99-103728CITY OF FEDERAL WOY
33530 First Way South t4r_CHMt4.T4CML PEMNIT
Federal Way, WA ,'98003 Mectianical 2_153-661-41.40
253-661-4000
ADDRESS:4009 SW 3291'11 PL
NO.: 873204-0540
PROJECT DESCRIPT ION:GAS LOG WITH PIPING
OWNER
STUART OBYRKL
4009 SW 329TH PL
FEDERAL WAY WA 98023
253-838-6172
... Z.o .... =X=1`1�= .. =
tts CONTRACTORS, PLEASE USE
PROJECT VALUATION
FUEL TYPES.:GAS GAS
GAS PIPING.: 20 ft
FURN(IOOK..: 0
cas 0
� 6"v BURNER: 0
goo......... 0
GAS DRYER_: 0
RANGE....... 0
GAS LOGS...: I
988
FARS ......
HOOD... . .. 0
DUCT WOU
Woo,""O
A",
MISC..
AIR RAND) TNG UNIT;;
10,000 01M-1 ii
CONTRACTOR ....... . . ..
R A RUPP CONTRACTING
6307 24910 ST (I C
GRAHAM WA 98338
847-8166
RARUP(IO45K9
6fq —
I D3-1 -a8
PERMIT NO: MEC99-0325
I.
10/06,/` 9
BY: FC
EXPIRES:
04/02/00
IN SALES TAX FOR PROJECTS VIIIIIN IK CITY Of F1KRAt NAY. TAX RATE : 8.25 M
I_ AWN,
MW,
A
30 S0 Vir 0
,A4 TOP _.
FUEL TAW, , ,
ABOVE LROURD: 11
UNDIKROUNK: 0
FEES:
NECH PERMIT FEE 3 38.75
TOTAL FEES $ 38.75
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No (If "Yes' then water expansion tank is required on Net Water tank)
Inspection Record: Mechanical Rough -in Data Gas Piping Date / - —
A
MECHANICAL FINAL Date ev
KRAITS EXPINt Igo DAYS AFTER ISSUAII(t IF W -Ne" is 1;1010.
I CERTIFY ME INIORM1104ORNI5U16 BY NOS JR01 ANP CORRECT TO 101 lt"] Of NY KNWrl.Kt AND INI APKI(ARIC ((IV W FIKI(Al. PAY REQUIRCHILNTS Vitt 9 . MIA
I
OWNER OR AGENT
DATE
FIELD COPY
CI -FY OF FEDERAL_ WRY PERMIT NO: MEC99-0325
33530 F i rs t way S� u t r, 11-4 C`14:;.. I�°"M F1411, P"?, ;: ':; : e"I M..w. F:", ?�", F" , H,,l 31 F"
ISSUED: 10/06/99
Federal way, WFC 93003 MecEianical. Inspection, Reeque sts 253-661-4140 BY: FC
253-661-4000 EXPIRES: 04/02/00
ADDRESS:4009 SW 329TH PL.
NO. : 8731204-0540
PROJECT DESCRIPTION -GAS LOG WITH PIPING
F= OWNER
STUART OBYRNE
4009 SW 329TH PL
FEDERAL WAY WA 98023
253-838-6172
CONTRACTOR=___ _______________________________ ___=4= LENDER
R A RUPP CONTRACTING
6307 249TH ST CT E
GRAHAM WA 98338
847-8166
RARUPCI045K9
#3 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN ?REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Us
PROJECT VALUATION
FUEL TYPES.:GAS GAS
GAS PIPING.: 20 ft
FURN<100K..: 0
GAS HWT....: 0
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 1
988 FEES:
FANS.- .......: a MECH PERMIT FEE $ 38.75
HOOD........ 0 3-2 TON- .... 0
DUCT WORK 3 TON—.:n K.
WOOiD S.G;cE.... 15 33 TuN..r; 0
FURN>110K.....: J, 30-52 TSN...: 0 K
MISC....,...,.; 0 30t TO.....: 0 ..
I
AIR HANDLING UNITS FUEL TANKS ---------
<:10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 38.75
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No
Inspection Record: Mechanical Rough -in ................ Date ......... Gas Piping
MECHANICAL FINAL _ Date
(If "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N IS STARTED.
I CERTIFY THE INFORMATIO NISHED BY M S E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR RGEN'DAi
---------------------
FILE COPY
cITY of G BUILDING DIVISION
ED 33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL 'PERMIT
Federal Way Business License number: �J 3
rC
MEC�
PARCEL # Single Family ❑ Multi -Family ❑ —Commercial ❑
STUART 13. OSYANE AND LORETTA
SITE LOCATION aMF, TRUSTEES. STUART a
AND l.OWITTA 01Y Edo ai?.se
Tena t/Owner Phone
Address/City/State/Zip �' �' �� , it;'
r-'7)4� . ".-� lt4 — u)'q ` l_ a C
Nature of Work $ �1 �/�7 ���T1'�`t—�tiProject Valuation: $
APPLICANT
Name
Address/City/St/Zip
C6ntact Person
Phone
Fax r
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip �i 3c, / 1 S, 7 ,T L &--PL216 crit
Contact Person 1 Phone LILS Fax
State L & I Contractor Registration # J-\ 1 r'Y� y Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handlin <
= 10 000cfm
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 Hwt
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO's
Wood Stoves
A/C
TONS
DISCLAIMER: 1 certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and fiuther that 1 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 incuned 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 as a part of this application.
\ , Owner/Agent Date—
XMFCTI.APF
R2 sm 1/7/99