98-104495 9s'- Jo vy9
CITY OF FEDERAL WAY PERMIT NO: MEC98-0299
33.530 First Way South M ff.. C.,. t(olY`l N I. (.. .i a ..,, '°' ff...fo.1 01 T 1".. ISSUED: 11/23/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661 -4140 BY: FC
253-661-4000 EXPIRES: 05/21/99
ADDRESS: 30830 36TH CT SW
NO. : 058755-0330
PROJECT DESCRIPTION:MECH - ADD GAS LOG
F= OWNER _=:=----7- CONTRACTOR - __ --- T LENDER - ..____.
KITTY SAM OWNER IS CONTRACTOR
30830 36TH CT SW
FEDERAL WAY WA 98023
253-838-7259
• N/A
-I-
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 600 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 24.00
GAS PIPING.: 20 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 0 W00D STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS !(
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
� s
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ANDD CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT r- DAT'L y 319 Q.___._
FILE COPY
284 - Ju ;‘ - - -
CITY OF FEDFRAL WAY . PERMIT NO: MEC98-0299
33530 First Way South tlECtiteitkriCril.... P e:rt II 1 -r 1`..;'..-01 ft; 11/2•3/91i
Federal. Way, WA 98003 Mechanical Inspection Requests 25J-661 - 414o BY: FC
253-661-4000 LXP11;LS: 05/21199
ADM P.seS: 308.30 :t 6 1 H ( r
NO. : 051375S 0330
1 PROJ LC r ou.sconYi TON:11E0f - ADD GAS LOG
OWNER2$Z*CSXSCSCSCSSCt. 2fltCSt.V ,,Lt:SCaI'.,.CSLCS..CS . 2. .,rEl.ZCS CONTRACTOR at XCSSCtr± 2. NCCSCSSCSt*VCStZt* CStCSZZ1t1 .t .ar,-ttCCS' t L HOER . n':rat-ra.a,CStt..1-r: .4 ,fl1
I1111Y SAM OWNER IS CON1RACTOP
30830 36TH CT SW
FEDERAL WAY MA 98023
253-838-7259
°-. sik
tit COM4(I00c, Ptigi ost toomoo colt tin iti giOoktit; totts TAX FOR PROJECTS won 10. CHI Of FIRM MAY. TAI RAI( : 11.25 *5*
-CS5,'a. - . ,IGXKX.VOInr .
PROJECT VAIUITIOH 600
. ..y
FUEL TYPES.:GAS GAS' FANS '1• (-4 mItillS/011PRESSuRt-, tiechaolcal Permit* $ 24.00
GAS PIPING.: 20 ft NOOD1 4 . 041 I*.....: 0 rtk. :HMI ISSUANCE-. $ 20.00
14011<took..: 0 DUCT *MI.. : 4 3-15 ...*.
I.;AS NI • 0 WOO srotts-.‘-.:‘"ii' ' 14.30/ON—: 0
CONY BURNER 0 FURN*Or-,--, ..1; 0 10-*-400.4,1 t‘ . ,.
Da) • 0 -•• ,,- •v'-' •-.** ,._
GAS DRYLP..: 0
AM:RS(101S-4-011. t'14----Y---\''‘'-*L.,-- *‘ 't'
RANGE : 0 <:10,000 (10: 41 '0, 4$0OVE GROUND: 0
\l\f‘.(1\, 4/
qAS LOG',.. • 1 > 10,000 ate 0 ' ONDERGROUND.: 0 TOTAL FEES .00
1 .1
Does the water suptes ply syscontain a Pressure Reduction Device or (heck valve? ( ) Yes ( ), . (If 4 Yes" then vat ',ion tank . -.., uy Hot Nate - i
Inspection Record: Mechanical Rough-in _ . ._ Deli= Gas piffp
' as p,i tvici 4 Ikea I
MECHANICAL i IN _ (•pat. /..4/a7 rj--- , lig //e.cl r et (;) 2j;i•-•
I-7r.e- 0/af e- .5(-I 01 14"' --
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PERMITS EXPIRE 100 RAYS AIM ISSUANCI IF A0 WORT IS SINUS.
I.
I MIDI 111: INFORNA11011 FMNISNI.D AY ML IS RR ANN CORRICI 10 TIE MI Of NY KKOMILDGE AND HA APPLILAULt. ttli HI ttOttlti. KA xikoilkIIIIMIS WILL PE Nil
-
OWNER OR AGENT 1, .„,A, .,, _ ,
//, _ _ _._....._ _ . ,4It , i
FIELD COPY
RECEIVED
CITY OF G BUILDING DIVISION'
•
33530 First Way South
> Nov Federal Way,WA 98003
(253)661-4000
C,BOF FEDERAL UILDINt3 DEPT AY Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC 98 - OZS 1
PARCEL # Single Family E( Multi-Family 0 Commercial❑
SITE LOCATION a06 -C/39 -cS"37 (-)
Tenant/Owner nL` r (7 S A rn `J e / Phone as 3- F 3 F --7 Z S`j Cy.J
Address/City/State/Zip
3 6 F 3 0 3L C , 5.1 `'
�
9 J600
Nature of Work )(�) G ltS Loi Project Valuation:$
APPLICANT
Name / --T 7 / V) 27.1 (J-0 /
Address/City/St/Zip 4 e 36 3 C' ` 0` S
Contact Person Phone E 3y 7 7 C))Fax `
a-Y?-5 0 38 -Its �H
MECHANICAL CONTRACTOR
Company Name 0 L U/v C,kt_
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
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
RBQ's Wood Staves A/C TONG otatt3
gagigNEMMEN
DISCLAIMER:I certify,under penalty of perjury,that;he 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 l.a •„..,,-y--,---( Date i` �3/9 '
t0
MEC/LAPP
Revisor 7/29/98