99-104054CT1Y OF FEDERAL WAY
:-j:3_530 rirsf, Way Swith
Federal Way, WA 98003
,1253-661 4000
,ADDRESS :529 S 3301`F1 Int_
`qNO. : 1321140-.0050
PROJECT I)ESCRIPTION:HIC
OWNER.
JOSEPH DUKES
529 S. 330T4 Pt
FEDERAL WAY HA 93033
253-661-0052
us CONTRACTORS,
PERMIT NO: MEC99-0361
M C. IC fl M WEC el L P r- M N I T ISSIJLD: 1,0/15/99
Me(Aiatii(.,a1 Inspection Requei3t.s 253-661-4140 BY: FC
LXPIRES: 04/11/00
- GAS PIPING FOR ROY 1118 & GAS f REPLACE
CONTRACTOR .. . ... LENDER
OWNER IS CONTRACTOR
PROJECT VALUATION
1000
FUEL TYPES.:GAS
?
GAS PIPING.:
45 ft
HOOD.—
T
FURN,100K..:
0
DUCT WqRK .......
0
IS Tok
0
GAS NWT,...:
0
WOOD STOVES—:
0
15-30 "I'M_
(OOV BURNER:
0
30. 50 ON..
BBQ.........
0
HIS(...........
1
504 0A .....
0
GAS DRYER..:
0
AIR HANDLING UNITS:
Fult TAH1(S --------
RANGE ......
0
(10,000 CFH:
0
AGAVE GROUND:
0
GAS LOGS...:
I
> 10,000 (Fm:
0
UNDERGROUND.:
0
TAX FOR PROJECTS 11191M IRE CITY Of FEKKAL WAY. TAX RATE : 8.25 sts
El $ 38.75
TOTAL FEES S 38.75
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (if en vater expansion tank is required on Hot Water Tank)
Inspection Record: Nechant.cal Rough -in Date Gas Piping
MECHANICAL FINAL Date
PERMITS EXPIRE, 180 DAYS f410 ISSOKE If 00 VOkK IS STARTED.
I CERTIFY IK 119OWTION fURNISHED By Mf Is TRUE RAD CORRILCT 10 THE BEST Of NY MWEDU W THE APPLICAKI CITY Of FEDERAL MAY RE9UIRUUTS PILL K NET.
OWNER OR DATE
7.
FIELD COPY
CITY OF FEDERAL WAY IV
33530 First Way South 111,11 p :�„ t„10 F"I 0141 e"I 1�„,.. f.", r',: F114". 0,14 ., ,. 1”'
Federal Way, WA 93003 Mechanical Inspecta.orn Requests 253-661-4140
2.53-661-4000
ADDRESS:529 S 330TH PL
NO.: 132140-0050
PROJECT DESCRIP'T iON:MEC - GAS PIPING FOR 40T TUB & GAS FIREPLACE
PERMIT NO: MEC99-0361
ISSUED: 10/15/99
BY. FC
EXPIRES: 04/11./00
f= OWNERCONTRACTOR=_____________________________-_____________= LENDER
JOSEPH DUKES OWNER IS CONTRACTOR t
529 S. 330TH PL
FEDERAL WAY WA 98033 i
253-661-0052
f (
--------------
_-
;= CONTRACTORS, PLEASE USE LOCATION CODE 11142 RHEN RCDP: ':INC SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25
( PROJECT VALUATION 1000 I FEES.
FUEL TYPES.:GAS ? FANS.,........: "- BOILE4S_/CO"?RESS:1R5 MECH PERMIT FEE $ 38.75
;.GAS PIPING.: 45 ft HC .,........: v 1-2 'ON...
..: 3
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER 0
DUCT WORK,::...
WOOD STOVES...: 0
FURN>100K.....: O
MISC..........: 1
AIR HANDLING UNITS
TCti
15-30TON— : O
30-50 TON...: 0
50+ TON..,..: O
FUEL TAW ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 38.75
s
--------------
z
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
MECHANICAL FINAL Date
Gas Piping ---------------- 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 AGE /�e C G�?�� .----------------------------------- DA t
FILE COPY
CfrY OF
PARCEL #
SITE LOCATION
BUILDING DrvisioN
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 66111129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC -
Single Family E:,[ Multi -Family ❑ Commercial ❑
Tenant/Owner J`� -Sri t F nr/ z 1C S Phone ' S
Address/City/State/Zip S,22 �S 33o 7f,l
Nature of Work—�-- A Project Valuation: $
APPLICANT
Name /is A i� L--) o e
(r t t
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Fax _
Fax
Exp. Date
Y
Fuel Type as/other
Gas Drver
Air Handlin <
= 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin >
= 10 000cf u
Above Ground
Fum <100K BTUs
Gas Lo — J 5, �w
Unit Heater
:- --:
UnderpTound
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
RRO's
Wood Stove. -.q
A/C
QNS
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to the bat of my knowledge and further that 1 am authorized by the owner of the above premises to perform the work
for which permit application is made. l 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 ofsuch claim), which may be
made by any person, including the undersigned, and filed against the City of Federay 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 tris appfiwtion.
Owner/A
M,—App
Revrem 1/7/99
Date 16 /S ( /