IMMEW W THE WRICARE CITY OF FEDERAL NAY KOVIALKITS PILL K NET.
DATE
FIELD COPY
CITY OF
�_
-_= E� BUILDING DIVISION
33530 1 ST WAY SOUTH 0
FEDERAL WAY, WA 9B❑❑3 66 1 -4000
CORRECTION NOTICE
259
ADDRESS: Z- #: 8L -O 1 1 0
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
<S/1 ll he
tvecAoni'cW1t,SPca(
u ,Ril"-54 a d r Yard
he
low
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