98-101475 9s-pi n7s—
•
CITY OF FEDERAL WAYPERMIT NO: MEC98-0095
33530 First Way South "",.�,,,.. "" °"• " .::�::. :°,:7''°''•p ..,,� °... ""`,�`"'' ... ,. �.,, ISSUED: 04/27/98
Federal Way, WA 98003 Mechanical Inspection Requests 258--661 --4140 BY: FC2
253-661--4000 EXPIRES : 10/23/98
ADDRESS: 304 SW 316TH ST
NO. : 072104-9207
PROJECT DESCRIPTION:CHANGING FROM ELECTRIC TO GAS, METER IS ALREADY IN AND CHANGING WATER HEATER, FURNACE AND FIRE PLACE
F. OWNER ---- ---- CONTRACTOR ---- __-__-- -- - , LENDER __._____•.__�____.__. = ----
DONALD CARLSON OWNER IS CONTRACTOR
304 SW 316TH ST
FEDERAL WAY WA 98023
•
253-859-8540
- - _ _ _ ..._._ _ _ -
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 3000 FEES:
FUEL TYPES.:ELE GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 54.00
GAS PIPING.: 125 ft HOOD • 0 0-3 TON.....: 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD STOVES,..: 0 15-30 TOt ...: 0
CONV BURNER: 0 FURMi1u,K • 0 30-50 TON...: 0
880 • 0 MISC P 50+ TON...... .0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS
RANGE • 1 <:10,000 CFI": 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM; 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00
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 ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERALERWAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _. ,_.- --- DATE _.< L7
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RE=CFI' Fes) •
CITY OF BUILDING DIVISION
• 33530 First Way South
APR 2 7 1998 Federal Way,WA 98003
uVFiY
(253)661-4000
ua Fax(253)661-4129
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APPLICATION FOR MECHANICAL PERMIT
MEC ,g - ooc7c
PARCEL # Single Family E Multi-Family D Commercial D
SITE LOCATION t
Tenant/Owner �`�ti,i4 iC� L 64,Q /So td Phone •05- ? `C3 /p-P.� 7/o
Address/City/State/Zip J 0 yS 4) �� ' \Le, ri--,./t�/�/14✓ 1v . , r 8C)3
Nature of Work ►
�� at ,C�sr G4c...41 IC 10 dvi S Project Valuation: To 3ooc
APPLICANT ii •
Name ,KA.,-t 0 As n b c
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name S Ui A/IE
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) 9>' Gas Dryer 2 04,0 Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping 42c- Range eac 0,' Air Handling>=10,000cfm Above Ground
Fum<100K BTU's frO OtD J Gas Log (p ? C,, Unit Heater Underground
&um> oOK Bf14W 1 0'4'4 Fans Boiler BTU/H Miscellaneous
Gas Hwt ,c O Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
....................................................................
BBC's 5 .- 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 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 o this application.
Owner/Agent i/ Date / c PGS
Mrcu.Arr
Rens®8/26/97