99-104179'CHY OF FUL)FRAL WAY
33530 Fir�,t, W�ty S(.)tjth MECHANICAL.PER(1111'
Feder,al W,-iy, WA 98003 Nectimi-cal Inspection Requests 23J 6,i -::.l 4140
253--661.
ADDRESS.,32410 "IND PL_ S Llr)lt: /4
NO.: 701600---0390
PPIPING
DESCRIP'TION:NECH - INSTALL GAS fIREPLA(I AND ASSOCIATED P 4
OWNER
CONNIE CARLISLE
32410 2ND Pt S, BLDG 7 UNIT 4
FEDERAL WAY WA 98003
253-661-7291 253-924-7694
*34
CONIPMOR w= .........
OWNER IS CONTRACTOR
N/A
LE ij.r'ft
CKI -109 1 Iq
PERM11' NO: MLC99-,0374
ISSOID: 10/26/99
BY: FC
EXPIRES: 04/22/00
ING SALES TAX FOR PROTECTS VITNIN IRE MY OF FEDERAL NAY. IM RATE : 8.25 nt
PROJECT VALUATION 1800 FEES:
FUEL IYPES.:GAS f ANS ......... ER InVIVE 0 M M -3 MECH PERMIT FEE 63.15
GAS PIPING.: 20 ft HOOD. 3 W
01"
0 DUC ....... IS, 100. ell d
GAS 0
BURVIP: 0 F�
Q ".014 0
GAS DRYER..: 0 AIR HANKIN6 FUR 101"S -. - -
RANGE......: 0 <-IOAO CR, 0 ABOVI 00140:
GAS LOGS...: 1 > 10,000 Um. 0 UNURGROUND. * 0 TOTAL FEES
Does the water supply systes 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 .<_ Cis ----- Date /2-0-179
MECHANICAL f INAL jC_,,_L,0 Date 1,2, 1 95
\ 1,
.. m ... ..... ... ...
PERMITS EXPIRE 180 MYS AMR ISS 'CC It 00 IM IS SIM113.
I CERTIFY THE MORMON FURVISILD BY Ni is INK W CORRECT TO IRE BEST IF BY KIKEKE W THE APPLICARE CITY Of FEKW VAY K10"IREKITS V11 t. W, PUT.
NNER R AGENT
DATE
FIELD COPY
CTY OF FEDERAL WAY ,
33 3 (r �� F y South
J J 5 3 u First -� t W a
Federal Way, WA 98003 Mechanical Inspection Requests 253 661-41.40
253--661.-4000
ADDRESS:324-L0 2ND PL S Unit: 74
NO.: 701.680--0390
PROJECT DESCRIPTION:MECH - INSTALL GAS FIREPLACE AND ASSOCIATED PIPING
PERMIT NO: MEC99-0374
ISSUED: 1.0/26/99
BY: FC
EXPIRES. 04/22/00
-= OWNER =________________________=_____
___==______=______
-= CONTRACTOR =____________=_=_________:: ____=_===____-___�=
LENDER
CONNIE CARLISLE
OWNER IS CONTRACTOR
32410 2ND PL S, BLDG
7 UNIT 4
E
FEDERAL WAY WA 98003
053-661-7291 253-924-1694
N/A
a:
CONTRACTORS, PLEAS W, LOCATION CODE 1.732 VHLN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE =
8.25 Ut
---------------
PROJECT VALUATION
1800
FEES.
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMaRESSP,RS
�
MECH PERMIT FEE
63.15
GAS PIPING.: 20 ft
HOOD .... 0
0 TON_ 0
FURN<100K..: 0
DUCT WORK.—,: 0
3 TC;`,'...': C
GAS HWT..... 0
CONY BURNER: 0
FURN>110K.....: 1
30-50 TON..,:
BBQ........: 0
MISC..........: 0
50+ TON--: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
p
RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND; O
!
GAS LOGS...: 1
> 10,009 CRM: 0
UNDERGROUND.: 0
TOTAL FEES
63.15
es 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
1
MECHANICAL FINAL
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
(DRAGENT
WNER -_ ---C------s,4�-_ _ DATE
FILE COPY
• 14C�r'VE
crrY of �- Bi7II.DING DIVISION
33530 First Way South
uv
Or, T 2 61999
Federal Way, WA 98003
(253) 661A000
CITY OF FEDERAL WAY Fax (253) 661-4129
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC95 — 0374
PARCEL #
Gas DrVer
Single Family ❑
Multi -Family lit Commercial ❑
SITE LOCATION
Length of as piping
Range
Air Handling >
Tenant/Owner (., -i��
e �ar/ s/�
Fum <100K BTUs
/
Phone
Address/City/State-/Ziip
-2211�/
-� / ���Z�
4)A /4
Nature of Work -t�S
C�Ct!Tll>lt O &v -es / !
482i jCa- 117s"
7 Project Valuation:
APPLICANT
�C-(/^/5�2,
Oyu/U ! # T
Name (�//I�%/G'
Conv Burner
%
A/C
Address/City/St/Zip -- Jer 7/ L' ----f /- 4-, /cam cum I< i
Ccnta: t Pe,son ( _O. � hale Phone 3 ^�
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip � 7-3J
ax
Contact Person 1?%a r 4' Phone ���" ��� �� Fax
State L & I Contractor Registration # hJ L/� 7/6' ? Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas DrVer
Air Handling <
= 10 000c&n
Fuel Tanks:
Length of as piping
Range
Air Handling >
= 10 000cfm
Above Ground
Fum <100K BTUs
Gas L.g
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stovaa-
A/C
TONS
DISCLAIMER: 1 certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and further that I unauthorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save harmless 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/Agent 4 &7Z'
MF wAPp
liF .m Inl"
Date 2� S