99-102561CITY OF FEDERAL. WAY G M . , , p �p
3-3530 F i rs t Way South 'w II �,,� .1cf!) �41 �I�. ","° ,,.-, il;�, o :In,�Nr R �
Federal Way, i,%JA 98003 Mechanical Inspection Requests 25:3-661-41.40
253-661.-4000
ADDRESS:31346 12TH PL S
NO.: 787.520.•.0215
PROJECT DESCRIPTION:MEC - GAS CONVERSION W/ PIPING, FURNACE, DRYER, RANGE, WATER NEATER
-- OWNERCONTRACTOR
LOIS BAKER OWNER IS CONTRACTOR
31346 12TH PL S
FEDERAL WAY WA 98003
253/946-4730 253/839-6805
,, ,^
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECT VALUATION 1724
FUEL TYPES.:GAS ?
FANS........,.:
0
GAS PIPING.:
25 ft
HOOD..........:
III
FURN<100K..:
1
DUCT .WORK.....:
C
GAS HWT....:
1
WOOD STOVE"...:
0
CONV BURNER:
0
FURN>100K.....:
0
BBQ.........
0
MISC...........
0
GAS DRYER..:
1
AIR HANDLING UNITS
RANGE......:
1
<:10,000 CFM:
0
GAS LOGS...:
0
> 10,000 CFM:
0
Does the water supply system costa
Inspection Record: Me:
Y"ILE",S/COMPREE
0_3 TON......
3-15 TOS'....: 0
15-30 4
30-50 Tv,
50+ TON— C
FUEL TANKS- --
�BOVE GROU 0
NDERGROUND.:
Check Toe?
OF'Date as P
Date
•
PERMIT NO: MEC99-0230
ISSUED: 07/02/99
DY: FC2
EXPIRES: 12/28/99
LENDER
0 RAL NAY. TAX RATE : 8.25 ***
FFFS.
11T FEE $ 63.15
VTOTAL FEES $ 63.15
"Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE IL M AljjR CE IF NO WORK IS STARTED.
I CERTIFY THE °x, 0 ISHEEDD BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT- __________________ DATE
FILE COPY
crry of G BUILDING DIVISION
,�. _ 33530 First Way South
�'� Federal Way, WA 98003
(253) 6614000
JUL 0 21999 Fax(253)661-4129
APPLICATION FF %WVW MNICAL PERMIT
--yy MEC
PARCEL # v
Single Family �1 Multi -Family ❑ Commercial ❑
SITE LOCATION
T Owner `t . • E')' (Z / 5 /il. �j kS� Phone Z5.3 - ff.39- 6 80S
Address/City/State/Zip
Nature of Work 4115 CM ✓M `U(& at IQ,e51d Q,uZL -Project Valuation: $
APPLICANT
Name L616 A/ BAKI�P—
Address/City/St/Zip
Contact Person ZZ/ S Phone`3 �3 5 Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Fax
Exp. Date
11
Fuel Type other
Gas er
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of as piping
2,51
Range �'
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
'
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
✓
Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
J313Zs-
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and coned to the best of my knowledge and fiutha 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 harmless the City of Federal Way as to any claim (mduding 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 Fedeny Way but only where such claim arises out of the reliance of the city, including its otHccrs and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent �'/'
Meca.Arr
Rrvrsm 8/26/97
Date