99-102129CITY OF FEDERAL Wf.'iY
33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:1324 SW 353RD
NO.: 502860--0960
PROJECT DESCRIPTION -H%
OWNER
DAVID BENSON
1324 SW 353RD ST
FEDERAL WAY WA 98023
253-874-4934
g9 -/bldg
O. 6
MECHANICAL PPERMITERMIT 1�>S:NULDME06/0C99-0241/99
Mer-fianical frispection Reflue-sts 253-661-4140 BY: FC2
EXPIRES: 11/30/99
f
1. FINAL INSPECTION FOR EXPIRED PERMIT IMEC97-0322
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN1100K..: I
GAS NWT....: 0
(99V BURNER: 0
800......... 0
GAS DRYER—: 0
PANG[......, 0
GAS LOGS.... 0
0
FANS..- t9
HOOD..
DUCT WORK ....
WOOD STOVE(,...:
F Up,") loot--: 0
MISC........ 0
AIR HANDLING OHNS
<-.10,000 CFH: 0
> 10,000 fr".. 0
Does the water supply system co
Inspection Record: Mechanical Rough -in
MECHANIC
CONTRACTOR t(NDIR
C
LOIL 1113;1, WU- kUlAIIA SALES 14X FOR PROJECTS VITNIN TR CITY Of fFKRAWAY. TAX RATE r 8.25 Ift
1A N�
n1ap"t9PR ; 35.00
3-15 TON.
30-50 1
FOEL TANKS ------- %
AVE V
0 TOTAL FEES 35.00
AVE
:. )�. .............
n Device or (het#,j
v. Yes No (if *Yes" then water expansion tank is required on Not Water Tank,,
Date Gas Piping. Date
Date
. . 41 A.. M..vaAWA. xe. . .7 ........ ft .0 =+ . .—n it=— li—AA .M ft�,.A: ,— A.—.= 14. 41= .=U. a ..... ==�,= .... = .........
PERMITS 10191 180 DAYS Affff ISSUAI(I. If NO IM IS STARTED.
I (191IFY Ili INFORMATION FURNISHED BY/NE IS TRUE AD CORICT TO TIE KST Of MY KNWEIU AD TIff AWICAV CITY Of RM NAY NIQUIRIAtUfS Vitt If 011-1
OWNER OR AGENT
---1--- DATE J(- A 19q
FIELD COPY
CITY OF FEDERAL WAY
=33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:1324 SW 353RD
NO.. 5O286O 0960
PROJECT DESCRIPTION: HVA(
�"�� !I;;;;.. �..,,
Mechanical
IL.,,��,�p ��'I' ..��... �,... `� N
Inspection Requests
'�:;p E."'::� wu p p
. 'I II II
253--661 4140
PERMIT` NO: MEC99-0206
ISSUED: 06/04/99
BY: FC2
1324 SW 353RD ST
EXPIRES: 11/30/99
ST
- FINAL INSPECTION FOR EXPIRED PERMIT #MEC97-0322
=OWNER =____-__-_::___=________=___________________________T=
CONTRACTOR
DAVID BENSON
1324 SW 353RD ST
FEDERAL WAY WA 98023
t
253-874-4934
t
***
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
-
T
PROJECT VALUATION
0
FEES:
FUEL TYPES.:GAS ?
FANS.........,: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 35.00
GAS PIPING.: 0 ft
HOOD.....:....: 0
0-3 TON.....: C
FURN<100K..: 1
DUCT WORK.....; C
3-15 TON....: 0
s�
GAS HWT.... : 0
WOOD STOVES..:: 0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...: 0
BBQ......... 0
MISC........... 0
50+ TON...... 0
i
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
TOTAL FEES $ 35.00
....-..._______.....=csxx==sex=mc======::ez=c==eerec==ncs=::==:e=c=c=xc====
F
===rsr====ccn==corn=.-=-==_a.=----_.. ,_i,.,.___,_...._..,. ..•.«...,_..,,_ .....-..__--_-____.___--._--.__.-_--_----
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 ---------------- Date ---------- Gas Piping ................ Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED
,�BBY�HE I5 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABBL/E CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 1— --=-"-C__ �L�_ L�----------------------------------- DATE --------- -�./- _ 1..... l2'i j
FILE COPY
crrY OF
• C^
VV (may
BUH,DING Divmo1-I
33530 First Way South
Federal Way, WA 98003
(253) 6614000
fax (253) 6614129
AeGe%� APPLICATION FOR MECHANICAL PERMIT
SUN ®4 199MEC (J �G
E Ur. Yyp�Y
PARCEL # 1016.01NG 11 Single Family ClMulti-Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Phone
Address/City/State/Zip - �� 7 S 363
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Phone
Project Valuation: $
Fax
Address/City/St/Zip
Contact Person `/r e d �`' �� t Phone 2? % L Fax
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Under ound
Fum > 100K BTUs 4A
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/11
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and corect 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 Federay Way but only where such claim arias 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 (,y �'`'`- - J' �-� �� Date `1('"Z
MecuApr
Revrsm 1386/97
D
-` EO • BUILDING DIVISION
33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 661-4000
CORRECTION NOTICE
ADDRESS: )say S ,) 735 -3""
S T- PERMIT #: ilk q -c)a6 to
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -41 40 FOR
REINSPECTION.
2
AT INSPECTOR FOR BUI DING DEPARTMENT
DO NOT REMOVE THIS NOTICE