00-105316City unity Development
tyDevelvelopment Services FederalWay Mechanical Permit #: 00 -105316 - 00 - NM
Commu
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 next day inspections)
Project Name:
Project Address:
JOHNSON
3133713TH S
Project Description: MEC - Oil to oil furnace changeout
Parcel Number: 787520 0290
Owner
Applicant
Contractor
Scott E & Jodyne M Johnson
NONE
ROSSOE ENERGY SYSTEMS INC
31337 13TH AVE S
FEDERAL WAY WA
9367 RAINIER AVE S
98003-5313
NONE
SEATTLE WA 98118
P 0\� 0
1 Valuation..........................................3500
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description Quanti Description Quanti Description Quantity
Furnaces
PERMIT EXPIRES April 23, 2001, IF NO WORK IS STARTED.
Permit issued on October 25, 2000
I hereby certify that the above information is correct and that the construction on the above described 1
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of W
the City of Federal Way.
and
n and
PARCEL # 787520029002
OEIVE®
btt Y OF t-Lok�HAL EA/AY
APPLICATION FOR 10MMM&AL PERMIT
Federal Way Business License Number.
SITE LOCATION
Tenant/Owner SCOTT JOHNSON
Single Family 0 Multi - Family ❑
Address/City/State2ip 31337 13TH AVE S
Nature of Work OIL TO OIL FURNACE CHANGEOUT
APPLICANT
Name ROSSOE ENERGY SYSTEMS
Address/City/StateOp 720 Dubuque Ave.
Contact Person Aileen Palma
MECHANICAL CONTRACTOR
Company Name Rossoe Energy Systems
Address/City/State2ip PO Box 18259
Contact Person
State L & I Contractor Registration # rossoesl 0111
(card must be presented)
MECHANICAL UNIT COUNT
Phone 2538397039
South San Francisco
Phone 650-624-0426
Seattle
Phone
BUILDING DIVISION
33530 FIRST WAY SOUTH
FEDERAL WAY, WA 98003
(253)661-4000
Fax (253) 66113129
MEC 0. �Y
Commercial ❑
Project Valuation: $ 3500.00
Ca 94080
Fax 877-846-5888
WA 98118
Fax
Exp. Date 11/17/2000
J—
Fuel Type (gas/other)
Gas Dryer
Air Handling <= 10,000 cfrn
Fuel Tanks:
Length of gas piping
Range
Air Handling >= 10,000 cfm
Above Ground
Furn < 100K BTUs 1
Gas Log
Unit Heater
Underground
Fum > 100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt _
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBQ's — ._._.
Wood Stoves
A/C TONS
Tota) ,. "
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 this application is made. I further agree to save harmless the City of Federal Way as to any claim
(including costs, expenses, and attorney's 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 Federal Way but only where such claim arises out of 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.
Owner/Agent'` Date: 10/03/2000
MECH.APP
REVISED 1/199
I