97-103690It
f7 /0 4/0
335
y FEDRALYPERM11NOMEC92i430 Firrst Way South MECI 1ANICAL f-) E R M.1 T' 10/02/9-7
F4deral Way, WA 98003 1,ly.,
I, .0
253-661-4000 EXPTRES : 03/30/98
ADDRES13:2818 S 284TH S I
NO.: 111700--0250
PROJECT DESCRir),rioN - installing gas fireplace insert. Owner performiKyork.
OWNER CONTRACIOR .......... LENDER
STEVEN NET 7f #BERG
2818 S ?8410 ST
FEDERAL NAY WA 98003
0531461-0699
–.z --- k
its CONwOks, ft"St un 18CATIV (W- lip VKN 11001ING SALES TAX FOR ftWICIS 11011111 CITY OF FLKRa VAY. TAX RATE = 8.2S S"
PROJECT VALUATION
1800
FUEL TYPFS.:6AS
FARS ..........
0'
K I L EP m P R E SOR S
GAS PIPING.:
.90 ft
MD.
(1
0-3 fil%
rult"100K..:
0
DirT
0
- 3.1� f0h.
GAS 01`—.:
0
'164
0
(OOV BURNER.:
0
0
HBO........:
0
0
5rj iiA4
0
GAS DRYER..:
0
AIR NMI IN6
fff! 1AIIA,''.
--
RANCIE ......
0
,,:10,000 Cfv!
0
APAIA GROUND:
0
GAS LOGS...:
I
> 10,000 ((N:
tj
UNDIF(A00HP.:
0
Nes the water supply system cont
lospectko Record: mecq&lrral Rough -in
FEES;
ftcIm4k#I,-j14rmit* 48.00
KE( PINIT DANCE... = 20.00
TOTAL FEES 1 68.00
valve' (%L f No (If -Yes' then water eyvansion tank is required on Not Water Tank)
CAI. FINAL_P/985._........_.._. Date 112– 1?--
1 L7 V
FMITS Explif 180 Imys AFTER -r3mjjffh.LF No wt is STARTED.
I- CERTIFY IN[ INFOWTINI FNPjswj FV1111momm"LLma It TOE
04HER OR WiENT
Piping
Date //-/Z--T7-
...... 1.1=-A; :-V'A..FY!'J . .. PM
AND IME AFFMAKE CITY OF FEWAL WAY 11991AMNIS 11tt K NIJ-
ITE
FIELD COPY
CITY OF FEDERAL WAY p y ll
33530 F i r -s t way South �1 ��°:,: :,, � -11 i ° i ��4, :. E �.,; : �,,:'; � N,,,.,, If-" � �;,:11 ��. �'w`'� :,,II:.: ,,,u,,,
Federal Way, WA 98003 Mechanical InsPC-Ct:icn Requests 253-661-4140
2.53--661-4000
ADDRESS:2818 S 284TH ST
NO.: 111700--0250
PROJECT DESCRIPTION -installing gas fireplace insert. Owner performing work.
LENDER=______
PERMIT NO: MEC97-0284
ISSUED: 1-0/O2/97y
BY: FC
EXPIRES: 03/30/98
:** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1800
FUEL TYPES.:GAS ?
FANS..........: 0
GAS PIPING.:
20 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
F'JRN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM: 0
GAS LOGS...:
1
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON.....: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
Mechanical Permit*
MEC PRMT ISSUANCE...
TOTAL FEES
$ 48.00
$ 20.00
$ 68.00
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 INFORMATIOVFU ISHED BY ME IS T E AND C REGI T .THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ------__ ---- DATE
----------------------------
FILE COPY
iA
Bun-DING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
MEC 9,�L— a,)-(�1-
PARCEL # ,�, L(�/ Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner ` � � )Q /V t I :W e '�� Phone 17>11 n�
q i
Address/City/State/Zip_�j�J. �� U y'!4/ A-113 ;A 5
Nature of Work JN ST,P11 CA,5 -f-, re- Project Valuation: $
APPLICANT
Name �/ fG/�'
le
Air Handlin < = 10 000cfin
Fuel Tanks:
Length of as piping
Address/City/St/Zip
-2-5 `
SCS ,
Fum <100K BTUs
G -Log
Contact Person In e Phone 96 Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person Phone
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
Exp. Date
Fuel T eas/other
-5 Gas Dryer
Air Handlin < = 10 000cfin
Fuel Tanks:
Length of as piping
J
Range
Air Handling > = 10 0006in
Above Ground
Fum <100K BTUs
G -Log
Unit Heater
Underaround
Fum >l00K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
Wood Stove,.;
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information famished 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 tiled 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
Macu.APp
Revtsm 8/26/97
Date �U