97-100849I N' 01', F EDFRAL. WAY
33530 First Way Soutfi
Federal Way, WA 14800.3
661-4000
n[)D14ES,S:3305 SW 32711-1 r' I
t4O. : 951090-0170
PROJFCT DU-;CR1P'l-10N:6-G FIRE INSERT REPLACE
OWNER axmsxax:asxsaam
GLORIA BAGNUK
3305 SW 3271H Sl
FEDERAL WAY WA 98023
2810
its
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 60 ft
FURN100t..: 0
GAS HVI .... : 0
(ONV BURNIP: 0"-
DBO ........ : 0
GAS DRYLP..: 0
RANGE...,..: 0
GAS LOGS—: I
765
BO RS
HOOD,
HC-:Ct114141-(-'r4L PERMIT
Bu i I (J i r)q .1, tr-7,pe -c tion R e(:l Lie E. ts 66.1 - 41 4 0
COMPACTOR......... = ....... =-- ....... i—em .......
OWNER IS CONTRACTOR
Id
AIR HANULI#G �1*14'11WMKV
:10'00011011, -1 "T., AMV( GROUND, 0
10.000 Cl 0 UNDERGROUND.: 0
LENDER
( q /cc 05
PFRMII HU. MEC97--0084
: 0,3/11 1/9
FtY : FC2
LXPIRES: 09/06/91
NG SALES TAX fog PMECIS VITNIN IK city of FENM NAY. TAX RATE : 8.25 M
9� ....... =. ..... ........ .... . ........ .......... .
FEES:
rait, $ 28.00
AKE... S 20.00
TOTAL FEES S 48.00
............. ......... " ......-...... - �x =
... .
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes () No (if *Yes" then water expansion tank is required on Not Water lank)
Inspection Record Water Line 00' Mechanical Inspection Noter,
GAS PIPING OK
FERMIS tIMPI 180 DAYS AMR ISSIMM If 00 VM TARTER. NItAi A49 GRADING PIRMIS EXPIRE ONE YEAR AFTER §Aft Of ISSUANCE.
I CERTIFY IM MORHAIION [URNISNID NY NF IS I AND C 91 -ST ttF MY KWMEKI AD IM APPLICARE CITY Of f[BIRAL WAY RE4VIRENUNTS VI1t N NET.
qWNfR OF AGENT DATE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:3305 SW 327TH ST
NO.: 951090-0170
PROJECT DESCRIPTION : G -G FIRE INSERT REPLACE
= OWNER
GLORIA BAGNUK
3305 SW 327TH ST
FEDERAL WAY WA 98023
661-2810
Building Inspection Requests 661.-4140
CONTRACTOR ========
OWNER IS CONTRACTOR
LENDER
PERMIT NO: MEC97-0084
ISSUED: 03/11/97
BY: FC2
EXPIRES: 09/06/97
-----------------------------------------------------------------------------------------------------------------------------------------
t:: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 s;x
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 60 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 1
765
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 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* $ 28.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES $ 48.00
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)
I Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK JS -
'I CERTIFY THE INFORMATION FURNISHED BY ME IS TW AND
OWNER OR AGENT
ID GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE MET.
--------------- DATE
FILE COPY
CRY of G
tN)
FAOE�=�
MpR 1 11991
APPLICATION FOR MECHANICAL PERMIT
MEC
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
008
PARCEL # f Single Familv"'" Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner C'A LO � 114y Phone
fi n� (Q 1� Phone U
Address/City/State/Zip 1-2�� �%�A�I I Z�
Nature of Work (�l ` L� ELI � t rz� ��%� C R c Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Fax
Address/City/St/Zip Z '10L CO/Yy� ql q � q
Contact Person '�{ M 6 \ �� Phone ` 9 q L `46 � Fax
State L & I Contractor Registration # -A 0 � - W H 1 r< _ Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other L
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER i certify, under penalty of perjury, that the information famished by me is true and correct to the beat 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 fruther agree to save harrnless the City of Federal Way as to any claim ding costs, expenses, and attorneys' fees mcrured n mvestigation 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 wh ch claim arises out ere a 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 Date
M= -APP
REvrsm 12/11/96