97-104527CITY OF FFOURAL WFIY
3'3530 First Way South 14F_X__11MH,1qCML
Fe,le.ral Way, WF') 9800'3 t1k_--harii c:,il two pt.�i( f i0ri
253-661-4000
f)DI)RESS:34413 25T[i SW
140.: 011470-0020
PROJECT DES CRIPTION :HVAC - INSTALLING GAS FURNACE, NWT AND GAS PIPE.
.............
BRIAK tffi[Y
34413 25TH AVE So
FEDERAL WAY WA 98023
M (0111PACItZ, MASE USZ L(KA1101 (ON 1713? WN PEn'TING SALES Ittx JOR PROJLCII
,; MITNIS TME (I ty 01 FIDLPA NAY.
-•u...
(','Ji sin
iV'A'''�..... '*"' ....... 00............ ''' '" "' 4 s - — ------- m
IPPCVALUATION 3500FEES:
fU(L TYPES.:GAS ? FA1IS_..._.: 0 RO I LEI, 11COMPRCISSORIS NEC PRIJ ISCIU40(t...
GAS PIPING.: 25 ft HOOD........... 0 0-3 TO". _.: 0 "1 PeFoitt
1 DUCT woke... 0 ,-15 TON—.: 0
6111 Hof....: I WOOD 510vP', 0 15-311 P.1-1, , : 0
(OHV "NCR: 0 rup.11400t... 0 210.50 twl ...
BRQ ........ : 0 111 i......, 0 501 !ON ......
bAS DRYER..: 0 AIR HAND1114!' 401T`: FUR TARI'S
10,000 (im. 0 ABOVE GROUND: 0
GAS LOGS...: 0 ) 10,000 CFM: 0 IINDERGROUND.: 0 TOTAL TEES
97 IOK-'l7
PERMIT NO: MEC97-677
ISS(JUD: 12/10/97
BY: KLC
EXPIRES: 06/15/98
TAX RATE : 8.25 ns
29.00
63.00
S 83.00
.: ...... . A- ......... -01-6 .......... 0-_ z .........
Does the nater supply system contain a Pressure Reduction Device or Check valve? Yes He (If *Yes* then water expansion tank is required on Not Water lank)
Inspection Record: ?,echanical Rough -in Date -1 -1 Gas Piping .... .. -------- ..... Date .1
KCHANIVAL FINAL Date
. .......... .... 0.4 .... ...
FFINITS CIPIRL 180 DAYS Atilt ISSUANCE It' NO MORK IS SlAkIM'
I CERTIFY 1K INFOM1101 fURNIS1110 BY "t is TRUE AND (opt 0 TO 01L*S�T; NY EDGE AD 111L APPLI(AILL CITY Of RKM MAY 11QUIRENINIS VltL K NI I
OWNER 1, AGENT DATE
FIELD COPY
- Y
CITY OF FEDERAL WAY
33530 F= i r"s t Way South 11"1 �':'�; 4,.. 1-1 KI P4 X M..:'.` el L
Federal Way, WA 98000 Mechanical Inspection Requests 253-661--+140
253-661-4000
ADDRESS : 34413 25T FI AVE SW
NO.: 011470-0020
PROJECT DESCRIPTION :HVAC - INSTALLING GAS FURNACE, HWT AND GAS PIPE.
OWNER
BRIAN KELLEY
34413 25TH AVE SW
FEDERAL WAY WA 98023
"UNTRACTOK
LENDER
C
PERMIT NO: MEC97-0377
ISSUED: 12/18/97
BY: Kl._C
EXPIRES: 06/15/98
rt; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL NAY. TAX RATE : 8.25 :xi
PROJECT VALUATION 3500 FEES:
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD..........: 0 0-3 TON.....: 0 Mechanical Permit* $ 63.00
FURN<100K..: 1
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....:
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES
$ 83.00
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: Mechanical Rough -in
MECHANICAL FINAL
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORT
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUI
OWNER OR AGENT
Date --------- Gas Piping --------------- Date
Date
AND THE APPLICABLE CITY OF DERAL WAY REQUIREMENTS WILL BE MET.
�4
DATE
FILE COPY
crry OF `_
�Y
RECF v;=r1
APPLICATION FOR, MECHANICAL PERMIT
GI I Y ui- 1'cUCHAL WAY MEC
BUILDING DEPT.
PARCEL'v c' 0 � �} Single Family -I Multi -Family ❑
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Commercial ❑
SITE LOCATION
Tenant/Owner Ye f L ( Phone (� > c
Address/City/State/Zip �4 `i AQ�,
Nature of Work S:
APPLICANT
Name
Address/City/St/Zip
Contact Person —
! r ,c H
MECHANICAL CONTRACTOR
Phone
Project Valuation: $ J(4 -qa
Fax
Company Name Z11111LA2) �5✓e ��� T
Address/City/St/Zip ZOO – G �] l LT S
Contact PersonLa� Phone `Z � / � 6 Fax
State L &I Contractor Registration #� �� �• t-t� «-' �'– Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type they
Gas Drver
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Hood
Boiler BTU/H
Other
LC.nBurner
Duct Work
A/C TONS
Other
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the 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 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 part of this application.
Owner/Agent
Mrcr.Are
Revrs® 8/26/97
DateKf2 f , /!� e--� / - . -