97-103287C1 FY OF IJJU7M- Wily
33530 Fit-!�,rf Way Sout.J'i
Veder',-it 14"Ay, WA "484003 1 .11 i<, t -,(? c L i o n 1tocv wn.-, tc*, 253- bel 1,"10
15': --661- - 4000
AKMESS:31605 li4 I It 0VE 1-44
M-). : 189850-001,10
1'R0JV'('T DI1FCR1f1fV)t4:HVA( - PERMIT TO INSPECT NMI PrIVIOUSLY PUT 10 BY CONTRA00—
"LliMll Nu: MIEC'97-025'1
l�brttlL 1?_ 08/29/0
13y . V (I.' -i
MIS EXPIRt U0 OhYS Al UR MIJAW.1 It NO W#1 IS 13AMP.
I CERTIFY INI INIOMIION t1111MUID NY Mt is INUL AND (0900 10 INI vtsl 01 hi t#0111.11061 An lot A"MANU MY Of f[R#At MAY RUMI)IRMNIN VILI, K 01.11 -
OWNER OF Aciffli
FIELD COPY
ame.......
CAROLS REAKEY
OMER IS (MIRAUM
31605 54 IN AVE SW
FEDERAL WAY VA 980213
o,l-U)c3
CONIKKIMS, PLIZA Mt
10CATI00 (uk, 1*11101,11 RtPt" j11K SALES TAX FOR Fwtus 111HIN INI
(Ity AF FLKRAL 1my. FAX RAH 7
9.25 Its
PROJVI VALUATION
500
FEES..
Furt TYPH'.:GAS
FANS.. . .. : 0
BOILEPSICOMPRm0s
NEC PRM I ISSUANCE...
20-00
GAS PIPING.: 0 ft
HOOD..........: 3
0
mechanical Pemitt41
22.00
J F0R*IO0K,.: 0
PP.- I WOF
3.15 too....: 0
GAS Hw I .... : 1
NMI) STOVES., e
15,-30
CONV BURNER: 0
FURNMOK.,
TON—: 0
8130 : 0
misc.
504 TOW,.; 0
........
.......
QS DRYER,.: 0
AIF HAIIM.141C, VIIIII.-
0"I IVf
RAMJ ...... 0
:10,000 (M 0
ArVI. 1,411111: 0
GAS LOGS...: 0
10,000 (1m:t4
144D[K1JV9HI)— 0
4 MAL FEES
Or
V)ps the Yater supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes" then Yater expansion tank is required
on Not Water lad)
Inspection Fe(ord,
Mechanical Rough -in
Date Gas PiP109
MECHANICAL. I IMAL
Date
MIS EXPIRt U0 OhYS Al UR MIJAW.1 It NO W#1 IS 13AMP.
I CERTIFY INI INIOMIION t1111MUID NY Mt is INUL AND (0900 10 INI vtsl 01 hi t#0111.11061 An lot A"MANU MY Of f[R#At MAY RUMI)IRMNIN VILI, K 01.11 -
OWNER OF Aciffli
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
2.53-661-4000
ADDRESS -311605 54TH AVE
NO.: 189850-00=10
PROJECT DESCRIPTION: HVAC
Mecharii.cal Irispec-tion Requests 253-661.--4140
SW
- PERMIT TO INSPECT HWT PREVIOUSLY PUT IN BY CONTRACTOR.
x
PERMIT NO: MEC97-0295.
ISSUED: 08/29/97
BY: FC
EXPIRES: 02/24/98
F= OWNER==______--______--_________________________________�= CONTRACTOR =______________-_____________________=_____}= LENDER
E CAROLE REANEY OWNER IS CONTRACTOR
31605 54TH AVE SW j
FEDERAL WAY WA 98023 j
`1
661-9678------------
E
._ .. .-___.______-------- .....---.._______-_---------________._____.-----_---1._.�___________________=__
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 xxx
PROJECT VALUATION
500
FUEL TYPES.:GAS
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....:
0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT.... :
1
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ.........
0
MISC...........
0
50+ TON......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
Does the water supply system contain a Pressure Reduction Device or Check valve?
inspection Record: Mechanical Rough -in
MECHANICAL FINAL
( ) Yes ( ) No
Date ---------- Gas Piping
Date
FEES: I
MEC PRMT ISSUANCE... $ 20.00 i
Mechanical Permit* $ 22.00
F �f
TOTAL FEES $ 42.00
r
_ _----- _ ---..- --- --_ ___..._ ___ .._..- ------ ------ ------- ----------
(If "Yes" then water expansion tank is required on Hot Water Tank)
t
-_-__-- Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRU "ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE--¢- _
E
City of Federal Way
33530 First Way South
Federal Way, WA 98003-6210
(253)661-4000
APPL/CA TION FOR MECHANICAL PERMIT
PARCEL #: Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Da r D I _P PCc'1'1 e,� Phone: (0 7gl
Address/City/State2ip: f Sri (4/k.
Nature of work:.�hS/ �� AT rti%atf'r Project Valuation: s
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone:
Fax:
MECHANICAL CONTRACTOR:
Company Name: f )Y r 0''" STu a
Address/City/St/Zip: Qhfi(rQ �ck-
Contact Person: ��`` t f L) Phone: Fax:
State L & I Contractor Registration #:
(Card must be presented)
MECHANICAL UNIT COUNT:
Exp. Date:
Fuel TyDe as oth
Gas Dryer
Air Handlin
< = 10 OOOcfm
FuelTanks:
Lenath of aas pipina
Ranue
Air Handlin
>= 10,000cfm
Abover u d
Furn <100K BTU's
Gas Lou
Unit Heater
Un er rou d
Furn > 100K BTU's
Fans
Boiler
BTU H
Miscellaneous
Gas Hwt )<
I Hood
I BoilerTU
Conv Burner
Duct Work
A/C
TONS
Other
A 1C
QNC
DISCLAIMER: I 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. I 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 fiW 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.
Owner/Agent:
L'