99-103178CITY OF FEDERf)l- WAY
33530 First Way Soutt'i SHL. FC ft N1 T
Federal Way, Wo 98003 Mecfianical trispect'.Icm 1Reqtj0.s1.-.s 253 661-4140
253-661--4000
ADI)FtESS:33623 32NO AVE SW
NO.: 954280-1140
PROJECT DES ('.'R1Pr1ON.-HVAC - GAS TO GAS fURNACE CHAKLOUT
OWNER
BILL HAMILTON
33623 32ND AVE SW
FEDERAL WAY 4A 98023
253.838.5642
— '—.— ,, if. . T: ::
Its CONIXACIORS. Ki" VA LKA119K,
CONTRACTOR - — -----
GLENDALE RATING & A
1.1462 DES MOINES WAY
SEATTLE WA 98168-226,
206-243-7700
CLENDRA05302
I rump
,K =--4 ..... M -x
C71)q —
r,
PERMIT NO:
I SSUL oe / -1.,l /99
BY: FC
EXPIRES: 02/1.2/00
SALES TAX FOR PROJECTS V11111 INE CITY 01' FEDERAL PAY. TAX RATE : 8.75 sts
PROJECT VALUATION
250OW*
, 4m i � %4
FUEL TYPES.:GAS GAS
FARS ........
DO* RSKWmaw-vma
GAS PIPING.:
0 ft
HOOD.. ..
TOO, v Em't s -m
ION
GAS HWI....
0
O,
N00 STOF�TONP
\Qk, -M
30 I - 'm'
CONV BURNER:
0
FURN".100r—'.." 0
- lo
30.511 Toll.,— '
BOO... .... :
0
.' 0
SO+ IOTA. 0
GAS DRYER—:
0
AIR RA#DLING UHITS
FUEL
RANGE......:
0
<:10,000 (FM: "s
AK'Vt GROUNP, 0
GAS LOGS—:
0
> 10,000 (fm: 0
ONDEKROUND.: 0
MECH PERMIT FEE 83.25
TOTAL FEES 83.25
GUt . . . . . . . . . . . . . . . . . . . . . . . . ....... ... ...... .
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If *Yes* then water e'jpansion tank is required on flat Water Tank)
Inspection Record: Mechanical Rough-ir. ate IS Piping Date
KICHANKAL FINAL Date J/�
laxma=.4R..... 1A*m =.9.a .. U, ..... ...... =0=4m ..... I ... Z.4—m ......
PUNITS EXPIRE 180 DAYS At IER ISSUAKf It NO WK IS STARTED.
I CERTIFY THE TWOM1101 FURNISH10 BY "I Is TRUE AND CORRECT 10 IRE REST Of NY rowt(bGr AND IK APPLI(ARLI CITY Of fLDLAAL WAY REQUIRLHINTS WILL Pt NET.
OWNER OR AGENT DATE I
FIELD COPY
CITY OF FEDERAL_ WAY tM t
33530 F=irst Way S o u t l',
Federal Way, WA 98003 Mect�ianic.�xl Ir,spect-.,_LQn 1�equests 253-661-4140
250--661-4000
ADP.RE5S:33623 02ND AVE '-- W
NO.: 954230-1140
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE CHANGEOUT
PERMIT N0= MEC99-0278
ISSUED: 08/17/99
BY: FC
EXPIRES:: 02/12/00
�= OWNER ________ ____________________________________________
CONTRACTOR _._______—._______________________=_________=
LENDER
BILL HAMILTON
i GLENDALE HEATING & A/C
33623 32ND AVE SW
12462 DES MOINES WAY S
FEDERAL WAY WA 98023
SEATTLE WA 98168-2266
253.838.5692
206-243-7700
GLENDHA053Q2
#*#
CONTRACTORS, PLEASE USE
LOCATION CODE 17.12 VREF REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE : 8.25 Ut
PROJECT VALUATION
2565
FEES:
FUEL TYPES.:GAS GAS
FANS..........: 0
BOILERSKOMPRESSORS
MECH PERMIT FEE $ 83.25
GAS PIPING.: 0 ft
HOOD...... 0
3 'ON.. 0
?
FURN<100K... 1
— .:
DUCT WORK. .. 0
3--_' TON,.... 0
vj
�
GAS NWT....: 0
WOOD STOVES a
15-30 TON :
CONV BURNER: 0
FURN>�TF� .... n
30-50 T'JN...: 0
BBQ........: 0
MISC..........: 3
5C+ TON— ...: 0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TARS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES $ 83.25
Does the water supply system contain a Pressure Reduction Device or Check valve?
Inspection Record: Mechanical Rough -in
MECHANICAL FINAL
Date Gas
Date
PERMITS EXPIRE 180 DAYS AFIER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISW BY ML -IS TRUE A"ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE
FROM
F6_9.0$2-000 W97).
PHONE N0. : 2062438344 Aug. 17 1999 11:26RM P2
, Detach And Display Cenificatc
03/17/99 TUE 11:25 [TX/RX NO 60571
CCTV OF
Y` `F � U=FL—
FteGeMI
PPLICATION FOR MECHANICA-L PERMIT
1999
Federal Way Business License number:
A�� 1 Y
NaD� A MEC _11 - �
�V
.C',
gU�
PARCEL #
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax (253) 6614129
Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION c�
Tenant/Owner1 "'1 Iii ivl 1 L 'l l`I Phone e3 — S�' /
Address/City/State/Zip _73 G �Z 3 -S V
Nature of Work r �Rti% s iV S T L L- Project Valuation:
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name L� / JM�%t f7c�ct 71 . �t
Phone
Fax
Address/City/St/Zip 1 `/�i LZ Lir' S v�`.� r' /?'Iz i"t �r'� c _ �.t1q 55-16,
Contact Person w e- Tc � &/Phone � ' .� y S- 7 7ov Fax
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel T e as/other
Gas Dryer
Air Handling <
= 10 0006in
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: 1 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 perforin 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 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
information supplied to the city as a pari of this application.
Owner/Agent Date
Mecn APP
R�sm 1/7/99