99-104272CUry OF FEDERAL- Wf)Y
3f3530 First Way Sauttt MECHANICAL PERMIT
'F'eedp ral Way, WA 9€ 002 t` ectianical .inspection Reg(jes.rt., 253-661-4140
253-661
5:3-661. 4140
53--661 ...4000-
ADPRE` S: 10025 51`14 OVE SW
NO. : 039590--0100
PROJECT DESCRIPTION: OVA( - INSTALLING NEN F/P INSERT N/35`.CAS PIPE
OWNER.... ...... CONTRACTOR ...........x..,�w®��� _�a-����.>��� L(HDER
PHILLIP GRIFFITH MER IS CONTRACTOR
30025 5TH AVE SN a
FEDERAL NAY NA 98023 !
253.9;1.2580
N/A
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Cts CONTWIORS, PLEAJ ITS[ IKATION COK I7'T2 `R PMTING SALES TAX FOR PROJECTS NITNIN THE CITY * FEIERAf. NAY.
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PROJECT VALUATION 2500 �� FEES:
FUEL TYPES.:GAS ELE FANS....., . ,.: a MECH P£RMIT FEE S 83.25
GAS PIPING.: 35 ft HOOP...,. 0 O,.
FORN<1009... 0 DUCT NORi 2
1�
s
GA.,r NWT....: 0 NO(1 tt
CONY OWNER: 0 FURN?lw .....; C ?€
IT800 RISC, .........: ii +
........
GAS DRYER..: 0 AIC' HAHDtINt, iUNIT`. FIJI[[ TAW
RANGE......: 0 <:30,000 CIM: i, AUOVE GROUND:
CAS LOOS...: 1 > 10,OOQ ap : O UNDER,;ROUND.: TOTAL FEES 83.25
PERMIT fou: NL'_"/J`LJ:at>w
ISSUED: 11/0.,A/99
BY: FC?
EXPIRES: 0.4/30/00
TAX NATE 7 8.25 sss
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Does the stater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If `Yes" then water expansion tank is required on Hot Nater Tank)
Inspection Record: Mechanical Rough -if: _ _ Date "as Piping � ._ _� Date
MECHANICAL FINAL I Ddu
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KNNITS EXPIRE 180 DAYS AT FEN, IS91AA(I IT It WK IS STARTED.
I CERTIFY TIE INfORNA1101 FK4fS"f§ V 9 IS TRIS An CORP.ECT 10 THE BESI Of MY rWLItGt AND THE APPLIQ011 CITY Ol FI:RRAL NAY NTIQBIRUKAIS Vitt, IE NLT.
OWNER 09
FIELD COPY
J
CITY OF FEDERAL WAY p app •p
33530 F i t -s t Way S o u t h li 1 �;u ;, �,,:.. I� II ii"""�i li 4, .al.: �. : i��'"°!i !1�,,,, it " p Elf , `;�, Ivi :.II.: x 11
Feder -al Way, WA 93003 IYlechanica l Iilspection Requests 253.-66L-4140
253-661-4000
ADDRESS:30025 5TH AVE SW
NO.. 039590-_0100
PROTECT DESCRIPTION -HVAC - INSTALLING NEW F/P INSERT W/35" GAS PIPE
OWNER
PHILLIP GRIFFETH
30025 5TH AVE SW
FEDERAL WAY WA 98023
253.941.2580
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 35
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
CONTRACTOR ==_.=
OWNER IS CONTRAC
N/A
i rvnrn
PERMIT NO: MEC99-70384
ISSUED. 11/03/99
BY: FC2
EXPIRES: 04/30/00
iii CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 US
2500 ' FEES:
ELE FANS.........,: nITI ",r'CC^^r-cC^ c MECH PERMIT FEE
ft HOOD........... 0 0-` TOti_
DUCT WORK.....: n 3-'1 T?N....:
WOOD STOVES . 15`3
FURN>iDQK. Sr
MTSC........... 0 Cy TO�'
$ 83.25
GAS DRYER..: 0 AIR HANDLING UNITS FUETANKS ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVEGROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.25
3
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
i
5
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 AGE
c
FILE COPY
DATE 11V Al
crrroF G BUILDING DIVISION
at 33530 First Way South
Federal Way, WA 98003
199(253) 661-4000
Fax
(253) 66113129
10,
j;e °� *FederalCATION BusinessLicense
nMECHANICAL PERMIT
Y
MEC96 j
PARCEL #
SITE LOCATION
Single Family Multi -Family ❑ Commercial ❑
Tenant/Owner��/ 1 L� R f�E %'`N Phone �2 5'3) <?--I/
Address/City/State/Zip
Nature of Work Project Valuation:
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Company Name L �' GGA i LL; r 7 ,y 5 ' A/.s r-ri L z /). 7 --Iv Al
Fax
Address/City/St/Zip --
17 '3
J `�
Z 3 T *
- S -W 17--C
W /7
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Contact Person /�7'ggAf
Boiler BTU/H
LG' i Ilii
A, wry
Phone
(7oa ) 'SZ
-1- 5Z / `j `s Fax
State L & I Contractor Registration # -- - i 7/ C- 3 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping �7
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
DISCLAIMER: 1 certify, under penalty of perjury, that the information furnished by me is true and correct to the bat of my knowledge and fartherthat I am authonzed by the owner of the above premises to perform the work
for which permit application is made. 1 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 Fedmy 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
MF,Im Are
Krvrsty 1/7/99
10.L
Date
I