97-101466(:II,Y OF F'E:DERAt. WAY
3.3530 F 1 rat Way .Nr)uttl
Federal Way , WA 91300,3
661-4000
ADORESS:3559)161`11 AV
t-10. : 2821,04--91.10
PROJE(-:T DESCRIP1IU4I:11VAC
C�- -_ --W
MECHANICAL P E�H I i
I3u:i l(Ji ng Inspection PecTueis is 661-4140
S
- OIL TO GAS FURNACE, HWT AND GA5 PIPE INSTALLATION.
OWNERCONTRACTOR .v .a,-.— ......,.n�r,�ga:x-_�:: LENDER
DUANE GAFFKE SWARTHOUTS NATURAL GAS SERVICE
35906 161H AVE S 2414 179TH AVE
FEDERAL NAY NA 98003 SUMMER NA 98390
� MOO r,
921-0974
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'
:*t CONTRACTORS, E 100110
1f ;t>Df ,w`?'> 1IMP Rlifw:140,', 1`k itN^ �`tt,ilCTS MITNIN C!!! ;:1TY QF FEDERAL MAY, TAX RATE = 8.251st
.a>:: c5S S6s;ivapti$'64milN.'te s. .. .-, x-"- r w aa_ cast 8'3:k -��4 ,ilckGia%4'IWIRdisc6�lic.. ".�SpmaCb'"�cxiCkt,kiX'S@: >.. i:,..,.,&C�,'mp. xaaxecarxm � ii",. pgdt§uk# _.__.,.amxu•asi.x,�.:: �S: L'.
PROJECT VALUATION 2800
a 8 �i" ,inw
e�' v
FUEL TYDES.:GAS ? FAr"..
A0 tl (1, ?�FEa .......
MEC ISSUk I... '• 20.170
GAS PIPING.: 25 It Ht*D. 6,4--,. � 0 U Mechanical Pertain i 54.00
FURH< OOK : 1 DUCT t
GAS HWT..... 1 WOOD
CONV BURNER: 0 FURN>lU :;0-50 ..: 0
BBQ......... 0 MIS(. 54 HP........ 0
GAS DRYER..: 0 AIR HANDLIN' ITS FUE1. TANKS ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 `. 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES
PERMIT NO: MEC97-0143
I �iSUE D: 04/221-4/9-7
8y: i" C
EXPIRLf" : 10/25/97
$ 74.00
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Does the eater supply systelr contain a Pressure Reduction Device Check valve? () Yes () No (If "Yes" then eater expansion tank is required on Not Nater Tank)
Inspection Record Water line OK _. Mechanical�er ion otes:
GAS PIPING OK •, Date __. By
I:s:aa:azxaaazs-;srecxmarc_:ssxxers ns":sse:arc:.wla:am.':m^+;x�os+xu�xxmucamesxsa~ross.::_uraamavau.,:;-. va:xwn: u:z::.ae:avz.-uac s'cx mearaxm.¢:'uzr:maa^c:casea5ss,rac`u:exw.xzscs:»erwms:-axx::=rmx:cx¢xaoummsxms:mraxccama.... ncaz; .::....
PFRNTTS EXPIRE IMO DAYS AFILR IY-MN(E IF NO VOR[ IS SIARTED. RESIDIKILAI AND CRAVING PLPNIIS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY III[ 1110RNAt10N FURNISHI) .1E IS TRUE AND Cowl TO THE otsi 01 MY KNONtro T AND TNF APPLICA14l CIIY OF FEDERAI 40 VOUIR11KNTS Vill BE NFT.
OWNER OR AGENT DATE
FIELD COPY U
t -
CITY OF FEDERAL WAY PERMIT NO: MEC97-0143
38530 First Way South"�i�;;, h,..,,.i�°�i �"" ..�,. d,.., i$..,, i��'"�� �`.... W ISSUED: 04/29/97
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661--4000 EXPIRES: 10/25/97
ADDRESS:35906 16TH AVE S
NO.: 282104-9110
PROJECT DESCRIPTION: HVAC - OIL TO GAS FURNACE, HWT AND GAS PIPE INSTALLATION.
- OWNER =____==______________________________________________ CONTRACTOR =_____________=_____==________________=_____= LENDER
DUANE GAFFKE SWARTHOUTS NATURAL GAS SERVICE
35906 16TH AVE S 2414 179TH AVE
FEDERAL WAY WA 98003 SUMNER WA 98390
927-0974 891-9286
SWARTNG055CZ
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 Ut
PROJECT VALUATION
2800
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.: 25 ft
HOOD..........:
0
0-3 HP......: 0
i Mechanical Permit*
$ 54.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
11
GAS HWT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>IOOK......
0
30-50 HP..... 0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 74.00
Does the water supply system contain a Pressure Reduction Device or Check valve?
Inspection Record Water Line OK ----------- Mechanical Inspection Notes:
GAS PIPING OK .......... Date ...... By
() Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BX ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT
FILE COPY
DATE_I��--
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 661-4129
APPLICATION FOR MECHANICAL PERMIT
(� % '1 MEC
PARCEL # % "� I `� - ` 'q1(�1 Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
CSA i i�,>
Tenant/Owner - Phone �
Address/City/State/Zip
Nature of Work N ix�a��CsL(�1�r� Jrt��i�;"Z`d
11 Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name_�SW ART I S' N f a) KL CAv C1�
�( Address/City/St/Zip
Contact Person 1],1 �� trJ �� �� Phone Lcr 1 �� Fax
State L & I Contractor Registration # s /JIB r� 2 Exp. Date �' 7
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
! Gas Dryer
Air Handling
< = 10 000cfrn
Fuel Tanks:
Length of gas piping
4.7 1 Range
Air Handling
> = 10 000cfm
Above Ground
Furn <100K BTUs
. Ole � Gas Log
Unit Heater
Underpround
Furn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and further that I am authori7sd by the ownerof 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, expenses, and attorneys' fees incurred n investigation and defense of such claim), which maybe
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.
Y �— () C
Owner/Agent �" Date
MECHAPP
REv ED 12/11/96