99-102989l--.._._.._..}
CITY OF FEDERAL. WAY
33530 F.i rsf. w131v Soi-,ili M E C1 1A N . C A L ...
Federal Way, WA 98003 htectiavdf._; Al. #.nspect:icm Pr -11
,'53-661--4000
ADDRESS:233.7 S 304111 I31'
NO.: 053700-01.55
PROJECT DESCRIPTTON.,NEC -MOVING FURNACE AND ADDING GAS PIPING+rTHIS PERMI P
OWNER
FAIRREL TACKETT 4 PHYLLIS
2313 S 304TH ST
FEDERAL NAY WA 98003
9411112
:a11MtF.w::rcAX4!tYMmD',T#w':it;of t<.4" 3C 2kp6iSc4
m CONTRACTOR
NRRPA{' HEATING lEHG
3414 ST SE S1 X112
AUBUR�A 98002
31-0(::,'
%frm""Al
PROJECT VALU E 0
FUEL TYPES. S V. ° ) pFSSOi! ;
GAS PIPING 20 f '
rUA.N'100Y, 0
GAS HWI ... P
(ONV "RE0 <.11 4"0 30 "t joh...: 0
1389.... .. Mll"t.. 0 504 ION...,.. U
6AS MYER..: AIR NORM !)NIT, NET, TAN; w
F.AKGE......: 0 ;:10,000 CFM: E1 ABOVE GROUND; 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
OU1I16 SALES IAX lit,
w<csscaxarn�nmacwesxaaian:�w•s:se: ,
jus MITNIN
I � `13'q
NERM11 NO: t'9L.LV`.)-'U266
.I SSOE D:.08/04/99
"61-4140 BY: FC
EXPIRES: 01/30/00
MEC17-0155"t
LENDER
CITY OF FEDERAL NAY TAX RATE = 8.25 $U
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Mf(R HERMIT Fri 35.00
TOTAL FEES S 35.00
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Does the eater Supply system contain a Pressure Reduction Device or Check valve? () Yes } No (If "Yes"then aater expansion tank is required on Not Water Iank)
Inspection Record. Mechanical Rough -in .. _._...___�.... Date _ Gas Piping _ _...a.__.,__.. Date 7-1.y:-_4?
MECHANICAL FINAL Date.____
PERMITS EXPIRE too DAYS AFTER ISMMICE IF NO wit Is STARIED.
I (IllifY IHT INFOR"Allok WISIED BY MK JRUE AND CORRECT 10 THE LEST OF NY KIIWEDGE AND THE APPLICABLE CITY FEDERAL MAY RLQUIRENLITS MILL K NET.
OWNER OR AGENT Nil
FIELD COPY
Page No. 1 FEES FOR CASE NO.: MEC99-0266
FAIRREL TACKETT & PHYLLIS
2317 S 304TH ST
(This is NOT a receipt)
08/17/99
Case Fee Fee Account Fee Amount Receipt Check Date Rcd
#- - Description--------- Type Number --Amount Paid # ------ #Paid By
-
MEC99-0266 MECH PERMIT FEE 8004 001-0000-0000-032 35.00 35.00 02-39255 1620 08/04/99 HTS 35 eb
2-0010-0001
Total fees: ......... $ 35.00
- Payments: ......... $ 35.00
Balance due: ........ $ 0.00
CITY OF FEDERAL WAY ACCOUNTS PAYABLE CHECK NO. 0 14 8 8 5 9
INVOICE NUMBER
BATE
P.O: NUMBER >'
DESCRIPTION
DISCOUNT
AMOUNT'`
EC99-0266
8/04/99
CDB -REFUND MEC99-0266
0.00
35.00
rLtAJt Ut I AUN [struht utruw l im3
CFW cr;oF ED
vv w
33530 1st Way South
Federal Way, WA 98003
PAY
Thirty Five Dollars and No Cents
TO THE
TACKETT, PHYLLIS OR FAIRREL
ORDER 2317 SOUTH 304TH STREET
OF FEDERAL WAY, WA 98003
VOID 6 MONTHS [Mbmk® 19-10
AFTER CHECK DATE 24 -Hour Banking 1250
1-800-673-3555
VENDOR
NUMBER ..
DATE
-:
CHECK>
NUMBER-:
CHECK AMOUNT
.- :
700617
08/31/99
0148859
35.00
THE FACE OF THIS CHECK HAS A BLUE BACKGROUND -ANY OTHER COLORS MAYBE EVIDENCE OF CHEMICAL ALTERATION OR ERASURE -SEE REVERSE SIDE FOR MORE SAFETY FEATURES.
CITY OF FEDERAL WAY
33530 First Way South NN New �;:;; �.,,� �,,r ���! .N..: �:;:;: ��.,,,� ►i".. �.,;,u N:.... N,,:;;,.
Federal Way, WA 95003 Mechardcal. Inspection Req_;ests 253--661--4140
253•-661-4000
ADDRESS : 2317 S 304TI-I ST
NO.: 053700-0155
PROJECT DESCRIPTION :MEC - MOVING FURNACE AND ADDING GAS PIPING$*THIS PERMIT TO FINAL EXPIRED PERMIT MEC97-0155***
OWNER
FAIRREL TACKETT & PHYLLIS
23117 S 304TH ST
FEDERAL WAY WA 98003
941-7112
CONTRACTOR
NCRPAC HEATING & A/C INC
3414 "A" ST SE SUITE #102
AUBURN WA 98002
931-0610
LENDER
PERMIT NO: MEC99-0266
ISSUED: 08/04/99
BY: FC
EXPIRES: 01/00/00
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 tst
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 20 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
0 FEES:
FANS..........: 0 BOILERS/COMPRESSORS
HOOD.. 0 0=3 TON.. 0
DUCTWO°K.,... 0 3-15 TON. 0�
WOOD STOVES_: 15-30 TON.... +'
a
FURN>100K.....: 30-50 TON...: 0
MISC.......... 0 50+ TON...... 0
AIR HANDLING UNITS FUEL TANKS ---------
<:10,000 CFM: 0 ABOVE GROUND: 0 3
> 10,000 CFM: 0 UNDERGROUND.: 0 # TOTAL FEES
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes
Inspection Record: Mechanical Rough -in ___...... _-_ Date Gas Piping
MECHANICAL FINAL Date
$ 35.00
$ 35.00
( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAYS AFTER -ISSUANCE IF NO UORK IS STARIED.
I CERTIFY THE INFORMATION WISHED BY ME T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT_-,- ---------- ----------- DATE
FILE COPY
CfT�'OF
• RECEIVED BUILDING DMSION
ED 33530 First Way South
�� Ay Federal Way, WA 98003
AUG ®4 1999 (253) 661-4000
Fax (253) 661-4129
r/ t. WAI
APPLICATION FOR IV#LOHANICAL PERMIT
Federal Way Business License number: AEGgq
PARCEL # Single Family [ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Phone
Nature of Work Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRAZlv.
Company Name //
Address/City/Sl/Zip
Contact Person a
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone Fax
4 `
Phone G Fax ,J
12-5 /M!!:� Exp. Date 4 U
Fuel Type as/other
Gas DrVer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000c&n
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furtt >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
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 further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. 1 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 Fedemy 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 plication.
Owner/Agent Date
Me App
Revmsm 1/7/99