00-101091City of Federal Way - Mechanical Permit #:00 - 101091 - 00 - ME
Conammity Development Services Inspection request line: 253.661.4140
33530 1st Way S
Federal Way, WA 98003-6210 (3:30pm cut-off for next day inspections)
Ph -.253.661.4000 Fax: 253.661.4129
Project Name: SHARLOCK (MECHANICAL)
Parcel Number: 416780 0100
Project Address: 2418 SW 308TH
ACE, 1 HOT WATER HEATER, (1) GAS LOG AND ASSOCIATED GAS
Project Description: INSTALL PIPING FOR SINGLE FAMILY RESIDENCE
Contractor
Owner Applicant
Jack F Sharlock
JACK/JULIE SHARLOCK C & N REFRIGERATION
2418 SW 308TH PL 2418 SW 308TH ST
10905 25TH ST CT E
FEDERAL WAY WA FEDERAL WAY WA 98023 —
EDGEWOOD WA 98372
98023-7821
Mechanical Valuation..........................................4000
Over the Counter Permit......................................Yes
Mechanical Fixtures
Descri tion ' Quanti.
Description Quanti Descri tion Quantity (-- P -,
Gas Logs (� Gas Piping L 1
[Furnaces
L --J
PERMIT EXPIRES September 18, 2000, IF NO WORK IS STARTED -
permit issued on March 22, 2000
d propeM
I hereby certify that the above information is correct and that the constructionguon lationse above of the State of Washingt,
the occupancy and the use will be in accor with the laws,
the City of Federal Way.
Date:
Owner or agent:
pj'� 3 71vla& "e5'C'7
POST THIS CARD ON THE FRONT OF BUILDING
cmor Q ,
AI M
NF ,
PERMIT #: 00 -101091 -00 -ME
OWNER'S NAME: Jack F Sharlock
SITE ADDRESS: 2418 SW 308TH
( ) FOOTINGS/SETBACKS
( ) DRAINAGE: Line
BUILIDNG DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-6614140
Request must be received by 3:30 PM for neat day inspection
() FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV,
Water
() ROUGH MECHANICAL Gas piping
( ) SHEATHING
( ) SHEAR WALLS
( ) JELECTRICAL ROUGH -IN
Roof
Ditch Cover
Floor
( ) INSULATION: Floors
Walls
Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING
( ) SUSPENDED CEILING
THE ABOVE MUST BE'APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
( ) PLANNING FINAL,
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
t��=Y OF G
ZW
PARCEL #
SITE LOCATION
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
1-YCSU
BuamiNG DrvrsroN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC 00 - l O C D' I00
Single Family ❑ Multi -Family J[3 Commercial ❑
Tenant/Owner �- �' r' 2 �L Phone
9 ®�
cA S �� C v� < c�� �� c�
Nature of Work � Project Valuation: $
APPLICANT
Name
Se -0
lc�qcc�
Address/City/St/Zip
C L
Contact Person Sco`t't— Phone (� ^� Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip S `�°" le—
Contact Person Phone
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
cm—aE F *, t5 S S P, Exp.Date tZ—®S—CaCC
Fuel other
1 N 5
Gas Dry,
Air Han
< =10 000cfm
Fuel Tanks:
Lawth of gas pipingYd
e
Air Handlin
> =10 000cfm
Above Ground
Furn <100K BTU's
�D 000
Gas I o R.4, -v,
Unit Heater
Un tmd
Firm>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt 5'0
e,—L.
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
AM
TONS
Other
DISCLAUMP- I certify, under penalty ofpcdmy. that the information famished by me is true and oto the best ofmy knowledge and Snther that I am authorized by the owner ofthe above pry to perform the wmk
for which permit application is made. I fluther agree to save harmless the (Sly of Falcial Way as to any ckrtn (mchuding costs. expenses, and aftomeW fees incurred in investigation and defense ofsuch claim), which may be
made by any person, including the undersigned, and Sled against the City of Fedemy Way but only where such claim arises out ofthe reliance ofthe sty, including its offices end employees, upon the accuracy of&e
information supplied to the city as a part oftmis application
Owner/Agent — J a �— Date —S-2z—on
Imp
REVISED Int"