97-104239Ilk
CITY OFrEDL,111L WAY .PLtMI f NO: MEC9/ —CY44
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ITIT)VESS,:1855 S 28LIT11 aT
N(IJ': 042304--9137
PPo,j1E'r 1?FSCRI11'T10N-.OIL TO GAS FI+PNACF;' ELL TO vAS NATER HEATER
OWNER :.ulxi.x�,;�Ai��i�xi�i;,�=m.a�ma�ffi��i�>RRi�,�aaffi,��TPO
CONTRACTOR
LONNIE DUREL ” PUGET SOUND FURNACE CO .,
1855 S 283TN ST � BOX 28331
FEDERAL. NAY NA 98003 FEDERAL NAY NA 98093
2`3 934-16Q 253-8148014
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PW;ETSF0404L
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its a -A1 ihl*i, ImAj If`.,I. IIS ALAWIING SALES TAX FOR MJECTS NI1111 TSA City QF FEIERAL WY. TAIL RAff; - 8.25 Its
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PROJECT VALUATION 5000 FEE
�`� °''` � � �° s`
FUEL TYPES.:? ? FANS.. .., Y�IIL�`9'cICOMPfrt nR Mechanical Permit* 3 72.00 k
GAS PIPING.: bO ft HOOD.........` 0,� IQN.._..; 0� MEQ 1 T ISSItAK E... � 20.00 �
FUPN<100f..: 1 DUCT NQR �w,•< y . , ..3.,) f otl — .: L, 1
GAS NNL , .: 1 woft-' mm<1134,r 1k,30 Ice.
is
(OP. BUPNER: 0 f OF 1tli1K� ., T11N 'f
,01
GAS DRYER... 0 All HA IIf -0i�
PANGS .....: 0 <=10, A13f�D, 0
GAS LOGIT—.: 0 > 10,°3tlLI° iiERGROUND,. : 0 TOTAL FEES S 92.00
.. z ae_ 3. •_.i .• 1L9' G:'t t:.:S is«^.1.'• 171tlkL.•..MS �"
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r the eater supply systew contain a Pre *"ere Redecl�,pn Device or Check valve? () Yes f } No {If "Yes” then eater e;pansion tank is required on Not Nater Tank)
Inspection P,ecord: Mechanical Rough -in y".. _. _ Date Gas Piping ..__ .-_._.._. _ Date
MECHANICAL FINAL ....�_] ..._..C" Date 11.' r-
........
" �7
.............:xL.cJex R2._.z.;. �.':_z'F�'.::A c�54`. SC Y1:✓' ..r»«ve.Ti.�Y.'.. .... �: S:ere^.RBLm:iits+4R9tixs%maemiauFM.:ll�pm'.a a67BiaL»8l3RncY i¢eCRC:aFRLL'TJ r:.1PiAciZ.ielxTix.aaga A..... l9fLalsxsSSSIraCCaRtiiCigA'[5 'iRa:1st.'Y'.z.AmCIWI{`i"4xikwmer'.^.:L S:S..sCEYi+Yf�
14"IfS EXPI€d1 toll f>AYS AFI 55lwA f IF NO you IS `)IAR1L1.
I CERTIFY THE INFORWilION II f8 BY Nt IS f1N14E Aro `OPRECI Ii+ lot ILST 01" MY FtI�NfILE1+t;X An INI 091, 100.1. tITY OF FEDERAL WAY REQUIRIMIS 1ILL RF NIT.
OkN£tE't'R Af7FHT PAIL
FIELD COPY
f � �
CDO193 (Rev 4/97)
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98000 Mechanical Inspection Requests 253--661-4140
253-661-4000
ADDRESS:1855 S 288TH ST
NO.. 042104-9137
PROJECT DESCRIPTION:OIL TO GAS FURNACE/ ELE TO GAS WATER HEATER
PERMIT NO: MEC97-0344
ISSUED: 11/20/97
BY: FC2
EXPIRES: 05/18/98
F= OWNER =_________________= __________==__________________= CONTRACTOR =___=_____==________________________-__=____-= LENDER
LONNIE DUNKEL PUGET SOUND FURNACE CO
1855 S 288TH ST PO BOX 26331
FEDERAL WAY WA 98003 FEDERAL WAY WA 98093 s
253-939-3608 253-874-8014
PUGETSF0404L4
---------------
sss CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY
PROJECT VALUATION 5000
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
60 ft
HOOD..........:
0
0-3 TON.....: C
FURN<100K..:
1
DUCT WORK.....:
0
3-15 TON...,: 0
GAS NWT....:
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? ( ) Yes
Inspection Record: Mechanical Rough -in ---------__ Date .__,__...- Gas Piping
MECHANICAL FINAL Date
i
TAX RATE : 8.25 sss
FEES:
Mechanical Permit* $ 72.00
MEC PRMT ISSUANCE... $ 20.00
i
TOTAL FEES $ 92.00
I
s
4
( ) No (I# "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAYS AFT SSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION NISH D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR ASENT _
DATE
---------------------------__----------------------------------------
___--------__--
FILE COPY
CfrYOF G
V V Ry
REC HIVED
NOV 2 0 1997
Bun.DiNG DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614 129
APPLICATION FOR MEQUANICALPERMIT
BUILDING DEPT.
MEC
PARCEL # �13 Single Fam" Multi -Family ❑ Commercial ❑
SITE LOCATION
CgafT) 0* 9.): -36-09
Tenant/Owner ('/ Phone C
Address/City/State/Zip ✓ 7. r&P( Q -"'9J 57-35
1 �4 y 6_1A J� 6
Nature of Work `'G5, ��� �`) 0L r c '"��L Project Valuation:
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name f U6 e � J0l�
Address/City/St1Zip U' Bo)( --'26_W,`
Contact PersonsSofl Phone Fax /
State L & I Contractor Registration # f 06 6 TS �-o (�o L Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling <
= 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling >
= 10 000cfm
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Hood
Boiler
BTUIH
Other
t.nBurner
Duct Work
A/C
TONS
Other
Wood Stoves
_AZC
TONS
I
DISCLAIMER: 1 certify, under penalty of perjury, that the information furnished 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 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, an ed 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 lioonn.
Owner/Agent
Mr .Ape
Revrsm 8/26/97
Date