98-103746 CITY OF FEDERAL WAY „ PERMIT NO: MEC98-0221
33530 First Way South M N;:::: �,., �:.,.h''„, N .�N,.. �;�,,. ..,r N,..,, N„.) :�.,y,,,,,;i,M :::N:;: :,,N,:, ISSUED: 10/01/98
Federal Way, WA 98003 Mechanical Inspection Requests 253 --661-4140 BY: FC
253-661--4000 EXPIRES : 03/29/99
ADDRESS: 29100 8TH AVE S
NO. : 515290 -0120
PROJECT DESCRIPTION:NEW GAS FURNACE
r= OWNER ____ ___. _._._____. T- CONTRACTOR -_.. _..__.. --___ __. LENDER ------
DAVID GRUBE ADVANCED FILTER AND MECHANICAL
29100 8TH AVE S 516 VALLEY AVE NE
FEDERAL WAY WA 98003 j PUYALLUP WA 98372
253-941-8042 ' 770-2440
ADVAHFM044RD
3 _
sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ::2
PROJECT VALUATION 2900 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 54.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 0 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 TOTAL FEES $ 74.00
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: Mechanical Rough-in Date _ Gas Piping Date
(
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INF NATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE /jO 7 -
RLE COPY
City of Federal Way ��as
CITY OF r-- 33530 First Way South
�_ _ 1---th.--brzFri._ Federal Way, WA 98003 0 eC�Q ,,.c�� '
(206)661-4000 U
WaR' /' RF( F,INrrr-
APPLICA TION FOR MECHANICAL PERMIT
PARCEL ft• Single Family )!!! Multi-Family,9 b �• • Commercial 0
BUILOii;
SITE LOCATION:
Tenant/Owner: -1)pcU�J t YA f3} G1 tthE Phone: '2-5n -111/' / 7
Address/City/State/Zip: '-;,_`1 I v L A U& ' ' f-- F-DELL1/1 `�I, LUf4- ci X00.._
Nature of work: CiP1.,S Ft/fki E ICU 377/g 77 Project Valuation: $ ,Z 9-00
APPLICANT: •
Name: A-D UC,E—D F I LT--V a Yl/l ECN1A1 f Ci-L, ((U(1.—
Address/City/St/Zip:
L-
Address/City/St/Zip: 51 Lc V !/1-LLE / /4-LIL- A; E t -PIA`II LLL./ 1.9; 1,(117 '7737
Contact Person: CA-K_'1 Phone:a`53 7 ,76/(70 Fax:a53- �7D:7 e/_5
MECHANICAL CONTRACTOR:
Company Name:
DP1Y1f / A�iUI
Address/City/St/Zip:
Contact Person: Phone: • Fax:
ID
State L & I Contractor Registration #: D- U14-0 �� Exp. Date: 1 /7Y
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type 'gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 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 Duct Work A/C TONS Other
BBC's Wong Stores 0!C TONS Iotatilif ft>Ci f <> ><><<>'><< >><;'>;
DISCLAIMER: I certify under penalty of penury 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 a••. tion is made. I further agree to save harmle a the City of Federal Way as to any claim(including coats,expensive and attorneys'fees
incurred in investigation and defense of such claim', may be made by any person.including the •ersigned.and riled agawtst the City of Fedaray Way but any where such dein arises
out of the reliance of the City,including its officers •oyees,upon the ac acv f the nforma Supplied to the City r a part of thin aoplication.
Owner/Agent: drv f / -) Date: '.-/5(/ ''-k-
,
CITY OF FEDERAL WAY PERMIT NO: MEC98-0221
33530 First Way South .. ""Yfl . . �... PERMIT ISSUED: 10/01/98
Federal Way, WA 98003 Mechanical .In .p.:,ctiion Requests 253-661 -4140 BY: FC
`253--661-•4000 EXPIRES: 03/29/99
ADDRESS:29100 OFH AVE S
NO. : 515290- 0120
PROJECT DESCRIPTION:NEW GAS FURNACE
OWNERsmsrss:aamm=::w.......m::r; mssxai.........asmxa.a:n m CONTRACTOR .....a:....a.wm.mm.s....==m==_--.=#=m=crm=amum . LENDER =m.m..........._=....9...==...... ...............
DAVID GRUBE ADVANCED FILTER AND MECHANICAL
29100 8TH AVE S 516 VALLEY AVE NE
f FEDERAL MAY WA 98003 PUYALLUP WA 98372
253-941-8042 770-2440
116k
V aNFP1044RD
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tit COMIRACIOMS, PLIASE USE, LOCA1101 OgIf 1717 WO REPORTING S., ,, .. MINIM THE CITY OF MEM MAY. FAX WAIF : 8.25 to
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PROJECT VALUATION 2900 (�� FEES:
FUEL TYPES.:? > FANS •. 13 ?"lIE =:si�F,'_. . V nits $ 54.00
�) '.:
GAS PIPING.: 4 ft HOOD.. ...,... u 04 ION �� • : .ANCE... $ 20.00
FURN(100r..: 1 r DUO WoRY .. .: O 3-1' IOFB.
GAS NWT • 0 WOAD,51,(Yv...: 0 15 ,P T6,t - 47,; i:.:7- --ftmeneon
CONV BURNER: 0 FUP1" OO .._ I J Su T9tl...: 0
880 ' 0 RISC.. .. .. .. ° 501 TOTS • u:
GAS DRYER..: 0 AIR HANDG WIT'', FUEL TANKS--. 4
RANGE • 0 <710,000 E11 st WYE GROUND: U
GAS LOGS...: 0 ) 10,000 CTM: O '4,,,, UNDERGROUND.: 0 TOTAL FEES $ 74.00
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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 on Not Water Tank)
Inspection Record: Mechanical Rough-in _______________ Date __________ Gas Piping ________________ Date _________
MECHANICAL FINAL __________________ Date ________
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!UNITS EXPIRE 100 DAYS AFTER ISSUANCE If NO WORE IS STARTED.
I CERTIFY THE INIORNAMIOM FURNISHLDJBY ME IS TRUE AND CORRECT TO IME BEST OF NY KNONIEDGE Al) ENE APPLICABLE CITY OF FEDERAL WAY REQUIREMLNIS NIEL BE MLI.
OWNER OR AGENT _1,,LI_AA 1._.._Aai�Z �. _ _ .__ DATE ipf.C.--C..44
FIELD COPY