96-103253 •
CITY 01 FEDERAL WAY VERMI1 NO: MIC(/6-0206
33530 First Way South PtiriCtlelHit...; P1 L ocrttl i ir I ‘..„,,01_ L 1()/21/9,t,
' Fede(-al. Way, WA 9E100 i Mil ((ling I rispe :t•ion Ieritiest .."; 6c,1 4 1 4(1 •BY: FC2
661 4000 LXPIRES: 10/15/97
ADDRESS: 515 S '141 2 iti
NO. : 082104-9038
PROJECT DPSCR I P T I(IN •ME(1.1 ONLY INSIAlt IN', UP 10 700 II GAS PIPE * GAS 1.[RED APPLIANCES
I SI LOVE'S CHURCH CLEARVIEW MECHANICAL 111(..
515 S 312TH SI 6846 48tH AVE NE
FEDERAL WAY WA 98001 SEATTLE WA 98115 1
I 1
I 839-0172 527-8515 1
I
**I comikAcitts. OtLet Ita 10(AflOt (it 1732 ..41.31061KG SAILS 1AX TOR PROJECTS WIININ 1Nt C111 01 fElitRAL MY. TAX KATE - 0.25 ts,, __
At* ti k- M31 . ..,.11 -4•°,1.4 .,70 -ff..i.
1 PROJECT VALUATION 12000 .--, I FEES:
( FUEL IYPES.:GAS ? FANS tctl* :,ii'l,!, -R ,','„ottpL _. ECK FEE
alt. UAITCE... S 20.00
GAS PIPING.: 700 ft ROOD.---4.--4 :-10.4.-64CU 1 ; '' .4 !' t' ''O''.. :"1-''O' I , ' 1 , .roitt $ 135.00
t FURN(100t..: 8 DOCI11011r -. t- '''''''" 15 t ' 17"•• I 7.---:1- "'' ' ' . .--
t4itore.. . ..,•
1 GAS HWI • 1 .... r
cop/ BURNER: 0 '4°11 140"411/4 ; '‘* .3 '-- ,-11P -. 1-V ,
t 11101 ,\ .., — , I
I
BBI • 0 . tf,,,,,f)' :, -,s # , # v 4 h i
t GAS DRYER..: 0 - ,e*to ,,,,,FULLfAidtti.-4 - -.,-,- Ai) 9
AI' iiiiiftidif ISAVE -11/
RANGE • 0 :10,000 t1114' P '' 'MOVE GROUND: 0 z 1 •
GAS LOGS...: 0 t 10.000 (.40-7 u :AUNDERGROUND.: 0 1 i ,
1 t 188.75
I
r-nmets 1...,,,t,ftn, , ,— ,,,.m.lazr.xA ".•a^1 '' I -,a,, -,7 -, •,, ' , ..4,, '1.-.
i Does the water supply systeo rontain a Pressure Reduction Device or Ch. valve? 11 YP= i 1 If "Yes' then water expansioo ' is required on Hot Water hal
IInpection Record Watel Line OK \\ \MecIsnpe, , Not : \ C-A----
i
1 ti(tili hanical
i GAS PIPIK , I:), te By V
1 ` \ I- • •• -
•
PERNIIS EXPIRE 1110 DAYS NAIR ISSVANCF IF NO VORt IS SIARIED. RESIDENilAI , ' ADING PERAIIS EXPiRL OAF IE:.' R PAH OF ISSOAN(1.
I CERlitY INF INFOROAFION !VANISHED AY 1W IS IRDI AND (03R1(1 FO IRE &SI OF NY 1 ; :HI ' . , tlIY Of FEDERAL WAV PEOUTREKERIS KILL It MIT.
OWNER OR AGLN1 ) ,e,,,,,e'ci
7p,ify,644,-...-7
(11:1( //0 — "1/... 914
FIELD COPY
1
CITY OF FEDERAL WAY " PERMIT NO: MEC96-0206
33530 First Way South Pi „,�';,,,.!let 1a' .. �� w;': 'll L. #. �,.R '�µ�4�,�t'r„ ',,. ,. ' ,,. ISSUED: 10/21/96
Federal Way , WA 98003 I3uild:in9 Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 10/15/97
ADDRESS : 515 S 312TH S..1.
NO. : 082104-9038
PROJECT DESCRIPTION:MECH ONLY - INSTALLING UP 10 700 FT GAS PIPE & GAS FIRED APPLIANCES
r OWNER =------- --------_ ---- -•-- .------ CONTRACTOR = ---------------- -- ---- ------------I- LENDER -- : :- -........------ i
I ST LUKE'S CHURCH 1 CLEARVIEW MECHANICAL INC 1
515 S 312TH ST t 6846 48TH AVE NE
I FEDERAL WAY WA 98003 i SEATTLE WA 98115 1
I
839-0172 a 527-8515 1
1 I CLEARMI051P4 9
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 tx=
PROJECT VALUATION 12000 1 FEES:
( FUEL TYPES.:GAS ? FANS 0 BOILERS/COMPRESSORS iNECK PLAN CHECK FEE $ 33.75
GAS PIPING.: 700 ft HOOD • 0 0-3 HP • 0 MEC PRMI ISSUANCE... $ 20.00
FURN<100K..: 8 DUCT WORK 0 3-15 HP 0 ; Mechanical Permit* $ 135.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP 0 1
CONY BURNER: 0 FURN>100K • 6 30-50 HP • 0
BBQ * 0 MISC • 0 5+ HP • 0 1
( GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 188.75
_ _. __._- _- _ _ _.. _ _ _ _ i ... ..-__-- .-__.... _-----
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes” then to Y� -+ _
- water expansion tank is required on Hot Water lank)
Inspection Record Water Line OK 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 FURNISHEDISHEBY 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 ,Z5e _ 1 1 � / f�
- - DATE f./ _�v /__M_7_t.�
FILE COPY
City of Federal Way
CITY OFFif" '- 33530 First Way South
- 6if--
Federal Way, WA 98003 �J ,, r e
� � '� IS D 1-4000 MECq6 - OZO6
APPLICATION
MECHANICAL PERMIT
PARCEL it. /92,211-)41-/O3 G1T O Fi=� nE�WAY
guILD1NG mingle Family ❑ Multi-Family 0 Commercial V
SITE LOCATION: '
Tenant/Owner: �l (C-6'SZ.--61771C/2/1-<-1 �/q`c//Ic/� Phone:
Address/City/State/Zip: /5 -�' ' /Z s7� T // /:\ 4c: �i1Y
Nature of work: Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: CL-G/ /7-V/c3Ge—' /i �;4A.-•/G/�' _L <-
Address/City/St/zip: 846 4S '�A ct: /'� : ����i¢7 7 ‘-e---1/11
t�ri 6tRgrsOr: ��'`=G- Z4- 4('Ci"- 4,04i 5 7-a:5(S
Fax: 3.-2?- 7?67
State L & I Contractor Registration #: CGci`i r`w'S1 D4 /D/-%6
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 to 7Go Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's a Gas Log Unit Heater Underground
Furn >100K BTU's 6 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
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(;zfnd employees,upon the accuracy of the information supplied to t City as a part of this application. ��
V
Owner/Agent: Date: 9 /2�-� q50
CP