97-100781I ,pis. r. ?. t W >; tt )i_: ;
o61 -1u
[If,, 0 J E C 1 DL_ "X U= I E! T 101-4 - Gas pipe inst for qas log.
iit.I7 I Ca l r1�:1 Ir1 r;t'',c' I.. I +nr) 1`o(_v-Ir
;- OWNER CONTFACTOR n.•=�.m�cx��::���.:�:�m.
KEVIN FOGERTY C AND D
1113 SN 348TH Pt 565 RAINIER AVE S SUITE 1100
FEDERAL NAY NA 4802-3 EMON NA 98055-1379
874-4745 17'1-7345 930-5925
CDPLUxt063D9
�q 1 /(r&/
PERMI I No Mf 00 19
BY: Fr."<'
sss COIITRACIyYts, � `w �Krilwk 6. list N At flNG SMEs TAX fOR PROJECTS NIIHIN JUL CITY # F`FKRA. NAY. TAX M11 = 9.25 ns
cc.s:
.......... m�msx �sz:aaxrR-zrsim � c:: a:i s::x•:,:..G '_ "' " '^sx�Cs=Sr_.s'�m:TYCRI3a4«"x asssfroxrmraxr aYr«mm»tseA"..mmar:::::w9rrs:s<axz-: c+cc#xasstasaoxay:
PROJECT VALUATION 900 W, 4 1
111,
FUEL TYPES.:? ? FANS..... 0 Ili,10,11 `[�'"
GAS PIPING.: 30 It HOOD.. I P
fURN�l00K..: 0 TMIC ? 1 ` HP : tt
GAS HNT . O
CONV B1IRHER: 0 FLTIrl 0
fl8fl.. , ...... 0 MISC'. tip.
GAS DRYER..: 0 AIR HA UAII`_ AUT, JAPF 3,.. �-
RAHGE...... : 0 e:10.0 VN: 0 liwt 40ko: 0
GAS LOGS...: 1 10.000 0 I(K0GROUND.: 0
FEES:
M, hanical Permitt 30.00
(AWFIMAKE... S 20.00
TOTAL FEES
S 50.00
. c.r - x-c...,.:s.::cx.:m_:axrr:mx:-scass:mrc.ae..affiacc s.oc+zaii„=rz:« ..,.;=x•ramusaamnusa:meccaarsma:aae.ewse_zxac:ar..ri:-zm,naaem :::erssr,:..r:wmnaau :ger:xeaa:.maer.s:aacx•rc2maxmsses.cnara:earse¢s:.u7:c,:rmrxan.acx:gae:
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If 'Yes” then water expansion tank is required on Hot Mater Tank)
Inspection Record Nater Line OK Mechanical iof'. dotes:
GAS PIPING OK _ 03 1�A
�' NN
_.�c<•:z:z azs:-ss:c-resxrs. :: _;rn :x+x:a«e ass.c�ssss.-sxc zmon:exs:a:z::s..i-aaarrms.aearsracma...ramams..-ae<x::s-:zyss.xr.xr es: az
i`mils EXPIRE 180 Mn
AFTER I ` f If NO NMI I5 SIARIED. RESIKNTIAL M Gi�1NG 140113 EXPIRE OW YLt _ O1 AFTER PAT( ISMWI.
I CERTIFY INE INf I 190 BY Nt IS TRt AND CORRECT TO THE PEST Of NY KNKFM AND THE APPLICABLL CITY Of FEDIRAI. NAY RIOUIRM.IIT!, HILI 81 NI 1.
OWNER OR AGENT
s
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:1113 SW 348TH PL
NO.: 542242-0600
PROJECT DESCRIPTION: Gas pipe inst for gas log.
OWNER
KEVIN FOGERTY
1113 SW 348TH PL
FEDERAL WAY WA 98023
874-4745
11
Building Inspection Requests 661-4„140
= CONTRACTOR
C AND D
565 RAINIER AVE S SUITE C100
RENTON WA 98055-1379
772-7345 930-5925
CDPLU$*063D9
LENDER.
PERMIT NO: MEC97-0079
ISSUED: 03/05/97
BY: FC2
EXPIRES: 02/27/98
Sts
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY
OF FEDERAL NAY. TAX RATE
= 8.25
#_s
PROJECT VALUATION
900
FEES:
FUEL TYPES.:? ?
FANS..........:
0
BOILERS/COMPRESSORS
Mechanical Permit*
$
30.00 f
GAS PIPING.: 30 ft
HOOD..........:
0
0-3 HP......; 0
NEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
GAS NWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K......
0
30-50 HP..... 0
BBQ.. • 0
MISC..
0
5+ HP.. 0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
S
50.00
f
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 AFTER IS NCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE IMF 0 F ISH BY ME IS TRU AMD CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILI BE NET.
OWNER OR AGENT
-------------- ------------------------------------------------ DATE (;n�------
WILF 30PY
Cr;0F G
VV AY
,:,— c
APPLICATION FOUR MECHANICAL PERMIT
Ub
PARCEL #
SITE LOCATIO
Tenant/Owner
Address/City/State/Zip
Nature of Work CL
r\ —
V
BummNG DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 661 A 129
GITY OF FEUeHAL vv AY MEC C� I -� V G I
BUILDING DEPT -
Single Family ❑ Multi -Family ❑ Commercial ❑
Phone �- g2�Zs
�,�i✓ , ��-LL��� � /AA 6�)� Gad�i>� Cv� 2 0
, �— Project Valuation: $
APPAN � n\
Name tv� to i,�t „Lt, - 4�1�t ti I
Address/City/St/7i. n.t is o �yu" N
Contact PersonLPhone 1 r�`�� ��� �F 50
MECHANICAL CONTRACTOR
Company Name 1•ti �• u t > t ���.w, • ' �F, DLt,eL v C, t �� �,
Address/City/St/Zi ti • (AUC, N - l
n toklnn ,n vl 7 1'h' 1 -2�{� CLAL
Contact Person '�` Phone
State L & I Contractor Registration # 1 �-� �� G Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
1 , Range
Air Handling > = 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
Conv Burner
Duct Work
A/C TONS
Other
i J
Wood Stoves
A/C TONS
. .
DISCLAIMER: I ce[tify, un of per' , that th 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 pemilt appfication I Earths ce to sa a harmless the City of Fed9ral Way u to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, inclu eldersigrr d, an6. d fil ' t the City of Fed—I 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 ci as part of app ti
ayiOwner/Agent Date U
Maca.App
Ravrsm 12/11/96