97-104618a=.6.-,,,'.j.
CT'VY OF F E:.DE'RAL WAY
a'nb—qo r i rst way souttl
Way, WA 98003
ADI)RESS:3O858 20TH AV
NO.. 053700-0607
PROJECT DESCRIPTTON: retrofit natural gas
7% /,'0f�
PERMIT NO: MEC"47 .03E3f3
Moch td(-ai hispec:tion (-'Y: €-G_: '
fa, OMN0 :w.wwacaw � s�xu:$¢��� m��x�a s•c ..aam -; • CONTRACTOR
BEN NROiOVICN GtENDALE HEATING 4 AJC
30858 2PTN AVE S 12462 DES MOINES MAY S
1�EDEkAL MAY NA 98003 SEATTLE MA 98168-2266
ENDER�¢¢��,¢��,�.�,z.aaa��>�w�:wmaaa�amrrsaa.cx-��•�._ : _ „ _ :.: <.:.
'5'3-84 2284 206-243-7700
}:....,n.,:x.......x«._....:.::sz:�;-.�csa¢x..:..: ..yw^:C�,i ex,. *�..�. :�:. w¢,.,,rw�.rtEa'"• ,iAwwazc�sa#�a�t :. c:: anesy.,:.:s.ssa.eowccrcx..cy.:.......::�:..•;.. ..-e.,;aua: .. �r,.. �:;,,:: .. �_a.asaR•a=r..asa::�ee.ex¢zsuns�as ....:.. ;»:r::aFw:•
88f C>'LIIfwTONS, ftm USE LOwl" (Ok Ila W# •TiMll'► sats TAX FOR MWECTS NITNIN TNf CITY Of 41-D3RrO ';W'. Ti11! ,Ulf 8.25 m
c.:.:-.. ..,: _:.-, _.. i...:Ss¢¢i: LYA ::T 'Sai:L:F+Aa. '¢.xa¢_. ..tr'.�- xi1Y.: _::.]__,....,.�a.y..-.._ _.«........:....._.,.......,�x.�....:,:7as'3•.._._•s. L'asF¢. a. S'�.�a¢•:1.. ... . :�.:u G•,. .: .__..,.::1as�s�aL'uN;tLSA;::c8:9wxM$:r.. :.L.. a.: -s..`.>: z.�i
PR03TCT VALUATION 2559 FEES -
FUEL TYPES.:GAS GAS DDIF1STk1P S Me*hxicfil Pefett I 54.00
GAS PIPING.. O ft NnOD ,., 0I3 4; . iT MEC PPXT ;StUAtKt - t 20.00
FURCOOK—:
1
WT 3-1� f0ll. ..:
U
GAS NMT....:
0
W0O%jTW
15-30
CUNV BURNER:
0
ftmmN #40i
t
GAS DRYER..:
0
AIR NANDI.1I
IOU
RANGE......:
O
:=10,0U0
to VE 6F:f1UND:
0
GAS LOGS,..:
0
; 10,000 CfK 0
UNDERGMIND.:
0
TOTAL FEES E 74.00
acasa+:aa-^-a: .. a; ¢s a:::s¢sra: sa�.xxas: �.: �.-.xmc:xan�:m� xx•::.x.z:. a. s:ax:.:sau.._ mx_.a rx.-a •xx>ynnsvax.x c.�:.au:::.:sa u bxi m�a�:. _ .: ,'. x.r ,.. . ..:.: :.: �... .._ . ... ::-.r..:._._.. a.. .'..•-a�.:.i,aax.u.:.r•z �w+u.%.;.::s:•�m:�sss-sw�.:: xse«...`fi�:assc:...sa� ::.ac: � czx.:...:-:.:x.>
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes (1 No (if "Yes" then nater expansion tank is required on Not Nater Tank)
Inspection Record: Mechanical Rough -in Date . __..__.. . Gas Piping ,..___.._..____- Date ____
MFCNANICAt FINAL Pp4r, - `74 Grate -3 -6- , $
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HITS [VINE 188 DAYS AFTLR ISSIM#NCE It Nti MOR]I IS STARTED.
> CERTIFY TNF TNFORMATTOM FURNISHED DY K IS TRILL ANTI CORRECT TO TME BEST OF MY tM LEW AND 18E &PL.IUkit (TTY OF ff-KRAt MAY KLOUIRENIkIS MILL K- MLT.
t.OMNER 0 AGENT DAIS
FIELD COPY
CITY OF FEDERAL_ WAY
33500 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:3O858 20TH AU S
NO.: 053700-0607
PROJECT DESCRIPTION: retrofit natural gas
114 x, (-*_ ,.,,� t„�i 1"' ., ,. M,,, ;,,'$ .1 I';,;;a I ''O', i"l "I""
Mechanical Inspection Requests 253661-4140
OWNER CONTRACTORLENDER
BEN BROtOVICH GLENDALE HEATING & A/C
30858 20TH AVE S 12462 DES MOINES WAY S
FEDERAL WAY WA 98003 SEATTLE WA 98168-2266
253-839-2284 206-243-7700
GLENDHA053Q2
3i; CONTRACTORS PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 !23
• I r
PERMIT NO: MEC97-0388
ISSUED: 12/29/97
BY: FC2
EXPIRES: 06/26/98
PROJECT VALUATION 2559
FUEL TYPES.:GAS
GAS
FANS..........:
0
BOILERSJCOMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....:
0
FURN<100K..:
1
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER:
0
TURN>100K.....:
0
30-50 TON...:
0
BBC........:
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
anical Permits $ 54.00
PRMT ISSUANCE... $ 20.00
ES
$ 74.00
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 FINAt Date _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
BATE ._1�,/ _!�kq_/�
CITY OF ` I `� WEED
• EO _CW 11
DEC 2 9 1997
!i t ut l «FPT A�
APPLICAfII"�'�tt'`FOR MECHANICAL PERMIT
PARCEL #
SITE LOCATION
Tenant/Owner
Address/City/State/Zip .
—7
Nature of Work
APPLICANT
Name
Addre,
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEc `17 - 03�K
Single Family GY Multi -Family ❑ Commercial ❑
Phone �� "/ O
Project Valuation: $ �, �� �• R
III
Contact Person ��i �- Gh Phone A� � �1U6 Fax 2
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person Phone Fax
State L & I Contractor Registration # % V ✓ Ex Date
(Card must be presented) P
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin
< = 10 000cfm
Fuel Tanks:
Length of gas pipingRange
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Hwt
Hood
Boiler
BTU/H
Other
L.Gas
nv Butner
Duct Work
A/C
TONS
Other
Wood Slow,
AtC
TOhIs
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is nue and correct to the best of my knowledge and further that I am authorized by the owner of 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 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 aspart of this application.
O'Wner/Agent I
Mecu.Arp
RF ,ismer 8/26/97
c)
Date � q O