97-104088CITY OF FEDERAL WRY
.23580 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:29017 23RD PL S
NO.: 422250•-0310
PROJECT DESCRIPTION:
G/G change out of WH
OWNER
MIHAIL BABURKIN
29017 23RD PL S
FEDERAL WAY WA 98003
253-539-0377
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<1O0K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Mechanical Inspection Requests 2.59--661--4140
----------=====z= CONTRACTOR
OWNER IS CONTRACTOR
==i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CI'
200
GAS FANS..........: 0 BOILERS/COMPRESSORS
ft HOOD..........: 0 0-3 TON.....: 0
DUCT WORK.....: 0 3-15 TON....: 0
WOOD STOVES...: 0 15-30 TON...: 0
FURN;1OOK.....: 0 30-50 TON...: 0
MISC..........: 0 50+ TON.....: 0
AIR HANDLING UNITS FUEL TANKS ---------
<:10,000 CFM: 0 ABOVE GROUND: 0
> 10,00 CFM: 0 UNDERGROUND.: 0
LENDER
PERMIT NO: MEC97-0326
ISSUED: 11/05/97
BY: FC
EXPIRES: 05/03/98
fY OF FEDERAL WAY. TAX RATE : 8.25 **_
FEES:
Mechanical Permit* $ 22
MEC PRMT ISSUANCE... $ 20
TOTAL FEES $ 42
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 Wdler ld[IK)
i
Inspection Record: Mechanical Rough -in ________________ Date ---------- Gas Piping ------------------ Date _
F
6
MECHANICAL FINAL Date
PERMITS EXPIRE
180 DAYS AFTER
ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE
INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
T
OWNER OR AGENT
si
�%
"
DATE
FILE COPY
t ��IF
r7 i RFC;EIvF—o
N®y Q 5 07
PARCEL #
SITE LOCATION
APPLICATION,EM10AHANICAL PERMIT
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MECC�� - ��2�
Single Family ❑ Multi -Family ❑ Commercial ❑
Tenant/Owner c, �'� �a' �' v Ar X/ Fes' Phone J 1 � -0 b T 7
Address/City/State/Zip ;yam/7 "Z�``�'` S reele
Nature of Work e �� ���� Project Valuation: $ � D�
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name C (-.,) n (� lL C o N -t F—C, c- I.
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone Fax
Phone
Fax
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handlin <
= 10 000cfrn
Fuel Tanks:
Length of as piping
Range
Air Handling >
= 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stove-,
A/C
TONS
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 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
inforrnation supplied to the city as a part of this application.
j✓V
Owner/Agent
Mrcu.Are
RE n m 8/26/97
/7
Date
M
X
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-
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(61 '0,ll 11) ,:;4'• ' P ' ' t ' • ,. .
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flu. :: / "2',() -11,1(r)
pRoji, I i)iL P 1 Pf Toff,:
f'SG change out of ON
r•-
1 MIHAIL BABliF,KIN OWNER IS CONTRACTOR
4R723RDYPLAS
ALWAH98003 -
_ 1
1
253-539-0377
*------- 1
cr's CONTRACINS, rim USE TOR f TOW itof 1.1, 101111 RIPORTIK '1,111.1S TAX FOR PROJECTS Willi. TUE (III Of FERMI Y. TAX KAir - 0.7S ris
PROJECT VALUATION 200 FEES:
FUEL TYPES.:GAS f,AS FANS..........; n .,!,ti,., ( „,,,,.. , 4( ffectianital ftrAill $ 22.00 i
GAS PIPING.: 0 ft HOOD.......-... - n J3 ,01 , : 0 \ * '" MEC PM11 ISSU(,! : , $ 20.00
.
I TURIT<100t..: 0 DUCT wortr,.. 0 3,1,5 Mi. ' ft
1 GAS Hill....; 1 WOOD-tilt** .: I10 TO F _; 0 ,,,, ----
-,:-
1 CONV BURNETtr 0 FURP'1001,—‘,.* 0 30-"j I-JA,..,. 0
1 Be0........: 0 BIS( ,1 0 tOt,/ON ' 0
41,- _, •to,!*•• — i
GAS DRYER..: 0 AIR HANDtin UNIIS ‘.4'" runIARS----------
RANGE o e:10,000 CM*, 0 -, ABOVE GROUND: 0
LOGS...: 0 ' 10,000 ON: 0 UNDERGROUND.: 0 TOTAL ILES $ 42.00
I Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is reglired on Hot Water Tank)
I
I Inspection Record: Mechanical Rim- in P l• Cas Piping Date
MECHANICAL VIRAL
PERNI1S EXPIRE 180 DOTS AfIER ISSUAIKE If NO NM IS STAitIER.
I fltlItY THE INfORNA11011 11411111EN V NI IS (kill ARP CORRECT '0 INE NEST 01 NY KNONIEOGI AND INF OPPLICIIIIII CITY Of FEDERAL PAY REOVIRENINIS WILL Ni PEI.
/
'(<\\ CC\1/411
OW NEf OP AGENT / ' ,,ri
. ._ ,
FIELD COPY