00-103664City of Federal Way
Conmmnity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph 253.661.4000 Fax: 253.661.4129
Project Name: MILLER
Project Address: 501 SW 327TH
Project Description: HVAC - Replacing exisitng furnace
Mechanical Permit #:00 -103664 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 926491 0920
Owner
Applicant
Contractor
Robert J Miller
NONE
ANCHOR HEATING
501 SW 327TH PL
FEDERAL WAY WA
17915 50TH AVE S
98023-5644
NONE
SEATAC WA 98188
Mechanical Valuation..........................................1367
Over the Counter Permit......................................Yes
Mechanical Fixtures
Desai tion Quanti g I Desai tion Quanti nti
Description Qua
Furnaces 1
PERMIT EXPIRES January 1, 2001, IF NO WORK IS STARTED.
Permit issued on July 5, 2000
I hereby certify that the above information is correct and that the construction on the above described property
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingt,
the City of Federal Way.c _
Owner or agen� Date:
Mechanical rough -in:
Date:
Gas pipe: Date:
FINAL MECHANICAL: Date: �hl
a
e A+
cmr of G
0
Ott ;LI�1P1®®EP PPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # CIL `N I - O Z O Single Family ❑
SITE LOCATION
Tenant/Owner —
b 711
Nature of Work
BuamiNG Dw=oN
33530 Fust Way South
Fedeml Way, WA 981'P3
(253) 661-0000
Fax(253)661-4129
MEC_ - t0(4 `1
Multi -Family 13 Commercial ❑
Phon( 2,9 3)
Project Valuation: $ 13 � l r
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
s
MECHANICAL CONTtclvor
TOR
Company Name 1
llit
1 rCC4- . Address/City/St/Zip V l 71 ' `J 6�®P v%�'- V �O
Contact Person ► v L V , l Pion �� ax Q
State L & I Contractor Registration #A"C 14o H no 14 kw Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other
Gas Dryer
Air Handling
<=10000cfn
FuelTanlo:
Langth of gas pipingRange
Air Handlin
> =10 000ofat
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underground
Fum>100KB1Us
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Cony Burner
Dud Work
A/C
TONS
Other
DISCLAiM6a: I certify, under penalty ofpajmy, that tie info®ation 5a7tished by me is hue and coned to the bed ofmy kwwWp and fihrtiertnat I am authorized by she owns ofthe above premises to pabral the wodt
for which permit application is made. I further agree to am hahmless the City of Federal Way as to any claim Cmcluding costa, ahpahses. and atomaW fees inured in investigation and defense ofsuch daimX which may be
made by any person, including the ander igned, and Wed against the City of Fedemy Way but only where such dam arises out ofthe reliance oftbe city, including its offices and employees, upon the aaauacy ofthe
information supplied to the city as a part oftth Wfili aeon.
Owner/Agent
MecBAee
REvueec ting
Date 5- =o0 o