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CITY OF FEDERAL WAYPERMIT NO: MEC98-0285
33 530 First Way South M ;'':., M;,,. „�,� ,,,' IN., .itC:iP'''�P N.. I w tau, sr;,1 1'�' 1. .1"'
. . ISSUED: 11/16/98
Federal Way , WA 98003 Mec anical Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 05/14/99
ADDRESS: 33331 12TH AVE SW
NO. : 926496-0050
PROJECT DESCRIPTION:HVAC - FURNACE CHANGEOUT
.= OWNER - - _- -- - - CONTRACTOR -- _. --- ---- __...-._._..__T_ LENDER
I ROGER DUKEART ° CITY SHEET METAL
33331 12TH AVE SW 4202 AUBURN WAY N #8
1 FEDERAL WAY WA 98023 AUBURN WA 98002
i
1119 838-8046 253/852-2174 71
'
CITYSM*173JA 11 Ig
XXX CONTRACTORS, PLEASE USE LOCATION CITE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 sxx
PROJECT VALUATION 1500 I FEES:
I FUEL TYPES.:GAS ? FANS • 0 BOILERS/SOMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TO • 0 Mechanical Permits $ 42.00
FUR4<100K..: 1 DUCT WORK • 0 3-15 TIN • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 ON...: 0 p
CONY BURNER: 0 FURN>100K • 0 30-50 ON...: 0
BBQ • 0 MISC • 0 50+ Ti, • 0 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TA KS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 ,
GAS LOGS...: 0 > 10,000 CFM: 0 UNDER1ROUND.: 0 f TOTAL FEES $ 62.00
3� 5
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
I -- - _ _ - --- ___- -.-----
PERMITS EXPIRE .0 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE NFORNATION URNISHED 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
FILE COPY
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CITY OF FEDERAL WAY PERMITNO: MEC9U-0285
33530 First Way South ti CC MECPWICL fai E.it III .r if,!..u _P- 1.1/1( /98
Feder.-41. Way, WA 98003 Mechanical Inspect;:ion Requests 25".4 -61 -4140 BY: FC
253-661 4000 I:.`'.RIFFS: 05/14/19
ADDRL S: =333.:31 12tH AVE, SW
NO. : 92(,496-0050 11
PROJ FSC T DE C R I PT I ON:HVAC FURNACE CHANGEOUI 11
• rd::.In-....._:,�4.T.:R..::,1_ .
� ...G::.„242» ':i.r&G=.yMY.•.C.......+6:::S=2,011211I
2.. tINNER ,,_: , :,�MA=a2 .==..7�rffiA xi�a.ma2. u :.:u_.,.1 Lc & sa,...2 CONTRACTOR ,x�2 :ter: ,s.w.. .E�wrr_���y..z22.z. . a.x__4P = LENDER
ROGER DUKFART 1 CITY SNEIT METAL I
33331 12TH AVE SN 4202 AUBURN WAY N 18 �
RURAL NAY NA 48023 AUBURN WA 98002
1 838 8040 253/8,14I-a74
vITY$Mfil'TJA
.. � 611?i�F1 A�1,s.JM x.-.w.:rias-�aX..m+�,xa¢rwmaiasaetwsessu6.•r..wa:css.:.xti:-a•x:_xa:�aa�ra��:az..•:.r..�:.n�axcn�:.rzu a�smasaa-:as•sa„cca-:aa.+xrsa.-«:. scsm.sxx�-'.-_:sa_n••assr+em��_a2amcu2cas
.;m:-4a6,sa6^:6.:awx amass:acs,X assn..n2x.:s-'.a2llyal�.. +:xxM:aa x2,m _. .q .c - _ .. - _ .. I
'it CONTRACTORS. PLEASE UST tftCAF11N cODt ill? lNIF"N REPONT11 SATES TAX FOR PROJECTS NITNIN TRE CITY O FEDERAL MAY.\10X RAff = 8.25 sl*
ax.x .:.,...:13.4'JiFSiG_.:;:....Y:S.f._R.,..91.......�..... I=03440,' ..Ca' 4 W.:+i' A,440a2 +10144.II, g.la.. 1x,,as4,==."..GSA:C.S,::5.�.2S.4-,,.4-.1..L.,.«... ..Y...._,:..k S..:-set....-..614 a'1. tn,CiI::wT:.:4«tV=4.:JC..:Stffi.`.".aac..1.....T`YS.Mtl2IPS.4=YXTi
PROJECT VALUATION 1500 FEES.,
FUEL TYPES.:GAS ? FANS....,....,,4` 11. : WILErjICOt+F'KESSOPi: Tr+. 40T ISSU(4t(F $ 21:.00II
GAS PIPING.: 0 ft 0008..� 1 0-3 t°) ... .: C 1 It''rhrnito! Pernit' $ 42.00
FURN:i00K..: 1
00(1 WORt, ...I t' :t- ') TON .. .: Ci
GAS NMT,,..: 0 NOOD STOIE...: 0 15.3c IO11...: tI
CON; BURNER: 0 FURW 1T K....,: 0 30 511 TUN...: U
BBQ • 0 MISC .... : 0 set TSN,..,.: U
GAS DRYEE..: 0 AIR NANKIN UNIUD FULL IAN'S •--- _
RANGE • 0 <:10,000 C : 0 AEU' r,ROUND: 0
GAS LOGS...: 0 > 10,000 CFM: U UNDER OUHD.: I) TOTAL FEES $ 62.00
1......:.:Jxa..L,'>..::tx.t32,12i:.SX-,L',x'.::Cm6'nra.vazS,.:.4,':,..4,_¢. ,..:'SEa 4C. f.....:-f.67:.6L::5«::+^YScxaril.N6'mitlimma6::10vesmLz.a4=..ummam,,9Ysa.,-,-=a:a4:.01 A9.1:12..:Y22r4S.::y. 2==cm.,.15.0=.a.-14Caa:i...., x..ort1:."..>.xi_...x..:4la:C.x,�.
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 lank)
Inspection Record:
EE
Rough in Nf Gas Piping .__..___w___ __ _. bate _.____ ___
I
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I t INH' r C 17k2 rzs .._.a .:. :..:.1 mnz_�✓_a s^.__c II� x. eo:xxxrr aMa s...a :.-nu:-i
Pt.RMIta EXPIRE 180 DAYS AMR ISSUAEE IF NO MORK IS STARTED.
I CEKtIFY THE 11110141011014 FUNNISNEI} II ME TS TROT AND CORNECT TO THE 815' OF M; £HtVEED6E AND lift APPtICAltt:t CITY 01 FIBERAI WAY MOWN MINI' Witt. 81 411.
OWNER OK AGENT t:;r
FIELD COPY
CITY OF _ BUILDING DIVISION
•
Eo33530 First Way South
"" �y Federal Way,WA 98003!
V V (253)661-4000 A
Fax(253)661-4129
APPLICATION FOR MECHANICAL
tP.PERMIT
Federal Way Business License number: c 1 1
NOV 1 6 199b
MEC 98 - 02-65
CITB�ILDING DEPTFEDERAL .WAY
PARCEL # Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner Koct (1tc�✓'t. Phone 0�•5 3` 3 g OC�y L.
Address/City/State/Zip 3 3 1 {/ (A N
0-0
Nature of Work a'+ CC`S'_, v � t (If VV1�_, Project Valuation: $ l 5(.iU
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip +2-0 Z_ �� 1.)6
Contact Person^- � Ct �vL�-�t ��- Phone z 5< ‘3 I 1 Fax
_ o
State L&I Contractor Registration# E ((\/\ Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) CA..-) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's . Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BRO's Wood Stoves A/C
TONS
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(mcluding costs,expenses,and attorneys'fees incurred in investigation and defense of such claim),which may be
made by any person,including the and .igned,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. this application.
' r
Owner/Agent (Fr // (1-'4"1"1 Date /( 7(" -
Mecn.Arrr -1 I I
REVISED 7/29/98 _ �L_ly1