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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� �/ /