96-100621 CITY OF FEDERAL WAY PERMIT NO: MEC96--0',045
335p First Way South �.'�I ;:;;. �,::,. ,., „''G 11 IM::,,:i1� t, �.,.,. :::. "�'��'.. .::If ,.,M•„ ISSUED: 03/07/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: RM
661-4000 EXPIRES: 03/01/97
ADDRESS:32419 11TH AVE SW
NO. : 926493-0420
PROJECT DESCRIPTION:Install new decrative fireplace
-_. OWNER .... _�:==:::_:-:-_�___.___=-_..__T_ CONTRACTOR ----.•.._._____..___._ ..-..
JAMES LOGG MODERN BUILDERS INC
32419 11TH AVE SW 3114 SO PROCTOR ST
FEDERAL WAY WA 98023 TACOMA WA 98409-3299
661-0571 3 383-1704
MODERBI181Q9
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1700 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 46.00
GAS PIPING.: 100 ft HOOD 0 0-3 HP • 0
FURN<100K..: 0 DUCT WORK 0 3-15 HP • 0
GAS NWT • 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 $ 46.00
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
I- .___.___ ......._ .. _. ._.
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 COR 0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE ,,c,(54,72/74
__.l .._ �
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City of Federal Way
CITY OF pr"— ""', 33530 First Way South
• _ EC Federal Way, 98003
(206)661-4000 4000
' ›A)1Fr ''
APPLICATION FOR MECHANICAL PERMIT
PARCEL if Single Family Multi-Family ❑ Commercial o
SITE LOCATION:
Tenant/Owner: AZ-77H .L 6- Phone: ((/ C 5-1\7/
Address/City/State/Zip: ,3Z977 //Tz, /l7"L– ,_S-- z_-'
Nature of work: 77<%-4./ A.��'6 - -Ce -/ � ,7-----7•C- 7;1(4'.-- Project Valuation: S/- ;`( -4-'L
APPLICANT:
Name: L.,/'1-1f-.-C
Address/City/St/Zip: 3Z //2 //TX 41-1-/z--
Contact Person: "\ i Phone: � l ��� Fax: �oz16
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
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 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
.................................................. ....................... ...<.:... .............:...
BB4's _ Wood Stoves A/C TONS ToE Eaf Ca: ri:* : ><*:::>? ;>
'
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 es 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.
t �,� /
Owner/\gent: (-2„,„„,- / Date: //-mac // / /7'7-
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