95-103295("-i-ly OF FEDERAL WAY PT
33530 First, Way �3otith 11ECiAt+ICAL ERMI
t
Feder-al Way, WA 9800'�-,i .8iji3.ding lw3pectioii RecItiests 661-4.140
661-4000
ADDRESS. -2036 S 279TH Pt
NO.: '157562-0270
PROJECT DESCRIPTION:H[CH - GAS PIPING (15')
OWNER, COIRKTOP LENDER
JOHN KELLEY OWNER IS (OKIRACTOR
2036 S 279TH Pt
FEDERAL WAY WA 98003
4'o 4
;*-4V,A
M CONIRACAKS'01 I&E OW "tAt", trAr,'41"WrIVIOTING SAM TAX FOR PROJECTS VITUIN THE CITY Of FEDERAL VAY. TAX RATE :: 9.25 s8s
q5- 91sr
PERMIT NO: bLV95--0969
ISSUED: 12/01/95
BY: FC
EXPIRES: 05/29/96
RIEL TYPFS.:GAS
?
FARS.
GAS PIPING.:
15 ft
HOOD.. ..
F4t1RN(100K.,:
0
DO( T
GAS "W'I.. —:
0
WOO-Alw"
00v BURNER:
0
f ux's 'Tor.""P
GAS DRYER..:
0
AIR it
RANGE.......
0
<10
GAS LOGS...:
0
> 10:0*
Qd
R FEES:
�#UAHCE... 20. 00
"r, NON "Fat
IF FEES. 3.00
N
3 IP.
D: 0
.: 0
TOIAL FEES
$ 23.00
RP
Does the eater supply system contain a Pressure Reduction Devic valve? Yes No (If 'Yes' then vater expansion tank is required, on Hot Water Tank)
TCP
Inspection Record Water Line Or mechanical 4D/e`ct ont es:
rN
GAS PIPING OK 4. Dates P1111
PFINITS EXPIRE 180 DAYS MIER is 1101 IF NO WIRI Is STARTED. RESIDENUAt AND 04DING PIRNM tVPIR( Off YEAR AFTER DATE Of ISSMACE.
I CERTIFY THE lKfQw1IOR f(WK)SHED BY HE Is IRVIE AND 0RRECI 10 THE KSI Of NY MAIKE AND THE APPLKAKE CITY Of FEDERAL. WAY RLOUIRLNENTS, DILL K P
OWNER OR ANENT
FIELD COPY
- 9y-1b 35
CITY OF FEDERAL WAYPERMIT NO : BLD95-0969
-33530 First Way South M :; .,:: ,,.if'° i "° I ,::w..Ai LP . " .1�'�' I. ,,,�w ISSUED: 12/01/95
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC
661-4000 EXPIRES : 05/29/96
ADDRESS: 2036 S 279TH PL
NO. : 757562-0270
PROJECT DESCRIPTION:MECH - GAS PIPING (15')
r OWN R .. ..._ .. -' :.x ------ -- •
--------=T- CONTRACTOR --_.. _- = LENDER -- ------------- -------------
JOHN KELLEY 1 OWNER IS CONTRACTOR
2036 S 279TH PL s
FEDERAL WAY WA 98003 I
I I
839-3151 I l
---
us CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
-. .......... ------- . ____----
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 15 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 3.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
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 $ 23.00
._.____-__---.__..._. _.. l..
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 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 WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 50‘4... ' 27 7.6- DATE 12-01-95
FILE COPY
City of Federal Way L-D 15— cp y CQ 1
CITY OFFr.-
33530 First Way South
_ • _ ES Federal Way, WA 98003 RECEIVED
i (206)661-4000
uv F ��� 11995 t
APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL WAY a
�� -- l ) -7BUILDING DEPT,
PARCEL �• 4. Single Family; Multi-Family El Commercial 0
SITE LOCATION:
Tenant/Owner: `-'`-'\'` t'-f l-- u€ (I.ev,( Phone: Et C
Address/City/State/Zip: ,)0 -71C, • 7-7y 13'-- 1 I 1=t= VA 0c.,-\ L.-x-,-y ry Y4c3
Cr-] L-- Iry 1��,, _ • c)v,C___ /il- ( c) .
Nature of work: "l' C'-'-' Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) ) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping /5 '`T- (Rangel'`) 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
BBQ'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(including costs,expenses and attorneys'fees
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 employees,/ upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: !/ �" ��'L17- Date: /276// '