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CITY OF FEDERAL WAY tt uq �. ,. � p w,,. 1 .„,,. .,,,,, PERMIT NO: MEC98-0273
33530 F i rs t Way South �i”it !I��;..�,:.,.:. .:,:� ,:, II'�'(i ..�.:. �,....:. ..,' I+,,,�k ::,:. �.:,�,:II"I� .,:I;::. 11 :.
II ISSUED: 11/04/98 '
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 05/02/99
ADDRESS: 30536 6TH AVE SW
NO. : 178880-0840
PROJECT DESCRIPTION:INSTALL GAS LOG INSERT AND GAS PIPING
- OWNER -- - - = -••-- t- CONTRACTOR =- ---- T LENDER
JUDY PISTOLE RITE WAY GAS SERVICE --� f
30536 6TH AVE SW PO BOX 994 1
FEDERAL WAY WA 98023 KENT WA 98035 1
253-839-6084 631-4700
{ RITEWGS236JG
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*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 2300 a FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS 1 Mechanical Permit* $ 54.00
GAS PIPING.: 25 ft HOOD • 0 0-3 TON,....: 0 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 1
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 0 i
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 1 TOTAL FEES $ 74.00
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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
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MECHANICAL FINAL Date
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK S STARTED.
I CERTIFY THE INFORMATION FURNISHED ME IS,d1 AND CORRECT Ti THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT ,___ DAT E//0-71--/..—'
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Date ,!//5/0/1By • CD0193(Rev 4/97)
CITY OF G BUILDING DIVISION
• =1 33530 First Way South
Federal Way,WA 98003
V V (253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 6,7c4, )g
MEC 98 - til J�
PARCEL # Single Family( " Multi-Family❑ Commercial❑
SITE LOCATION {1 L,/
Tenant/Owner i L-'/_J) V P/ 5 J L& Phone /a 9-( U I
Address/City/State/Zip 3 O S S to 10 ‘[.,1--
Nature
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Nature of Work / /yST/94-L. ,I\I L/C/ 4 ` A-R S Pi PI1 a Project Valuation: 306-
APPLICANT
Name Rite-Way Gas Service
tSOX VV4
Address/City/St/Zip Kent,WA 98035
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Rite-Way Gas Service
Company Name P.O.BoY 0w4
Kent,WA 98035
Address/City/St/Zip
Contact Person / 0i ( K.E L L V Phone i'Fax
State L&I Contractor Registration# +\ JTw�'£c 7 Exp.Date c2;-J
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Cil-S Gas Dryer Air Handling<=10,000cfin Fuel Tanks:
i
Length of gas piping Range f r Air Handling>=10,000cf n Above Ground
�Fum<100K BTU's Gas bog+ ,�-k,I 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
RR 's Wood Stows A/C OT NS
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is d 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 hamdess the City of Federal Way ail 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 City of Federay Way brtf 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.
1111111°111111111"°'
' Owner/Agent ��� Date
MEcn.Arp
REVISED 7/29/98