98-104282 ,t. .
i T.:.: :3 e- /6 14441
CITY OF FEDERAL WAY . ... PERMIT NO: MEC98—0277
33530 Fimt Way South M E. C h e'i,IN .1.. (,..Pt L. P ER M I I ISSUED-. 11/06/9E3
Federal Way, WA 91.-3003 Mechanical lw_:,p,,,- c.AA,41 Requests 253 .661- 4140 BY: FC
253-661-4000 EX1IPFS: 05/04/99
ADDRESS:5110 SW 324111 Pt
1O. : 189811-0060
PROJEC I DISCRIP I ION:MVO - INSTALLING NEN GAS INSERI 11I1N 20' ASSOCIATE!, PIPE.
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GREG HERCULE OWNER IS CONTRACTOR
5110 SW 3241H Pt I
FEDERAL NAY WA 98023 I
1
253.838.1628 253.404.8023
N/A
*** CONTRACIARS„ PLEASE OSL LOCATION CONE 1132 WV REPOKIIIS SALES TAX 101 MAUS COIN 1K CITY Of FEDERAL WAY. TAX RAIL 2 8.25 ***
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PRO Ed VALUATION 1200 I ILES:
FUEL TYPES GAS ? FANS......, . ,: 0 8011ERS/COMPRESSW ' Pit ' P .11ANCE... $ 20.00
GAS PIPING.: 20 ft POOP 0 0-3 TON 0wi,di t,, ,littt $ 36.00
EURN<100K..: 0 MCI W01 . 0 1-1 . PHI ...: 0
GAS 0111 ' 0 WOOD cIOVES. .. : 0 %- :o It*
CONY BURNER: 0 puRvOOK.....; C ./U"Sti 1" ' f
131 ' 0 misc.._...: 0 t404 Tov...: 0
GAS DRYER..: 0 AIR HANDLING 0NEps FUEL TAW
--------
RANGE ' 0 :1'10,000 CFR: 4 ABOVE GROUND: 0
GAS LOGS...: 1 ) 10,000 UM: U INOERGROOND.: 0 TOTAL FEES $ 56.00
Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
1
Inspection Record: Mechaaical Rcugh-in _ ______ bate Gas Piping __e,4,e% Jate /..1A-.1'7 41 f3,
1 MECHANICAL FINAL 7-_-C"- _ Date 24--45-- 7:8
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PEPAIIS EXPILE 100 BAYS ATTE mISSOA, CNI 1111 !: ITIOAK IS ST(AIT:1(1.1 .
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I CERTITY 101 INFORIA 10 TIE PEST 01 111 LIONIEDGE ANA INF AP/1JE*1LE CITY Of IMAM WAY REQUIPENENTS VILE K NET.
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OWNER OR AGENT ,z' __ILL4/7 Pk/46
DATE
FIELD COPY
A
CITY OF G BUILDING DIVISION e
• ECI33530 First Way South
N)N) Ry Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC 98 - O P7}
PARCEL # Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner . -EC_Ot.) Phone
Address/City/State/Zip
Nature of Work Project Valuation: $
APPLICANT ��J�
Name L-4� 1 2e-//k
'� hc,
Address/City/St/Zip 61' D 2-V bc_/,Q-�2 GCJQ '2$OL3
2cs Ul(c Z.S3 �3�3/ 2�'
Contact Person " Phone - (4Fax
Nlen L53 -- LAY-(-e02-3
MECHANICAL CONTRACTOR W p2iz
Company Name AaV /
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) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping A f)Qt,K ZL Range Air Handling>=10,000cfm Above Ground
Furn<100K BTU's Gas Log Unit Heater Underground
Fum>100K BTUs Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS
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 autho, 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 p..of application.
l
Owner/Agent )'lac(26 Date
Mecn.Are
Revrs®7/29/98
a
CITY OF FEDERAL WAY y PERMIT NO: . C9 -0 77
33530 First Way South PI!I;:;, ��,.,• H�A Ifw , I L A L il,•,,,� ERN .,, .. ,,,�,,, IME 8
ISSUED: 11/06/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661..-4140 BY : FC
253-661-4000 EXPIRES : 05/04/99
ADDRESS: .511O SW 324TH PL
NO. : 189831-0060
PROJECT DESCRIPTION:HVAC - INSTALLING NEW GAS INSERT WITH 20" ASSOCIATED PIPE.
r OWNER ------ ._ - -- CONTRACTOR =_=-.- ------ -- ----- --- LENDER __..____._�
GREG MERCILLE OWNER IS CONTRACTOR
5110 SW 324TH PL
FEDERAL WAY WA 98023
253.838.1628 253.404.8023
N/A
=xx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 us
PR0JECT VALUATION 1200 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 20 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 36.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 56.00
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
k. __--------___---- .__-------------......_
PERMITS EXPIRE 180 DAYS AF - ' SUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATI' ' •"WISHED B ME IS T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYC /r 'OF FEDERAL WAY REQUIREMENTS WILL BE MET.
,rte /'/
OWNER OR AGENT , �" We ` DATE ,A
FILE COPY