97-100058(.1ry Of FEDERAI- WF)y
,K-1533.1 First Way Sou tli t1:11 C. C 1-1 VN H 11 C. e1i 11— f I 'IT'
fe(Jer�al W,-iy, Wo 9800:1 661 -4141.1
661--4000
(M '_1' W
NO.: 178870-031()
PRO3 EC T I)ESCR I P 110N.- OVA( - INSIAt 1. 111PRAWAC SY01111 WASSOCIAILD DUCTING Alft, PIPING.
OWNER
INC HEOVELL
306241 801 AVE SW
FEDERAL WAY WA 98023
941-9105
offwfw,;�. Oak[ ist],
q 7 -106 OSV
I'Lli.1111 V11U. HU -C97-0003
F C 2
CONTRAMR....... LENDER ..........
(MPLfIf HATING & A/(
15952 ISE 17610 Pt
RLA10H WA 98058-91141
mkm�
INC M6 TAY I -M. 11031CIS 9111IN Ilt MY Of IE IMI NAY. IAX RAIL 8.25 zar
3r
PROJEU VALUATION 6377 ;wQ wN-
FUEL TYPIS.:GAS ? FANS. ........ , 81
GAS PIPING.* 3 ft HOOD,
FURVIOU..: 0
GAS HWT .... : 0 -3 lip ....
0 fu 0 H
CORY BURNER:
BB0 ........ : 0 "IS(.
GAS MYER.. 0 AIR HA I AN
RANGE......: 0 <:10 0 V( GROUND: 0
GAS LOGS...: 0 10:000 0 UNDERGROUND. 0
Does the water supply system contain a Pressure Reduction Devi- PAo
FEES:
20.00
*I'll i it termits S 90.00
19
(OfAt FEES 110.00
r 00 valve? f I Yes (1) No (if *Yes" then water expansion tar required on t Water lank) I
Inspection Record Water Line OK mechanical pectin
GAS PIPING OF Date
111FROUS MINI. ILI) DAYS M 11.11 ISSWINU 11 M) VORI IS "#'It*ItD- Rt'491.111 IAL ARE, GRADING PERMITS EXPIRE to. YLAR AHLY Dfilt 91 IMPI(t.
I (EKIII-T IM INfORMA111011 ffjgdlli" "tf tit is laul. ANO ((MRFCI 10 Ia BfSI of III antfou AND in Apptioat MY Of MUM 40 HU,,'0191,111IS Will 01 11(f.
OWNER OR AGLNJ
PAlt 1?15; �
FIELD COPY
3-11-1
111FROUS MINI. ILI) DAYS M 11.11 ISSWINU 11 M) VORI IS "#'It*ItD- Rt'491.111 IAL ARE, GRADING PERMITS EXPIRE to. YLAR AHLY Dfilt 91 IMPI(t.
I (EKIII-T IM INfORMA111011 ffjgdlli" "tf tit is laul. ANO ((MRFCI 10 Ia BfSI of III antfou AND in Apptioat MY Of MUM 40 HU,,'0191,111IS Will 01 11(f.
OWNER OR AGLNJ
PAlt 1?15; �
FIELD COPY
t
r�
CITY OF FEDERAL. WAY
35530 First Way South
Federal Way, WA 980013
661-4000
ADDRESS:306 2 8'FF1 AVE
NO.: 178870-0310
PROJECT DESCRIPTION -.HVA(
i- OWNER
( DOUG BEDWELL
( 30622 8TH AVE SW
I FEDERAL WAY WA 98023
d 941-9105
i
1 - �
PERMIT N0: MEC97-0003
t1l E. Mw", r el I„ ihA ". M P,,:� .,1,. „� S S S U E D : 01/03/97
13uildirig :Tr)spectior') Requests 661-4140 I3Y: FC2
EXPIRES: 12/28/97
SW
- INSTALL FURNACE/AC SYSTEM W/ASSOCIATED DUCTING AND PIPING.
CONTRACTOR
COMPLETE HEATING & A/C
15952 SE 116TH PL
RENTON WA 98058-9112
854-2007
COMPLHAO55ME
LENDER
ttt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL RAY. TAX RATE : 8.25 ttt
PROJECT VALUATION
6377
FEES: i
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS(COMPRESSORS { MEC PRMT ISSUANCE... $ 20.00
i GAS PIPING.: 3 ft
HOOD..........:
0
0-3 HP......: 1 Mechanical Permit* $ 90.00
FURN<100K..: 0
DUCT WORK.....;
1
3-1� HP.....: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP..,,: 0
CONV BURNER: 0
F1JRN>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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve? ()
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
Yes () No (If "Yes" then water expansion
GAS PIPING OK ----------- Date .._.._._... BY-.._._..--------.---------------------------------------.._..
EES $ 110.00 {
tank is required on Hot Water Tank)
PERMITS EXPIRL 180 DAYS AFTER ISSUANCE R NO WORK IS STARTED. RESIDLNIIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISH 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 AGENT _ DATE
FILE COPY
BUILDING DIVISION
33530 First Way Soutk
Federal Way, WA 98003
(206) 6614000
Fax(206)661-4129
JAN 0 3 19q`t
APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL vvA1
BUILDING DEPT.
MEC
PARCEL #171�-7Single Family G� Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner I M U G B E 0 ti E L L Phone
Address/City/State/Zip 3 "(, z Z S" 1\! z; s- a. . I A 1
Nature of Work 'etA2At.4cs A -Ain oouc.r syr,-z;m— A,R 7 /,mac Project Valuation:$
APPLICANT
Name Mg / NL IL) 4,J? c �nvo, r, v.J. ✓�
Address/City/St/Zip i _'W, z -51 &- / 7 I , .5— PS C7_D V' U 0 9 !� s
Contact Person 77111 -)+r_ Phone 95y- -2-aa-7 Fax 09-y- /s7 S
MECHANICAL CONTRACTOR
Company Name = APFLtcR^rT
Address/City/St/Zip
Contact Person Phone Fax
State L & I Contractor Registration # 4 A v S Exp. Date zz y / 92
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other <,
Gas Dryer
Air Handling < = 10 000cfin
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Futn <100K BTUs i
Gas Log
Unit Heater
Underground
Furn. >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
I Other
Conv Burner
Duct Work
A/C TONS
er
Wood Stoves
A/C
jj:
DISCLAIMER: I catiry, under penalty of perjury, that the information fumished by me is hue 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 (including 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 Fedenry 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 A.--
Mecrr.Are
Rin m 12/11/96
70
Date
i7