00-101059City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph 253.661.4000 Fax: 253.661.4129
Project Name: HOFFMAN (MEC)
Project Address: 2715 SW 315TH
Mechanical Permit #:00 -101059 - 00 - ME
Project Description: HVAC - ADD GAS PIPING FOR NEW DYRER
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 150330 0070
Owner
Applicant
Contractor
Carolyn Jean Hoffman
NONE
FOX PLUMBING & HEATING
31521 42ND AVE SW
FEDERAL WAY WA
7501 2ND AVE S
98023-4018
NONE
SEATTLE WA 98109
Mechanical Valuation..........................................850 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Descri tion Quanti Description —TQ—u—a7nt-fiJ I Description JlQuantid"
Gas Piping 30
PERMIT EXPIRES September 16, 2000, IF NO WORK IS STARTED.
Permit issued on March 20, 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 Washing
the City of Federal Way.
Owner or agent. Date: 3 2,9110
#0 014--e.. AOV't-_-
3/z SIoa /1ror'T/
C"oF RECEIVED
A4
Gtl g��y
UILDING DEPT.
APPLICATION FOR MECHANICAL
Federal Way Business License number:
PARCEL # I S0 330 - 00 70
SITE LOCATION
BunDING I)MMON
33530 Fust Way South
Fedefal Way, WA 98003
(253) 661-0000
Fax (253) 6614129
b•
TERMIT
I
MEC�+
Single Family'(. Multi Family ❑ Commercial ❑
Tenant/Owner 6 /Ad G �idfF/�i� • Phone ;2.V- Q 7y Q/yam
Address/City/State/Lip 2 7 6 S W 31$
%,A-S/PE fot2 .�2YE2. E QvA.r[ dA��
Nature of Work Project Valuation: $
APPLICANT
Name
Address/City(St/Zip
Contact Pecsson
MECHANICAL CONTRACTOR
Company Name rvk &J,0 a/J G 4t y�tyi�6
Phone
Fax
Address/City/St/Zip 2 S O I hib A4 L So. SEA WA, 92/a 9
Contact Person M I kt &&4 Phone 2&-70-331/ Fax 206- 7107 2Lepy
State L & I Contractor Registration #"b R,6% 163 t o Exp. Date 02-01-M
(Card must be presented)
MECHANICAL UNIT COUNT
Fuet T other
Gas Ihyer i
Air Handlin
< =10 000cfin
Fuel Tanks:
Ungth of gas pipinga
Air Handling
> = 10 000cfin
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Un and
Fum>100KBTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Cony Bumer, , . ,.
Dud Work
AM
TONS
Other
DISCLAIMER:I as ft under penalty ofpc&W, that the ntfmmdtiaa 6m fished by me is hue and wmct to the bat ofmy knowledge and finther tient I am authorized by the owner ofthe above premises to perform tha work
for which permit application is made. I f udw agree to save ham the City of Federal Way as to any claim (mch&ft costs, expenses, and attomeys' fees roamed in irmestiption and defense of such claim), which may be
made by any person, including @re undaagned, and Sed agmen: the City of Fedaay Way but only what such claim ad= out ofthe reliance of the city, including its officers and employees, upon the acmacy ofthe
information supplied to the city as a part ofthis application.
Owner/Agent
MscffAm
RL%Wm Rnf"
Date 7� - 2c—), 0Q