99-103911CITY OF FEDER(IL WAS'
32r-530 rii, r Way Sotjt.h
Federal. Way, WA 980013
253-,661--4000
AI)DRESS:2n35 S 292ND ST
NO. : 411122'90--0170
PROJECT DESCRIPTION. -REPLACE GAS FURNACE
OWNER
SHARON TICE
2035 S 292ND ST
FEDERAL WAY WA 98003
253-946-3737
PERMIT NO: MEC99-0343
t4CCt1MH1CML f4CM141T ).�-;SULD� 10/06/99
Mechani,raJ. trispection ReqUeSt-S 253-66.1 -4140 1�": F<:2
VyP'TPF13- n,,,/n?Inn
c1q — i C5 rl I I
CONTRACTOR .........
CITY SHEET METAL
41102 AUPJRN WAY 0 18
AUSURN WA 98002
253/852-2174
CITYSMt173JA
LENDER
sli (:01IRKIORS, PLEASE WE LOCATION CLINE 1732 WIEN KIP01119 SALES TAX FOR MWECTS VITNIN rK CIFY 01 FEDERAL MAY.
fAX ItAlt - 8.25 *9$
PROJECT VALUATION
1500
FEES: ,
FUEL TYPES.:?
?
FANS.........
MICH PERMIT FEE S 54.00
GAS PIPING.:
0 ft
HOOD..........;
11-,`
U
FURN'100r..:
I
toi(I WoRr. .
0 3-�'S TW11'...f"
V
GAS HNT....
0
WOOD STOVES..,:
0 1 T9 H
0
, s,
CONY BURNER:
0
FURN40 _
r
10 )0 1 �19
lot'
k1a
BRO ........
0
MIs...........
50+
1*0
GAS DRYER..:
0
AIR HANDL 0% 1011
FOR if0)
RANGE......:
0
<10,600 0m:
Ar014 0"OU01".
0
GAS LOGS...:
0
1.0,01O (4114:
st UH10CPOVHD:
0
TOTAL FELS 54.00
..=...... a. .VIX.M! I- ...N. ..:..---=... .... ... .... ::J= ...
Does the water supply systes contain a Ptessur2 Reduction Device or (heck valve? ( ) Yes ( ) No (if 'Yes' then eater expansion lank is required on Not Water Tank)
Inspection Record: mechanical Rough -in Date Gas Piping, Date
MECHANICAL FINAL1.�,__,..-_..Date
PERMITS LXPI91 180 DAYS AFTER IS5UAK1 It NO NO IS STARIED.
I CERTIFY TIL INfOW1101 fURNISHLO BY Of IS TRUE AND CORRECT 10 THE KSI Of NY KVKEDU AND THE AMICARE [[if Of ILDLOAt MAY RIQUIREFtNIS WILL K MET
OWNER OR AGENT
FIELD COPY
DATE
CITY OF FEDERALV)r,.YPERMIT NO: MEC99-0343
F 7. rs t way S c> u t r, N�, °":: �,;,;, ,."I, M;r,�l ::, ::: µ,, '1< N,,.�, " I SS U Er D . 10/06/99
Feeler at way, WA 98008 Mecria(iic<AI Inspection Requests 253--661--4140 BY: FC2
253-•661-4000 EXPIRES 04%02/00
ADDRESS:2035 S 292ND ST
NO.: 422290--0170
PROJECT DESCRIFaTZON:REPLACE GAS FURNACE
= OWNER ___________________________________= ___=__=___ ===T= CONTRACTOR =__=_________:_____= ___________= _______=__ LENDER========
SHARON TICE i CITY SHEET METAL
2035 S 292ND ST # 4202 AUBURN WAY N #8
FEDERAL WAY WA 98003 AUBURN WA 98002
253-946-3737 253/852-2174
CITYSM*173JA i
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE : 8.25 #i#
i PROJECT VALUATION
1500
FEES:
t FUEL TYPES.:? ?
FANS. ....
0
BOILERSAGkMPRESSORS
3 MECH PERMIT FEE
GAS PIPING.: 0 ft
HOOD.. .....
� FURN<100K..: 1
DUCT WORK.....:
0
7 N! , ...:
s :0 .,
GAS HWT....: 0
WOOD STOVES...:
0
15 �� TCN...: 0��,..
CONV BURNER: C
,mnv
FUR�,>�
30-5 ON_; O
r
BBQ........: 0
M.:... .....:
504 TON
GAS DRYER..: 0
AIR r— _. _
S
-----———
FUEL TANKS— -----———
RANGE... _.:
RANGE......: 0
<:10,000 Cr":
0
ABOVEGROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
3
$ 54.0
$ 54.0
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 Wa
Inspection Record: Mechanical Rough -in
MECHANICAL FINAL
Date ---------- Gas Piping
Date
Date
PERMITS EXPIRE AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY INFORMATIO FURNISHED BY VE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR DATE --.d"( ___._
FILE COPY
CITY OF -
RECEIVED
OCT C 61999
CITY OF FEDERAL
AY
UILD N(3 DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
�%1'74L
/ MEC
PARCEL # 2 2 ` 0 - 2 1 74 Single Family Cd Multi -Family ❑
BIIn.DING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
Commercial ❑
SITE LOCATION
Tenant/Owner � U y-oi-l" i 7-1 (o— Phone �S 3 9 q -2 3�
Address/City/State/Zip �03 `5— O ckC1 '�- V�
Nature of Work
Project Valuation: $ -7) OC) __
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
Fax
MECHANICAL CONTRACTOR
Company Name 1
Address/City/St/Zip
Contact Person � �� ��VLi�✓t C ` Phone �IS� gS a J- 1-7 Fax 2 �13 SS2 DOS a
�J
State L & I Contractor Registration #-1 S l 3 1 �� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other)
Gas Dr-yer
Air Handling < = 10 000cftn
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs /
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas HvA
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BRO's
Wood Stoves
AIC TONS
DISCLAIMER: I 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 perforin 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 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 suppfipd10 the dlyac_a part of this application
Date
MECH.APP
RE sm 1/7/99