97-100307q7 1IMS0 7
(- I I Y OF F E DER( -)L. W(1Y
I)FRMI-11 NO: MLC9-1--0037
33530 Fir-�7,f WaY F,0LI`I h
Ill C. <, I I A, Vt I Cri L P x4... R M I T
ISSUU):
01/28/97
Feder -al. Way, WF) 9800A
Inrc-ct;i(:)n r_,61-4140
BY:
FC?
661 4000
I-XPIRE!;:
01/22/9H
AM*F�;S:2651. ',.-N 2/6111
NO.: 757560-U54()
PP,OJ ECT T)FSCR I P 1101-1 - HVA( GAS FURNACE,
11111 (HANGEOUT. ADDING HEW GAS LOG t ASSOC. GAS PIPE.
j- OWNER ...... (ON(RA(IOR LENDER
DAVID JOHNSON
ADVAKED FILLER SERVICE INC
2651 S 2176TH ST
516 VALLEY AVE ME
FEDMI. WAY WA 98001
PUYALLUP WA 48972
839-6859
?70-21440
CMIIRMW�, PLIAL 9q, tiXA116W
Alm",
Mgm
4 SALES )AX I!jg PR(IJIM VIININ 1111. CITY OF FLKML VAY.
tAX RAIL 8.25 tet
PROJECT VALUATION 3067
IU(L TYPES.:GAS ? FANS. UANCE... 20.00
GAS PIPING.: 20 ft NOW. ...... 0- ill): .... e r1i tt i-'4. 00
FURM(1009..:
I DUCT Vogt.
6AS NWT....: I wo
(014V BURNER: 0 F U F, 4s
HBO......... 0 AP, ...... 0
GAS DRYER—: 0 AIR HAkkull Atigm ---------
PANG[ ...... 0 10 4 V( GROUND: 0
GAS LOGS...: 1 10:000 0 UNDLRGROUND.: 0 MAI rEls 83.00
7. '.. 1 1;
Does the water supply systea contain a Pressure Reduction Device or Check valve? Yes No (if "Yes' then water expansion tank is required on Not Water NO,)
Inspection Record Water Line ff mechanical Inspection Notes:
GAS PIPING % Date By
PERRI IS EXPIRE 18i, DAYS At ItH It-SUAKI. It WO WWI IS SIMILD. RL5IDt-111 IA1 AND 01014 I'LF11115 1[XPIKL (M YEAR At IERL 0611 Ot I"tMAIKI..
I ClItIlry IK lift-30tifl'm fi Islito By HE Is fROU AND (1w91(I IO 111F 91SI 0I Illy I(MMI-Ifolt AND tiff' A11101,1021LE City Of MURAL WAY IttQUIRINFIlls 11114 K NEI.
PAIL
F�
FIELD COPY
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CITY OF' FEDERAL.
WAY
PERMIT NO: MEC97-0037
33530 F i rs t Way
S o u t ti^"1):,
N,,,, fi M i�' �;�,,M ..,., y,;,.: i''$,.~., ?��. i�'`'. �, :.°:.,,, ISSUED: 01/28/97
F'eder-al Way, WA
98003
twilclin(.1 Inspection Requesl-s 661-4140 BY: FC2
661--4000
EXPIRES: 01/22/98
ADDRESS : 2651. S
2-76 r t.i S,T
,
NO.: 757560-0540:1
PROJECT DESCRIP-rION:HVAC
-
GAS
FURNACE, HWT CHANGEOUT. ADDING NEW GAS LOG 6 ASSOC. GAS PIPE.
______________
- __
________ _.:_____.-_______-= CONTRACTOR =::.-___-__-_:_-__.:._-_______ _;_______ _ _==aaaF= LENDER
___ . ____----.-.-.- �
DAVID JOHNSON
ADVANCED FILTER SERVICE INC
2651 S 276TH ST
I 516 VALLEY AVE NE
FEDERAL WAY WA 98003
PUYALLUP WA 98372
k
839-6859
s
770-2440
ADVANFM044RD
{�
:a:
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES ,AX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 txt
PROJECT VALUATION
3067
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
( GAS PIPING.: 20 ft
HOOD..........:
0
0-3 HP......: 0 ; Mechanical Permit* $ 63.00
1 FURN<100K..: 1
DUCT WORK..,..:
0
3-15 HP.....: 0 � f
( GAS HWT.... : 1
WOOD STOVES...:
0
15-30 HP....: 0 1
1 CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: Q 1 1
BBO........ . 0
MISC..........,
0
5+ HP........ 0 1 1
GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE ......
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0 ? 1
} GAS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0 I TOTAL FEES $ 83.00 1
1
i �
I Does the water supply
system contain a
Pressure Reduction Device or Check valve? O Yes O No (If "Yes" then water expansion tank is required or, Hot Water Tank) 1
Inspection Record
Water line OK ,.,__•___.__
1
Mechanical Inspection Notes:
GAS PIPING OK __________ Date -...._.... By ____ _.------_ _ _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO 9ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFOR,MAIIBN FU ISHED BY ME IS TRUE AND CORRECT FO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT — - -r`� DATE
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
_ _I Federal Way, 98003
wn
%7yF= 4CAC:R (206)661-4-4 000
PLICA TION FOR MECHANICAL PERMIT
PARCEL Single FamilyXX
vv P'I
SITE LOCATIONI O�QXNG
VoA
Multi-Family ❑ Commercial ❑
David J. Johanson Phone: U39-6859
Tenant/Owner:
Add ress/City/State2ip:
2651 So. 276th St. Federal Way, WA 98003
Nature of work: Replace Gas Furnace & Wtr/Htr with sane Project Valuation: $ 3,067.00
APPLICANT:
Name
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
Phone:
Advanced Filter & Mechanical, Inc.
Address/City/St/Zip: 516 Valley Ave N.E. Puyallup, WA 98372-2503
Contact Person;
Tony Strozewski
State L & I Contractor Registration #:
(Card must be presented)
MECHANICAL UNIT COUNT:
ADVANFM044RD
Fax:
Phone:206-770-2440 Fax: 206-770-2443
Exp. Date: 12/07/97
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <10OK BTU's XX
Gas Log XX
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt XX
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the bast 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 WW as to any claim fincluding coats, 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 rises
out of the reliance of the City, including its officers and employges, ypon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent:
Date: J 9 7
+s
1