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CITY OF FEDERAL WAY NO: MEC96-0255
32530 First Way South (fir, �,,,'.M;„. ..,,i `ti H:,,�i'�:N:'� el „, '''''', i 1�t1.,:1� „ „ ISSUED: 11/06/96
Feu'erai Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/31/97
ADDRESS:31705 2511.1 I.f AVE SW
NO . : 193840-0280
PROJECT DESCRIPTION:ELECTRIC TO GAS CHANGE OUT OF FURNACE & GAS PIPING
F.= OWNER ..___._... ------_- -- - CONTRACTOR :-=_ ----_. -- 7 LENDER --_.__.__._____ ___._ ___.____.. __ __.____ -=q
AL PAULSON J GREENWOOD HEATING & A/C
31705 25TH AVE SW 11630 SLATER AVE NE I
FEDERAL WAY WA 98023 J KIRKLAND WA 96034
1
282-3028 784-1818 J
GREENHA055BU 1
i
*fl CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 3#3
( PROJECT VALUATION 3395 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1Mechanical Permit* $ 63.00
GAS PIPING.: 20 ft HOOD • 0 0-3 HP • 0 ” MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP 0 j
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 s
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1
BBQ • 0 MISC • 0 5+ HP • 0 J
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS }
-RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 83.00
F---
.• _ --------- "-----`-- -• ._ .. -• ._ -•----- -- -- ------------- ------- •- ._-_-..___-__.____.____:::�
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:
GAS PIPING OK Date __-_-- By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FU ISHED BY M TRUE ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/ ��� //OWNER OR AGENT /� �.. DATE / _f6 7C1:
FILE COPY
City of Federal Way
CITY OFit"--"""' 33530 First Way South •
---1 "�_- �� . yy Federal Way, WA 98003 r
�� �H�. (206)661-4000 MEC �� Cp - u 7 �5 FW
APPLICATION FOR MECHANICAL PERMIT
PARCEL 1t• 1 C)� �0– 0..Z EO
Single Family,! Multi-Family (1 Commercial ❑
SITE LOCATION:
Tenant/Owner: 4 1 4- Siv,,<O /1 Cc-,u,/ S Phone: 2- 2-! 3e)zff
Address/City/State/Zip: S ) / or a S - S`-✓ "ra-49 SL c- Y 9 -o-�_
Nature of work: E )'c"h'(C ('fc75 c,,Ati 2 Cr L , Project Valuation: $ - Ct
RECEWED
APPLICANT: Nov Q 6 1996
Name:
ujY t1'r V't. J;:,(rpt.WW1'
t3UILDiNta VEPT•
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: 6)TQ0S2(AI wr/ ,t3+ ire_
Address/City/St/Zip: J) (3 7 S( 75 &/ _ 4-t'rIc(C,.-•a Lt/ Z �s 6 3Y
Contact Person: I/al i -.61 .e.0t c 'Q -- Phone: 1 .2 • Y4---C1( Fax: , -Z•-)--.11/4?-7
State L & I Contractor Registration #: (c1 L JV (-I - /5C1 Exp. Date: V /47
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Ci C�a4:344- Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping DO Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner �r,!
Duct Work A/C TONS Other
BBQ's Wood Stoves A/C
TONS S at Unto Ceurrt..........................:.:::::
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true 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'tees
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 a yees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: /i — ) C
Date: / i 47/ K