00-100364City of Federal Way , Mechanical Vmit #: 00 -100364 - 00
Community Development Services
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 nett day inspections)
Project Name: 2640 SW 351ST ST
Project Address: 2640 SW 351ST Parcel Number: 502945 0780
Project Description: GAS FURNACE CHANG9OUT FOR EXISTING SINGLE FAMILY RESIDENCE
Owner
Applicant
Contractor
Mark A & Sara A Klaas
ROSSOE ENERGY SYSTEMS INC
ROSSOE ENERGY SYSTEMS INC
2640 SW 351ST ST
9367 RAINIER AVE S
ROSSOES142QP EXP. 11/17/2
FEDERAL WAY WA
SEATTLE WA 98118
9367 RAINIER AVE S
98023-3092
SEATTLE WA 98118
Mechanical Valuation..........................................1926
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quanti Description Quant!
Furnaces 1
PERMIT EXPMSLJuly 26, 2000, IF NO WORK IS STARTED.
Permit is ed on January 28, 2000
I hereby certify that the above information is correct aiV that the construction on the above described property and
the occupancy and the use will be in accordance with th6,7s, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ku� zyjr Date: I 0
• City of Federal Way
PITY OF 33530 First Way South
qqEcIEIVED
PH -�,Federal
Way, WA 98003
(206)661-4000
Aw 2
T/�
^ 'F
Air Handling
WAY
APPLICATION FOR MECHANICAL
PERS FEDERAL
-3�4-
PARCEL ff- � 9 �4
L97 1 Single Family
Multi -Family O Commercial o
SITE LOCATION:
Furn >100K BTU's '
, 50�`�4S
Tenant/Owner: K
47
'
Phone: `'�61
Gas Hwt
®
Boiler
Address/City/State/Zip:'�
Other
Conv Burne3r .
Nature of work: f'I �'�
� �
Project Valuation: $
Ake
Wood Stoves
A/C
TONS
r�3•L;it>{'s•`.t2'.;•s::?.:g7•.Ni.�:?•#•i...:k:3•j•,:y;;`:y�::1
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
Phone:
Fax:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip
�3 % !�y �� � ° �C/� A
Contact Person: ° ��� /�N�l Phone: �z'� Fax: 7 23 r33��
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
Range
Air Handling
> 10,000ofm
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
Conv Burne3r .
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
r�3•L;it>{'s•`.t2'.;•s::?.:g7•.Ni.�:?•#•i...:k:3•j•,:y;;`:y�::1
DISCLAIMER: I certify under penalty of perltry 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
promises to perform the work for which permit application to made. I further agree to save harmless the City of Federal Way as to any claim Oncludine costa, expenses and attorneys' fees
tncwred in Investigation and defense of such daiml, 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.
IW
Owner/Agent:
Date:
«.