99-103859CITY OF FEDERAL WAY
33530 F mst Way South
F`6det-al W�iy, WA 98003 ile�chanic<il :inspection Rcqui,_Asts 25"'! i'161 ;f i41
253-661-4000
AVI)RE5S:32825 42ND AVE SW
NO,.: 873203-0220
PROJECT DESCRIPT:ION :"VAC - INSTAL GAS LOG W/ PIPING
--VWNER —......---m .. .... CONTRACTOR
JUAN DEL CARNIN OWNER IS CO
321825 - 42ND AVE SW
FEDERAL WAY WA 98023
838-6233
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 35
fUPKe10OK..: 0
6AS HNT....: 0
CONY PIRNER: 0
BBQ........: 0
GAr DRYER..: 0
RANGE....... 0
GAS LOGS...; I
N/A
PERMIT NO: MEC99-0330
ISS OED: 10/04/99
BY: FC2
EXPIRES: 09/31/00
qcf - 103 %59
tst CONIRKIORS, Puml USE LOCATION
_,OKTIK SALES TAX FOR PMECTS VIT1111 IRE CITY OF RKRAL NAY. TAX RATE = 8.25 Us
300
? FANS........ 0 BO
ft HOOD.......... "0'
DUCT WORK ...... �. 0
WOOD WES...: 0
FURNSIW ..... Q
MIS(,... .. a
FEES:
NEC" PERNIT FEE 1113.50
TOM a
01, ION
AIR HANDLING UNITS tIrml- 14" '',
;.10,000 CF":' 0 ABOVE UIOU01); 0
> 10,000 'J": 0 ORKRO OUR.: 0 TOTAL FEES S 23.50
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No (If *Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piping _W�YeDate
MECHANICAL FINAL Data
/
P(RHIIS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS SIAR11D.
I CERTIFY THE INFORKAIION twNtISHED By NE Is TRO L ANO (ORRICT ji) IR KSf OF fly IWNI.tDGt AND 1K APPLICAK[ CITY Of FLOM NAY RQUIRININTS HILL IL MLT_
OWNEROR AGENT
FIELD COPY
DATE
CITY OF FEDERAL WAY PERMIT NO: MEC99-0330
33530 F i rs t Way South �'�' �!;;:;;:'�';.,;;;:,,,.� i'' pry,, :;.' �',�,. i' a »..:,;h 1�;; :, �'� :;,...,..M,.,. ISSUED: 10/04/99
Federal Way, WA 98003 Mechanical Inspectiorf Recgtests 25J-661-4140 BY: FCS'
253-661--4000 EXPIRES: 03/31/00
ADDRESS:32825 42ND AVE SW
NO.: 873203-.0220
PROJECT DESCRIPTION: HVAC - INSTAL GAS LOG W/ PIPING
f= OWNER=________==_________________________________________a= CONTRACTOR =__=___-_________________::-______=______-'-___= LENDER
JUAN DEL CARMEN OWNER IS CONTRACTOR
32825 - 42ND AVE SW
FEDERAL WAY WA 98023 I
3 � t 4
838-6233
N/A
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 35
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 1
::: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 u:
300 r r
? FANS..........:
ft HOOD........... 0
DUCT WORK.....: 0
WOOD STOVc ... u
FURN?IOR ... 0
MISC......:... 9
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
FEES:
i.S/CGMOR" SSORS
3-15 TON....: u
15-2 T_''....
30 c, Tn�, •,
50+ TON.....: 0
FUEL TANKS ---------
ABOVE'tROUND: 0
UNDERGROUND.: 0
MECH PERMIT FEE $ 23.50
6
TOTAL FEES
$ 23.50
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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFOR TION FU ISHED 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
FILE COPY
i
CfrY FI"`N�P
F�
uv FiY QCT Q 4 1999
PARCEL #
SITE LOCATION
.rt
T
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
BU LDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC qq - 0,'-�,SCJ
Single Family Multi -Family ❑ Commercial ❑
Tenant/Owner <� c i9 w /y�>9 �/ N �� �A h' t1 E ti Phone �� G 3 3'
Address/City/State/Zip f' ,' s" /' % S Com' �� / =,I /� � Gam' "9- �9
Nature of Work!/a Al 4,14 S AA y "O'/"q C Project Valuation: $,}
APPLICANT
Name All C
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name �- f / FC -
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Fax
Phone Fax
Exp. Date
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000cfni
Fuel Tanks:
Len of gas piping 3 �i' f )O
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underizround
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: 1 certify, under penalty of perjury, that the information f unished 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 perfonn the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (mcluding 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 supplied to the city ar) a part of this application.
Owner/Agent
MEcn.Are
REvi ED 1/7/99
Date