00-100072 Cit ofFederal Way
Community Development Services Mechanical *mit #:00 - 100072= 00 ,
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: HARMON(HVAC)
Project Address: 32117 12TH SW Parcel Number: 010451 0500
Project Description: Installing new gas fireplace insert
Owner Applicant Contractor
Melissa Harmon NONE Melissa Harmon
32117 12TH PL SW
FEDERAL WAY WA 32117 12TH PL SW
98023-5527 NONE FEDERAL WAY WA
Mechanical Valuation 2695 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description !Quantity Description Quantity)
Fireplace Inserts 1
PERMIT EXPIRES July 8,2000,IF NO WORK IS STARTED.
Permit issued on January 10,2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
• •
POST IN A CONSPICUOUS PLACE
City of Federal Way• Community Development Services Department
INSPECTION REPORT
Date: Inspection Type Remarks Inspector
/ 1/ £'6' le CI i ,c'c; riele,
tfYOF G • �] BUILDING DIVISION
• 33530 First Way South
W Federal Way,WA 98003
(253)661-4000
w" ' ' Q Fax(253)661.4129
�� , APPLICATION FOR MECHANICAL PERMIT
Q"t Y Lig t_z V LriiiLFederal Way Business License number: /�
BUILDING DEpT AY r I -oD 7
P--
MEC - if(�l/
PARCEL# Single Family0( Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner \e L1 -_.)---31-) Phone(26-')) P-)r 1 q- e:)--./.11-c -' '
Address/City/State/Zip 1)2 111- 1 2 /� P�_ V'U
Nature of Work _ct r I �t(. C_c_, i r 1 (—7 Project Valuation:$ 7 1 C. i -3 -
APPLICANT ' I
Name H Q Lt.`-',`:)n- t-16 (- (YID (1
Address/City/St/Zip -3 7 I I I — I -11" P L_ `)UL'
Contact Person PhocZ I- F r14 ?Ar-C-1 Fax
MECHANICAL CONTRACTOR
Company Name -The . ftrk r L.-1 11 (- 1-)-k f pr l
Address/City/St/Zip
Contact Person "tom Y`Y1 Phone ----211 C 3 I -Y-(,-- iix
State L&I Contractor Registration# Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfn Fuel Tanks:
Length of gas piping Range Air Handling>=10,000c&n 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 Dud Work A/C TONS Other
RRQ's Wood Stoves A/C TONS 3'a al`T3ri i Ceiu f' ire::::::N::;:? :»>::a:ii
1 DISCLAIMER 1 certify,under penalty of perjury,that the information furnished by me is true and correct to the best of my knowledge and further that lam 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 Sled 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/Age`nf C 0 'L ICA7 /.1.%2 k_../'L— Date /—/C' ^2rOn
MECH.APP r
REvis®1/7/99