99-103937CTT'TY OF FEDERAL WAY
33530 F i r,3 t. Way S3ou t f)
Federal Way, WA 913003
2531-661-4000
MECHAHICAL PERMIT
Mecham.cal Inspec.tiori f'�ecltaest. s 253-661-.4140
ADDRES 5:303113 10TUI AVE: S
NO.: 515370-0140
PROJE:C'`T DESC:R IP 1`10I4- INSTALL (1) FIREPLACE INSERT AND 1" Of GAS PIPING
VILER ... :rm...
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GLENN DLACK{CAPOL
30318 10TH AVE S
FEDERAL NAY WA 48003
253.441.7330
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its COMTRACIORS, r`t.EASI 0
-0cmmt_a.:ra.Zrac::xYaxrwse 4'«2G•.1CLn�C;l £R63 M.SLbd".a." - �...!'S°x`6'.
PROJECT VALUATION 1500
FUEL TYPES.:CA-S FANS....,
GAS PIPING.: 1 ft HOOD......,... �1
FURNY100K..: 0 DUCT NoRt. -
GAS HWI.... : 0 WOOD STOVt.'...;
CON`:,+ BURNER: 0 TURN%1006...... P
BBQ........, 0 misc..,.......: rJ
GAS DRYER.,: 0 AIR HANDLING UNITS
RANGE......: 0 !:10.000 Cfh: U
GAS LOGS...: 1 > 10,000 CFM: 0
CONTRACTOR:
COLELLO ENTERPRISES
11314 SE 162ND ST
PENTON RA 48055
30.50 ION,.. 0
50 Trr►i.....: 0
FUEL
ABOVE GROUND: 0
UNDERGROUND.: 0
1
LENDER
C1m:f........2.::SQ'.:W:
SALES TAX fOR PNJECIS MITNIN THE CITY Of tLDERAL MAY. TAX RATE = 5.25 tst
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PERMIT NO: MEC99--0344
1�;S ED: 1O/07/99
DY: FC
LXF11RES: O4/0"3/00
om
EE t 54.00
TOTAL FEES $ 54.00
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Does the eater supply system contain a Pressure Reduction Device or Check value" (} Yes () No (If "Yes" then water expansion tank is required on Not Nater Tank)
Inspection Record: Mechanical Rough -in Date __......._� Gas Piping
MECHANICAL FINAL ,. -�� Date
:41L4m1C SC1Ci^..... .... "S.rcimomrx ....G:.....era.xasc.^ire
PERMITS E%PIPE 180 DAYS AFICR ISSUAKE If NO L"K IS S141E0.
I CERTIFY Tilt. INfOM1101 IURNISKI IV NE 15 IRUL 49D CORRECT Rf 1111' 01ST 01 NY KNUWLLIN;1 AND CNE APPLICABLE CITY Of FEBERAI YAY REQUTALKINTS PILL It MLI.
OWNER OP.GEN1 t!L :.�^ {�� r .w. �_..._ _. _ .._ DATEa%
FIELD COPY
CITY OF FEDERAL_ WAY
33530 First Way South �"�'�;';..��;" e'``lN"�:.M;:°:rt'M......;:,,r,.:'�+.�'�:;�w:..�..,
Federal Way, WA 93005 Mechanical Inspection Requests 253-661.--414O
2.53-661.-4000
ADDRESS; 3031.8 10TF1 AVE S
NO.- 515370-0140
PROJECT DESCRIPTION: INSTAL" (1) FIREPLACE INSERT AND 1" OF GAS PIPING
= OWNER =__________________________=_______________________== CONTRACTOR =_________________________ _________________-- LENDER
GLENN BLACK/CAROL ! COLELLO ENTERPRISES
30318 10TH AVE S 11314 SE 162ND ST i
FEDERAL WAY WA 98003 RENTON WA 48055
f
253-941-7330 425.468.6111
I
rot cE r ni 5r, i
*** CONTRACTORS,'PLEASE USE LOCATION CODE 1732 VNEli REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PERMIT N0: MEC99-0344
ISSUED,: 10/07/99
BY- FC
EXPIRES: 04/O3/00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (If "Yes" then water expansion tank is required on Ho
Inspection Record: Mechanical Rough -in
Date ---- ----- Gas Piping
Date
E
l
MECHANICAL FINAL -------M--__------ Date ---------
PERMITS
---
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATTC'N rURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERpAL WAY REQUIREMENIS WILL BE MET.
OWNER OR GENT / ---------------- ---- DATE
_,�_i� -
FILE COPY
PROJECT VALUATION
1500
FEES:
FUEL TYPES.:GAS ?
FANS.......:..:
C
B"ILERSfCOMDRESSORS
. EC4 €rERr"IT SEE $
GAS PIPING.: 1 ft
HOOD. ......:
C
0 'ON.
0
FURN<100K..: 0
DUCT `rtoRK...,,:
O
'
3-15 TCN,...:
0
GAS NWT....: 0
WOOD STOVES...:
CONV BURNER: 0
FURN>1OOK.....:
0
30-50 TON...:
0
6
BBQ......... 0
MIS"...........
0
50+ TON......
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.:
0
TOTAL FEES $
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (If "Yes" then water expansion tank is required on Ho
Inspection Record: Mechanical Rough -in
Date ---- ----- Gas Piping
Date
E
l
MECHANICAL FINAL -------M--__------ Date ---------
PERMITS
---
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATTC'N rURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERpAL WAY REQUIREMENIS WILL BE MET.
OWNER OR GENT / ---------------- ---- DATE
_,�_i� -
FILE COPY
CITY OF
Y
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # 15 3 70 - Single Family 1R
SITE LOCATION
BUR.DING DIVLSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
MEC t - 61,3 4
Multi -Family ❑ Commercial ❑
Tenant/Owner 1 e l \ Phone
2c�3 6 -HI -7330
Address/City/State/Zip `) 3 l � C A 11 C ��c� e rr a� W (A Y G-
r �,. C -e
Nature of Work �� Q�t X1/1 ( r� AS I i2 tP lQ cQ Project Valuation: $
APPLICANT
Name 6eJ iA Cblfi�b Ll6
Address/City/St/Zip t l�OZ ` 'o"" O1/i q TO
Contact Person �k\j . V\� C e Q U G Phone % OCo qU (— S 4&,j Fax &Z -S- :7-2-7 -9763
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip W30 0 5- l to Z '51 R e ✓tA -i W ft 5 Gt a V' SS
Contact Person t 4Y �J ", V \ Phone 20C, qe) q s ele,, 3 Fax 4Q Z , / — 7 *71, 3
gi Exp. Date
State L & I Contractor Registration # �- U � � � � � L� � � 3 � �
(Card must be presented)
MECHANICAL UNIT COUNT �^ 'S -
Fuel Type other)
Gas Dryer
Air Handling
<= 10 000cfn
Fuel Tanks:
Length of as piping Zrt
Range
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
HBO's
Wood Stoves
A/C
TONS
�i�it i ��
DISCLAIMER: 1 certify, under penalty of perjury, that the information famished by me is true and correct to the best 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. I 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 claire), 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 this application.
Owner/Agent
MEcmAPP
REwsm 1/7/99
Date /617 cl