98-104462 98 -Jt cj 6,2
CITY OF FEDERAL WAY q p . p,,. PERMIT NO: MEC98-C'2-96
33530 F i i s t WaySouth R w�N F. �(,,., fI.,,�,II l!""t N .,,�.. f LL,,,. i� �i ,�. P il�;.;,.R,N .1. ,,,ll,,. ISSUED: 11/19/9 3
Federal Way,, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FC
253-661--4000 EXPIRES: 05/17/99
ADDRESS:0404 3RD AVE S
NO . : 232970-0470
PROJECT DESCRIPTION:INSTALLING NEW WOOD STOVE "LOPI PATRIOT MODEL"
F= OWNER ----- :..-. --_- LENDER --- -
- ---�= CONTRACTOR -�-•-- --
KEVIN WILDER 1 OWNER IS CONTRACTOR 1
30404 3RD AVE S
FEDERAL WAY WA 98003
i
253-476-5359 #
N/A
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ;xt
PROJECT VALUATION 599 FEES: -^^
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 24.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 0 WOOD STOVES...: 1 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 ' 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
t _.... ___---_-.__---___--_=__ _ - - J. -
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 ,O WORK IS STARTED.
I CERTIFY THE +, ' : FURNISHED BY M• S 'UE AND CO T TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR GENT __ ' ,0!"4,_ _ /_ _ .‘L(7 _._ DATE 11 —1 F 98
FILE COPY
CIT,� or `t~EUL.RAI WAr` PERMIT NO: MCC9f3-0296
33530 First WaySouth MECHANICAL ES I. ..' I S ULD: 11 /l979Tri
I ederal Way , WA 98003 Mechanical Inspection Requests 253 c'..61 4140 14Y: F C.
253-661 •4000 EXPIRE): 05/1 //99
ADDRE:SS:30404 3RD AVE S
NO 2 ;2970...0470
PROJECT DESC:RIPi ION:INSTALLING NEN WOOD STOVE 'LOPI PATRIOT MODEL'
KEVIN WILDER OWNER IS CONTRACTOR
3044 3RD AVE S
FEDERAL WAY WA 98003
1 253-476-5359 I
i N/A
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'U CONTRACTORS, PL.tA4t ,f`t i,?.kl 0-01 Ott 113'/ ON ittPOPTIMG '.:ALIT TAX FOR PROJECTS 111111111 INC CM OF FLNERAL WAY. TAX gar( = 8.25 *1*
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1 PROJECT VALUATION S99 FEES:
FUEL TYPES.:? CANS u MIX, 't IMPr,"'"W" Mechanical Permits $ 24.00
GAS PIPING.: 0 ft HOOD �a 0.3 igfl • r MEC PRMT I;SUANCE... $ 20.00
TURN<100K..: 0 DUCT WORK . 0 3-1FEff. U
GAS HMT • 0 WOOD S I"VES:... ! 15.30' N .off , o „n
LUNY BURNER: 0 FURW 1p!K..:... 1° 3D-50 ION...: 0
BBQ • 0 NIA..........• 0 50+ !ON • 0
GAS DRYER..: 0 AIR ITANli Ilk I'NII' FUEL TAO`: .-_......, .
1 RANGE • 0 '=10.000 'Ffl: 0 ARIA CFOUND: 0
GAS LO6S...: 0 ` 10,00 ,.FM: 0 'ONDEF POUND.: 0 _ TOTAL FLES $ 44.00
I
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 !WWF;)
Inspection Record: Mechanical Rough inate Gas Piping ___.______- Date
MECHANICAL FINAL. I C�/_ Dat, ,�/��11 C/11/
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PERMITS EXPIRE 100 DAYS AMR ISSUANCE 11 NO NOIR IS STARTED.
I (LRTIFY TIL INFORNAT10N FO RRISNLD IIY III IS Melt AIN CO ECT 10 TIN_ REST Oi MY LNOIt.EIGE CND TME APPLI(ARI.E CITY OI FEDEPAt WAY RIONI<INENTS MILL RI NET.
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FIELD COPY
CRY OF G BUILDING DIVISION
• ED 33530 First Way South
W FEY
Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: I\.)/�
MEC 98 -C .. N(--i
•
PARCEL # Single Family 0 Multi-Family❑ Commercial 0
SITE LOCATION D�j� 1
� 0.1,I� �hce�E' ttJ 1 C P ne c,/ l/ -
Tenant/Owner �;
C�0 r -P -S (4. (.(JCS : , �.- qs-(Oa
-----
Address/City/State/Zip �� ��
Nature of Work , )-1/1.`_�T Q '/0 110 -1/( ; ":4(a16-7 �J�J
Project Valuation: $
APPLICANT
Name -M-VI/V.- (L! 61-4)(a lJZ
Address/City/St/Zip �, �1�
Contact Person �)/1�`%t � l f -! Phone -3.----';'3- 7 5 y?Fax
_
MECHANICAL CONTRACTOR
Company Name t = lAW' / YU M rL, ailli (
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
L---C. 9c=-\\-C' N * - N\e)CcQ
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
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
I ......................
RRQ's Wood Stoves A/C TONS �IaST? t�,alii� »»>>'» 3>'<"s »> >
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'fees incurred m 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.
�j C
g
Owner/Agent - . •( � Date /l / -
' Mrcn.APp
Revise!)7/20/99