98-101892 98, 16)S9c)
CITY OF FEDERAL WAY „„ PERMIT NO: C9 -0118
� p � q� p IMEC98-0118
8
33530 First Way South ill'�E.��":: Hi(' i it .,r ("..A !G„... PERMIT
. TssuED: 05/26,/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY: FC2
253--661-4000 EXPIRES: 11/21/98
ADDRESS: 2920 S 288TH sr
NO. : 332204-9070
PROJECT DESCRIPTION:MECH- HEATING SYSTEM
FMB =__ CONTRACTOR T LENDER - .- -- T
KOREAN METHODIST CHURCH , HI TECH
2920 S 288TH 85 E BYRD DR
FEDERAL WAY WA 98003 STEILACOOM WA 98388
206-617-3250 253-581-7420 253-380-0745
___-= HITEC**032MG
____ - - -
** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
---- --- __ ---- --
PROJECT VALUATION 10000 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS MECH PLAN CHECK FEE $ 29.25
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
I FURN<100K..: 2 DUCT WORK • 1 3-15 TON • 0 Mechanical Permit* $ 117.00
GAS HWT • 0 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 TOTAL FEES $ 166.25
===_- - _
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 ME IS TRUE-AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ ____ -/ L ' � DATE A6 _
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CITY OF i•—.— R E_C E \FED BUu.DING DIVISION
• F� 33530 First Way South
\)\) Fly MAY 2 Federal Way,WA 98003
�/ 6 1998 (253)661-4000
Fax(253)661-4129
1TY 0i= FLi . riAL WAY
INGT
APPLICATION FORLDMECHANICAL PERMIT
MEC - - O \\ c
f1/77
PARCEL# Single Family❑ Multi-Family❑ Commercial
SITE LOCATION M ( "
Tenant/Owner 0 rQ g r--, I" \e I1--C"X���kS� �`'l N r c•—_\/..\ Phone
Address/City/State/Zip 0 9 a C) 94=E5-'''-- '
Nature of Work Project Valuation: $ I 0 100 co
APPLICANT
Name
Address/City/St/Zip
(
Contact Person Phone Fax
MECHANICAL CONTRACTOR
. Company Name A 1 - T . ch
Address/City/St/Zip 9/)aq„ 73 rcl ---r- s-LD LiF oO C r) 0,1)_ .. /cLe9ye
Contact Person (ee-� Phonn. -) r-/--)- - /-1/-)--' Fax
State L&I Contractor Registration# 7/11/ "— 7.-c--e ' A-?-z /q -
Exp.Date 7
(Card must be presented)
MECHANICAL UN/,I4 //
UNIT COUNT
Fuel Type(gas/other)'h` �c 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
Fum>100K BTU's Fans Boiler -- BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner , Duct Work V A/C TONS Other
..:K:i:................ ............ .. ... ... iii i M:i:..
.............................................. ................
........................ ............ .. ... .................
BRQ's Wood Stoves A/C TONS • ::'[`itaFTfitii`C`'iii'ret:::»[<'':>:»:>?»?>?>:':>`?>`:':'>`::>`:
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.
/% � '1 �� �'
Owner/Agent _ Date --2-‘7C53
l�GJ /�
Mecu.App
Revrseo 8/26/97 - -