99-103076-NTY Of- FEDEPAL WAY
33530 Fir,.7,t Way SoLiti)MiXt1jA_tq1'1(_7AL PERMIT
J`ederal Way, WA 98003 lmb,�ctibn Re1qtIeStS 253-661-4140
253-661--4000
ADDRESS:31711 32ND AVE SW
NC),: 438800--0190
PROJECT DESCRIPT ION: HVAC - GAS TO GAS FURNACE RETROFIT
OWNER ........ ......
ALDER/ROSA DOUGLAS
31711 32ND AVE SW
FEDERAL WAY WA 980413
874.3762
CONTRACTOR .......
GLO-DYNAMICS COMPANY
505 F ST SE
AUBURN WA 98002
735-0100
QODY**027ON
UNDER
... S].40.';.:. i. 1 -*1--11.- .. a ......... ... ... .... ... .......5......R V= ....... .................. —
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes Wj (If *Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Neclanical Rough -in Date Gas Piping Date
MECHANICAL FINAL Date
........... ......
PERMITS IXPIRI IN DAYS AFTER ISSUANCE If NO WORK IS STARTED.
I CERTIFY INt INIONRIMATION. AMOISNED By NIA IRK AID CORRECT 19 IN BEST AF NY 11MOK AND THE APPLICABLE (I Of Ff,DERAL NAY REQUIRENEXIS WILL K N0.
GONER OF AGENT DATE
FIELD COPY
2
rt� t_tam (
................
PERMIT' NO: MEC99-0272
tssuu):
08/11)/99
.
BY: FC
90#41INC SALES TAX FOR PROJECTS VIT111 IN CITY Of FEDERAL WAY. TAX RATE
= 8.25 tst
... S].40.';.:. i. 1 -*1--11.- .. a ......... ... ... .... ... .......5......R V= ....... .................. —
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes Wj (If *Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Neclanical Rough -in Date Gas Piping Date
MECHANICAL FINAL Date
........... ......
PERMITS IXPIRI IN DAYS AFTER ISSUANCE If NO WORK IS STARTED.
I CERTIFY INt INIONRIMATION. AMOISNED By NIA IRK AID CORRECT 19 IN BEST AF NY 11MOK AND THE APPLICABLE (I Of Ff,DERAL NAY REQUIRENEXIS WILL K N0.
GONER OF AGENT DATE
FIELD COPY
2
................
'Its
0AIRACTORS, KfAIL List
L"llUm ro.q 113)
#d#
90#41INC SALES TAX FOR PROJECTS VIT111 IN CITY Of FEDERAL WAY. TAX RATE
= 8.25 tst
PROJECT VALUATION
1500
FEES:
FUEL TYPIS.:GAS
?
FANS.... 0
poitus4effplrcc"c
MICH PERMIT FEE
54.00
qAe PIPING.:
0 ft
0
0-3 T(*..,,.:
0
FURK,11009..:
1
VKT WO -Ft'. ft
-15 TOO_.:
6
GAS N I.... :
0
WOOD tITT"'_
It
CONY 11UPOLN:
0
FURN,100t. 1)
o
..........
so+
AS DRYER..:
0
AIR NANDI 1K, UMTS
FUEL
--
RANGE......:
0
,-10.U04 0h: "I
ABOVE GROUND:
0
GAS LOGS_:
0
> 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES
54.00
... S].40.';.:. i. 1 -*1--11.- .. a ......... ... ... .... ... .......5......R V= ....... .................. —
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes Wj (If *Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Neclanical Rough -in Date Gas Piping Date
MECHANICAL FINAL Date
........... ......
PERMITS IXPIRI IN DAYS AFTER ISSUANCE If NO WORK IS STARTED.
I CERTIFY INt INIONRIMATION. AMOISNED By NIA IRK AID CORRECT 19 IN BEST AF NY 11MOK AND THE APPLICABLE (I Of Ff,DERAL NAY REQUIRENEXIS WILL K N0.
GONER OF AGENT DATE
FIELD COPY
2
CITY OF FEDERAL WAY
03530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:30.711 32ND AVE
NO.: 4:38800-0190
PROJECT DESCRIPTION: HVAC
OWNER
ALDEN/ROSA DOUGLAS
31711 32ND AVE SW
FEDERAL WAY WA 98023
874.3762
Mechanical Ir)spectidn Requests 253 661-4140
SW
- GAS TO GAS FURNACE RETROFIT
CONTRACTOR
GEO-DYNAMICS COMPANY
505 F ST SE
AUBURN WA 98002
735-0700
`:EODY**0270M
LENDER ===
PERMIT NO: MEC99-0272
ISSUED: 08/10/99
BY: FC
EXPIRES: 02/05/00
#i; CONTRACTORS PLEASE USE LOCATION CODE 1132 xHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25
PROJECT VALUATION
1500
€ FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
SCILER:?CCMPRESSORS MECH PERMIT FEE $ 54.00
GAS PIPING.: 0 ft
HOOD..........:
0
3-3 .TON....,: C
FURN<100K..: 1
DUCT WORK.....:
0
3-11- C
T
GAS HW;....: 0
STOVES_-
WOODS OVE ...
n
1 j1, n l C i
5 _: T,"...:
CONY BURNER: 0
FURN>100K.....:
0
30-50 TON...:
BBQ......... 0
MISC...........
0
50+ TON...... 0
GAS DRYER..: 0
AIR HANDLING
UNITS
FUEL TANKS ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0 t
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 i TOTAL FEES $ 54.00
---------------
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 ----------------- Date ---------- Gas Piping ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION URNISHED BY ME jfj TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CI YF
F ERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR RGEN' -- - ---__ --- - - ----------------------
DATE -
FILE COPY
CfrY OF
• W
BURMING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
AUG
10 i99Q APPLICATION FOR MECHANICAL PERMIT
+rf iY OF t=t',3c��f�L WHY
Federal Way Business License number:
gU1LDtNr" DEPT.ME('C-J—L-- - C
PARCEL # Single Family'{ Multi -Family ❑ Commercial ❑
SITE LOCATION �
zAA
Tenant/Owner
Address/City/State/Zip 3
1 I I 3�J nc� Av, s(AD
a
Phone �S 3�l t{ - 3 7 VL
1 sol
0,3S
1
Nature of Work l �Y �YV� �I k l , 3 S ��KKDCCL- Project Valuation:
APPLICANT
Name +� �d2.v1. C. -1 k)
`� J:�o1Sa
Address/City/St/Zip -:2 ?`f / S L,) 3 J q4k S4 / Fcdw `-N ( G"-) .-I `q '? Y '� 3
Contact Person PO S Phone (3S_3 q4 - 3 21 Z Fax
MECHANICAL CONTRACTOR
Company Name `"-' l J!' ✓oyw'1C'S 69
Address/City/St/Zip �Os F ty��� 'Sc r ti I f,LJl �X JD �-' �" 1.2
7
Contact Person - I V VVIZ V- Phone � Z S3 , J s -y � U Fax
State L & I Contractor Registration # GLo D !� o,22 0.M Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other A>
Gas Drver
Air Handling <
= 10 000cfm
Fuel Tanks:
Len gth of gas piping CX15TI I'i9
Range
Air Handling >
= 10 000efm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underaround
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO's
Wood Stoves
A/C
TONS
DISCLAIMER 1 certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and further that 1 am authorized by the owner of the above premises to perform the work
for which permit application is made. 1 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 part of this application.
Owner/Agent Date lxi� Z
Mpcu APP
Fttv�sry 1/7/99 � •. �n /(„��t/" �I� �/ /