97-101997(-:ITY OF IJ-DEVAI. WHY
33530 Fir-st Way Sout-Ji
I-erreral Way, Wi) 1000-1
.)61.-4000
0DDRV';',-3:'19(,0 ' W ',"I'
NO.: 8731,Q8-2220
PPOJECT T)F*SCR1r,rI0N:RfTROI`HI GAR fURRACE
OWNER,. ........ ......
POr.HVI GRIFFEY
3960 SW 3161H ST
FEDERAL WAY WA 98023
838-7334
f-C"RHIT'
13(ji.l cli rvi I t iori Re (It jeta L-, o:,"61 41140
PERMIT NO: MEC97-0172
ISSUE],):
BY: FC 21
UXPIRES- 12/05/97
CONTRACTOR........ ........
CLENDALF HEATING A A/(
12462 DES MOINES WAY S
SEATTLE #A 98168-2266
243-7700
GLINDHAO5302
1K SALES TAX FOR PROJECTS WITHIN THE CITY % FfDfR4l UY. TAX RATE - 8.25 sts
.......... ....... ;- .........
PROJECT 4'All•IATION 1854 �`
FUEL TYPES.:GAS FANS....., . 0 �IILI• ,/1 , `WTV'"AP(
Go 0 ft HOOD.. 0 0 11,1), 0 qrm Mft 0
1 MCI3 Hf,
0 Nor.
1,5 p)
k
BURNER: 0 F A"s
B84......... 0 MIS n
GAS DRYER,.: 0 AIR 0 At
RANGE....... 0 1.1
GAS LOGS...: 0 10,00 �-,"Am L, E V P, 0 U N 1). 0
FEES:
Mechanical Permit$ E 50.00
jamAkfimMkis"WAKE... 1 20.00
TOTAL FEES
$ 70.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (if "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date Hy iv —(O.—,?r?
-to-
..............
Kpifirs LXPIAI too DAYS AFTER ISSUANCE If NO *)RK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAIS Of ISSUANCE.
I CERTIFY IN INFORMATION fukNISNED By "t Is IKUf AND CORRECT TO THE REST Of MY KNOWLLDGE AND THE APPLICABLE CITY Of fLDIR19 MAY REQUIRININTS MILL Of NET.
OWNER OR AGENT DAZE
FIELD COPY
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMINK
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By I
OTHER
Date By
OTHER
Date By
CDO193
CITY OF FEDERAL WAY
03500 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:3960 SW 016TH ST
NO.: 873198-2220
PROJECT DESCRIPTION:RETROFFIT GAR FURNACE
F= OWNER
POKHUI GRIFFEY
3960 SW 316TH ST
FEDERAL WAY WA 98023
838-7334
E
Buildinq Inspection Requests 061.-.4140
CONTRACTOR
GLENDALE HEATING & A/C
12462 DES MOINES WAY S
SEATTLE WA 98168-2266
243-7700
GLENDHA053Q2
LENDER
PERMIT N0: MEC97-0172
ISSUED: 06/09/97
BY: FC2
EXPIRES: 12/05/97
**i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 M
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
e\
OWNER OR AGENT --- _'v�(�r�Y1�j DATE jL4c,-t—q
FILE COPY
PROJECT VALUATION
1859
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
Mechanical Permit*
$ 50.00 1
GAS PIPING.: 0 ft
H00D..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>1OOK.....:
0
30-50 HP....: 0
BBQ......... 0
MISC...........
0
5+ HP........ 0
3
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
TOTAL FEES
$ 70.00
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
Water Line OK
-_
Mechanical Inspection Notes: ----------------------------------------
3
0
GAS PIPING OK ..........
Date ...... By _._---- -----------------------------------------------
E
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
e\
OWNER OR AGENT --- _'v�(�r�Y1�j DATE jL4c,-t—q
FILE COPY
Clry OF r�
VV AY
APPLICATION FOR MECHAIC��� RMIT
;Il ,ujLDING DEP
MEC C -t -�- �0 -t �-
Multi-Family ❑ Commercial ❑
PARCEL #
SITE LOCATION
Tenant/Owner ~✓v ;t
Address/City/State/Zip
7 P
Nature of Work
APPLICANT
Name
Address/City/S
a Contact Person U
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
h `7
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
Single Family GY
Phone—{Z.Lt2, 7�/+
Project Valuation: $ b 7
Phone �" ��'� L� Fax 'W
Contact Person - J, � m- L�--h Phone Z (� �'� Fax ;--43
State L & I Contractor Registration # C� E I � Ml/ i– Exp. Date l I G
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
UndergTound
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fumished by me is true and coned to the best of my knowledge and further that I unauthorized 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 (mchrding costs, expenses, and attomeys' fees insured 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 a part of this application. �/
1/1"
g
Owner/A ent IM t� coo Date ������ 6,11
Mace Are
Revmm IVI 1/96