97-103689MY Of' FEDEWIL. WOY
3:1530 Ft-st Way- SoMH
�Uth EC AN I 0`)L CR
1" M
iI T
F?dc:ral Weiy, WA 98003 He(-,hanic,;it. Trisr.ection rteqtjotf.s 1211b3-661-4140
S 304M (3T
NO. : 0421.04 -926,2
PRO,JECT DE SCRiP,rioi4:1Nc1TALtIHG GAS fURHANQ AND GAS PIPM
tL OWNER
0
TOOKKA19Y TIFFAR;
r,As DYER..:
2012 S. 304TH ST.
AIR HAHKI411c
f"11 IAK
f [KRAL WAY WA 08023
0
10,000,t)": a
q46--21018
GAS LKS ... :
0
> 10,000
PROJECT VALUATION 1200
FUEL TYPES.:GAS GAS
FARS .............
801
GAS PIPING.: 20 ft
HOOD.. 0
0
fURN LOOK ..: I
. .
6M HNT....: 0
WOOD
CREST NATURAL GAS
17245 13910 PL S1
RENIN WS 99058
42S-235-1015
(RESING063RI
6;?&,Pg
97 /2
UIERMI I NO : MC91-0285
l' ',JX 0- 1.0/20'/97
Vy : I- (' 2,
1, �, P 11,, (14/17/,98
I
LENDER, :: - r Y — sr.. " , ., , 1 - ....:.x.. _
SaLfs TAX tot Mif("'ININ THE CITY 0 FID(RAt VA1(
JAY. '"M S -Y14 w?"
(ORV L HER: 0 fftloor_ ': it M. "': a
8R0.........
0
ml�;
r,As DYER..:
0
AIR HAHKI411c
f"11 IAK
RANGE ...... :
0
10,000,t)": a
Abowf it D:
GAS LKS ... :
0
> 10,000
UNDERGROUND.:
0
.... -M ... .... M:Vl � .... Rm.=. i.
Does the eater supply system t:antain a Pressure Reduction Device or Check valve? ( "I Yj
Inspection Record: Mechanical Rough -in Date Gas Pipi
MECHANICAL f IMAt Date
...:.z_1. ..... M.U= V.Wwkv-
NIAL E
[,'Aon taaf, i
$ 36.00
%bl 20.00
$ 56.00
Ifulfs EXPIRE Ise wVS Al UP ISSUKI if No VORK Is STARTED.
I CERTIFY IM INFOMM"f, tWr BY pt 17 An (wora to IVE KSI or NY KIMEME AND I ICAKt CITY of FIDEM VAY 91 :MIS it K M.T.
Nil
Oww�r,p OF NG!'41
FIELD COPY
CITY OF FEDERAL WAY„
33530 F i rs t Way South P-1 It”, �,•,.,••. F11 ��',., Nw N :..N.. �;•.•,. �'' N . N ' �..h°�;. N'w''N :: "T",
Federal Way, WA 98003 Mechanical Inspection Requests 250.-.661-..41.40
253-661-4000
ADDRESS:2012 S 304TH ST
N0.: 042104..-9262
PROJECT DESCRIPTION: INSTALLING GAS FURNANCE AND GAS PIPING
p= OWNER __________________________________ �____________'__'_= CUNTRA
TODD&KATHY TIFFANY CREST
j 2012 S. 304TH ST. 17245
1, FEDERAL WAY WA 98023 ) RENTON
i
946-2718 425-23
CRESTN
t----------------------- ------------------=-_-__-=____--_------------ _----__-
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
PERMIT NO: MEC97-0285
ISSUED: 10/20/97
BY: FC2
EXPIRES: 04/17/98
TAX RATE : 8.25 sts
---------------------------..-...---------------------------------------------- - - _
PROJECT VALUATION 1200 FEES:
FUEL TYPES.:GAS GAS FANS..........: 0 BOILERS/COMPRESSORS Mechanical Permit*
} GAS PIPING • 20 ft HOOD 0 0-3 TON 0 ; MEC PRMT ISSUANCE...
FURN<100K..:
1
y DUCT WORK.....: 1
3-15 TON....;
0
GAS NWT.,..:
0
WOOD STOVES...: 0
15-30 TON..,:
0
CONV BURNER:
0
FURN>100K.....: 0
30-50 TON...:
0
i BBQ........:
0
MISC..........: 0
50+ TON.....:
0
GAS DRYER..:
0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE ......
RANGE......:
0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM: 0
UNDERGROUND.:
0 TOTAL FEES
$ 36.00
$ 20.00
$ 56.00
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 FQRNI E BY E T TTIWE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN --.-_-- DATE l6
__.__.----------___._.__._.___.._.___-----------------__--
FILE COPY
CrrY of G R EC E. N E D Burr nnNG Dmsrorr
33530 First Way South
vii AY1997 Federal Way, WA 98003
QC 1 2 (253) 6614000
l.;t � � t.r t-Ei3c1�iAL WAY
Fax(253)661-4129
,tltLoJNG DEPT.
APPLICATION FOR MECHANICAL PERMIT
WC—7 — D2-� 5
PARCEL # Single Family W Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner ` ` eo 7-1 r— iqN y Phone ` b r Z71 g
Address/City/State/Zip
Nature of Work �� s ��, �l -� 1 / i �e G HSP N A✓✓l4C e Project Valuation: S % 2 U D
is
APPLICANT
Name
Address/City/St1Zip
Contact Person
MECHANICAL CONTRACTOR
S Aw►�- A S
Phone
Fax
Company Name
Gr -'e.5 i
►l.a�d20L
C�QS
L,ength of as piping
Range
Air Handlin > = 10 000cfm
Address/City/St/Zip
i72y-:)
Gas Log
._S' E
Contact Person Eo '-1 Phone 12—L3� -�a "/Fax
State L & I Contractor Registration # C T V O to 4 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
L,ength of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs V1Z i {
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
I Other
Conv Bumer
Duct Work
A/C TONS
Other
Wood Stoves
A/C
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 1 am authorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save hamiless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and filed against the City of Fedemy 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 pad of this application.
Owner/Agent Date
2 2-- 177
MEcn.ApE
REmm 8/26/97