96-100565 •
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CITY OF FEDERAL. WAY � PERMIT NO : MEC96-0039
39530 First Way South i,..,;.1,.'..,.1,,,. ,i �.. �,.,.,.it"'�i ;:;:;.. , ,�.. ,.,� ISSUED: 02/29/96
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 02/22/97
ADDRESS : 629 S 356TH ST
NO . : 292104-9019
PROJECT DESCRIPTION :MECH ONLY - INSTALLATION OF 400' GAS PIPE.
' OWNER '
:_:_;#
CHRISTIAN LIFE ASSEMBLY r SUNRISE ENERGY SYSTEMS
629 S 356TH ST E 5007 PACIFIC HWY E, STE 11
FEDERAL WAY WA 98003 TACOMA WA 98424
206-820-9759 v 922-1011
SUNRIES096K3 @ p
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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 ***
r PROJECT VALUATION 4785 FEES:
FUEL TYPES.:? FANS • 0 BOILERS COMPRESSORS Mechanical Permit* $ 72.00
GAS PIPING.: 400 ft HOOD • 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP....: 0
CONY BURNER: 0 FURN>100K 0 30-50 HP • 0
BBQ • 0 MISC 0 5+ HP • 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 $ 92.00
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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 Water Line OK Mechanical Inspection Notes: -.__---
GAS PIPING OK .._ DateBy
PERMITS EXPIRE 180 IS AFTER ISS144 ' O WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INTI' ATION FURI .4
� I + ' S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DATE 2. .Z— ` G
FILE COPY 3-D5 g0�$
City of Federal Way
CITY OF ,. 33530 First Way South I A ( ' /. `` r
• - Fr--- ETZFR__. ederal Way, WA 98003 "� P—
(206)661-4000 ,
WF/If '.
APPLICATION FOR MECHANICAL PERMIT
GFiNIF
PARCEL ft*
t � - . Single Family ❑ Multi-Family ❑ Commercial ❑
r FEDERAL WAY
SITE LOCATION: JCi.4 �`t cNG DEPT.
Tenant/Owner: I/U < ,zn-d:..---- LI S-�`"� Phone:
Address/City/State/Zip: �� f, ,S(- --(0 --qjZ -r l 1 W/;)
—60
Nature of work: t Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: St-All'iir'L''S•12,.. S1•4(2/ <<` l
- � // ,�i 'T� 1 '� GHQ
Address/City/St/Zip: �`-'O ? 1 d6-6 Ay C� X� I I ( Gi� JJw4 / �Za
I C; /
Contact Person: C' 1P'e--4.-CS(/1"--1 Phone: `2Z - f°1/ I Fax: 92-Z ' 2493
State L & I Contractor Registration #: c JU M kL .30 C 62 k Exp. Date: I • I •R7
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping �',.'','
},2 I Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood d Stoves
A/C
TONS
faE t)nlf(✓aztnt
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,incluckh9 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 n-inf•rmation su••lied to the City as a part of this application.
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Owner/Agent: le „,,,,,kg„,,,,,kg so-, ilikktI Date: 2.29 . `9
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