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CITY OF FEDERAL WAY NO: MEC96-0207
33530 First Way South /91 ::::`�:::::: #.,,�ir'°'Il /4.;.1110.::::. '�11 ..,.. f",V"'0,,,,il!�a�„�� .;; ::. .IP.,. ISSUED: 09/17/96
Federal, Way, WA 98003 Building Inspection f.. quests 66i 4140 BY: FC2
661-4000 EXPIRES: 09/11/97
ADDRESS: 32824 22ND AVE S
NO., : 103570-0080
PROJECT DESCRIPTION:MECH - INSTALLATION OF WOOD STOVE
F. OWNER --------- ___ _ _ - --- -----r- CONTRACTOR =__-- -----q- LENDER ------- --- __ T
DOUGLAS HINTON z DEMARTINI ENTERPRISES 1
32824 22ND AVE S , 6016 NE BOTHELL WAY *152 1
FEDERAL WAY WA ( SEATTLE WA 98155 1
I
874-3068 321-8295
( DEMARE*077LD g
.______-- __-.__-.._.______._--..--__-_____-._-_:�
*5* CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
___-_------._......_____________________________ _____________________ - ----------------------------- --- ------ --- _. _________
PROJECT VALUATION 1874 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 50.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 1 15-30 HP • 0
CONV 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 • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 70.00
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
T----- _ -------- ------ ------- - ---- -- ---- ------------.._--...----.-.._ --- _
{
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 NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT 477,-4‘. DATE ./...9„,,,10.e.../ 5-- .
FILE COPY
City of Federal Way
CITY OF r---- 33530 First Way South
Federal Way, WA 98003
(206)661-4000 (
206)661 4000MEC (iIV - 03.07
NWFTV
APPLICATION FOR MECHANICAL PERMIT
RECF IVED
PARCEL 1t• Single Family V Multi-Family ❑ Commercial ❑
SITE LOCATION: CITY aF FEDERAL WAY
/ / BUILDING DEPT.
Tenant/Owner: /4..70L,& SAS - /7 /A// o// Phone: 8 227 - 3 6 68
7X.--Address/City/State/Zip: 3 g z/ I g a.0 i moi- c /�=,6/%Z, r L C-i rf7
Nature of work: Project Valuation: $
/1/01-/"6 ,-%),0/Z--4---'5'S Az). 8 ,- // . )-%_-_7,0 2 2 r L e--/f Y �-,, ,
7-ga -,Y
APPLICANT:
Name: i7 42°&1--A-5, /- ///e0iv.
Address/City/St/Zip: t3 g g 74-/ 'ti0 vi; ,' . J^/=,1)'' AL 6v/7 y 6e_ifJ. 003
Contact Person: jAh,' Phone: 9941-306g Fax:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: Phone: 3-)-v `b -`:A5 Fax:
State L & I Contractor Registration #: Exp. Date: ,�.. ... 'l
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 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 4taE>f3rit>6aure> <>: : ::::<:»»»»>n>:<:
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: �u" ' (7 / _ Date: y —(fJ i '7‘