99-100235A - I TY OF FEDERAL WAY
335 1'0 First Way South
Federal ra l Way , WA 9000:3
253--661-4000
MECHANICAL PERMIT
Mecha iil ca l Inspection Requests 253-661-.4140
ADDRESS:30128 3RD FSI_ S
NO.: 795450.-0090
PROJECT DESCRIPTTON:HVAC - GAS LOG FIREPLACL INSTALLATION
OWNER...........mCONTRACTOR
ALANIEHILY DIERST OWNER TS CONTRACTOR
1,012$ 3RD PL S
FEDERAL MAY MA 96003
9
253.941.7937
as; e....�,e..i.�:.:n<.vaaauaxmamtea:aa�uxsaX sxr�s+�ipkS�i?I4i*. "�.'A�r;�3m mE*B�w::u.,aattmR.. _. ;«ewK/Aa.xo-w..w..r.w+iaar,rn+�*.
sn CONIRACTORS, P1 IMF U% LOCATION W Iliz,WWI ALPOII
psxvxuice:smxma:isxrrus.:'s:s:am :'uxiu::scaaxsm,c:_ . .. -, c.suxs.reY: ansa.c'nvsesw�s.sxa'aaamv-easscsmmzas
PROJECT VALUATION 200
FUEL TYPLS.:GAS LLE
FANS.. ,.. :
0
GAS PIPING.:
35 It
HOOD.,
O
FURN(lAOf"';
0
WCT vo`lk
0 '
GAS "WT.:..:
0
WOOD `` 1 u`¢ k `
�)
CONV BURNER:
0
FURW104....
800.........
0
HIS(...........
1,
GAS DRYER..:
0
AIR HAR+TING IMP":;
RANGE......:
0
<=10,000 Crr1
0
GAS LOGS...:
1
> 10,000 CFh:
0
LENDER
4.1---.M R.y'Y....IX:Cp90'.kY'.S.S6%S&4GRtAtJYN...
SALES TAX fOR PROJECTS HITMIM TIE CITY OF FEDERAL MAY
PERMIT NO: MEC99-0013
ISSUE -1): 01/114'1/99
BY: KK
EXPIRES: 07/10/99
BO II S NPR
Tot,'' 0 J $`
13
50; PON...... 0
FOR TARS--°
APOVE GROUND: 0
YNDERUOUND.: 0
FEES.
bu STATE : 8.25 :s:
r a h f i F F L $ 23.50
r
r
TOTAL FEES $ 23.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes f 1 No IIf 'Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: mechanical Rough -in _. Date ,._.. Gas Pipir,� Cj Date Z+Z—eTc7
h(CHANICAL FINAL G .__._._ Z'2
PLRHITS EXPIRE 1811 DAYS AFTER ISSUANCE. if NO 0091 IS STARTED.
I CENT IFY TME IIFOWIIN FURNISHLIP BY h . IS IRUI AND CORRECT TO THE KST Of NY [MOII.EDG'E AND THE APM.ICAKI CITY OF FEDERAL MY KOVIKKITS MILL DE NET.
LiWWER OR A ._ �. _ DTTE
__.��__�LL� -t
FIELD COPY
i
CITY OF FEDERAL_ WAY yy �. D u,,. PERMIT NO: MEC99-0013
33530 F i rs t Way South w' li !1.;;;;. ��..... II °,I, 1w4, .,li.,. �,, .. � ` � �,...,, �"° � !I;�:;. II "'�,, II w� II .,.Il.. I ISSUED: 01/12/99
Federal Way, WA 90003 Mechanical Inspection ReqLiesf:s 2`i:3-661--4140 BY: KL_C
253-661,-4000 EXPIRES: 07/10/99
ADDRESS:30120 :3RD PL_ S
NO.: 795450-0090
PROTECT DESCRIPTION: HVAC - GAS LOG FIREPLACE INSTALLATION
F= OWNER _____________ _ _ ____________________ = ===F= CONTRACTOR =______________ ______________=______-_-:_____= LENDER
ALAN/EMILY DIENST OWNER I5 CONTRACTOR
30128 3RD PL S
FEDERAL WAY WA 98003 E
� I
253.941.7937
N/A I
ttt CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE = 8.25 ttt
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0
3 GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES
a
3 Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is require
Inspection Record: Mechanical Rough -in ------------ Date __,-------- Gas Piping ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C� J_.. - ------------------------.__ _------_____--------____-- DATE
FILE COPY
PROJECT VALUATION
200
3 FEES:
FUEL TYPES.:GAS ELE
FANS..........:
0
BOILERS/COMPRESSORS MECH PERMIT FEE
GAS PIPING.: 35 ft
HOOD..........:
0
0-3 TON.....: 0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 TON...: 0
CONY BURNER: 0
FURN>100K.....:
0
30-50 TON...: 0
i BBQ......... 0
MISC...........
0
50+ TON...... 0 ,
GAS DRYER 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0
3 GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES
a
3 Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is require
Inspection Record: Mechanical Rough -in ------------ Date __,-------- Gas Piping ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C� J_.. - ------------------------.__ _------_____--------____-- DATE
FILE COPY
CRY OF G
VV
,lAN Z APPLICATION FOR MECHANICAL
,e,
OEP'�• Federal Way Business License number:
U1Lp
PERMIT
PARCEL # Single Family Multi -Family ❑
SITE LOCATION
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000 '
Fax(253)661-4129
C.
MEC -
Commercial ❑
Tenant/Owner 1 ��� 'J (-en �d Phone `7a a 3 I
Address/City/State/Zip Z 3 3 GaC T, Wo` qkvL j
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name 4 -lo ✓ 2 i - 0- n&r'
Address/City/St/Zip
r
Contact Person
Phone
Project Valuation: $
Fax
Phone Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000c&n
Above Ground
Fum <100K BTUs
Gas Lo
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
BBO's
d Stoves
A/C TONS
DISCLAIMER: 1 certify, under penalty of pedury, that :he information famished by me is true and correct to the best of my knowledge and further that I am authorized 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 casts, expenses, and attorneys' fees incurred in investigation and defense of such claim}, which may be
made by any person, including the undersigned, and red against the City of Fedeny 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.
4t
�
Owner/Agent r -Date /
Mu .Are J
Ravrsm 7129/98