99-1029396
CITY OF FFDERAL WAY
L13530 F rst Way Soutti
Feder,al Way, WA 98003
253--661,,4000
ML.(_'.'[1AN-1C.AL. PEF-MIT'
Me(J)ardcal Inspectio-n Re(,juc,-sts 2`1w`)113 661q',.L40
ADDRESS:5320 SW 326TH ST
NO.: 189831-0290
PROJECT DESCRIPTION: HVAC - GAS HWT (HANGEOU7 stit"(08-0057 REPLACENtHists
OWNER
JOHNOONNI (APOBIANCO
5328 SO 326TH ST
FEDERAL WAY WA 990213
253-9215-1398
LENDER
OWNER IS CONTRACTOR
q6t - I Dxoq
PERMIT NO: MEC9,9-0261
ISSUED: 07/30/99
D y : FC
EXPIRES: 01/25/00
I ATW SKIS TO FOR FMICH VIININ 111t CITY Of FEDERAL VAY. TAX RAIL = 9.25 US
FEES:
0 1 t, E W: 10 N P R E SSON', ; gwa NEW B, j R S 35.00
0_iq#.
0 All
J
3
OR N
TOP.,
mwam^
TOO—: 0
OIL TARrS---
ABOVE GROUND: 0
UNDERGROUND.: 0 TOTAL FEES i 35.00
.... - ..... ;__ ...... ...^,..=:Y:11 .........•=: ... .... ...
Does the vater supply system contain a Pressure Reduction Device or Check valve? Yes ( ) No (If 'Yes' then water expansion tank is required on Hot Water Tad)
Inspection Record: mechanical Rough -in 1,1, Gas Piping Date
ME(HANI(At FINAL Date/y.
..........
PERMITS EXPIRL 180 DAYS AFILK ISSUAKE If NO WAI, is SIARIEV.
I CERTIFY THE INfORNAllim 10KNISKI a "i is TRUt ORD CORRECT 10 THE ffSl Of MY tMOULENU W TK AMICAKE CITY OF FENERAL NAY REQUIRENINIS WILL BE "LT.
OWNER OR AGENT "Z)
DATE
FIELD COPY
ttt
(ORTRACIONS, #L[A%
PROJECT VALUATION
0
FUEL TYP[e.:GAS
GAS
FANS..: 0
GAS PIPING.:
0 ft
HOOD.. ...... v
FURN(IOOK..:
0
DUET 40 r_ _, 9
GAS HOT....:
I
W(ND 'IJOV['"_: 6
CONS' BURNER:
0
fVRN)100r_..: P
BBQ.........
0
MISC .......... 0
GAS DRYER_:
0
AIR HANDLING 11011",
RANGE......:
0
<:10,000 ON: 0
GAS LOGS...:
0
> 10,000 Cr": 0
LENDER
OWNER IS CONTRACTOR
q6t - I Dxoq
PERMIT NO: MEC9,9-0261
ISSUED: 07/30/99
D y : FC
EXPIRES: 01/25/00
I ATW SKIS TO FOR FMICH VIININ 111t CITY Of FEDERAL VAY. TAX RAIL = 9.25 US
FEES:
0 1 t, E W: 10 N P R E SSON', ; gwa NEW B, j R S 35.00
0_iq#.
0 All
J
3
OR N
TOP.,
mwam^
TOO—: 0
OIL TARrS---
ABOVE GROUND: 0
UNDERGROUND.: 0 TOTAL FEES i 35.00
.... - ..... ;__ ...... ...^,..=:Y:11 .........•=: ... .... ...
Does the vater supply system contain a Pressure Reduction Device or Check valve? Yes ( ) No (If 'Yes' then water expansion tank is required on Hot Water Tad)
Inspection Record: mechanical Rough -in 1,1, Gas Piping Date
ME(HANI(At FINAL Date/y.
..........
PERMITS EXPIRL 180 DAYS AFILK ISSUAKE If NO WAI, is SIARIEV.
I CERTIFY THE INfORNAllim 10KNISKI a "i is TRUt ORD CORRECT 10 THE ffSl Of MY tMOULENU W TK AMICAKE CITY OF FENERAL NAY REQUIRENINIS WILL BE "LT.
OWNER OR AGENT "Z)
DATE
FIELD COPY
CITY OF FEDERAL WRY
33530 First Way South
Federal Way, WA 98009
253-661-4000
ADDRESS:5328 SW 326TH
NO.: 189831-0290
PROJECT DESCRIPTION: HVAC
�� a� yp � uu �~ PERMIT NO: MEC99-0261
�''ll !IM ;. �,w, y,...,� ,,,. I!° N �, w, ;;;� N.M, il..,, W !J;;.;;.. II:;;, , �' 'li ;Ilw ,,.I; ' ISSUED: 07/30/99
Mechanical Crispect:iori Requests 253-661.-4140 BY: FC2
EXPIRES: 01/25/00
ST
- GAS HWT CHANGEOUT **#*MEC98-0057 REPLACEMENTM
OWNER:-_=__________________________________________________ CONTRACTOR =__=____-_____________=__ =________-________-- LENDER
JOHN&BONNI CAPOBIANCO OWNER IS CONTRACTOR
5328 SW 325TH ST
FEDERAL WAY WA 98023 ,
253-925-1398
1 � I
� ! P
N/A
------_.----_.._...._........__._....._.........._...--....._........_.._._........._...................._..__....._._____--___--..._._-..--..__.-...-.---___-.-..-_.-----_.A.__.._-_-._•_____...._..._..-__.._.._.__-...-_-----__--._--_-._..----_-.---_. -...-z
CONTRACTORS, PLEASE USE LOCATION CODE 1732 NHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 tY#
PROJECT VALUATION
FUEL TYPES.:GAS GAS
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS NWT....: 1
CONV BURNER: 0
BBQ ........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
0
FANS......... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MIS"............ 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
CILE,S/C^"1-°ESSORS
0-3 TON.,...
3-15 TON._:
115-30 TON.... 0
30-50 TON...: 0
50+ TON...... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
MECH PERMIT FEE $ 35.00
4
TOTAL FEES
$ 35.00
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
MECHANICAL FINAL
Date ---------- Gas Piping ________________ Date
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 NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE J '-' )41 175'
Rite- elveD
MY of j4—_j BUILDING Dr,'MON
33530 First Way South
`AUL 3 ® 1999 3 S F eral Way, WA 98003
(253) 6614000
CITY Or i` LL,—, Fax (253) 661-4129
BUILDING; " M C 1 8 - —
APPLICATION FOR MECHANICA ERMIT
PARCEL #
SITE LOCATION
MEC I �- Z G I
Single Family L]" Multi -Family ❑ Commercial ❑
Tenant/Owner J U Gi Dn� C_ G ���c�l�! crr Phone 113
Address/City/State/Zip
Nature of Work %'�'� �� < ho �Wgp��-' Project Valuation: $
APPLICANT
Name
Address/City/St/Zip-.---'51/--C, e2 -S
Contact Person -� 1— -e- Phone 2 -� S� -/ 3 2 Y Fax
MECHANICAL CONTRACTO
C3mpany Name
t &ess/City/SdZip
Contact Person
Phone
Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin
<= 10 000cfn
Fuel Tanks:
Length of as piping
Range
Air Handlin
> = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underaround
Furn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler
BTU/H
I Other
Conv Burner
Duct WorkA/C
TONS
Other
DISCLAIMER I certify, under penalty of perjury, that the information furnished by me is true and coned 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. I further agree to save hamdess 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 Federay Way but only where such claim arias 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 +f���Yr -c.�. %1 `` ."`a''�'ly ''"__-Z Date 7
MEcuApe
REvrsm 8/26/97