99-100870t'JIY OF FEDERAL WAY
MECHANICAL PERVII'll
,T'31.5304irst Way Soutti
Fe(Jera.1 Way, WA 9B003 flp.chani.cal Inspectir)n Roquests 253--661--4140
253--661-_4000
ADDRESS:3511. SW ;:34" ND
NO.: 308900-0060
Pf�OJECI DESCR IP TION: OVA(- INSTALL KIN CERTIFIED WOOD STOVE (TRAVIS INDUSTRIES - AVALON 1190)
' QHDY INORODIKE
3511 SW 3420D ST
FIDRAL MAY #A 98023
253-9117-4495
CONfRACfOR
OWNER IS CONTRACTOR
MIA
PERMIT NO: MEC99-0066
1�,,,SULD: 03/01 ,/99
By: F(�
EXPIRES: 08/2-//99
OVI — 10 b S,=[C)
LENDER.... I..
.............
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 lank)
Inspection Record: Mechanical Rf)uqh-in Date Gas Piping Date
MECHANICAL FINAL Date 6-2'44�
PERXIIS EXPI91 ISO DAYS A[-jLk ISSUAKE It No Vogt is STARTED.
I amity w. imfoRmptioN fuRvismu vy PIE s u An CORRECT JO THE KSI Of NY KNORINGE ANO It* A"LICANU CITY of f[K)a NAY It[QUIRENENTS MILL K NET.
OWNER OR, AGENT
DATE
FIELD COPY
sts cowwwS, PaASE ME
LOCATION (OK 1132 VffN RiPORIING SAtts TAX FOR FROJI(Ts
WITHIN
THE CITY Of FEIM MAY. TAX RATE =
8.25 M
PROJECT VALUATION
2300
f E[S:
1
FUEL TYPES.:?
:
11
to It* lekkiiii�
NE(H PERMIT FEE
83. 125
GAS PIPING.:
0
ft HOOD..........:
;t
0 2 f1011
FUR0<100K..:
0
DUCT WORK. ,..:
0
Too—.-
Q
GAS NOT....:
0
WOOD STOVs',
0
15-M FOS—;
0
48,
CONY BURNER:
0
FURN"I 00�
30-50 TON—:
0
00
2%
0
his(
1
'd
GAS DRYER-:
0
.......
AIR 11ANDLIW^1 Ufllf`��
Rist TAV(S—Z-.—
RANGE.......
0
,:10,000 °,L� 1. ; ��
�!
)
Al'�VEAROUND:
0
GAS LOGS...:
0
10,000 14fM,
0
UNPf 900UND.:
0
TOTAL FEES
S 93.25
.............
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 lank)
Inspection Record: Mechanical Rf)uqh-in Date Gas Piping Date
MECHANICAL FINAL Date 6-2'44�
PERXIIS EXPI91 ISO DAYS A[-jLk ISSUAKE It No Vogt is STARTED.
I amity w. imfoRmptioN fuRvismu vy PIE s u An CORRECT JO THE KSI Of NY KNORINGE ANO It* A"LICANU CITY of f[K)a NAY It[QUIRENENTS MILL K NET.
OWNER OR, AGENT
DATE
FIELD COPY
CITY OF FEDERAL_ WAY � , . �', , ,� ' ��;;;��` ��` {' .,.Ii,,. ��„ . '�°�°�` �.,,,, �,,;,;k !i;;�.. Il'"'��, ���"��II .,.� .,,ll,.,
3530 'First Way South I'll !I;;;;. ,.. It I�'' �I
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4.L40
253-661--4000
ADDRESS:3511 S.3W 342ND ST
NO.: 308900--0060
PROJECT DESCRIPTI ON:HVAC- INSTALL NEW CERTIFIED WOOD STOVE (TRAVIS INDUSTRIES - AVALON 1190)
,= OWNER
CINDY THORNDIKE
3511 SW 342ND ST
FEDRAL WAY WA 98023
253-921-4495
e
CONTRACTOR
OWNER IS CONTRACTOR
N/A
PERMIT NO: MEC99-0066
ISSUE=D: 03/01/99
B'Y4 . F C
EXPIRES: 08/27/99
LENDER
i
r
f
s
i
::: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 :_:
PROJECT VALUATION 2300
FUEL TYPES.:?
?
FANS........... 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<IOOK..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... 0
BBQ.........
0
MISC........... 1
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
FEES:
BOILERS/COMPRESSORS MECH PERMIT FEE $ 83.25
0-3 T.)N...... 0
i
3-15 TON....: 0
15-30 TON...: 0
:,0-50 TCN.... 0
50+ TON....... 0
FUEL TANKS --------- a :;
ABOVE GROUND: 0
UNDERGROUND.: 0 TOTAL FEES $ 83.25
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in--_---_---_ Date Gas Piping Date
MECHANICAL FINAL _ Date t
PERMITS EXPIRE
180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE
INFORMATION FURNISHED BY ME S TR AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
_ ���
_. DATE
FILE COPY
GrrY OF r�
E� RECEIVED
�VV AY
MAR 0 11999
APPLICATIdNF3FG �w HANIPERMIT
Federal Way Business License number:
MEC -�
BUn.DiNG DrVISION
33530 First Way South
Federal Way, WA 98003
(253) 661.000
Fax (253) 6614129
PARCEL #
SITE LOCATION
Tenant/Owner
d hor
I�- �. .,? j �
Single Family ❑
Multi -Family ❑ Commercial ❑
r C��
Phone
Address/City/State/Zip -- r G L -I r - y Lk4 VL;( -4- L'' 1 Z U / /
Nature of Work - ns 1pcaj i 1 et t) to oo s 1�o Zlz Project Valuation: $ eyl ' ,
APPLICANT
Name
Address/City/St/Zip
Contact Person _
J
MECHANICAL CONTRACTOR �y
Company Name
Address/City/St/Zip
Phone Fax
Contact Person Phone.
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfrn
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the information Garnished by me is true and correct to the best of my lmowledge and further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I Gather agree to save hamdess the City of Federal 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 of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/
MP.Cn.APP
Rt sm 1/7/99
_ � s
Date