99-1039541 ra3qsq
ciTY or f LDERAL WAY PERMIT NO: MEC99-0350
33530 First Way Coouth HECHA-MICML. PEKH I T ISSOED: 10/00/99
rederAl Way, WA 98003 Mechanical Inspection Requests 259-661.-4140 BY: FC2
253-661-4000 EXPIRES: 04/04/00
ADI:aRESC� : 32205 '.241+1 AVE SW
rla � : 873180-0 180
PROJECT DESC1=?Ivt':EmMECN - INSTALL GAS LOG INSERT MID AS PIPING
OWNER
STEVE O'NEILL
32205 241H AVE SW
FEDERAL WAY WA 9.8023
253-661-1941
CONTRACTOR
OWNER IS CONTRACTOR
LENDER
aaa CI�IR T � i
w4f � . , iA SES TAX FOR NNECTS IIIFEN TK CITY OF FEIIEIK IMT. TH HATE a 0.25
:��razsmc�zamcc�.n¢:sm�amsr.Jsmumsmmarcacacnmacaear�aas. xace�smsmta , , s®ramsomRmtxava�amtamm�.,aatasmmmsmcnc�sa;azzmmaa maeicsa�amm�cmna�zswsmeoaczeuasa�a.mr�7n���stcxa
t
PROJECT VALUATION 339 r; FEES
FUEL TYPES.:GAS FANS.. . SO R 011 MECH PERMIT FEE 23.50
OAS PIPING.. 2 ft MOOD.........
FURN<100L .: 0 .. 5 ; W..� z����
g
_.�
CASIIIiT.... • 0 WOOD .. vn .. 3ONt,,�A9"n
CONY WRNER. 0 FURH�1l1 ...... 0 �.��,5ON.q,:.p .r
BOO .........s, .
GAS DRYER... 0 AIR FUEL Too,
0 e=10,0 00: 0 ABOVE GROD: 0
GAS LOGS...: 1 > 10,000 +CIA-: 0 UNDERGROUND.: 0 TOTAL FEES S 23.50
Does the mater supply System contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (It 'Yes' then eater expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in _ Date _ Gas Piping ._ _t Date
MECHANICAL FINAL _ _Date/10va
PMTS ERPIRE 180 DAYS AFTER ISOKE KE 'IF 10 9W IS STARTED.
I CERTIFY THE INF TION FURKISKD DIP Iff. IS TRUE An CWT BEST OF NY MREK W TIT#' APPLICM CITY OF FEVAK NAT REQUI S 011I. K KT.
&OR
AGENT _. i .�..� .._ _,,�f _:1�✓ "r �_ _ �_ a __._ __ _
DATE
FIELD COPY
I
CITY OF FEDERAL WAY
'133530 First Way South P11 ETI : tiM P1 I N I "T
Federal Way, WA 93003 Mechanical. Inspection Requests 253--661-4140
253-661.-4000
ADDRESS:32205 24TH AVE SW
NO.: 873180-0180
PROJECT DESCRIPTION:MECH - INSTALL GAS LOG INSERT AND GAS PIPING
OWNER
STEVE O'NEILL
32205 24TH AVE SW
FEDERAL WAY WA 98023
253-661-1941
CONTRACTOR
OWNER IS CONTRACTOR
A
LENDER
PERMIT NO: MEC99-0350
ISSUED: 10/08/99
BY: FC2
EXPIRES: 04/04/00
Us COMTRACTt OIKEA MAOCAT C ., Tom, -NG SALES TAX FOR PROJECTS BITHIN THE CITY OF FEDERAL BAY. TAX RATE : 8.25 as*
PROJECT VALUATION
339FEES
FUEL TYPES.:GAS ?
FANS. ..,
BOR SORS
MECH PERMIT FEE $ 23.50
GAS PIPING.:
2 ft
HOOD.
0 � TON.. ,
FURN<100K. , :
0
5 ETON. `�ir �
�NOw
r
«�
GAS HNT....:
0
HOOD A
$ 3 �' ON,, $
f�,w tgp
CONV BURNER:
0
FUR9 BOOK .. 0
16-56i TON 0
_ _
BBQ.........
0
MISC. .. 0
_50+ {� 0
GAS DRYER..:
0
AIR HANDLING�,tiMTS _ "
FUEL T1KS- -----
RANGE ...... :
0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...:
1
> 10,000 CFM: ,0
UNDERGROUND.: 0
TOTAL FEES $ 23.50
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in _ Date Gas Piping _ ___ Date — _
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 10 BORT IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A C R CT BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS HILL BE NET.
OWNER OR AGENT DATE g
o -
---------------------------- ---LQ
FILE COPY
W
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jam' G
VM
EONP
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax (253) 661-4129
Affidavit in Lieu of General Contractor Registration
State of Washington
County of King
1. I have made application for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered
- with the State of Washington. The exceptions to this requirement are stated under Section
18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the
reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Federal Way must verify either that the contractor is registered by the
State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this
requirement, I hereby attest that after reading the exemptions from the registration
requirement of RCW 18.27.090, I consider the work authorized under this building permit to
be exempt under No. k_, and will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in
any decision to engage an unregistered contractor to perform construction work.
MP Lk'ICOAooITr OL t,
Signed and sworn to before. me this OAt'� �W14pbRL✓
ay of T 19 lzlII011 C
OAK '
• �, p i
I �S s. tQd
` NoTARY PuBLic in and for the
�� a ` = State of Washington, residing at
W� �� County.
My Commission expires: O 5 )-ZI 6�
I"
Revised Code Of Washington
18.27.090 Exemptions. This chapter shall not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within
the scope of their office;
3) Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4) Any construction, repair, or operation incidental
to the discovering or producing of petroleum or gas, or
the drilling, testing, abandoning, ro other operation of
any petroleum or gas well or any surface or
underground mine or mineral deposit when performed
by an owner or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into md.do not become a permanent
fixed part of struct%;
T
6) Any construction, alteration, improvement, or
repair of personal property, except this chapter, shall
apply to all mobile/manufactured housing. A mobile/
manufactured home may be installed, set up, or
repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a mobile/
manufactured home retail dealer or manufactured
licensed under chapter 45.70 RCW;
7) Any construction, alteration, improvement, or
repair carried on within the limits and boundaries of
any site or reservation under the legal jurisdiction of the
federal government-,
8) Any person who only furnished materials,
supplies, or equipment without fabricating them into or
consuming them in the performance of, the work of the
contractor,
9) Any work or operation on one undertaking or
project by one or more contracts, the aggregate contract
price of which for labor and materials, and all other
items, is less than $500, such work or operations being
considered as a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection
does not apply in any instance wherein the work or
construction is only a part of a larger or major
operation, whether undertaken by the same or a
AFFmvr.FRM
REmBD 7/4/98
different contractor, or in which a division of the
operation is made into contracts of amounts less than
$500 for the propose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he is a contractor, or that he is qualified
to engage in the business or contractor,
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising, or to clearing or other work upon land in rural
districts for fire prevention purposes; except when any
of the above work is performed by a registered
contractor,
11) An owner who contracts for a project with a
registered contractor,
12) Any person working on his own property,
whether occupied by him or not, and any person
working on his residence, whether owned by him or
not, but this exemption shall not apply to any person
otherwise covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property,
13) Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
14) A licensed architect or civil or professional
engineer acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope of
his license;
15) Any person; uo gages iit the'ac"fies herein
regulated as aui employee of' a'00410red crnptractor
with wages as his sold"co�ipenstrtioi�;,.
e
16) Contractors inn highway projqcts who have been
prequalified as required by chapti x.13°of the Laws of
1961, RCW 47.28.070 with the'4artment of
transportation to perforin highway construction,
reconstruction, or maintenance work
2
BuELDiNG DmKON
33530 First Way South
OCT 0 Federal Way, WA 98003
(253) 6614000
-0ERALWAY
Fax(253)661-4129
ILI)INC, DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: Gj
MEC'9q - 0350
PARCEL # 734PO — 6)1?0 Single Family 61-' Multi Family 11 Commercial 0
SITE LOCATION
Tenant/Owner VPhone
Aldress/CitylStale,li, aa4d; 2kq *2 ILQ l 98 (�Q
E ��C� Q -O
Nature of Work Project Valuation:
APPLICANT ,
Name
Addre
Contact Person Q r -iL? Phone Fax a�Ao6f-oo-43
IS
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person Phone
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
Exp. Date
Fuel 1'3w (gastother)
Gas aa I)rver.
Air Handling<=10
000cf n
Fuel Tanks:
lmgth of piping '-2•
Range
Air Handlin
> =10 000c&n
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Un and
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Corry Burner
Duct Work
A/C
TONS
Other
wdqtv.
A/C
TONS
........ ...
DISCLAIMER: I oettify, under penalty ofpajW, that the information finnisluxi by me is we and owed to the best ofmy knowledge and Anther that I am authorized by the owner ofthe above premises to perform the work
for which permit application is made. I Anther agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense ofsuch claims 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 officers and employees, upon the accuracy ofthe
information supplied to the city as a put of this application.
Owner/Agent Date
MEcuAPF
REVISED jnlgg
I