99-103249CITY OF FEDFROL WAY
33530 Fir-,:zt W. -,Ay South
Federal Way, WA 98003 Mech:xti.lcal 1rsper-tion Requests 2153-661-4140
253-661-4000
ADDRESS: x'441 SW 328TH IST
NO.: 894510-0460
PROTECT DESCR IP'TION:9/9 furnace changeout
OWNER
JERRIE MC(ORKLE
11441 SW 328TH ST
FEDERAL WAY WA 98023
253-661-6066
..........
sst Cufw`fits,�` FtEik I
PROJECT VALUATION 2177
FUEL TYPtS.:GAS GAS FANS__,
GAS PIPING.: 0 ft HfNID.
FURN(1001..: 1
GAS NWT...,.: 0 WOOD 1, '`V � f I
(0"V BURNER: 0 FURN)100t.....: 0
R) ........ : 0 MIS( .......... : 0
GAS DRYER..: 0 AIR HANDLING UVIIS
RANGE......: 0 <:10,000 Cf": 0
GAS LOGO._: 0 > 10,000 (f": 0
PERMIT NO: MEC99-0282
ISSUED: 08/')6/99
BY: tiTS,
EXPIRES: 021/18/00
CONTRACTOR LENDER ......
GATEWAY RATING & AIR CONDITIO
3902 AUBURN WAY 0
AUBURN VA 98002
Olt -1
CODE I -X2KRAL
X SALES TAX FOR PROJECIS VIMIN THE CITY Of fE KY. TAX RATE = 8.25 8"
FEES:
H11
ti A
FUEL TARS—
ABOVE GROUND: 0
UNDERGROUND,: 0
EE $ $3.25
TOTAL RIS $ 83.25
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 Date
MECHANICAL FINAL Date 'W7-111-
PERNITS EXPIRE 190 DAYS AfTFR ISSUANCE If NO WORK IS STARTED.
I CERTIFY IK INfORNAIJOR fURNIS110 ft Nt is TAR AND CORRECT TO IN[ BEST Of MY KWVLM AND IN[ AWKABLE CITY Of fLKRAL WRY Ftk1UIRIALNTS WILL It NET.
OWNER OR AGENT
f 1, - -, LZ -1, -i /�,
------ --- DATE
FIELD COPY
CITY OF FEDERAL- WAY
33530 First Way South
Federal Way, WA 98003 Mechanical Inspection Requests 253-661--4140
253-661-4000
ADDRESS:2441 SW 328TH ST
NO.: e94510--0460
PROJECT DESCRIPTION:g/g furnace changeout
PERMIT NO: MEC99-0282
ISSUED: 08/26/99
BY: MTS
EXPIRES: 02/18/00
= OWNER _______________________________::________
-___=======z=
CONTRACTOR =_________=____________________
____________;= LENDER
JERRIE MCCORKLE
I CERTIFY THE
INFORMATION FURNISHED BY
t. GATEWAY HEATING & AIR CONDITIO
I
2441 SW 328TH ST
OWNER CP, RGENT
IC�I.SSl,L�_�__sgCG
3802 AUBURN WAY N
�---------------
DERAL WAY WA 98023
AUBURN WA 98002
f 253-661-6066
253/931-0610
GATEWHA025(7
***
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION
2177
FEES:
FUEL TYPES.:GAS GAS
FANS.........,: 0
30ILERS/COMPRESSORS
MECH PERMIT FEE $ 83.25
GAS PIPING.: 0 ft
HOOD..........: 0
J-31 TON.....: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
DUCT WORK.....: C
WOOD STOVES...: 0
FURN)lOOK.....: C
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
3 15 TCN .:
15-30 TON .: C
30-50,:TON ... : 0
50t TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES
$ 83.25
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
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 CP, RGENT
IC�I.SSl,L�_�__sgCG
�---------------
DATE aJ� / Fq41
FILE COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661--4000
ADDRESS:244-L SW 328TH
NO.: 894510«-0460
PROJECT DESCRIPTION:g/g
= OWNER
JERRIE MCCORKLE
2441 SW 328TH ST
FEDERAL WAY WA 98023
253-661-6066
r
PROJECT VALUATION
FUEL TYPES.:GAS GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
q.
PERMIT NO: MEC99-0282
C t"11 ?'1 :.;;;;,: ?41 M.+.... fl' fi ";:: F111, 0141::�l;;: ,�..,. ISSUED: 08/23/99
Mechanical Inspection Requests 21S3- 661-4140 BY: FC2
EXPIRES: 02/18/00
ST
furnace changeout
CONTRACTOR
A D T SECURITY SYSTEMS
1916 BOREN AVE
SEATTLE WA 98101-1406
272-2169
6DTSES*1'rB5
LENDER
1J +E
rnNTRACTnRS PIFASF HRF IKATTnW rODF I732 VHFN RFPORTTNC SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 xi*
2177 FEES:
FANS..........: 0 BOILERS/COMPRFSSOiS T a L MECH PERMIT FEE
HOOD....... : 0 0-2 TON.....:0
DUCT WORK.....: 0 3-15 TON....: 0
WOOD STOVES...: 0' 15-20 TON...: 0
FURN>1QOK.....: 0 30-50 TON...: C
MISE........... 0 50t TAN.....a 0
AIR HANDLING UNITS FUEL T4WYS---------
<:10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.25
Does the water supply system
3 p
a 3
contain a Pressure Reduction Device or Check valve? ( ; Yes ( ; No (If "Yes" then water expansion tank is required on Hot Water Tank)
I
Inspection Record: Mechanical Rough -in _______________._ Date ______---_ Gas Piping ............ Date ----------
MECHANICAL FINAL Date
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORrI01 FURNIS D Y M TRU AND RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL
WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT ------------- DATE
FILE COPY
r5...
crry of �— BUII DING DPaSION
E� 33530 First Way South
Federal Way, WA 98003
v (253) 661-4000
Fax (253) 661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: Q
MEC - 0 Z S Z
PARCEL #
Single Family 1 Multi -Family ❑ Commercial ❑
SITE LOCATION /J
Tenant/Owner a -y --'a, "`-� D� Q- Phone 5-3
Address/City/State/Zip 4
F)J
Nature of Work Project Valuation: $ ?. 1 7 7
APPLICANT
Name
Address/City/St/Zip
Contact Person —
MECHANICAL CONTRACTOR
Company Name
Phone
c1 -77�-
Fax
r
Address/City/St/Zip
Contact Person V fPhone z53 ` z�3 ° l U Fax
State L& I Contractor Registration # (1',4E it) NA 0 Z 5 C' % Exp. Date 0 2 0//,? C50115
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling <= 10 000cfn
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs C : =
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO'.-
Wood Stoves
AIC TONS
ir.
DISCLAIMER: 1 certify, under penalty of perjury, that the information furnished by me is true and correct to the bat of my knowledge and fiuther 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 Cmcluding 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 as a partLof this applicatiory
Owner/Agen Date
MECH.APP
REv. m 1/7/99