00-100787City 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: CHAPMAN (MEC)
Project Address: 32231 12TH SW
Mechanical Permit #: 00 -100787 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Description: INSTALL GAS FIREPLACE W/ VENTING & GAS PIPING
Parcel Number: 0104510290
Owner
Applicant
Contractor
Michael M Chapman
NONE
OWNER IS CONTRACTOR
32231 12TH PL SW
FEDERAL WAY WA
98023-5528
NONE
Mechanical Valuation..........................................2514
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description QuantiI Description Quanti Description Quanti "
Gas Logs 1 Gas Piping 18 r
PERMIT EXPIRES August 28, 2000, IF NO WORK IS STARTED.
Permit issued on March 1, 2000
I hereby certify that the above information is correct and that the construction on the above described propero.
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. "/' / jD
Owner or Date: ') — / 00-
I
L+G-f cL, cj%--72� f
C" OF G . _ - _ _ _ .. _ b"( -o ac� BUILDING DIVISION
® �D 33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
�,ti�
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APPLICATION FOR"ECHANICAL PERMIT
Federal Way Business License number:
MECO - �®
PARCEL # Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION rQ
Tenant/Owner C "`
Address/City/State/Zip
Nature of Work
APPLICANT
Name e'
Address/City/St/Zip
0
Phone r� .533
� �� r 9 2
�� �a2 3
Project Valuation: $ �5
Contact Person -Sm Phone 5-3 Fax
MECHANICAL CONTRACTOR
Company Name �/ w A e/z--
Address/City/St/Zip
Contact Person Phone
Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
I
Fuel T as/other)
Gas Dryer
Air Handlin
< = 10 OOO6in
Fuel Tanks:
Length of gas pi ing
Range
Air Handling
> = 10 000cf n
Above Ground
Furn <100K BTUs
GasLog
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Cony Burner
Duct Work
A/C
TONS
Other
DISCLAIME& I certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and 6uther that i am authorized by the owner of the above premises to perform the work
for which permit application is made. I f ether agree to save harmless the City of Fedaal 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 ofthe reliance of the city, including its offices and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agek Date
MEM APP
flavum In/99