98-104041 S
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CITY OF FEDERAL WAY � b „,,,. d U U � PERMIT NO: C9$'-0254
33530 Fi rst Way South MIC ti �"'� '',SII ,,p,. C,.At PE.IIli,:.M...I. if ISSUED: 10/22/98
Federal Way, WA 98003 Mechanical Inspection Requests 253_-6.61.4140 BY: FC
253-661--4000 EXPIRES: 04/19/99
ADDRESS: 30121 29TH AVE S
NO. : 798380-0080
PROJECT DESCRIPTION:ele/ele water heater
f= OWNER ------ ---;= CONTRACTOR -----.
NORI AND JAMES COULON OWNER IS CONTRACTOR F
€
30121 29TH AVE S
FEDERAL WAY WA 98003 1
E '
253-839-1615 € a
N/A 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 825 FEES:
FUEL TYPES.:ELE ELE FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 7.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 27.00
__._____.__.-- ---_-._.___---._--- _____ _..
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
---
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 WILL BE MET.
OWNER OR AGENT __2(.....4....L44/,,461. DATE W • ZZ- -47.0,
FILE COPY
. .' -
CITY OF FEDERAL WAY . PERMIT NO: MEC98-0254
3,3530 First Way South MECIIAN3 CAL I'C:R il I 'T ISSULD: 10/27"8
'1--ecleral Way, WA,,..:430(33 Mechanical I r ;poct ion Pe-qucst•_, 25"T 6,'..1 41 40 BY: T c.
25-3-661 -400o .0 1.,XPIRL"3: 04/19/99
• ,
i--- ,-
DDRESS:30121 29Ht II i)VE S
798380-0080 7
4PROJECE DESCRIPTION:ele/ele vater heater , .
' -
v. NM .. woo ,....,.,....—,.....N.15............„.........—
1 NOVI MD JAMES COULON OWER IS CONTRACTOR
I 30121 29111 AVE S
FEDIRAI 11A: MA 98003 I
1 1 1
25:)-839-1615
N/A
sss CONTRACINS, PIO% vst ERCA11401011 1/32 ANEN RIPOKIING slurs TAY FOR PROJELIifill SNE CITY OF TETANAL WAY. TAX RATE : 11.75 to
PROJECT VALUATION 825 -, tE : 1
FUEL TYPES.:ELE LII - TANStI 44,:, b. BAF ' kompp ,
,.. ,
MechanLal Permit* $ 7.1)0
.,A"4 Av
GAS PIPING.: 0 HHOOD 'l*, 0-3 100...... 0 . Pitt. PRAT ISSUANCE .. $ 20-00
FURN/1001..: 0 DUO WORK......1-4----,,-t*-,,145 ( ..
ft. -IT10WWIA OV
GAS 11111 • 1 WOOD-tTOYEtr.' "V"' -'--' 1t130!--0N.a .4i'
„, A' ee„...1., "-4... g..N.,4- g-tvw4c-, ;--,n;:;'4s-t ,:,,i,,r
CONY BURNER: 0 FUR/WON...4*T: 0- ,.,„ 3ó0#H. 0 i
BBC‘......,.: 0 MIS(.. . ....i-: 0 '.4.4 --'i'=;- I e,„-!,:.. '-4:40'04,,t
GAS DRYER..: 0 AIR HAV:110;141444 ,r i :‘i4 V'
...,_ a',
RANGE • o <10 u00,CINE' 0 Ii: 0
GAS LOGS.-: 0 ' 10,000 CEA: 4 -,--,„ , .1 RGROURb.: 0 (01AL MS 1 27.00
Does the vater supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes" then water expasion tank is required on Hot Water Tank)
I
1 Inspection Record: fichanical Rough-A, /0 --36-org_ 1, 2-toi--- _ Gas Piping Date
I MECHANICAL 1 NM /0-3o-aT r ,
. ..,..
i-#77:1
PERMITS EXPIRE 184 DAYS KILO ISSUANCE IF NI Mr IS WIRIER.
CERIIIY 111 11101A1101 11111NISOLD BY It IS IRK ANN (4111110 Iti TIN RFS! Of NY RNINNENGE (Nb JUL APPLICAttE CITY 01 FILM KO RINIPEKNI-, VIII, BE NEL
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HER OR PAR! ,..z.. <_,..z.,,,,...4../L.__.;:7(_...._.L.0 c ' ' '
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FIELD COPY k ,
RECEIVED
CITY OF BUILDING DIVISION
• SEP 2 21998 33530 First Way South
Federal Way,WA 98003�/ CITY OF FEGEHAL w ' (253)661-4000
BUILDING DEPT. Fax(253)661-4129
APPLICATION FOR MECHANIC 'PERMIT
Federal Way Business License number:
MEC 98 - cZ Sy
PARCEL # Single Family Q Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner D it t avt A aryl-i (,au I 0‘1 Phone g -
3`� 1(G 1
Address/City/State/Zip
3D17--I ZGi �< S, �ek1va I iAlA.y, �;U
Nature of Work ref la U 4,19 UVfe", In-e/A -eAr ` cc{-, Project Valuation: $ G2,0-,
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name L)W At'
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) -C1 e.C'I'e i(a! Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
Furn>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt 1 C 1 C- Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
RRQ's Wood Staves A/C TONS »TiiatT mtf�ut�tif
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 / -,- /(/ 4/-) l_ y�"" Date I 22 —�
Meat Are
Revrs®7/29/98