97-10389101" FEDERAL WAY
J First. We -Ay Sotith
deral. Way, WA 98003
- ME C 1-1 PERM111"
fiv.-I C - , tir)r) Peqt,w,,J,,_; '25) t,J 4140
ADDRESS:4804 SW 330TH CJ
NO : 80','.,'950
PROJErT DF' (,'P1PTJ0N:(,,AS LIff AND INSTALL INSERT
q,7 1C_ --2w91
PERMI I W): MUC97 -0303
8Y: F(','
EYPIRIIS: 04/131/9,8
OWNER. ....... CONTRACTOR ........
ROB & CAROLINE SMITH
AQUA REC INC
33010 C1
1221 REGENTS BLVD
rnSW
RAL WAY WA 98023
fIRCKS3 WA 98466
253-927-8463
253-545-4763
AQUARIfI109A
.........
ns
(oAIRKjob, pitkA, USE j#(AIIQ#CADS 1732 INU UMIJK SALES
TAX FOR IMICIS NI INTI! IK CITY Of Flim NAY. Tax RATE =
615
PPOJE(T VALUATION
1370
FEES:
FUEL TYPES.:GAS
FANS......
mechanical Petsit*
54.00
;AS DIPIRG.: 20 ft
"09D......... . 0
0-3 TON__: 0
ME( PRAT IsswiNQ ...
20.00
FURN/1IOOK..: I
DUCT Woo.. 0
TON.... 0
GAS 0M1..-..: 0
Now wwr
15- IGH. 0
(O"V DURKR. 0
BBQ......... 0
0
IJK0
GAS DRYLR..: 0
AIR HANK! K U4'TS
fOLL NK' --
RANGE......: 0
0
rqOVF 11ROUNP:
GAS LOGS ..., 0
> 10,000 CFO: _,"_4
UNDERGROUND.: 0
TOTAL (LES
S 74.00
Does the eater supply systes contain a Prnsure
.............
Reduction Device or Check valve? Yes No (If 'Yes* then vater expansion lank is required
.....
on Hot Water Tank)
Inspection Record: Mechanical Rough -in Pate Gas Piping _1o1_;qj7-7
NE(HANICAL
fINAL
pt"Ifs EXPIRE ISO DAYS KIER ISSUANCE IF KV WRK is SIARRD.
I CERTIFY '1111. Igo" f-URNIsm By 14 4, AND CORRECT ICA THE K1,T Of MY 1WVLEW NO INE MIME CITY Of FLKML IIAT RtQVIXEKKIS VILL It 191.
00 OR 91"T DATE
FIELD COPY
CITY 'OF FEDERAL WRY
30530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:4804 SW 33OT[I
NO.: 802950-0390
PROJECT DESCRIPTION:GAS
ROB & CAROLINE SMITH
4804 SW 330TH CT
FEDERAL WAY WA 98023
253-927-8463
{1
t
`
�'�� � �';.�,�
Mechanical
..,���i "' ..,�„ �1, t�
Inspection Requests
250--661.-4140
PERMIT NO: MEC97-0303
ISSUED: 10/21/97
BY: FC2
FEES:
FUEL TYPES.:GAS ?
EXPIRES: 04/1.8/98
�N
LINE AND INSTALL INSERT
LENDER ---- --
=x= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ts,
PROJECT VALUATION
2370
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
Mechanical Permit*
$
GAS PIPING.: 20 ft
HOOD..........:
0
0-3 TON.....: 0
MEC PRMT ISSUANCE...
$
FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 TON...: 0
CONY BURNER: 0
FURN>100K.....:
0
30-50 TON...: 0
BBQ......... 0
MISC...........
0
50+ TON....., 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE. ..... : 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on
Inspection Record: Mechanical Rough -in ________________ Date --------- _.- Gas Piping --------------- Date
MECHANICAL FINAL Date
54.00
20.00
74.00
Hot Water Tank)
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORM N FURNISHED BY/H ISAND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - -- --`----------. __ _...__ _ DATE
FILE COPY
City of Federal Way
33530 First Way South
Federal Way, WA 98003-6210
(253)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL ;#• I T J Single Family[
SITE LOCATION:
Tenant/Owner: rllll� P
A 40L 1 v�E
MEC
Multi -Family ❑
Commercial ❑
Phone:
Z53 ?z 70 56.3
Address/City/State/Zip{: (f O�{ 5r'x'r �p330Tl-( C-7, CC -b 6-"L LA &014, 692-.3
Nature of work: �J � ��' IC 4 SS L Ft'I Project Valuation: S Z3 70 f7��
APPLICANT: l
Name: 6 A1%V1
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: i� ,`L cm 6&'r' SC� / t�11 111/l 1 Gl f 4(Dc
Address/City/St/Zip:
Contact Person: ff &Et'K Phone:(Zs� 545 �7� S Fax:
State L & I Contractor Registration #: -� 112Exp. Date: ( 2
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type ss oth
A7
Gas Dryer
Air Handfing < = 1 0,000cfm
FuelTanks:
Lenoth2.rV
of as
li — 10,000ofm
Above Ground
Furn < 1 OOK BTV's'�
Gaso
Unit Heater
Underaround
FurFurn > 100K BTU's
Fans
Boiler
Miscellaneous
Hood
Boiler
Conv Burner
Duct Work
C TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information furniahed 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 o s to any claim Concluding costs, expenses snd 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 i fficers and employ upon thea curet of the information s
ty.e easy ' f Y applied to the City as a part of this application. '
Qwner/Agent: `��'� �� Date: