97-103288I `P OF E LS Of"RAL will-
33-530
ill-
;33- 5 3t1 v i l—A !batt 1_1C)Wr.t1 H C C 1 Ji ''li H .1 CL PIE H I t
WAY, WA 9801-l".3
�aDIN I' !�i!:: �A062 t 15 l I I PL. �;V)
No. 51.419"30- 0 1,80
C'I2OJF (" r is+f—'Sc.R .1P I R)N : HVAC - RUNNING GAS PIPE TO NOUK UP NO JUB AND GAS R8Q.
'� QNNrrf v; xxi �5'a:-. �s¢.mxe ::.4,.r.^>;.;... :cxw,. �.=i:.rx-]cv,.a::z •..
VIIAIY DENtNIr
30620 15141 PC so
FIDEIRt.t WAY NA 48013
i
446-613:3
UNNtR 1S CEENTRACtOP
Iq rsd py
LENDER
i
i
I" C011IMMS4 WAIW (OK 17V TNI 1 nVO NG SAW, TAX IOR PROR(It MIININ IME CITY 01 F1*RA1 VAY. IhX RATE. - 8.6 a*r
F1'h4X:.......,.:'f:.;i....SY3�:.'.'%.W...'�;K::.:N]44xRt0 .t.2...II:bSCY{4i T,'.2" F:e rI6t2Y'.TBK'IC Y.S:..,a.:J•.vL'.t95»✓ISYytNSxA16T}.iR'":�:.1S4e.�'.:S9Nk^.SA'v:C
i�Jid,..R#c�:,"'�':TN,.^,'tYl:�X3':�.iY..l�..'.Y'iSn::iN(S`-".'C.YCC:�'X�.R.X:E::..i..e:x:L..,+0;2:+A{i....'�:.IC:S �•.. A+HIRa �:.:1:-"�-'t
YRUJU) VALUATION
1000
FUEL IYPES.:GAS ?
FANS:. ...I
BUIISltPRLS'uRS
IELC I'RNI IJUAi44-t...
Y 20.00 1
GAS PIPING.. 0 It
NOOD
64TO .... , 0
rte h,lrrtW Peraity
$ 32.00 i
FUP91001..: 0
DUCT 1W ..::.t
345 1`4 0....: 0
i
GAS HNT....: 0
N004ST*S '.
*
a--30 'T0N :." 0
i
COW BURNER: 0
, .,
FURV
M1SC..�l..�:.
GAS DRY(R..: .0
AIR l�ilD[� 5
;�t.< i111rsi
RANGE....... 0
'-10,000 011
��,<�
SUE GRtltlflD: 0
CAS LOGS...: 0
1000 Crt', 0 1lNKUROUND.: 0
TOTAL FEES
S s2. of) �
n4:Lt)":a.X::Ca.x s'�a'>-,nsm:awar rxr:<azta�xat'r-+serxexeax +sn1�a•..^.�mzmmutt.usaovr. r.:p 'x:uu.: c:a rraura:ae _:. s'xyax-:.. u...ax:a:;wmr.a��An:c-s�:ntrssaaxlr;afaes;~srrx:.:aa>.a�szmu
Does the water supply systea cantaio a Pressure Pedw tion Device or Check valve?
��r.�•ron.i_•xn:ertwexy}�aifraTy}r. ti: ,s;sm.,:.;.t xxsd'txsa:-,.at•4.4 :.:..s�x_su ..r .a.;::+a .a, _m.:.:;_ -s'. -:.�
() Yes () No (If "Yes' then water expansion tank is reouirel on Not #atrr tanki i
Inspection Recor(±:
Mechanical Rough•io
Date Gas
4'iping"[.�.. (rat:
WHANIC.AL FINAL`7��4/—J Ilat
PERMITS Wilt 180 DAY'S AFi1R ISSUWL It " VORE IS STARR#.
I CE911tY lot 1111,6 ATION 1URNISNED "y ME Is WE ANY CORRE(I 10 IME VLSI til MY t)W.LVGL AW iK AP9tRAILt tIIY * FEKIM WAY RIWIRt NIS Vitt R RLI.
FIELD COPY
CITY OF FEDERAL WAY
33530 F i rs t way so u t h. ,,..., „„�p��,�„� ,,,, ;: M; ill �,� ' : °, ,,,
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-•4140
253-661-4000
ADDRESS:30620 15TH PL SW
NO.: 514930-0180
PROJECT DESCRIPTION:HVAC - RUNNING GAS PIPE TO HOOK UP HOT TUB AND GAS BBQ.
PERMIT NO: MEC97-02 t
ISSUED: 08/29/97
BY: FC
EXPIRES: 02/24/98
f= OWNER =___=____________________________________ -____=====T= CONTRACTORLENDER
VITALY DENCHIK OWNER IS CONTRACTOR I
30620 15TH PL SW
FEDERAL WAY WA 98023
� i I
946-6133
S CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 i=t
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 40
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 1
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
1000
? FANS..........:
0
BOILERS/COMPRESSORS
ft HOOD...........
0
0-3 TON......
0
DUCT WORK.....:
0
3-15 TON....:
0
WOOD STOVES...:
0
15-30 TON...:
0
FURN>100K.....:
0
30-50 TON...:
0
MISC...........
1
50+ TON......
0
AIR HANDLING UNITS
FUEL TANKS ---------
<:10,000 CFM:
0
ABOVE GROUND:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical, Permit* $ 32.00
TOTAL FEES $ 52.00
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 .................. Date ---------- Gas Piping ................ Date -------
MECHANICAL FINAL 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 WAY REQUIREMENTS HILL BE NET.
G
OWNER OR AGENT _�7- _ -- ���- DATE
_
--------------------- --. ✓_..-
FILE COPY
City of Federal Way
RECEIVED 33530 First Way South
Federal Way, WA 98003-6210
AUG 2 9 1997 (253)661-4000
CITY OF FtuERAL WAYAPPL/CA TION FOR MECHANICAL PERMIT
BUILDING( DEPT.
PARCEL #: �[ "► q e)^C) �L� Single Family ❑ Multi -Family ❑
SITE LOCATION: f
Tenant/Owner:
• \Add ress/City/State/Zip•
3t�6
Commercial ❑
Phone:l2 sT�C -6/j �
5d
a(1 G�
Nature of work: (_C_f\ S ' �-- Project Valuation: $ l
APPLICANT:
Name
Add ress/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: 5 e- ¢,
"O U -c--
Address/City/St/Zip:
Contact Person: Phone:
State L & I Contractor Registration #:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fax:
Exp. Date:
a
Fuel T e as other
Gas Dryer
Air Handlin
< = 10 OOOcfm
Fuel Tanks:
Lencith of aas vii)ina
Ran a
Air Handlin
> = 10 OOOcfm
Above Ground
Furn <1OOK BTU's
Gas LouUnit
Heater
Under round
Furn > 100K BTU's
Fans
Boiler
BTU H
Miscellaneous
Gas HwY
I Hood
Boiler
BTU/H
I th r
Conv Burner
Duct Work
A/C
TONS
Other
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 filed 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.
_1_1 Owner/Agent:
i /
Date:
a.
Y.