99-104345CITY Of F=EDERAL WAY
33530 F'ir'st Way South
Federal Way, WA 98003
253-661--41700
AI)DRE S:3221? 1.1 T"FI NL.
NO.: 926493-0610
PROJECT DESCR I PT ICON - HVA(
HECHMN CML PERM
Mechar)ic al laic r -E ction Requests 253_.E361. ►140
SW
- INSTALLING NEN GAS fIREPLACE INSERT WJASSOCIATED GAS PIPE.
Y3 OWNER xaa Y:JCC.^wL:Y.:'RNt4::�CC:i:SIDb'CYt�RY/Rt:t;ASlCxru7 m;4'Yq ICLitl:ip:Al4
RUTH SAUVER
32212 11fN PL SN
FEDERAL WAY WA 98023
253.661.4314
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�� IIIG SALES TAI FIR PROJECTS MINIM RIf CIT"Y Of FIDLRAI NAY. TAX RATE = 8.25 US
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'•�' 1 d, k' Y c 'Cf k -
t. trr..nF,.,tt€ta N "Y tili:H IaY4�11 cE s 26.55
Too
�=
15 JO i, +311 ..... n
3O -JO ?ON.... 0
V0 ION...... 0
FULL TANKS -,--------
ABOVE GROUND: 0
UNDERGROUND.: 0 TOTAL FEES ; 26.55
�l�i - I IN3� C5
PF:ItMI I Nil: ML_99 UJ9.'
ISS(JCD: 1.1/10/9'
BY: F C2
EXPIRES: 05/0"�'Jo0
CONTRACTOR ......xa........r>r�m4�s�� ��: �x�mmx�:��x,:::�:���:. LENDER
R A RUPP CONTRACTING
6301 2491H ST CT E
2ANAM WA 98338
841-8166
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Does the water supply systes 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 ._1_l.AXA
7%% T
MECHANICAL FINAL Date
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PERMITS EXPIRE 1.80 TIAYI; AfILR ISSHANt:E If N0 !(at[ ,A STARTER.
I CERTIfY TNL INFOMTION [IMNISNER NY IIC.IS TSE AND CfK€CT 10 THE NEST Of MY TTNONLFK1 AND THE APPLICAIR CITY Of FEDERAL NAT' REQUIREMENTS HILL NE MEI.
OWNER OR AGENT ,�_..._._....__...�:=_._._.._.__�.���,DATE
FIELD COPY
COMWIMS FLEW
zSae �,3G:5YWpcist..:«5v
rxti.9r:lreF�; :T.•ax�Cm�.taeur.��s—^, •i�ilYO+N, xa
PROJECT VALUATION
590
FUTI TYPES.:GAS
° FANS.. ..
GAS PIPING.:
25
ft 9000. .
FURNQOOK ...
0
RIOT' VW
GAS HWT.....
0
WOOD ST6YF5.... 4
CON'v BURNER:
0
09#)l0Oi;..... . 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 0m; 0
GAS LOGS...:
I
> 10,00(, CFM: 0
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Does the water supply systes 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 ._1_l.AXA
7%% T
MECHANICAL FINAL Date
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PERMITS EXPIRE 1.80 TIAYI; AfILR ISSHANt:E If N0 !(at[ ,A STARTER.
I CERTIfY TNL INFOMTION [IMNISNER NY IIC.IS TSE AND CfK€CT 10 THE NEST Of MY TTNONLFK1 AND THE APPLICAIR CITY Of FEDERAL NAT' REQUIREMENTS HILL NE MEI.
OWNER OR AGENT ,�_..._._....__...�:=_._._.._.__�.���,DATE
FIELD COPY
A,M i
+' .
CITY OF FEDERAL WAY
33530 F^ i rs t, Way South x111 f"', t.1 ,,,, tl.. f". Ir"11 t It',,,", `:;,; f`k, I'll, "I I,,,
Federal Way, WA 9E300 3 Mechanical lrispecl,i )r) Reque, Ls 25:3eS61_-4140
253-661-4000
ADDRESS:32212 11TH PL SW
NO.: 926493-0610
PROJECT DESCRIPTION:HVAC -INSTALLING NEW GAS FIREPLACE INSERT W/ASSOCIATED GAS PIPE.
F= uwntKUNIM I un ttnutn
RUTH SAUVER R A RUPP CONTRACTING
s 32212 11TH PL SW 6307 249TH ST CT E
FEDERAL WAY WA 98023 r GRAHAM WA 98338
i
r I
253.661.4314 ! 847-8166
ARkPCI445K
PROJECT VALUATION
FUEL TYPES,:GAS
GAS PIPING.: 25
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 1
46 , .
PERMIT NO: MEC99-0397
.ISSUED: 11/10/99
BY: F'C2
EXPIRES: 0.5/07/00
s:: CONTRACTORS, PLEASE USE LOCATION CODE 1732 U EN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE : 8.25 Us
- - ----------- '
----------------------- ----------------------------
590
FEES:
FANS...:......:
0
OI 5:'` F,�ESSF4
P9ECH PERMIT FEE $
ft HOOD::,, ...,.
?
0-- TO' ...;
DUCT, WORK
3
WOOD S vis ...:
3
15 3Li 'ON...;
FUR0100K..,...
0
30-5p TON....
0
MISC...........
0
5C+ TOx......
0
AIR HANDLING UNITS
FUEL TANKS ---------
<:10,000 CN:
0
ABOVE GROUND:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
TOTAL FEES $
26.55
26,55
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
PERMITS EXPIRE 180 DAYS
I CERTIFY THE INFORMATI
OWNER OR AGENT
Mechanical Rough -in
MECHANICAL FINAL
ISSUANCE IF NO
Date
Date
_ Gas Piping
Date
IS STARTED.
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
--------------------------------
FILE COPY
CITY OFC�
EwIVEr
NOV l9q,APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL 'VVAYFederal Way Business License number:
BUILDING DEPT.
PARCEL #
SITE LOCATION
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614009
Fax (253) 661-4129
MECG-
Single Family ❑ Multi -Family ❑ Commercial ❑
Tenant/Owner "I �' Ctaye-y- Phone 253 [D 6 l ^ `'13/ Li
Address/City/State/Zip 322 12 L S t �j P k.,." A -C W A- 80 2.3
Nature of WorkI `� �� A i ✓I > �i 143 7' i-D�Att �N S.at'�` S
'1 Project Valuation: $
APPLICANT
Name
Address/City/StIZip
Contact Person V `� Vy'{� Phone Z53 6&1 4 Y Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip 6'36? Z Y; '4i WA,
Contact Person �O G L,�- t } L n 40 Phone 2q'� �?C1/ " ��� Fax
State L & I Contractor Registration # KU Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling <
= 10 000cfm
Fuel Tanks:
Length of gas piping 1, 1
Range
Air Handling >
= 10 000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn >100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
Wood Stoves
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 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 FgAdEffay 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 Fe y y 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 die city as a pari of A application.
Owner/Agent
MF.cu APP
Date