97-103424CITY OF FE'DERAL WAYPERMIT NO: MUC97-0266
Xa530 F'irsti W;:iy lbociih H E C f I A H T C. A L P C RM, T F
Fo-(feral W.'iy, WA 9900,3
25:3--661 -4000
ADDRESS:'30820. H'I'll i)Vl-
NO.: 555f,120-011-0
PRoJ EC T I)ESCR I P I 10 I'l.- NE(H - I HSI At LI NG Of W TPA ItUt AZIR 1300 WOOD STOVE.
OWNER ... COHIRAf IOF LENDER
DAVfjPAN HILL POWERS [RAI K, IK
40820 8111 AVE SW 10501 51 1113IN
FEDERAL WAY #A Q423 X(Of WA 98031-530"'
941-6176
PoW(RT80441(
Its COORK101ts, Pttv'l Pli" 1 t!A Al 0 (0111(,vu; tft:R MI(KRYING SALES 1AX fok FININIKIS 111111 lot CITY of FtKW NAY. 1AX bit 8.25 tit
PROJE(I VALUAflOH got)
FUEL IYPES.:GAS W(10 f hft"� .......... !,fj I LIP, ilcowfCSORS NEC PRNI ISSUAN(L.— $ 20.00
GAS PIPING.: 0 ft HOOD ...... 0 0-3 Mechanical Permit's $ 28.00
F%Wloox. : 0 PKI wt—. . 1- top -
—:
GAS HMI.... : 0 WOOD
(60V FiRKER: 1) F tip p
HBO ........ : 0 milli 4j; ktil
CAS DRYER... 0 Alp" P60111 �1?hf I J
RANGE ...... 0 e :10, o: 1', " y
GAS LOGS ... 0 > 10.'!w I:
10fAt FEES 48.0)
a. 1 .7- 1- =11 it
Does the water supply system contain A- Prp"ttr� F-Itiction Device or Cuck valve? Yes No (if *Yes* then water expansion tank is required on Not Water lank)
Inspection Record: Mechanical RouO i:, Date Gas piping Date
NE(HANhAt flK Da.
! J�C'
PERNITS IXPiRL 180 DAYS Al If$ 106", It to "It Is SIM110.
I Cutilly 1111. INOW11" [mm )ir tk 1" IKUL An COMO )a FII ofst Of tov IRWLKL AND THE AMICAIIIII CITY Of FIKIAL NAY KILQUIMAIRS fill K NET.
j
OWNER OR AG(Hl If - — L -f
vkohk
FIELD COPY
CITY OF F=EDERAL WAY
335.30 F i rs t Way South.
�,,,1�14,, , f°, .:: ;' ''" : rlf C'
Federal Way, WA 98003 Mechanical Inspection Recquf�sts 253-661-.4140
253-661-4000
ADDRESS:30820 8T[I AVE SW
NO.: 5.5.5820-.0110
PROJECT DESCRIPTION:MECH - INSTALLING NEW TRAILBLAZER 1300 WOOD STOVE.
OWNER
t DAVE/PRM HILL
30820 8TH AVE SW
FEDERAL WAY WA 98023
CONTRACTOR
POWERS THAT BE INC
10507 SE 213TH
KENT WA 98031-5302
PERMIT NO: MEC97 +O266
ISSUED: 09/12/9'7
BY: FC
EXPIRES: 03/10/98
LENDER
941-6176 R
POWERTB044KC E
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 xxx
------_ --._ ---------------------- --- ----------- ----------------------------------__-__.____.__.._._.__-_--__._-------------------------------------1
PROJECT VALUATION
800
FEES:
I
FUEL TYPES.:GAS WOD
FANS..........: 0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....:
0
Mechanical Permits
$
28.00 j
FURN<100K..: 0
DUCT WORK.....: 0
3-15 TON....:
0
i
GAS HWT....: 0
WOOD STOVES...: 1
15-30 TON...:
0
CONY BURNER: 0
FURN>100K.....: 0
30-50 TON...:
0
BBQ ...y....: 0
MTSC.........,: 0
50+ TON.....:
0
fi
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND:
0
s
! GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES
$
48.00
€
Does the water supply
system contain a Pressure
Reduction Device
or Check valve? O 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
I
i
PERMITS EXPIR -180 DAYS AF A IF NO WORK IS STARTED.
I CERTIF E INFORMATI N F HED ,IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER, OR AGENT l'' ____ DATE _ I l r_
'"= --- - --------------------------------------------- - ----- - -
FILE COPY
Cf Y OFG BIJIMING DIVISION
ED 33530 First Way South .'
J:� Ry Federal Way, WA 98003
E, V E E) (253) 6614000
Fax (253) 6614129
SEP 12 `'APPLICATION FOR MECHANICAL PERMIT
CITY UILDING DEPT. AY
OF FFuERAL �
ME—C,�o`��c
PARCEL #`-"���-�� - � 2-0 011L k Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner ���/ %� 'p` 1_14("e Phone
Address/City/State/Zip
Nature of Work 14
1 ray
APPLICANT
W1
ak �A
Name , �A" k:
Address/City/St/Zip
Project Valuation: $ hv C'/0
-mzzz�
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name-- �7 N.>� !/ )Lk� -
�( Address/City/SdZip
Contact Personal ��� l Phone Fax
Stag I CoritractofR�gistration # Exp. Date
(Card must be presented)./
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cfn
Fuel Tanks:
Length of as piping
Range
Air Handling
> = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Undereround
Furn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTUH
Other
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 clam), which may be
made by any person, including djbnfil;Riglwd, and filed egailrst 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�p as a part of appli=bn. "— r
f /,
Owner/Agent
Mear.App
Revrs® 8/26/97
Date I \ �' t 7
t `�
4u