97-10308019
JJ Y
01" 14J)[J'At, WAY
way S01-11 I
335:30 Fi r
Fede'ral. WAy, WA 1),01.)t 1:A
25-3--661--4000
MO.: 860340 - C.
PROJECT Dt'S(.I,4JPI ION --OVA(
- [XISIM fURNACE RED INSPE01011 Of V[HI PIPL.
OWNER
1.1c MRSHON
21.211 11H AVf. S
I[KRA[ WAY WA 98003
5294>31
sts mlwlw, mthst "St tow
ION
91
PERMIJ W): MC97-0234
BY: FC
s'TPFC;: 02/10/98
CONTRA(I'M LENDER ... ------ -- --- — ----------->e--------x;:. .
OWNER
--------------
OWNER IS CONTRACIOR
1U ... 41"'�
ShLtS TAX It* MMIS 011111 TK CITY Of, fLKRK NAY. IJ4X RAIL : 3.25 M
% a.%* ..1=mwmwCAU�,.-,%.�m.V== C.'tm..fft
Pel FEES:
90 ...
ectal Wilt' t 211,00
v
-am4F,
list!
V,w 0 1(►IA1 [Its 62.00
i1.
I- ::_ V1-,1-_.1___- _
1____ 11- -1 -- :,- 1 --
1-=------- ----r,. - 1-m--------- - 7- ...........
............. ... ............
I Dots the vater supply systex -ontain i Pressure Peduction Device or (fiect valve? ( ) Yes ( ) No (If les' then vater expansion tank is required on Not Water tank) f
Inspe(tion Record: Mechanical Rough -in Date (AS Piping Date
MMIAHRAL FINAL Date
!J
KNITS 101111. 1"'M DAY; Al 111 ISSUAKI 11 0 ftt is SIMILIA.
I CERTIFY JNL INfORMA110 IMM',110 RY III IS 1RUL 1*0 (ORRIO 10 INI dSI (It Ili tMORIM 00 1111 APPLI(AbIl, kill Ot FEKM MAY RI-QUIRL111111IS Vill, IIT. liti.
OWNER OR A;ENT,
FIELD COPY
PPOMI VALUATION
10
ML MLS.:GAS ?
fANS ..........
1.1
6AS PIPING.*
0 It
ft
FUM100r'...
I
G
GAS HNT.....
0
40" SIMS—
11
1011V DUMP:
(I
w*v1-ilit"..
BOO..........
0
GAS PPY[P..:
0
Alp HAN 6 w -i
Is
RAM.
0
OW
6
GAS LOGS—*
0
10:000 C
0
91
PERMIJ W): MC97-0234
BY: FC
s'TPFC;: 02/10/98
CONTRA(I'M LENDER ... ------ -- --- — ----------->e--------x;:. .
OWNER
--------------
OWNER IS CONTRACIOR
1U ... 41"'�
ShLtS TAX It* MMIS 011111 TK CITY Of, fLKRK NAY. IJ4X RAIL : 3.25 M
% a.%* ..1=mwmwCAU�,.-,%.�m.V== C.'tm..fft
Pel FEES:
90 ...
ectal Wilt' t 211,00
v
-am4F,
list!
V,w 0 1(►IA1 [Its 62.00
i1.
I- ::_ V1-,1-_.1___- _
1____ 11- -1 -- :,- 1 --
1-=------- ----r,. - 1-m--------- - 7- ...........
............. ... ............
I Dots the vater supply systex -ontain i Pressure Peduction Device or (fiect valve? ( ) Yes ( ) No (If les' then vater expansion tank is required on Not Water tank) f
Inspe(tion Record: Mechanical Rough -in Date (AS Piping Date
MMIAHRAL FINAL Date
!J
KNITS 101111. 1"'M DAY; Al 111 ISSUAKI 11 0 ftt is SIMILIA.
I CERTIFY JNL INfORMA110 IMM',110 RY III IS 1RUL 1*0 (ORRIO 10 INI dSI (It Ili tMORIM 00 1111 APPLI(AbIl, kill Ot FEKM MAY RI-QUIRL111111IS Vill, IIT. liti.
OWNER OR A;ENT,
FIELD COPY
t. A
CITY OF FEDERAL WAY PERMIT NO: MEC97-0234
33530 First Way South � �u�� �";.'M;;, IN .,,� il�" fi �''' � .,�,. 'h,; .: ;��� � �"w ;�";' IP rl I� �;, �N .,;I�, ..,,�,,. ISSUED: 08/15/97
Federal Play, WA 98008 Mechanical Inspection RequestsL,')1_,661-4140 BY: FC
253--661-4000 EXPIRES: 02/10/98
ADDRESS:31219 7TH AVE S
NO.: 860340-0055
PROJECT DESCRIPTION. -HVAC - EXISTING FURNACE NEED INSPECTION OF VENT PIPE.
OWNER_________________________________________:_:-________-= CONTRACTOR=______________________________________=====z= LENDER
LEE MERSHON OWNER IS CONTRACTOR I
31219 7TH AVE S t
FEDERAL WAY WA 98003
529-0611
i;; CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 Us
PROJECT VALUATION
10
FUEL TYPES.:GAS
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....:
0
FURN<100K..:
1
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ.........
0
"IISC...........
0
50+ TON......
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
Inspection Record: Mechanical Rough -in ______________ Date Gas Piping
F
MECHANICAL FINAL Date
.--------------------------------
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 22.00
TOTAL FEES
$ 42.00
(If "Yes" then water expansion, tank is required on Hot Water Tank)
------ Date -- i
i
{
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 1F 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.
r/
OWNER OR AGENT _ �� ---_ _-----------__ DATE
FILE COPY
CRYOF r�
V V Ay
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
5 199PPPLICATION FOR MECHANICAL PERMIT
�, AL WAY MEC bZq
PARCEL #11L1h� Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner e E �( E'er s /� �� e _ `} y�, Phone 5–Z � - n'�" //
\ ,Address/City/State/Zip 3/.2 n -,l �� ��7 oo3
n 1� `)' �
1—voJectNature of WorkValuation: $
APPLICANT
Name L - Mk k r
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Fax
�( Address/City/St/Zip
✓ Contact Person 1� n C' k4 aiC P.- Phone Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cftn
Fuel Tanks:
1,ength of asi in
Range
Air Handlin
> = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Under and
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
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fiunished by me is hue and correct to the best of my knowledge and further that I am authorized by the owner ofthe 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 (mcludmg costs, expenses, and attorneys' fees incurred in investigation and defense of such claims 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
Wca.App
Revts® 17/11/96
Date
Y /