00-100711City of Federal Way
Conu n unity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:00 -100711 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: CARLISLE (M ECH)
Project Address: 3111 SW 302ND Parcel Number: 416710 0085
Project Description: INSTALL GAS FURNACE, PIPING AND GAS HOT WATER TANK FOR SINGLE FAMILY
DFV.Mv.lvvv
Owner
Applicant
Contractor
Michael L Carlisle
Michael L Carlisle
ADVANCED FILTER AND MECHANICAL
3111 SW 302ND PL
3111 SW 302ND PL
FEDERAL WAY WA
FEDERAL WAY WA
516 VALLEY AVE NE
98023-2342
98023-2342
PUYALLUP WA 98372
Mechanical Valuation..........................................3989 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quanti DescriptionQuanti
Furnaces 1 Gas Piping I 1
mech P-Inaf
F ! ice' 1v ED
t►Y Ur r1 1G pEPT°
APPLICATION FOR MECH�'IgCAL PERMIT
PARCEL #
SITE LOCATION
Federal Way Business License number:
Single Famii>�
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 661-4129
MEC -O—) -
Multi -Family ❑ Commercial ❑
Tenant/Owner � � "�' �� ��e_ Phone
Address/City/State/Zip
Nature of Work �0+����� �c� (e� Yl%CC� �� t (1C� - F1c, CL CIL Project Valuation_ $_7
APPLICANT
Name C" �I l �C' r`�
Address/City/St
Contact Person
MECHANICAL CONTRACTOR
Company Name � t_ C�1 V_, I k �t
Address/City/St/Zip
Contact Person -Phone
State L & I Contractor Registration # A0-V1\N--FMC', ( l � `/�
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
;Exp. Date
Fuel Type as/other 5
Gas Drver
Air Handlin
<= 10 000cfm
Fuel Tanta:
Length of as piping
Range
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO'.,;
Wood Stoves
A/C
TONS
DISCLAIM ER I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and finther that[ 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 Fedmy 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.
D
Owner/Agent
�lK/"� ate
AIEro.APP
REv sm 1/7/99