96-103329 . . 96
. Iv, '1! I I I,t (:tal W()', ( illil I NO: PiLe96-(.1211
7335'30 I i t...',1 W3V `,(iLl'i,h H r: C ! lei H I CPL P IC rtit 141 I T I ' ULD;(_, : 09/1.13
I edp ral Way, Wo 9,9003 Pill I'Ii rica 1 nspec Hon Poilic.:::,1:<:-, (,c- I 414c) 131'.•
661 40130 I. -1)1P1:.';-. (19/1,)/(/!
ADDRESS:1E329 S .308 f 11 !,,, i
NO. : /85360' 0120
I 90.1F C 1 DESR I PT I of1:HVAC - INSTALL OWE GAS RANGE AND UP 10 300 Fl GAS PIPE.
1 STEEL LAKE PRIESBYTEFIAN 00)(11 I OWNER IS CONTRACTOR I
1 1829 S 308TH St
I 1
FEDERAL WAY WA 98003 1
I 1 1
1 839-1210 1 1
....iv
*** COMIRAC141- E 4:014, 1 . - :f' KC SALES 1AX FOR PROJECTS WITHIN 181 CITY Of IlDkRAL WAY. TAY RATE -., 8.25 *$$
1 PROJECT VALUATION 1765 L'it.,-1' FIG:
I "U- TYPES.: AS ? FANS........:1i).'' 8° ' 114 ON ' - ' ' " :" -1', MIKE— $ 20.00
GAS PIPING.: 300 ft 11000...,40: -A-4v ' . , ' 00: , „. 1 al ..-' , ., , 4111=1" -rai tit I 48.00
fURN(100r..: 0
GAS WWI 0 WOOD 0,,,,
(ONV BURNER: 0 FUR8)101 .„ :.: . (1 ,, % i '',,,4' P Aligierl- ilio,, 41"r'
B8u U w '.4'tt,' -
i:14„. ,, i c %, ,A77,17" g1/47 ' ' 1
i -4' 'A, '"- • %,---,„ ,,-;•
GAS DRYER0
RANGE......: 1 :10,0064
GAS LOGS.,.: 0 AiR HARDIN,' jtik
iVI GROUND: 0
1 rt„ ,1„ ,
( -44.- ',-;,.,:l
- 10.0011 . 0 -1.TjumotPGRoomo.: 0 1 MAL FEES $ 48.00
Does the eater supply system contain a Pressure Reduction Device ( eck valve? I) Yes ( ) No (If "Yes. then v expAnsion tank is required on Not Nater lank)
. _
Inspection Record Water line OK Mechanical sp on Not 4of, b f& ,,1 .
4
1 GAC PIPING OK Datt9( By
-
PERMITS LIPIRL III0 IT AfILK ISSOARtI II KO WWI IS SlAKILD. KESIOLNIIAL 41W OADIKC PIPKIIS EXPIRE OWL TEAR AULD DAIL 01 ISSOAKt. r
I CERIIIY Illt INIDIPAIION IORMISIIID BY NI IS MOE Ailts CORRECI ID IDE DESi of NY KN1I11041 AAP Olt APPLICAlif (IIT or IEDERAI WAY REOUIRININIS Wilt 81 I.
40
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(*NEP OR AGENT \- " 2' k 'V A,
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FIELD COPY
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1
CITY OF FEDERAL WAY PERMIT NO: MEC96-0211
33530 First Way South p'°'$r.K,',,.: fli "'4i lu"f.,I.,.C.el L. if''4' .rl,,i'r'k...IC 'I ISSUED: 09/18/96
Federal Way, WA 98003 Dui _Wing Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/12/97
ADDRESS:1829 S 308TH SF
NO. : 785360--0120
PROJECT DESCRIPTION:HVAC - INSTALL ONE GAS RANGE AND UP TO 300 FT GAS PIPE,
r OWNER _ _. -_ ----- - CONTRACTOR -T -G._.__._ ___.__..._ ._ r- LENDER ------- -__ -
STEEL LAKE PREESBYTERIAN CHRCH OWNER IS CONTRACTOR
1829 S 308TH ST
FEDERAL WAY WA 98003 1
1
839-1210 1
1
SaGGGG+2G
*** CONTRACT6.3, wiiASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL WAY. TAX RATE = 8.25 ***
f..
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS f MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 300 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 48.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE 1 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 68.00
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)
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Inspection Record Water Line OK „_____,__w Mechanical Inspection Notes:
GAS PIPING OK Date ..____... By ........._-. ___..
.
6._ _ _
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CIIY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT iii ' �/�!_� `��0[.1-t'',..:Q _ DATE t //,..,0-/9.-6
.__.._
FILE COPY
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City of Federal Way .
CITY OF r"""'—' 33530 First Way South e
® I Federal Way, WA 98003
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`'�k)1
(206)661-4000
MEC19 - O i I P
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APPLICATION FOR MECHANICAL PERMIT
Q z�,, J� :GE%VED
PARCEL ft• �G' C✓ '0 -` i6Sin le Family ❑
cEP
1 8 � g 9 Multi Family ❑ Commercial �!
SITE LOCATION: 1Y OF FEDERAL WAY
gUtLDINC DEPT•
Tenant/Owner: EE,( XAecR<<s'81j(,e/4/1) C17'61,eC'17( Phone: 6'737- /AM
` Address/City/State/Zip: /° opo u7f/ 30 l 6-7R---67C7 ; /2)-4.> L_ `(//Jyj (t19 9i
Nature of work: '-'76"" LYQa_ * f� 1, -4-v ' Project Valuation: $ /X,
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: Foul X/('/E,
Address/City/St/Zip: • 5ec7H 3MCc5TRCE— �E. 4L 7a9v, 1)g 7COD3J_\
i I
Contact Person: `"71/6‘ )/Z.. //04 NF/fil Phone: 9 S7§- Fax: 9l/--S-'7.c--
State L & I Contractor Registration #: k)//9- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping g Range ‘' Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C
TONS
tRl f3nff Graurtt..............................:::
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(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 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: (AP2y,c). vJ oDate: /� i
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