99-104315Ilk.
CITY OF FEDERAL WAY
ZM30 First Way Soutti MECHANICAL PERMYr
Federal Way, WA 98003 Mecfiatiical. Re(jm-.,ts 253-661--4140
253-661-4000
ADDRESS:31722 5114 AVE S
NO.: 7941,70-0370
PROJECT DESCRIP'l 100 -HVAC - GAS fireplace insert with 20 feet of piping
OWNER amwyoaamzmwmx as{
PHILIP GRIFFITHS
31722 5TH AVE S
FEDERAL WAY 4A 98003
253 -946-000
PROJECT VALUATION
FUEL TYPES,:GAS
GAS PIPING.: 20
FURNOOK..: 0
GAS NWT...,: 0
CONY "HER: 0
BBQ......... 0
GAS DRYER_: 0
RANGE......: 0
GAS LOGS...: I
M CONTRA(
III tAst Ow I
475
GAS FANS_ 0
ft HOOD, 0
WILT
NIS[........ 0
AIR 110DLING 9011S
<:10.000 CFK: 0
10,000 CF": 0
- CONTRACTOR ........
OWNER IS CONTRACTOR
LENDER,
C4- Dq 315
I
PERMIT NO: MEC99-0392
ISSUED: 11/08/99'
BY: FC
EXPIRES: 051/05/00
W I1r 011tH R[PORIING SALES TAX fOR MJFCTS VITNIN INC, CITY of FEDERAL WAY.
F' ► -
FUEL TANKS-
ABOVE GROUND: 0
UNDERGROUND.: 0
f
TAX RATE : 0.25 nt
mi,,fl HPnil FEE $ 23.50
TOTAL FEES $ 23.50
......... . .... =_�. ...... ...... ....... wt=Mza.=1'i...... V .... :,... ..... .... man
Dues the water supply systes contain a Pressure Reduction Device or (heck, valve? Yes No (If 'Yes* then water expansion tank is required on Hot Water lank)
Inspection Record: Hechanica) Rough -in ___ I--- Date Gas piping Date 1 rJ
MECHANICAL FINAL 4:�'
, Date
KNITS EXPIRE 180 mys Aing issuma IF NO vm IS STARTED.
I CERTIFY THE TKNIN611011 ROXISNED III K is TRUE An CORRECT TO THE REST Of NY KNWILAGE AND THE APPLICAILf CITY Of fLK01 NAY REQUIREMENTS WILE 9L NLT.
OWNER OR AGENT
DATE
FIELD COPY
CITY OF FEDERAL WAY '
03530 F i r -s t Way South
Federal Way, WA 98003 Mechanical Inspection Requests 250--661.-.4140
253-661--4000
ADDRESS:31722 5TH AVE S
NO.: 794170-0370
PROJECT DESCRIPTION:HVAC - GAS fireplace insert with 20 feet of piping
t= OWNER _____________=_______________________=___ =____= ==p= CONTRACTOR==______=______________________________=====T= LENDER
PHILIP GRIFFITHS OWNER IS CONTRACTOR
31722 5TH AVE S
FEDERAL WAY WA 48003 }
253-446-0650
3
--_..-----------------------___ __..___. _ --_--_ ------ ---------•----------______-__.._..__------I.---__--------_______--------.--_________________________--
ax: CONTRACTORS, PLtASE USE L^CATION CODF 1732 BREN RE".RTTYG SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 Its
� J � ., 0 BOIL �.S � FEES:
PROJECT VALUATION 47. VnQ ^^ rc I
FUEL TYPES.:GAS GAS FANS -,tS ,,�S M[CH PERMIT FEE $ 23.50
GAS PIPING.: 20 ft HOOD..........: 0 0-0 TO"'
t FURN<100K..: 0 DUCT FORK.. ., TrA
GAS 4WT 0 WOnn eyourc n 1r,_0O'rnU 0
PERMIT NO: MEC99-0392
ISSUED: 11/08/99
BY: FC
EXPIRES: 05/05/00
e .....
VL ...I ...
-
I— J Iv . ...
CONV BURNER:
0
FURN>100K.....:
0
30-410.TON...:
0
BBQ.........
0
MISC...........
0
50+ TON......
0
GAS DRYER..:
0
AIR HANDLING UNITS
F!"EL TANKS---------
RANGE......:
0
<=10,000 CFM:
O
ABOVE GROUND:
0
GAS LOGS...:
1
> 10,000 CFM;
0
UNDERGROUND.:
0
Does the water supcly system contain a Pressure Reduction Device or Check valve? (} Yes
TOTAL FEES
23.50
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 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.
OWNER OR AGENT :' - . - - --------------------------------------- DATE 1Z_
FILE COPY
CITY OF
RFcEiVED
�a� p � 1999
City OF FEDERAL AY
BUILDING DEPT
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
MEC C
L� L�
PARCEL # - � t, 71' C 3 24) " �, x Single Family Multi -Family ❑ Commercial 11
SITE LOCATION
Tenant/Owner I) cz_ i'l d JD � e_,W,—i 7 f� S Phone �3 " V&-/-> �' SV
Address/City/State/Zip
n
Nature ofWorkl-1�k<<'F 1tiSfltt Project Valuation. $ y Z1' -2'
APPLICANT�� ���//
Name .1"1,e -Z`_ -�ri /i /� S
Address/City/St/Zip
, S"
Contact Person -5 «- L. " L `- ' c N e k- Phone
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
bpd'
Fax
t -l -r 4 ef �: Phone\, Fax
Exp -Date ;? --:2 V -'240C2
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
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
Wood Stoves
AIC
DISCLAIMER- 1 certify, under penalty of perjury, that the information fumished 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 costs, expenses, and attorneys' Cees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned and filed agairnst the City of Federay Way but only where such claim arises out of the rclianee of the city, vuluding its officers and employee upon the accuracy of the
information supplied to the city as a part of this application. I
weer/Agent = Date
NI,,,i A P
It-- 117/99