97-100679. 1
CITY OF FEDERAL WAY w,, ,,,
30530 First Way South M:(C,F1f"' N.I�;�:��tL., P .���HI h"
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:1068 SW 308TH ST
NO.: 178030-0090
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE REPLACEMENT.
OWNER
JOSEPH MITCHAM
1068 SW 308TH ST
FEDERAL WAY WA 98023
839-2638
CONTRACTOR ========
OWNER IS CONTRACTOR
LENDER
PERMIT NO: MEC97-0074
ISSUED: 02/27/97
BY: FC2
EXPIRES: 02/21/98
sxt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 US
j PROJECT VALUATION
420
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
Mechanical Permit*
$ 22.00
FURN<100K..: 1
-15 HP.....: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ......... O
MISC...........
0
5+ HP........ 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
$ 42.00
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
GAS PIPING OK
Mechanical Inspection Notes:
Date ...... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF IMI WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT Q ' DATE -7/— r� 9 �
--_. 3�1_�_—_--------------------------------------- 7 /—-------
rfLF 17:" *w
CtR1r OF G
FEB 2 7 1997
BunmiNG DIVISION
33530 First Way South.
Federal Way, WA 98003
(206)661-4000
Fax (206) 6614129
(;,TY OF V_eUtKAL WAY APPLICATION FOR MECHANICAL PERMIT
BUILDING DEPT.
19 MECql -a � � y
PARCEL # " " �" ` Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
enan weer SJ e� }� S ;-C I�Ctyy� Phone f'3
Address/City/State/Zip f
r �)
Nature of Work Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip b c,,, e 6 4 C-� w ") t`
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Phone
Fax
Fax
Exp. Date
Fuel Type as/other
Gas Drver
Air Handling
< = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 000c&n
Above Ground
Fum <100K BTUs
K Gas Loiz
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stoves
AIC
DISCLAIMER, I certify, under penalty of perjury, that the information famished 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 (mcluding costs, expenses, and 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 its officers and employees, upon the accuracy of the
information supplied to the city as a pan of this application.
Owner/Agent - Date _1? / `�__� 1�1 7
�Mrcu.Arr
Rrmm 12/11/96
7-)O1)41-79
1 . , o I I Ilt..1', 1 t:40', Pi.kIl I I r)lks: iii_t.9 i -tit.;/A
I i I .....I WA V !;;Citii 11 ME( IIANICAL, PEI ,i11. 1
CederA W.Av., Wri ' U'. BEI 1..1 di fle-I I Fr.-,i>e.c k i(In itecItif>.;ty7., 6,',.1. 41 40 P . 01 i...
l'.'1 : I C. !
(661 • 4000 I , 1)1RE.".--. F' -' 1"1
riDIVI. : 0.),'. ? •,1,1 11) , III ' I
1. / $ 0t,o0
1314.0,3F t I' TA- '.•( 1,), I i'I i 0FI:EIVAC GAS TO GAS FURNACE REPLACEMENT.
_
1 JOSEPH MITCHAM OWNER IS CONTRACTOR
I 1068 SW 308TH SI I
I FEDERAL WAY WA 98023 i
I '
1110-2638
I 4
.., •,- - . ,--
iii CaNIIWC15' `4,,, UbtArl:,„; ' „ 1011P.,'_..., ',. '1 nis skis TAX POW PWOJECIS WITWIN IKE MY Al ftentAt MAY TAX KATE : 8-25 iii
1 PROJECT VALUATION 420 „ FEES:
1 EITEL TYPES.:GAS 1 FANS BO RS -- " , " ... NEC PREll ISSUANCE... $ 20.00
' 1GAS PIPING.: 0 ft HOOD I H . 2 r • . i•reit* $ 22.00
FURNi.100K..: 1 DWI I -.. .. .,'-•-. . '.. 5 ... I sim anis
;
GAS NT • 0 W :," '' • -- - . 30 P..' MIME
CONY BURNER: 0 v 50 P..... I • ..
,, ,a, + „. ,
880 • 0 misc.„.‘4,,,k, -1, - 4001mivi
1 GAS DRYLP..: 0 AIR II441, =,‘Y,',-;
RANGE • 0 (zip,* r:' ' 'W'- , G 8: 0
GAS lOGE...: 0 > 10,0004,41 ,L',..•_. : IERGROPHD.. 0 FOTAL FEES $ 42,00
, .
- e•--:',.4,,xr.x.,........1.T.12.1r.V.....,sa zw.orltsea...."1.1aevtaisa,“ . ...3111.311,===rx.mgr=atisnx.r.er. mtr.a.lx,aamintr+arat.lroc....xnar..n.r.uv.....,......,,,,,.,..-rm.m..z.s.r.,.-..-= =, ° • :maw..
411k—t'h; ;;;;;#;;;;;;;"sie; -
co* -i-n---aPressure P,eduction Device or Check valve? 11 Yes 0 No (If 'Yes" then vater expansion tank is required on Hot Hater lank)
1 Inspection Record Water line OK Mechanical Inspection liotv
I GAS PIPING OK Date Ry
I -
.. .,...;
PERIIIIS EXPIRE 180 DA7S ATIER ISSUANCE IF NO WORK IS STARIEN. RES1011111A1 AND GRADING PERMITS EXPIRE, OR TEM Ailit DAIL Of ISSUANCE.
I CERTIFY lift INFORMATION FURNISHED WY NE IS TRUE AND CORRECT 10 INI. BEST 01 MY KNOWLEDGE AID TIO APPLICABLE CITY Of FEDERAL WAY REOUINENENIS 11111 RE NIT.
—7 1-- : "7
(WISER OR AGIN! Q.0.-.2.jp.. -- 4,er:r;eA -t.:.......___-, DATE - .• <4 , \
_
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FIELD COPY -