96-102794 (y /0 Iqz7L
CITY Of FEDERAL WAY ., i'L.PN I I No: 1,11.(.96 -016/
3'45,30 F.i rst lklay Sou it) MI r C 1 1 ri 11 I C ft I. P C.:Ft 11 1 r 1..:::'..;OED: 08/22/96
Federal Way, WA 9800A
uni L cci nq I Iy (j( I i()II Peque-,I:s 66-1. 4.j 411 EY: '<LC
661 -4000 LXPIRES: 08/16/97
ADVRESS:2326 ;. 300 I 1 I
NO. : 768380-021E(
' PROJECT DESCR1P I I(IN:OVA( • INS1A1 LING GAS NI, DRYER AND 25' CAS PIPE. FORNAU 10 III ON sEPAkAIE PERMIT.
rowIDR ns,tnr LENDER m.msaummet,usammommtimmIlmumruntummmowsznmamnammainn.,t
1 JAROD MILLS OWNER IS CONTRACTOR 1 I
I 2326 S JOON St i I
I FEDERAL WAY WA 90023 1 1
9-0225 I I
1 11 1:-t
..„.... ..... ..... „„,.,„, . . . , ...„, . , . _.
sss CONIRAtIOR4. PLEASE 041 1.0(Ailit0010440 '.. TING SALES TAX FOR PROJECTS WNW IR CITY Of IENUAL VAY. lAX KAU 7 8.25
we," ftm,mmrom,mtut.,4411WO.4mit,.100,C0WW,10,',.40.0001 CI*V4477=sinoammszftm!mmatmam,c..-10
PROJECT VALUAtION 1.500
FEES:
FUEL TYPES.:GAS ? FANS N4N- eo4ifpfit#000t4top , .. i mu pmmt issuAc... i 20.00
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AS PIPING.: 25 ft HOOD '4,1i, j'4,, 03 OP...." r,: 0 --,,Ir ,IPANtailk , ferpit • $ 42.00
:,,V19Ahdl, DA, ff,, -•- — -.-.!.-z. 41,„,- — .1 '-pA,..
10101100K..: 0 DUO '-4100r::rIter'lk- -3415. 0' '
...7i, ;„ #i ..416, : :-: 2.1.-- iii;- -- ' -. --1.1.1 7',:i*:: 7Y., .- 04,)t'. 7::7'
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CONV BURNER: 0 10411, ..,„ : -4, ,t:, -5 01)—: 1
11110 • 0tk ., '-,:-, - :* .I.''' ' \''kir''i%
AS DRYER..: 1
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RANGE • 0 1
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GAS LOCS...: 0 :10:0n")tiNf'0‘2-„ DERCROUND.: 0 1 NNE FEES $ 62.00
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/11117f:UWWDW4s7k,e:CO;;;;;T;;;;re';;;;;Te;i-Z7heck valve? (1 Yes 0 No (If "Yes” then water expansion tank is required on Hot Water lank)
1
IInspection Record Water tine ot Mechanical Inspection Notes:
1 GAS PIPING OF Pate By .
MINUS MINE MO DAYS AMR r.,Ahlitl 11 NO WORT IS SIARIED. BESIBLAllot ARP WADING ROOMS EXPERT "RE YEAR WEN BAIL Of ISSUANCE.
I CIIIIIIY INE INIORNAIION FORNISAII BY ilL IS 11011 ANO CORRECI 10 INE lifSI OWLI
f WY NODGE AIIP IMI APNICAOLE CII? Of flOIRAI WAY MUNINENTS WILL 11 nu.
OWNER OR AQUI
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CITY OF FEDERAL WAY PERMIT NO: MEC96-
33530 Fi rst Way South 4.4.1 "....,c.:..41"' PI 14:�'m4.'.'PO,._ IP' ,. .,VII I"T ISSUED: 08/22/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 08/16/97
ADDRESS:2326 S 300TH ST
NO. : 768380-0218
PROJECT DESCRIPTION:HVAC - INSTALLING GAS HWT, DRYER AND 25' GAS PIPE. FURNACE TO BE ON SEPARATE PERMIT.
I= OWNER = CONTRACTOR = ----,•- LENDER -• - ______
1 JAROD MILLS l' OWNER IS CONTRACTOR 1
1 2326 S 300TH ST ) 1
FEDERAL WAY WA 98023 1
11
529-0225 I
1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
i PROJECT VALUATION 1500 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1 MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD • 0 0-3 HP • 0 ) Mechanical Permit* $ 42.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 1
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 1 ', •�.
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 _
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 )
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 62.00
_ _ __ _. _ -. _ _ I ._-. = S�
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _••,_ ' (_ 1 DATE _2 2— 7
FILE COPY
City of Federal Way a.
CITY OF p 33530 First Way South
_ 4 _ FE—EIETZFEL__ Federal Way, WA 98003
WFTV
(206)661-4000 MEC I � �I l!1 "�
G. C'4PPL/CA T/ON FOR MECHANICAL PERMIT
PARCEL ? 2 1996
'U Single Family Multi-Family ❑ Commercial 0
,,t t.d syr�pr NG
BODEPT.olpa. AY
SITE LOCAN: 3a-it-cc) `We '(S
Tenant/Owner: 2 32_(4' Sc'-L-tL.-k, 3UZ?t 4 Y=F 26)6, S-2 e,2 2 S
Phone:
Address/City/State/Zip:
Nature of work: 3'&-5 p/✓r;u-�J/�t t� Project Valuation: $ DL
APPLICANT: //
Name: J C(V'Ud ktt l C/
Address/City/St/Zip: Z 26" S 0-1,t 3 CiZ-5 t` l -tt. -C
Contact Person: -� z L� Phone: ?- S 2coZ2 S Fax:
MECHANICAL CONTRACTOR:
Company Name: h1A -1(
Address/City/St/Zip:
Contact Person: Phone: Fax:
f
State L & I Contractor Registration #: 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-7'(,7 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 1 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 officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
/''---- /
Owner/Agent: \--/ LZ-�G��=LI4 Date: 0-22 - 6