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99-104875qq — I Oq 001S CITY OF ITEDER(IL WAY PERMIT NO: MEC919-0436 J CA, L P E R 11 If ISSL)ED: 12/21/99 33530 First Way South M E C f I (I tl ,Federal Way, WA 98003 Mechanical lt,)spoct.!.cm Vequests 253-661-4140 BY: FC .25a-661-4000 EXPIRES: 06/17/00 ADDRESS:110 SW 294TH ST NO.: 119600-1240 PROJECT DESCRIP]JON-MR - HER GAS FURNACE, WATER HEATER, W/ PIPING OWNER........ ---j= CONTRACTOR .... LENDER SCOTT REILEY ADVANCED FILTER AND MECHANICAL 110 SW 294TH ST 516 VALLEY AVE RE fIDIRAI. WAY WA 98023 PUYALLUP WA 98372 941-3918 L2531770-2440 ADVANW44RD Its . -11.. .a ::. .— . 1; . = . . . z »s.s Z, ­a. SALES TAX 1FOR PROJECTS VIIIIN THE CITY Of FIKIIAL NAY. TAX RATE : 8.25 M "*11.=.AAm.x..r.­4a�==.&.=U .... ax ..4 PRC,j[CT VALUATION ItSOO FEES: FUEL TYPES.:GAS ? FANB* I R I, ***t"W_ I "ICU PERMIT FEE 111.25 ���Q Mm, MR 3,GAS PIPIK.: 45 ft HOOD.. fURK<IOOK..: I VK N 4 k�, GAS HWT_.: I woot"tott.- 1 CONV BURNER: 0 FURN,166y ...... a 10-4 TOR.,—: 0 0 RISC......... 50 TON. . 0 GAS DhLp..: 0 AIR HANDLING frult 1ARKS ---------- RANGE......: 0 ,:Iu,000 Jm: 0 ABOVE GROUND: 0 0S LOGS...: 0 " 10,000 (f,": "'i U11DER000"P.: 0 TOTAL FEES 111.25 'Pops the water supply systes contain a Pressure Reduction Device or Check valve? Yet! No (!f "Yes` then cm ter. t-pinsion t:mk is required f:n Hot pater Tank) 10%L Inspection Record: Mechanical Rough -in Date --------- Las Piping__ !Date ✓ / 17'G MECHANICAL f INAL7 J. Date .p ,Z_7670 I.............. . ....... . .............. .. . ....... . .. . ..... m.; .. . ........ _ KINJIS EXPIRE 188 DAYS AFTER ISWKE If 0 =K IS STAiTEJ I CERTIFY IN[ INFORNAT1O�1OWSKJ BY NE IS IM All CORRECT TO TIE KSI Of MY KNOWLEDGE 690 TOE APPLICAKE CITY Of FEDERAL NAY RILQUIREANIS WILL BE 44 OWNER 09 A6[#T DAIL, FIELD COPY CITY OF FEDERAL WAY 33530 Fi rs t W a v South Federal Way., WA 95003 Mechanical Insp t;ort F,eQLjests 253-661-- 253-667.-4000 ADDRESS:110 SW 294TIl ST NO.: 119600-1240 PROJECT DESCRIPTION:MEC - NEW GAS FURNACE-, WATER HEATER, W/ PIPING PERMIT (NO: MEC99-0436 ISSUED: 12/21./99 By. Fc EXPIRES: 06/17/00 = OWNER CONTRACTOR =__________________ __________ ________-_____= LENDER SCOTT REILEY ADVANCED FILTER AND MECHANICAL 110 SW 294TH ST 516 VALLEY AVE NE FEDERAL WAY WA 98023 PUYALLUP WA 98372 941-3918 , 253/770-2440 d ADVANFM044RD E US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Its PROJECT VALUATION 4500 FEES: ! FUEL TYPES.:GAS ?0 FANS,......,.,: "" 1 .' /COMnRFSS^RS MECH PERMIT FEE $ 111.25 ? GAS PIPING.: 45 ft FURN<100K..: 1 HOOD..........: DUCT WORK...... 0 G 0-2- TIlN .,. GAS HWT.... : 1 WOO CONV BURNER: 0 FURN>1u0K...... 0 . 30 �0 .... i BB ........: 0 Q MISC.,........: 0 50+ TON.....: 0 , GAS DRYER—: 0 AIR HANDLING UNITS FUEL TA'NKS--------- --------RANGE..,,..: RANGE ...... 0 <:10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 111.25 � � r 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 PERMITS EXPIRE 180 DAYS AF ER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THE INFORMATIO URN SED BY ME IS 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 C"YOF G VY DEC 2 11999 Qi i Y OF httsLrt IL vVNY BUILDING DEPT, BumDiNG DIVISION 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax(253)661-4129 APPLICATION FOR MECHANICAL PERMIT Federal Way Business License number: MEC - 6426 PARCEL # Single Family E!r Multi -Family ❑ Commercial ❑ SITE LOCATION Tenant/Owner � ?, .2 � \ 1-1-1, Phone �7r `� 1 '? X Address/City/State/Zip l S "`' ��' `� �-� ` — ��-' 1za' — --iLq 2 -K L? Nature of Work kA Project Valuation: $ APPLICANT Name E (- 4 R—o' � Address/City/St/Zip c Contact Person Phone ( 37 S 1 Fax M MECHANICAL CONTRACTOR Company Name�- Address/City/St/Zip N-( C' 0 u-) C, -_ `- 4 Contact Person Phone &y; WC) Fax L 720- Yy-3 State L & I Contractor Registration # AL v im' ` `f I-'�� Exp. Date 'moi (Card must be presented) MECHANICAL UNIT COUNT Fuel Type as/other Gas Dryer Air Handlin < = 10 000cfm Fuel Tanks: Length of as piping % r Range Air Handling > = 10 000cfin Above Ground Furn <100K BTU's C'h tl T ' Gas Log Unit Heater UnderpTound Furn>100KBTUs Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/Ii Other Conv Burner Duct Work A/C TONS Other BBO's Wood Stoves A/C TONS DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and Luther that 1 am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save hamiless the City of Federal Way as to any claim (including costs, expenses, and attomeys' 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 when 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 flus application. Owner/Agent/�2�//� `-L L��f�f�L1 -- Date�Tl� Me Are Re m In199