99-102994qC1 - I GlaqIq
("ITY OF FEDERAL, WAYPERMIT NO: Mf C99--0263
3-1530 First Way South M E C N.1 A L PERMIT ISSULD: 08/04/99
Feder -al Way, WA 98003 Mechaiii(--Al. fwLpc--(--tiori RE)(jupsts 2153-661 -4140 BY: FC
111 .4000 -0/00
-$3-661 , EXPIRES: 01/�l
AJ)DRE�;S: 36802 2ND PL `,,w
NT). : ?18820-101,0
PROJECT DESC-RIPTION:NVAC - INSTALLING NEW GM INSERT W/ASSOCIATED GAS PIPE
OWNER
I(A#Kt CARLISLE
36902 2ND PL SW
FEDERAL WAY WA 98023
253.835.041$90
LENDER
OWNER IS CONTRACTOR
t's CONIMCM;- must USE, LCAT ow ", , 17 'MM
1,11K SALES Tu FOR PROJECTS VITNIN TIE CITY Of FLKML MAY. TAX RATE :: 8.25 M
i:.: iCa9GICG
PROJECT VALUATION I00 '
2
FEES:
y -
FUEL TYPES.:GAS (LE f Ar ......... DOT S
P
—Z,
GAS PIPING.: a ft HOOD. IN Ad* W -
pr
p-
All w TIN
FURN<100t..: 0 Dott K
GAS HWr ..... It
(',ONV BURNER: 0 FUR N- W......: 0 36, sojolt4,— - 0
98Q......... 0 0 501 Fog...... 0
GAS DRYER..: 0 AIR HANRIN13 ligTSFUR 1ANf, ---------
RANGE......: 0 CFrl: 0 ABOVE GROUND- 0
GAS LOGS...: 1 10,000 (FM: 0 9NDERGROUND.- Cl TOTAL FEES 44.85
Does the vater supply system contain a Pressure Reduction Device or Check valve? ( ) Yes No (if 'Yes' then Yater expansion tank is required on Not Water Tank)
Inspection Record: Rough MerhaniCal
I h -in Date,# Gas Piping 9>-5: 7
MECHANICAL P pati
r ..........
pffills LXPIK[ 180 DAYS AIILA [SwAK-1 if No WK is START[).
I (9111Y ]III �Z1111-Oft"MION7111 I SKD K M1 IS )RUL AND ECT 10 IK NEST Of BY KNIKEDGE AND TK APKICAILL CITY Of FLDLKAL MAY RLQUI#f*NlS VILL K NEI. 4 -/
DATL_
OWNER OF AGIN!
FIELD COPY
CITY OF FEDERAL WAY ;N J. PERMIT NO; MEC99-0263
33530 First Way South i 'h �.��.,.C" Ni °'r II"N ..,il.. �;�,, r !i..,'. ilk"'" E' if �a.tw''i �IL. it 11 ISSUED: 08/04/99
Federal Way, WA 98003 Mechanical Insuection Requests 253-661...-4:1.40 BY: FC
253-661-4000 EXPIRES: 01/30/00
ADDRESS:36802 2ND PL SW
NO.: 218820--1010
PROJECT DESCRIPTION:HVAC - INSTALLING NEW GAS INSERT W/ASSOCIATED GAS PIPE
OWNER_________________-=_____.__._=___-:___________________-= CONTRACTOR =___________-___-___=_=_______ ________=====z= LENDER
JEANNE CARLISLE OWNER IS CONTRACTOR
36802 2ND PL SW j
FEDERAL WAY WA 48023 1
25.,.835.0440
# N/A
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) I
Inspection Record: Mechanical Rough in
MECHANICAL FINAL
Date ----_-__--
Date
Gas Piping ..--- ------------ Date ----------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION URNISHED BY ME IS TRUE AND ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABBLE �CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT----------------- DATE a — ( --
FILE COPY
t:: CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN REPORTING
SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25
PROJECT VALUATION
1200
# FEES:
FUEL TYPES.:GAS
ELE FANS......:..,: 0
z^TLERR/COMPRESSORS
MECH PERMIT FEE $ 44.85
GAS PIPING.:
8
ft HOOD..........: O
FURN<100K..:
0
DUCT V1 Dy n
`,-1C
GAS NWT....:
0
WOOD STOVES...: C
CONV BURNER:
0
FURN>100K...... 0
T ....
0
BBC.........
0
MISC........... 0
50+ TON......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
t
RANGE......:
0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...:
1
> 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES $ 44.85
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) I
Inspection Record: Mechanical Rough in
MECHANICAL FINAL
Date ----_-__--
Date
Gas Piping ..--- ------------ Date ----------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION URNISHED BY ME IS TRUE AND ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABBLE �CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT----------------- DATE a — ( --
FILE COPY
crry of G
VV
�G „G
BUR.DING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 661-4129
APPLICATION FOR MECHANICAL PERMIT
�� of r Na pEpS. Federal Way Business License number:
��Kia� vv
G� pyu11-O � I
MEC
PARCEL # Single Family j Multi -Family ❑ Commercial ❑
SITE LOCATION
� I SI 2!2 b S-
Tenant/Owner rPhone 3_ b 3 � 4/
Address/City/State/Zip `� !�� I ' ' ' � �' Y V VV gJ
Nature of Work 41S 1 ` —4 A - C65 tk�� 4k O 16 d' ( Qc, �� Project Valuation:
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name CD 6z"
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Phone
Fax
Fax
Exp. Date
Fuel Type as/other
AJ Gas Dryer
Air Handling <
= 10 000cfm
Fuel Tanks:
Length ofgaspiping,4W
Range
Air Handling >
= 10 000cfm
Above Ground
Fum <100K BTUs
FJt h Gas Log
Unit Heater
Under ound
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: I certify, under penalty of perjury, that the information famished 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 pemtit 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 tiled 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.
sA c
Owner/Agent �G� Date
ME m 1
rs\'
�ni9v