97-102660CITY Of' Wt)Y
0 F i I-st Ww lmjf,tl
"Fede�r'.-Al Wow , WA 98M1
661-4000
ADMF'3S:X4608 I
NO. - 'Z)%5700 OPt)
M1,0JECT MSXRIPT WATER Milk A TO G
M C'IC V I P'l Pf I 1C F4 L. C rN M I "Ir
Li Li 14I'l 4140
97 /NW)
VrRMIT t4t): MU C97 -021/
OWNER:: ,1P....... .» :- , ... (OKIRKTOR UNDID
PAIRICIA HCHANK OWNER IS CONIPA(TOR
31608 26TH (I SW
FIDI'M WAY WA 98023
CONINACTOR111, PI EASE Ust MASMES JAX ;M PROJEUS 911011 INt MY 14 MUM NAY. ffif Itfilt = 8.75
PROJECT VALUATION 329
fUEL IYP[3,:GAS GAS I A
W1111 P, �)Mpffs,.Q( titchall C 4ersit,
K . . . ��. . .�. ' I
How, -,A�4* ' �",
ip.
6AS PIPAING.: 0 ft l 0 IK PRAI ISSUANCE. S -0. 00
D NOW
KI
GAS NWT....: I W06,111 ST
0
(OKV 8UPHER: 0 FUkN>2g0A
311 A tj
080 0 hISC
GAS DRYER—: 0 AIR ilA'N' D*L' 4411
0MIt GR0110: 0
RANGE ... _.: 0 1:10,000 0
GAS 0 10,000 (F": 0 110000IMP.: 0 TOTAL MS
Does the eater supply systee contain a Pwsure 1'4j(tion Device or Check valve? Yes No ill "Yes' the vatpr el,'paiisioo tank is required on Hot Water lank)
Inspection Record Water Line Or herhanical Inspe(tion Notes:
GAS PIPING 0I7?-2-'?—WUDate Rj r?, Z)L,
IP(ANIIS EXPIRE 100 DAYS AMA ISSUAIKI 4 No MINK M STARI(g. RES11)(AIIA1. AN MOM.; Ptltellfs txPIR[ ONE YEAR AIM? Imit Of f5,SUAKl`.
I CERTIFY THE IWORMIION 109NIM NY "t IS 101111. 6111) (MRICT 10 IN[ #EST OF NY MMUKI AND 181 APPI-1CA111 MV Of 10TRAI RAY MOMMMIS V.0 BE htl.
OWNER OP Af,
FIELD COPY F ;,-4
CITY OF FEDERAL.. WAY
33.530 First Way South
Federal Way, WA 98003
661--4000
ADDRESS:336O8 26TH CT SW
NO.: 255700-0850
PROJECT DESCRIPTION -NEW WATER HEATER -G TO G
i= OWNER
PATRICIA MCMANUS
9 33608 26TH CT SW
I FEDERAL WAY WA 98023
838-2455
IPl4i i :'G;,;;;: IP 11,1111 1P,111J." .: 7�"fr IP_. 1" I IM, 1141r' "T"
13uilclinq Inspection Requests 661-4140
CONTRACTOR
OWNER IS CONTRACTOR
LENDER
PERMIT NO: MEC97-0217
ISSUED: 07/21/97
BY: FC
EXPIRES: 01/16/98
t
sss CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PR0JECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 sss
PROJECT VALUATION 329
FUEL TYPES.:GAS GAS
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
GAS NWT....:
1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
O
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ By ------ ----------------------------
nical Permit* $ 22.00
RMT ISSUANCE... $ 20.00
e
} i
E
6 P
TOTAL FEES $ 42.00 r
"Yes" then water expansion tank is required on Hot Water Tank)
s
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFOR N 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 AGENT _ ------------ 11 ---_--------_.- DATE—_�,(.-___
FILE COPY
le
PARCEL #:
SITE LOCATION:
City of Federal Way
RIF, 33530 First Way South
.� Federal Way, WA 98003-6210
(253)661-4000/6 ► - `] I Z j
AP W VON
t40
FOR MECHANICAL PERMIT
Single Family -[J Multi -Family ❑ Commercial ❑
Tenant/Owner: — 120L i c f /12C �2�t IZGU Phone:
Address/City/State/Zip:
Nature of work: i ,, Project Valuation:
APPLICANT:
Name: cz�/'�c «� kCh1 kj
Address/City/St/Zip- ' �d nl(, C�. Leif C')
Contact Person: ; ACA T4 U Phone:
MECHANICAL
r
Company Nami
Address/City/St/Zip:
Contact Person: _
�►11
'S�S�' Fax:
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
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 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 lincluding costs, expenses and attorneys' fees incurred
in investigation and deforms of such claim), which may be made by any person, including the undersigned, and filed against the City of Faderay 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:�u r-� �%/���.,�_ Date: