97-10439903%7'
CITY 01' FEDERAL WAY I)LRMIT NO: MLC9/–u360
35'30 fL' i rs t W a �, Scs u t h
3 ': MECHANICAL PERMIT 12/05/97
F*'-dcxr-Al Way, WA 98003 fit echani(.,--al 25"
BY: FC 2
253-661-4000 EXPIRE. S: 06/02/9€3
ODDRESS:2429 SW 3261`11 "T
No.: 896590-0130
f')Q0J!.'rT 1)r'1'rPTf-1rT011-.VEVA( - PrTROFIT [I.[ FURNACE & HNT TO GAS
(tjt*(af Wer' is to be, PaW 6q decf. (m+)
ty OWJJLJi I I . CONTRACTOR . .................
LORIN DOLS GLENDALE HEATING& A/(
21'29 SW 34161h ST 12462 DIS NOMS WAY S
F[DIPAt RAY WA 98023 SEATTLE WA 91168-2266
1153-661-3602
206-243-7700
LINDEC... ft— .. M ... UUM.
....... I.M ass...... ..............
spm CWTAKTOK. faw rxioalf ICwim Vott ATIM SALES j(jX FOR pROj[(IS VITNIN f#( CITY or FfKRAt NAY. TAX *All = 8.25 M
PROJECT VALUATION 3555 FEES:
ruct TYPES.:GAS ELI FARS. . ........ 0 kr)L(€ NEC PRNI ISSUANCE... 20.00
GAS PIPING.: 30 ft HOOD..........: 0 rf"", It* Mechanical PerCtf S 63.00
A
I URN10%..; I DUCT Wqr. 1 11". !('P,
GAS HN I.... : I WOOD rl'TOVEIS...: 1,
15 ,,1
(ONV PJFNER: 0 "t, S4 Toll—: 0
80 ..... ... 0 HISC .......... : 0 501 0
GAS DRYER..: 0 AIR HANDLING UNIT, F(If i TAK.,
RANGE..... : 0 4:10,000 (fe 0 ADOVE GROUND: 0
GAF LOGS...: 0 > 10'M0 Jn: 0 4DERGROUND.: 0 TOTAL FEES 83.00
2--== ;M ........ ....... ....... ......
Doer, the water supply system contain a Pressure Reduction Device or Check valve? �Yes No (if "Yes" then water expans:on tank is required on Hot Water lank)
'ate7- -4 D
.
Inspection Record: Mechanical Rough -b Date Gas P, 'ng
'1
I Date
KAMIS EXPIRE 116 DAYS KID IS%Wt If 00 WORK IS START11.
I CERTIFY THE INFORNARON fURVISK) BY NE IS IMIT AN CORRM TO THE VEST Of NY KKINILOGf, AND 19 h,"PlICAKE MY Of FLMMI VAY PIQUIRINI-NIS HILL it NUT.
OWNER OR AGENT
FIELD COPY
CITY OF FEDERAL WAY
39530 First Way South
Federal Way, WA 93003
253-661-4000
ADDRESS:2429 SW 326TaA
NO.: 896590-0130
PROJECT DESCRIPTION: HVA(
I I - 1T NO: MEC97-0360
PERMIT
�'�'' E ��;::� �°� � ��fi �'��� �;:N:: �:;'.` �►':°. N.... i.*,.,� ,E lf::�� �' 1:;N..�I" ISSUED: 12 / o � / � �
Mechanical Inspection Requests 253--661.-4140 BY: FC2
EXPIRES: 06/02/93
ST
- RETROFIT ELE FURNACE & HWT TO GAS
r= OWNER =________::_.___=____=____________________________=== -T= CONTRACTOR =_=_____________________________ = -=___=====T= LENDER
i LOREN DOLS SLENDALE HEATING & A/C t
2429 SW 326TH ST 12462 DES MOINES WAY S
FEDERAL WAY WA 98023 SEATTLE WA 98168-2266 r
253-661-3602 206-243-7700
GLENDHA053Q2
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 s�=
PROJECT VALUATION 3555
FUEL TYPES.:GAS
ELE
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
30 ft
HOOD..........:
0
0-3 TON.....:
0
FURN<100K..:
1
DUCT WORK.....:
1
3-15 TON....:
0
GAS HWT.... :
1
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ.........
0
MISC...........
0
50+ TON......
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
Does the water supply system contain a Pressure Reduction Device or Check valve?
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 63.00
TOTAL FEES $ 83.00
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 FURNISHED BY
ME IS
TRUE A#D CORRECT TO
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERALWAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
------`J'���
----------------------
------.. DATE___ J
FILE COPY
crry OF r
BUII DING DIVISION
33530 First Way South
Federal Way, WA 98003 r
(253) 6614000
Fax(253)661-4129
pEC 05 AgSlAPPLICATION FOR MECHANICAL PERMIT
►1 gU1LU1NG DEPS A M
MEC j -�
PARCEL #
SITE LOCATION
Single Family O' Multi -Family ❑ Commercial ❑
leo l s _
Tenant/Owner L (� �� � � Phone
� /.,I
� "�
Address/City/State/Zip
U�
Nature of Work P 7�i1/ Ul �� f l 12 Project Valuation: $
APPLICANT
Name
Address/City/St/Zip - L � h)� 5 !y/�
Contact Person rot, boo `7
MECHANICAL CONTRACTOR
Company Name
r'(1j' Dr.
Phone 206) )A " MO Fax vY f
Address/City/St/Zip
Contact Person n' \ �Phone Fax /
State L & I Contractor Registration # CIL
/ v L- �- ' V b q r � �) Z `'r `l Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
6 =( Gas Dryer
Air Handlin <=
10 OOOcfm
Fuel Tanks:
Lengthof as piping"'Ll
Ran a
Air Handlin >
= 10 OOOcfm
Above Ground
Fum <100K BTUs
k/ GasLog
Unit Heater
Underground
Fum >IOOK BTUs
Fans
Boiler
BTU/H
Miscellaneous
Hood
Boiler
BTU/H
Other
tConBmer
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the infor uition 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. I further agree to save hamdess 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 apart of this application.
Owner/Agent
Mecn.Arp
Revism 8/26/97
wi �� - � '06'-%' ` 7
Date
1
II