96-103073 9 , /C3crt5
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I , f il ; 1 14 1'10 ki, i , 1,Litmi i 1-10: PIEC96-0191
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U$ I.'<PERE '.',: 0911:3/9!
14 ODP L'..,S-;:"-N..-10f'-• b .... ,ti-)I 11 PI
NO. :: 730320- 02'.3(1
PR OJ I:e I DE (Et T1'1 T 011 7.RICH - GAS PIPING 25', GAS LOG & INSERI
i LENDER —- .-- ---- -,- tcttt nt na.
1
MASON KIPPLE ROSSOE ENERGY SYSTEMS INC J
2806 S 28514 PL 9361 RAINIER AVE S I I
FEDERAL WAY WA 90001 SEATTLE VA 98118 1 I
I I839 3446 725-7555 I
la°'-----aa,.,t'ry *;;- 0'1:11;41;64:717.Z;iiii ;3:' , ..f.r":::X1
SI
_ NG LLS 10. fl* PROJECTS WITHIN Tot City of ftitIllt I!: . , „XMLIAX1
1: ,25_ 3
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GPFRUAOES lJEPCTIY1PPIVENASGL..U::AGA1S2105 1 'ft 36THAO5O0
„ FEErS:
Rf
plo, i r: tethrilakittt it 6'200:00°0
W3 __ ,Sp zi: i, , ..,, a ,i14.:': h.. ,V,,g..,-AiC'b -;
Fufitotoor..: o t.. 'i,” ' i' ' - -' ..•4:,...---, ,...„.• '
GAS HW1 ...: 0 OOP'1 I t -I**. ' 3 P
CONY BURNER: 0 FOry
,,,,,, -,4",
wn , i..- ,, '.;` •• . I,
EDO......„.: 0
GAS DRYER.... 0
RANGE.,....: 0
- '' ,, ,,,' ''''' -44, - ,-;:.— , --V
Hist.,." . _. %...'I n'',..
AIR HAN*4:2 ' '1 '''',',. , -,7 AN --- .-," ,-2
—10 0001f1W--'-I -.. --: :4VE GROUND: 0 I
I
1 GAS LOGS...: 1 10.000 (filk: ' UNDERGROUND.: 0 1 TOTA1 FLIS $ 83.00
To;; the—w;i'eT—s;;Plav's 's'l'eam'C'o'n't'al'AT;;;;;;'re'W'edUctiOn Device c, valve? () Yes () Ho (If "les" then water expansion tank is required on Not Water lank) ----"'
I .
) Inspection Record Watei Line Or, tiechaniealtip ctioi Int —
I 'i I I
' GAS PIPING 01 0 Date 8y 4
ettillia AND CRANK PENNIIS EXPE IRONE Mg Af tit RAIL Of ISSUANCE. ,- \
PlarNENIIISIFLYIPI:(1N1"0101:110:11ORLINIISSSI"HED CPI; 1111.1 rs $081 AISNOSttkilit;i 1110"l111t NISI t* NY 11101,119‘1 AND IKE APPIRAELE (ITV NI fIDEINK MY RIOUINUILNIS Kat f ' I. ,
13WNEP Ofi AGEHI ( 4'/
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FIELD COPY
. . . ,
OF FEDERAL WAY PERMIT NO: MEC96-0191
.‘ .
Fi rst Way Soutr� R�r i r ., $,„I;t�'�` I•'�I :,1:.u';.;.':Fi I. i�,4 °. ..I,rr,�I.,i,. ..,I,,, ISSlJED: 09/19/96
kr
era:l Way, WA 98003 13u11.c,:insf inspection Requests 661-4140 BY: FC2
001-4000 EXPIRES: 09/13/97
ADDRESS:2806 S 2851H PL.
NO. : 730320-0230
PROJECT DESCRIPTION:MECH - GAS PIPING 25', GAS LOG & INSERT
.. L= --=9I
i= p_
OWNER -.._.___.... _._ _.__---- -_-_ v- --
CONTRACTOR _-..
__
MASON RUPPLE ( ROSSOE ENERGY SYSTEMS INC t
2806 S 285TH PL t 9367 RAINIER AVE S
rEDERAL WAY WA 98003 1 SEATTLE WA 98118 1
839-3466 1 725-7555
ROSSOES142QP t
=i= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 3650 p FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS t MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 60.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 Mechanical Permits $ 3.00
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 1 5+ HP 0 E
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE.....,: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 i
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 83.00
1
.. - - -- - ---- •-• ---------- ---••----.._
1 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: „•
I
GAS PIPING OK ____-___•.__ Date
•• ..=-_-.. •• •• _._. •--. .-..___.___.. ______._____
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
1
OWNER OR AGENT/ _ _ _s__..._.. r�� � DATE 47---
ALE COPY
CITY OF ` 1— N
c•Al,,—n • BUILDING DIVISIt7N
• 'F 7 33530 1ST WAY SOUTH
FEDERAL WAY, WA 98003 66 1 -4000
NCuRRECTION
ADDRESS: ,l!/ 5 A��9-7-- /� PERMIT #:'C 15-z. .f l e2/1 (
VIOL TIONS OF CI AND/OR STATE LAWS ARE LISTED BELOW: C
�a-1r >e 1'tel' .., 1;2, A /Zt k__1-e. 74.
1\ (\: earl i
.01:1_7,
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- A aAl a _ . . .. _..11_
71447/,' A ply Ze-,1: 1.--4 4--/- let tie,Ze ,,, L.C.,b-ftl_.5
. Vsa,14-1/-e."- 'la 1---1 U kin f:-..‘, f°- b44.1.s4 &.- 00abr114 044.erdi-ey
fJJ An , 1 1444 4fl w l' ks s 64.
NN, ) POV/1-19 ez-ci ed j- ---(44e)74 et-%<-e OZi4/Azt/t FA
3 1- ` ' 0, P Pelffreg,AA
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE-INSPECTION.
9- -9b A
DATE INSPEC OR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
City of Federal Way
( C q(o Cr
CITY OF r-- 33530 First Way South
(� Federal Way, WA 98003
I C� (206)661-4000 RECEIVED
` >/..)11=Ify 96
APPLICATION FOR MECHANICAL PERMIT SEP ® � 19
73o_3o(O 0cQ30 TY OF r.. . �,L WAY
PARCEL Single Family Multi Family o BUIL' Commercial 0
SITE LOCATION: -I
• l
Tom' cL 1 64ffIQ Phone-: S):37- 3
Tenan Owner:
Address/City/State/Zip: *062 g i * 4 c' /�03
•
Nature of work: ("i 7 I/606 lap 0 '6rep/h« / 6P/oject Valuation:($7-3_42_501°°
APPLICANT:
Name: (Se' .
Address/City/St/Zip: •
•
Contact Person: Phone: Fax: •
MECHANICAL CONTRACTOR:1?O)30€-
Company Name: E4 '2 /ntjkizj`,'"ls
Address/City/St/Zip: /367 4 t ii ) U $ c ,8//�
7 _
Contact Person: acjbuiLier'L•- Phone: 7 75 3t Fax:/1- 33 /9S� c� ,State L & I Contractor Registration #: �-'�.- 5 //� qP Exp. Date: ��-c/6,
•
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/otherliqa6 Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping ,Oc f 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 Yil/)k2 P.. /I/266n
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves _ A/C TONS >3'ntala riiti'.'-Cti'brit; `>:::::s5::`:::>:<?: z:»:::«:>`>s?::::
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true end 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 suctf 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 of this application.
'� D fi -:
Owner/Agent: ati/L.A.--
ate: c