96-103792 (03'7g
(_ITY 01 FEDERAL WAY PERMII No: ME.c..96-0237
33530 First Way Soulh MC:Crielpfiltell IL Ir4 C: IMMI X r 1 s9,1E.D: 10/0'9/96
Fede ral Way, WA 900u 1 Ptri Wino Insper t ion Ri ,iti. ..r..11-.-', A4,61 41.,,rr BY: IC2
661-4000 EXPIRES: 10/03/97
ADDRES: 510 SW 353RD PI
NO. : 066231.-0280
PROJECT DESCR FP r ION:MICH - GAS PIPE, ERN, NWT, RANGE, GAS LOG, 14H5, HOOD, DIKING, AIR HAND
BELLACARINO WOODS, DIV. 2, tOT #28.
DISCOVERY PACIFIC HOMES, INC. 1 PUYAILUP HVAC INC I
5113 PACIFIC HWY E., SUITE Al I 130 15TH ST SE / I
FIFE WA 98424 1 PUYAROP WA 98372 I I
1 1
926-704 I 845-0581 I 1
'OYALIII06611F I I
m CONTRACTORS, KENO USE tocin*uortitifgnMnING SALES TAX FOR PROJECTS IIHNIN (II CITY OF FUME IrnY. TAX RATE : 8.75 *1*
PROJECT VALUATION 4000 „,,,IP, '-a-,_ ,,,,ow/via .i...t..ts,,,,!L'L'aia•-... ,.. FEES: I
FUEL tYPES.:GAS ''' FANS.........,,,,:)4. BOXE1141 °NPR I' _ , , . „ 1 ,'Lf ',. . "emit* $ 63.00
..,
GAS PIPING.: 100 ft HOOD- 4mAito;:, - .'7„.., U30.- fiT.:::' :-..'"7"--4--L--- .I'' Allaiii:- UAtt(1-- 1 20.00 1
r
FURTV100E..: 1 DUCti14111-.44- 1.47,,,, Olt - ? ' ''.'° ''' ' tiN '' — ..,N,' . -.4,4 ' -. z I
GAS mly • 1 WOOD stOts,: :-IV.---A -3 P.,,77/,1-,--,-. .-:.,, i-.-,-; , ,-, ,, _ _ , -1,'t b4,---', --, I'': 59:).1",VF19%lv I
CONY BURNER: 0 I ` '0 1 ‘,. ,...--1‘;\i ,ka.0 ,..4MP. -
gm,.......; 0 pi's :. . -.1 -... .,4411111411\0:: , •,'.'
GAS DRYER..: 0 AIR HA • ...,. ., I ----
- ,
1 RANGE • 1 ::10,01 F -,4 "'”, VE i ND: 0
I GAS LOGS...: 2 ' 10,000 . 0 ,z', OIDIRGROUND.: 0 1 rink FEES 1 83.00,1,,,
I Does the water supply system contain a Pressure Reduction Device or Chec va1ve? 0 Yes (1No ' then inter expansioli tank, is required on Hot Water lank.)
GAS PIPING
1 Incpertion Record Water Line OF Mechanical Inspection Notes: I
I , 0
OE Date By 1
1
- _,
KRAUS EXPIRE 111 OATS Ai RR ISSUANCE It INT gun IS SIABIEN. RISIDENIIAI AND '..ADINC PERHIP (IMRE on YEAR AMR , . 01 ISSUANCE.
I CERTIFY NI INFoRNA11011 tI1 ,SR11 NED Ily S IRUE ARO C1TRIC1 10 NE ,:. Si 01- NY t EDGE AND 1111 APPULAIIII (II ROME WAY IfOUIRLIIINIS WM 111 MEL
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OWNER UP A,AN1 A.-- DAR
FIELD COPY
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CITY OF1FEDERAL WAY PERMIT NO: MEC96-0237
3353,0 First Way South VI itr::410.I 1Nil«"Wi fPI. :: 'h';.'il'l IN ir,, "::in 1111• .1: "r. ISSUED: 10/09/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES : 10/03/97
ADDRESS: 510 SW 353RD PL.
NO . : 066231-0280
PROJECT DESCRIPTION:MECH - GAS PIPE, TURN, HWT, RANGE, GAS LOG, FANS, HOOD, DUCTING, AIR HAND
BELLACARINO WOODS, DIV. 2, LOT #28.
---------------------=--7- CONTRACTOR ----------- -------- ---- LENDER .. . 1
DISCOVERY PACIFIC HOMES, INC. ( PUYALLUP HVAC INC
5113 PACIFIC HWY E., SUITE #1 130 15TH ST SE
FIFE WA 98424 i PUYALLUP WA 98372
926-7674 ! 845-0581 1
s PUYALHI066MK
#:s CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 S**
PROJECT VALUATION 4000 i FEES: -�
FUEL TYPES.:GAS ? FANS • 5 BOILERS/COMPRESSORS Mechanical Permit* $ 63.00
GAS PIPING.: 100 ft HOOD • 1 0-3 HP......: 0 i MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 1 3-15 HP • 0 1
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 (
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 I -
BBQ • 0 MISC • 0 5+ HP • Q d
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 1 <:10,000 CFM: 1 ABOVE GROUND: 0 1
GAS LOGS...: 2 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 83.00
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)
Inspection Record Water Line OK __• Mechanical Inspection Notes:
GAS PIPING OK __________ Date . _.__._.._ BY
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 INFORMATI TURN HED BY IS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
.,1,, _t_ ,/, '
OWNER OR AGENT ...-_ .. � __ -__ DAfE 1._. .. ��
FILE COPY
RE
City of Federal Way CE VE
CITY OF r"--- -
33530 First Way South a
_ 1—g1-3 .szrint._.---
Federal Way, WA 98003 OCT 0 9 1996
nl'(1 - O37 '
Wier=TY'
CI!Y OF F- WAY
APPLICATION FOR MECHANICALL PERMIT
d i
PARCEL It. LOTz v P /
I j`L Ar'r 0 I/ oo /S gFamily
Single Multi-Family ❑ Commercial 0
SITE LOCATION: 1O 5 35 3 rl
,� V" 5
Tenant/Owner: 0 5 C V-2(/'y PM �f/ C /J'o ‘^-'. 63,5 k G ' Phone: C 7(77
Address/City/State/Zip: 5i'/'3 PerC, IYa/y 5 /`��j /,4
�/ r90
Nature of work: A-e5r 1-elv11'")G / llecit ys7`e /A' w Project Valuation: $ lit Os'�—i
APPLICANT:
Name:— 5a q 4 5' Cr2 4(2'V
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
//
Company Name: /%7 q A� jT -Gf 7/^�-
Address/City/St/Zip: /30 /r�4 . 'T/ 'b-'/ 9*7372_,
Contact Person: g0,.6 CO 1'1. fl^ \- M of L. Phone: U D-5— 7 Fax: -7/ `QSr%g
State L & I Contractor Registration #: Pil/A ( If „I--O ‘6/VL Exp. Date: 7// /17
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm V Fuel Tanks:
Length of gas piping IOQ% Range 71' Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's l//1 Gas Log 2 Unit Heater Underground
Furn >100K BTU'sl Fans 5--- Boiler BTU/H Miscellaneous
Gas Hwt I// I Hood l Boiler BTU/H Other
Cony Burner Duct Work / A/C TONS Other
BBO's Wood Stoves A/C TONS
tafal#tntt.Gfwtg..........n. .i::::::::
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: ' I
Date:
1/T /q