98-103276 (ns- )03 ) 7,
.
CITY OF FEDERAL WAY R.
PERMIT NO: MEC98-0181
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33530 First Way SouthE. t�° � 11 il"°' :;;,.�R.MI ...II... ISSUED: 08/25/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661 -4140 BY: FC2
253-661 -4000 EXPIRES: 02/20/99
ADDRESS:2101 S 324TH ST Unit: CLUB
NO. : 162104-9037
PROJECT DESCRIPTION:HVAC - INSTALLING GAS FIREPLACE, LOG AND 70' GAS PIPE.
BELMOR MOBILE HOME CLUBHOUSE
r= OWNER CONTRACTOR ---- -:::: ;- LENDER
BELMOR GOLF & COUNTRY CLUB PAUL'S CUSTOM HEATING
2101 S 324TH ST, CLUBHOUSE PO BOX 4595
FEDERAL WAY WA 98003 P SPANAWAY WA 98387
� � 1
838-0517 253-846-7798
PAULSCH023BB
1.___.
sts CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 #t
PROJECT VALUATION 2800 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 70 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 54.00
FURN<100K..: 0 DUCT WORK . 0 3-15 TON • 0 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
j CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 1 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 $ 74.00
-------- -. .......____---__.-_.._.__._- ---- _.------ -- , .------- ._ .-.. ..._..._.._._.._„
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 PipingDate
MECHANICAL FINAL - Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATI FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
' ' '-(r _ , -
OWNER OR AGENT ___ ` . DATE r� - :
FILE COPY
CITY OF FEDERAL WAYPERMIT NO: MEC98- 0181
afso First Way SouthECH .IC L PL.�` 1 T :ISSUED: 08/25/98
Federal Way, WA 9£3003 Mechanical_ Inspection Requests; ;',;3 •661 -4140 BY: FC2
253._661-4000) EXPIRES: 02/20/99
ADDRESS:2101 S 324TH ST Un.i. L: CL.tUkr
NO. : 162104- 9037
PROJECT DESCRI PT ION:HVAC INSTALLING GAS FIREPLACE, LOG AND 10' GAS PIPE.
BELMOR MOBILE HOME CLUBHOUSE
F° OWNER =_ � ,, mmaaamsm la a," aA,annnmam,a =xxm>� x�w�-w:•yam COHIRACTOR m�� � zmsxax.4.a�..:�C•,a.aax� x,= �r*���� :_ LENDER sa:smxrrrxaG=xxsn.•c nmamaz sx mxscmaczrmacac:sas::.:ar.;:a
BLLMOR GOLF b COUNTRY CLUB PAUL'S CUSTOM HEATING
i2101 S 324TH ST, CLUBHOUSE PO BO% 4595
FEDERAL WAY WA 98003 SPANAWAY WA 48387
I
838a0517 253-846 7790
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»t COMTItACIORG, PLEASE USF LOIAE CUE 1132 WIIEN RE TIN SALES TAX FOR PROJECTS NITNIN TME CITY 01 FEDERAL NAY. TAX RATE : 8.25 "*
Wscxmuime;:aaaems .c:»:ss.c:.a.:s-s •zzcs:c_aaat�. pTa.4_tH.....cr, 3,a.rh:Y.i+`........;.',k£at.:sumesmn::astss�sa:xrex:. csaua mumuswamxirs!"mxxaxtm mc.3.�:aasa•a:ar. z^ saax mea:ssmsx.mse�:
PROJECT VALUATION 2800 ��"� FEES
FUEL IYPES.:GAS ? FANS 0 �dlEF' / .'r�k�S {$ � ,221f,-,*,� , Mt' FkMI ISSUANCE... $ 20.00
GAS PIPING.: 10 ft HOOD.. 0 �i-3 'OH.. 0 7 m �� rwthani a : reit* $ 54.00
FURN<100K..: 0 DNUCT W�'"fit".. ...: O 1-I' TON....: 0
GAS NWT • 0 WOL1t S1 Vi.S...: 0 'Su 19N...: �Fy�� r. a
CONY BURNER: 0 FUPIb1Ot1K;.,..: O 5U 1jiEl..: O
8E0 ' 0 MISC...r,.. .• 1 504 TOR. 0
RANGE 0 <-10,000 TNI1F
5 t�tL TANKS.-',----- .
GAS DRYER..: 0 AIR HANDL 01411
k 0 . ABOVE GROUND: 0
GAS LOGS...: 1 %
CITY OF BUILDING DIVISION
• .1::1 33530 First Way South
"" Fly Federal Way,WA 98003
v�/ (253)661-4000
'' N 1 Gi® Fax(253)661-4129
' - (1) !I
�0 cASO APPLICATION FOR MECHANICAL PERMIT
P� E�A�W P/ Federal Way Business License number: ,Q Co 4g
Co"$30 0�C'DEpt. MEC 98 - (:)( f
PARCEL# Single Family 0 Multi-Family 0 Commercials
SITE LOCATION /f ��
Tenant/Owner ..Sl/ller A /h, l--L /447f. /‹.... Phone
Address/City/State/Zip 2 1°/ ( 2--41 1/1-1
Nature of Work A AIS p'--ve47`.- 74)--c-(' /.--eje '<, Project Valuation: l'— `r
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
.. MECHANICAL CON C/TOR`
i.
Company Name l J i 47 /141.,174/7 S
v . 75O
Address/City/St/Zip p ` s IS 4q-4'1. a"' *7 7 h '3 7 .
Contact Person ��'e, / Phone
ry6-- 77 9'0 Fax
State L&I Contractor Registration# p4.,,/ ,<G67Q3 g'` Exp.Date 47
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfm Fuel Tanks: , ,...
Length of gas piping 70 Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log / Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous il
Gas Hwt Hood Boiler BTU/H Other �Q,/r ,...4,
-i....„
Cony Burner Duct Work _ A/C TONS Other
RRO's Wood Stoves A/C TONS 'fti5t C7itit''>""''":: , 4
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 prr.“,, 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 Federa Wa 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:..'-tion. '"1141111 ‘
/7 F' -,c ),K- U '
�O . Date
MecuAve
Reviser)7/29/98