97-102619A
CITY OF F=EDERAL WAY
33530 F i rs t Way South rl 14, J... M:,..,. M L... t-,11 I'r*R ,11,111 J. R
Federal Way, WA 9300:3 Building Inspecwt:ion Requests 661-4140
661-4000
ADDRESS:321O5 1ST AVE S
NO.: 926502-0020
PROJECT DESCR IPT 10N: replace heat pumps Four five ton, one four ton, one 2.5 ton
= OWNER
DR. GREENFIELD
32105 1ST AVE S.
32123 IST AVE S.
FEDERAL WAY WA 98003
838-2055
'ONTRACTOR =========
UBURN SHEETMETAL
0 BOX 8003
ONNEY LAKE WA 98390
39-0131 863-3500
UBURI*222RQ
??- Loa(0 y
PERMIT N0: MEC97-0215
ISSUED: 07/18/97
BY: FC
EXPIRES: 01/13/98
tst CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 US
---------------
PROJECT VALUATION
13464
FUEL TYPES.:? ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 1
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 5
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ......... 0
MISC...........
0
5+ HP........ 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOSS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
Does the water supply
system contain a
Pressure
Reduction Device or Check valve? () Yes () No (If
Inspection Record
Water Line OK ----------
Mechanical Inspection Notes:
GAS PIPING OK -----------
Date ------ By ------
FEES:
Mechanical Permit* $ 153.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES $ 173.00
"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 INFORMAIJS #URNISJUVINE IS TRUE AN"ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE=_
07/17/97 THU 15:.38 FAX 2086614129 CITY i'JF FEDERAL 6VAY 111002
3
City
of
South Ferst W�
viecove
Federal way, WA 98003-6210 997
1253)661-40oo 4
AIR-
APPLICA TION FOR MECHANICAL PERM/TICL.OING oWT. �
PARCEL #; Single FamilyO
Multi -Family ❑ Cornmerciat°'a--�
SITE LOCA•rl()N: 1
Tenant/owner:
Addresa/City/State/Zip:
Nature of work:
APPLICANT;
Name; `Z24a
Address/City/St/Zip:
Contact Person; 1 ,
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip: ` C
Phone-
Project Valuation; $ L�
�� _� ( -,,C,) Fax;
Contact Person; �� '� VY . ��j ?I_
-J4
Phone: ���^ Fax:
("state L & I Contractor Registration #; � � �'� � (��-�a �y,�y_ � �,
(Card muat be pmaorltsd) Exp. Date:
MECHANICAL UNIT COUNT:
DISCLAIMER. 1 eort!fy trdOr P"ty Of MATY Mat the I d4miti■n ruweted b mi 1■ treat ON comet to the but et my 4r,*W ■
ara'nhr to parl— %hi wfi {k fx wMen parch VOICetlart N Meda, i i'~ y in! fwttw d+at f am a litio ed by Un O■rrrr of tw .bow,t
In Inrwtlpadon W d*" M of atett tl , wtiah May be m■" by ant' pili Ion,, RMU6no the %wd tlto , W of FaJodd War N t0 �+Y dalM Ogetslih aiietr ltliena , d ltltur!— rile I it.
rellar 4* ■t tty Clty� inchktlrta It Of ■ irnal tnda■Ipnad, and alai yilryt tir Clq of P■iafly WaY but Orel
°t'� aaatr Op the informatl.r. 400"" to tha City a■ • Otrt of thI4 Y whU4 wdi Malin w!■a■ atR Of the
yp9imatlart,
Owner/Agent
Da e*
9,7-/0) 019
:a"TY OF FEDERAL Wrr( PERMIT NO: Mit-ii U,:-.
1 l5,:3O First t. Way South M it . C: 'rL PERMIT. ISSUED:: 07/o8/98
ederal Way, WA 98003 Mechanir:al Inspection Requests 2_IJ 6f,1 4140 13Y: FC
2'63-661- 4000 EXPIRES: O7/31/99
i
ADDRESS:32105 1ST AVE
NO. : 926502-0020
onr! Tf"'" I r r 'c P1 PI`TfaFl` rer''fa(e !II-;P .$)mr-,ttr r:'le s 0 }
Ilitiee-41 et,QE'4l i/131C (Lt
]3[ee at so V' C' --0 t53 -fi r olio- .• or on- i f e . �j
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DR. GREENFIELD I i/ URN cif 1
32105 1ST AVE S. 1‘ BOX 80
32123 1Si AVE `',. 1 BON .0-0997
to
FEDERAL MAY MA 98003
838-20554IPV 40 11001‘ 10
253-863-3500
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us CEIN1 , i. ' s •,) ECTS NITNIk THE CITY 01 FEDLRAi I�tY T! KATE = O 2S t�*
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PROJECT VALUATION 13464 ♦ I FEES: f
FUEL TYPES.:? FANS. ! 00(kRoial Persitr t 153.00
GAS PIPING.: 0 ft HOOD ‘11‘• ?+Fc NW 1SSt ANf 7 t 20.00
FURH<100K..: Il DUCT'IMNr. 3-15 1,
GAS NWT - • s., WfI 't5. 1$430
CONV BURNER: 9, 30 I°+N t,
BOO........: 0 ,. � Fa:
GAS DRYER..: 0 ii),. ).1,;; FL lkES- .
RANGE • t1 't CH D *OVE GROUND: U
GAS LOGE...: 0 . Cl-'0 UNDERGROUND.: 0 TOTAL FEES $ 113.00 1
I
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Does the Water supply system contain a Pressure Reduction Device or Check ialve". ( ) Yes ( ) No (If "Yes' then later expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough-in ._._ .,__. Date _,_ _,..._.___: Gas Piping ________________ Date . ,,.._______ 1
MECHANICAL FINALDate
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PERMITS MIRE LSM) DAYS AIM I':SOAIII LI N6 NOR1 IS SIARite.
`i•C11111 Y IOL INF ION IURNISNED BY NI I IRUE AND CORRECT 10 I hI. DISI 01 MY faINNN EDiEE AND TRE APDL UCA1t E CITY OF FEDERAL WAY REQUIREMENTS TIRE DE NET.
7111R ,1R
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FIELD COPY