97-1045224: 1-44. 1i
CfTY OF 1`Fr)Ew4L. WAY
a530 Way South
rederal Way, WA 98003 tl(?(:- hat 6 Ewe pe(,H-on
253-661-4000
ADDRESS: X0121 1-2fli oVE !'W
NO : 515320-0346
PROJECT DESCRIPTION:0110 FUPHWE CHANCE "I
OWNER....... .......
BRUCE STOPPER
30121 11TH AVE SW
FFN.*RAL WAY NA 98023
its CONIRWIORS, PLEASE ust I'OCA
PROJECT VALUATION 11868
PERMIT NO: MLI -91-0378
llj'S(JLD: 12/17/97
f3y., FC
EXPIRLS: 136/14/98
LENDER ......... .......
OX CONTRACTING
1001 S 31210 ST, SUITE 1131t
f EDE'kAl WAY VA %003
839-64113
I (00t 17r, SCII REM[ING SALTS IkX H* 11WEQS 11114111 THE CITY Of FtKRAI MAY. TAX RATE = 0.25 W
FOR TYPES.:OIL OIL FANS...... ..: 0 nechanical Permit* $ 61.00
GAS PIPING.: 0 ft. HOOP- ......... 0-3 14, OL( PRIII ISSUANCE,.. $ 20.00
FURK/100r..: I pili, V(wv. -14. ION ... 0
GAS OWT .... : 0 11001" 15-10 10! ... 0 1
(ONV OWNER:
0
o
;:d So 0
8BQ... .... :
0
MIS1.. 0
504 TOO ...... 0
GAS RYEE..:
0
AIR HA0tlllt� IIT`',
FUEL, TPHIFS—
RhNG[ .......
0
:-10'00] f'th: 0
ABOVE 400111): 0
GAS
0
' 10,000 i, 11"', 0
UNDERGROUND.: 0
TOTAL fEFS S 83.00
Does the vatpr supply system contain a Pressure Reduction Device or Check valve? Yes No (If '4s* then Yater expansion tank is required on Oct Water lank)
Inspection Record: Mechanical Rough -in ... Dite Gas Piping Date
MECHANICAL FINAL Date
ptltflflS EXPIRE ISO DAYS AFTER ISIAWE if M) k4K Is STARTER.
I CLKIAFY 191. INFORNA11011 FUIRRISate 9Y III Is ]ROL ND CORRECT TO HF KSI Of W HWEDGI. AMD IN APPLICABLE CITY Of FINIAL MAY KIVIRtNEVIS MILL K Nil.
OWNH OR AGENT
FIELD COPY
T
CITY OF FEDERAL WAYPERMIT NO: MEC97-0378
33 530 F i r -s t Way s o u t i -t �'�� ��': �;�, � „� �.,. C �'" � ::,�. M; Y"� �,,,. � �;:�: �'+' � ���f ::� .,,�.,,. ISSUED: 12/17/97
Federal Way, WA 98003 Mecham _ al InstDecticn Requests 253-661-4140 BY. FC
253-661--4000 EXPIRES: 06/14/98
ADDRESS:30121 12TFI AVE SW
NO.: 515320-0.346
PROJECT DESCRIPTION:O/O FURNACE CHANGE OUT
p= OWNERCONTRACTOR=__:____=_=_________=____=____________=====s= LENDER
BRUCE STOPPER OX CONTRACTING
` 30121 12TH AVE SW 1002 S 312TH ST, SUITE 1134 `
I FEDERAL WAY WA 98023 ! FEDERAL WAY WA 98003
I
253-946-8742 I 839-6403 I
OXCON**044DH
=i= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 US
PROJECT VALUATION
FUEL TYPES.:OIL OIL
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
2868
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 TON.....: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.:
rFF�•
call Permit* $ 63.00
T ISSUANCE... $ 20.00
$ 83.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes O No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in --------------- Date ---------- Gas Piping ________________ Date
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.
OWNER OR AGEN'f__---------------------------------------------------- .. DATE / _ , ." f 7
FILE COPY
7�City of Federal Way 1-2Z
ciry ofd 33530 First Way South
® �C Federal Way, WA 98003 A^r G�
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT
VkD
l s 3 .moo o 4&
PARCEL �•
Single Family DEqultiXa"0 Commercial E)
C11 Y t.,j-
BufLD1Nj.. _
SITE LOCATION: C'UlEPT A�`
Tenan Owner. f rlu cC_- ��a L' Phone: � `� 7 2
Address/City/State/Zip:
Nature of work: ►" �_LA L,4 - � L �m0 lie 1 ni �14-- rProje t Valuation: $
APPLICANT:
Narne:
Address/City/St/Zip:
Contact Person: —
MECHANICAL CONTRACTOR:
Company Name:
341
Phone:
S
Fax:
Address/City/St/Zip: / / / k. /"Ir / A// CA
Contact Person: —Phone: / "� 7 SFax: -�✓
State L & I Contractor Registration #: S S 06, j Exp. Date: f�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfnm
Above Ground
Furn <1o0K BTU's
1 Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me is true and correct to the beat of my knowledge and further that 1 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 coats, expenses and attorneys' fees
incurred in investigation and defense of such claiml, 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 tfe City. Including Its offic?rs and employees, upon the accuracy of the information supplied to the City as a part of this application. -
/Y~ �
f r,. 7
Owner/Agent. c Date: <` 7/