97-100904I
:T. *0 r-1 "(11ji 11 MEC
14c; )".A it 1 1 1-;kii I il i iiq f t)c"r�P( t:-icm ("61 41.40
J0
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NO 06,2104 --911,-1
1'T 01f E C T 1)FF,-C-'R I P T ION: replace existing gas furnace
OWNER. -- ......
JEFFIPEY CARROLL
Ill SW 101
FEDERAL WAY WA
tit
COMIRMOR --BAR=--= Y:>7, ---1. —=- -
AFFORDABLE GAS SERVI(f
12455 220D AVE HE
SEATTLE RA 98125
206-367-5333
9 1 o0q64-
FERMI I No: MLL'i 1
"t
EXF)IRE�: (T,'/0"/"'
NG ';ALIS TAX FOR PNOJKIS 111111111 1111 CITY 01 I'MRAI. WAY. TAX RAIZ - 8.75 tit
-'n_1. , � ..... ....... ... Z— ... ....... ....
PROJECT VALUATION 1731 R FEES:
FUEL TYPES.:;AS ? FANS ......... 0 BO RS rmits 1 48.00
GAS PIPING.: 0 ft HOOD. N ... 1 ... 20.00
FUM 100K..; I D 5 ...
...
011V BURNER: 0 F
no ........ 0 m
MYEN.. 0 A RAN HK
RANGE ...... 0 (10, VE GROUND: 0
GA' LOBS...; 0 > 10.000 0 UNDERGROUND.: 0 TOTAL MS
.................
Does the watNr suppIv s,,Istev contain a Pressure Reduction Device or (heck valve? Yes No (If 'Yes* then water expansion tank P, requi W
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
IIIIIIIIS EXP(Pf 1811 DAYS Al (ER IMAII(r if 10 MI IS StAR110. RI'SIDEVIIAL AND GRADING MIIIIS [PIKE ONE YtAd MIEN LATE Of MI -011(t.
I (FRIlly INt INIOR"AlION tKNISNto BY "t 1,�-,JRUI: AND CORRECT 10 ME DUST et NY KNW[0G1- AD TK APP 10911 (Iff * FEKIAL MAY RIQUINMNIS WILL K "tI.
100 4 DATE
FIELD COPY
SETBACKS &'FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBINGGROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date py
MECHANICAL (OTHER) 2,
Date By '
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
y
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:111 SW 301ST ST
NO.: 062104-9113
PROJECT DESCRIPTION: replace existing gas furnace
OWNER
JEFFEREY CARROLL
111 SW 301
FEDERAL WAY WA
946-8540
CONTRACTOR
AFFORDABLE GAS SERVICE
12955 22ND AVE NE
SEATTLE WA 98125
206-367-5333
AFFORGS072DS
PERMIT NO: MEC97-0091
ISSUED: 03/14/97
BY: FC2
EXPIRES: 09/09/97
LENDER
tst CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 sts
cess==c-c=s=scccss====scssc=ssxcssssssssssssssssscssscscs=c=s=sss==sssscc=sscs=ss=c==sssssss=sssssssssssc===ssss=s===ccc==ccs====-=scccs=
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
1731
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>IOOK.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
Mechanical Permit* $ 48.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES $ 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 Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK .......... Date ______ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY MEI TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _ _ - DATE
Back 1O 7
---------------------------------------------
FILE COPY
COMMUNITY DE DEVELOPMENT MT DEPARTMENT
BY
IXTY OF ��
W"'>A o BAR 14 1997
PARCEL #
APPLICATION FOR MECHANICAL PERMIT
SITE LOCATION
Tenant/Owner J �� C
BUILDING DrI MON
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 661-4129
MEC q 7 - CSO
Single Family �� Multi -Family ❑ Commercial ❑
Phone
CJ � - cY S yc'
Address/City/State/Zip S w 30 ( .9 c5/ll
Nature of Work l S u Q �; S iJ r vi a rx Project Valuation: $ 3 I Z v
APPLICANT
Name
Address/City/St/Zip/ z 9 5 S ` Z 4— .Ui= - c u' // 0
Contact Person � ��f ;? S Phone -?o6 3 6 7 - S 3 3 -S Fax
MECHANICAL CONTRACTOR
Company Name _ I ' 2�4 rJ i Le
Address/City/St/Zip � y LS- Z 2 /, = S. -e <, 'T/ (t � C.�ir
Contact Person / '!Z / �r—#"Os Phone '06 -3,6? 3 3 Fax
State L & I Contractor Registration # df -E S 7 2 DS Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin
< = 10 000cfrn
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 000cfrn
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Under ound
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler
BTU/H
Other
Conv Bumer
Duct Work
A/C
TONS
Other
DISCLAIMER I certify, under penalty of perjury, that the information fiunished by me is true and torted to the beat of my knowledge and finther 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, wrpaues, and attorneys' fen insured 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 //)4 -Date
MecaAPP
Revrsm 12111/96
I