97-10373197 lorij
CITY OF FEDERAL WAYPERMIT NO: MEC97-0288
$3530 First Wav South HEC U -1A N- I C A V' ER H I'T jsf�'UED: 10/07/97
.federal W,--iy, WA 98003 Merti,,Aidcil frspectior. Requc-slt--s ".'1133 661. 4140 BY. FC
253-661--4000 EXPIRES: 04/04/98
ADDRESS -3681.6 3RD AVF SW
NO.: 21.F1820-0980
PROJECT DESCRIPTIOtl-.FREESTANDING MOOD STOVE
KEVIN (AMPKLL
16816 3RD AVE (jW
FEDERAL WAY #A 980'-11
its CONTRACTORS, Pl
CONTRACTOP . ....... LINDLR
OOKIR IS CONTRACTOR
............
,11
1CM11116. SKIES IM IN KWIECTS MINIX TIE CITY Of FEINELK MAY. TAX KA11 8.75 is's
...........
0-3 TOR'. 0
TOP, 0
A-1,0 1833...
ABOVE 009111
FEES:
Mechanical Permits 1 46.00
$ 66.01)
j;-.- '41", :-- 1. - ;- . 11 '�' I �- :.� -;'t :�.' ., 5-' .. .... : ... mu4u.= ...... %,;,
Does the Later supply system contiir, , Prp,riire P010-'fion Device or (beck valve? Yes No (I " f .`Yes' then va, expansion tank is required on Not Rater Tank)
Inspection Record: mechanical kou'.ji Date Gas Piping
Date
MECHANICAL FINAI �IFIAI'I[Lj"Io
..............
KINITS EXPIRE ISO DAY; At 119 Isswt It Nu wr is S10111).
PROJECT VALUATION
1700
INFORNAII(O LRIRNISNID.1
I C11111Y 19 A NE IS TRUE AND CORRICI To lot gtsl
FUEL TYPES,:?
?
FANS..........
A
GAS PIPING.:
0 ft
HOOD..........;,
4
f UR 9 �' 1001(
0
DUCT
0
CAS NMT.....
0
WOOD STOK's-
(OKV 11URNER:
0
FUR&ILIK.
0
BBQ.........
0
MIS( -'
GAS, DRYER..:
0
AIS' HANKIRG WiTTS
RANGE.......
0
':10'0* CFN:
I,,
IGAS LOGS...:
0
> 10,000 (114:
0
CONTRACTOP . ....... LINDLR
OOKIR IS CONTRACTOR
............
,11
1CM11116. SKIES IM IN KWIECTS MINIX TIE CITY Of FEINELK MAY. TAX KA11 8.75 is's
...........
0-3 TOR'. 0
TOP, 0
A-1,0 1833...
ABOVE 009111
FEES:
Mechanical Permits 1 46.00
$ 66.01)
j;-.- '41", :-- 1. - ;- . 11 '�' I �- :.� -;'t :�.' ., 5-' .. .... : ... mu4u.= ...... %,;,
Does the Later supply system contiir, , Prp,riire P010-'fion Device or (beck valve? Yes No (I " f .`Yes' then va, expansion tank is required on Not Rater Tank)
Inspection Record: mechanical kou'.ji Date Gas Piping
Date
MECHANICAL FINAI �IFIAI'I[Lj"Io
..............
KINITS EXPIRE ISO DAY; At 119 Isswt It Nu wr is S10111).
INFORNAII(O LRIRNISNID.1
I C11111Y 19 A NE IS TRUE AND CORRICI To lot gtsl
"V KMKEKE AND lot APPLI(Abit (11Y Of 11"F1 41
VAY 91
OWNER OR AGENT
DATE l/%
FIELD COPY
CITY OF FEDERAL WAY
33530 Firs t Way South "�i � �..... .,,,� ,,, t �� „flw �,.: "fi k..,... f"M ' R �rl ,,.F
Federal Way, WA 98003 Mechanical Inspection Requests 253-661,-4140
2.53-661-4000
ADDRESS:36816 3RD AVE SW
NO.: 21.8820-..0980
PROJECT DESCRIPTION:FREESTANDING WOOD STOVE
OWNERCONTRACTOR
KEVIN CAMPBELL ` OWNER IS CONTRACTOR
36816 3RD AVE SW
FEDERAL WAY WA 98023
874-9370
PERMIT NO: MEC97-0288
ISSUED: 10/07/97
BY. FC
EXPIRES: 04/04/98
tst CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 #;#
� PROJECT VALUATION 1700 ;
FEES:
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS ! Mechanical Permit* $ 46.00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK.....: 0 3-l- TON....: 0
GAS HWT.... : 0 WOOD STOVES...: 1 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--------- If
RANGE......: D <-10,000 CFM: 2 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 66.00
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)
s
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 ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OFFEDERALFEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ L ___ z'l�/ L -----
-
------------------ ------------------------------------- DATE / _7_ -
FILE COPY
i
I
4
CITY OF G
Ry
PARCEL #
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
4 C T 0 7 1997
APPLICATION FOR MECHANICAL PERMIT
21 g 9210 -- 0�190
AV4Lo�i
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC q 7 - 02-Y�
le Family Multi -F '1 ❑ Comb 1 ❑
M00Q- `oho IN -001) 'STh6 191, Ewen MOM ss/I 601ANb�
SITE LOCATION �i/\,,'1�)�_�
Tenant/Owner �il� (.Aj 41 C nffi1L� Phone
Address/City/State/Zip
3Cc�5l�� �1 r �w it�LL�f ?%L) 2-75
Nature of Work � 1= V�Nlii��xr `�Z�1� Project Valuation: $ / 700 (�
APPLICANT
Name 1 )'--M
Address/City/St/Zip
/y�A��'—L�--
Address/City/St/Zip t �� o �� 3(2-6 AVE ",)Lk) Fa) Wt, i W I 19 %Z
Contact Person ' )a t o ; 'sc" Phoney A 5 5170 Fax
TN15 H00 2. 1 Is NaIr c5T)OTE COM Fl F'u
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Fax
Exp. Date
AY'"Wusb Fac/issuauu'
�rt
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000efm
Fuel Tanks:
Length of as piping
RanRe
Air Handlin
> = 10 000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Under ound
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
JIBQ:5-
Wood Stoves
A
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 pennit 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 maybe
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 pat of this apphcati n.
Owner/Agent Date
�d/7/f
M".Arr
Revrsm 8/26/97