99-101774CITY OF FEDERAL WAY
33530 First Way South
Federal. Way, WA 98003
2-53-661-4000
M E C Vf A N 11 C 0 L. FIC., R KIT
Mc.,(,hanical. Inspc-ctitc)n ReqL:ests '253-661-4140
API)RESS:830 S 319TH Pt -
NO.: 609400-0260
PROJECT DF:SCRIPTICIN. GIG FURNACL (HARGIOUT
OWNERCONTRACTOR. ..= ... ft=.Lm=V=- .. .. M.. , tENDLR
RON BETTESNORTH WASHINGTON INERGY SERVICES CO
830 S 1191H PLACE ONE UNION SO 9TII rt
FEDERAL WAY WA 98003 PO Box ?1060
SEATTLE WA 98111-9160
PROJECT VALUATION 1500
FUEL TYPLS.:GAS GAS FANS.. '14
GM PIPING.:
0 ft
HOOD .......
f10 100K..:
I
DUCT
GAS NWT.....
0
WOOD
(ONV BURNER:
0
FURm\1001—.,: 0
Butt.... ...
0
MIS( ........... 0
fAS DRAR.
0
AIR HA#bt.lh UNTIE;
RANGE......:
0
<10,000 rfm-, 0
GAS TOGS...
0
1, 10,000 crh- 0
TrTrTFL11-7 Tr1-- I
0f,[ 1132 iKk RIPMIIWl %ALES 1AX FOR PMECIS VITNIN 111E CITY OF FEDLKAL KY.
gggi
%
A
si
13-30 TON—: 0
30-50 TON'. 0
50? tot"...... 0
P41 TANGS --.--._.-
ABOVE fAOUND: 0
IINDERGROUND.: 0
PERMITNO: MEC99-0095
ISSUED: 03/30/99
BY: FC2
EXPIRES: 09/25/99
its
1 51.00
TOTAL FEES t 54.00
Does the water supply systes contain a Pressure Reduction Device or Check valve'? ( ) Yes ( ) No (If "Yes* then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rloulgh-in Wte Gas Piping
Date
MECHANICAL FINAL Date
FiRRITS tXPI91 180 ffin, Af fig Issum if NO NORK'As STARTED.
I CERTIFY INE 1KFO""I#1fjAuIjSKD R_W,isIRR ARD UMCI TO 191 E1.9 Of MY KNOLEIM AIM IN APPLICAKM
E CITY Of FEDERAL MAY RLQUIRNIS PILL K N[T.
OWNER OP AGENT
FIELD COPY
DATE -1—, ",
1--7- � t ,,. -1 (Z`N -\
CITY OF FEDERAL WAYPERMIT N0: MEC99-0095
33530 F i rs t Way South �f�". �.�; fi .,,,: �,;;..:'"�,..... ,' .;,:"'i�' �„',. ,,.,.. ISSUED: 03/30/99
Federal Way, WA 98003 Mechanical Inspection Requests 253._663_-�{ 140 BY: FC2
253-661-4000 EXPIRES: 09/25/99
ADDRESS:830 S 319TH PL
NO.: 609400-0260
PROJECT DESCRI PT ION : G/G FURNACE CHANGEOUT
_= OWNER CONTRACTOR =____________: __________________ ___=====f= LENDER
RON BETTESWORTH WASHINGTON ENERGY SERVICES CO
830 S 319TH PLACE ONE UNION SQ 9TH FL
FEDERAL WAY WA 98003 PO BOX 91060
SEATTLE WA 98111-9160
WASHIES07403
0
#i CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 t::
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
3 GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
1500
GAS FANS..........: 0
ft HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.... .: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON.. .: u
3-15 TON. ..:.0
15-30 TON...: 0
30-50 TON_: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Cneck valve? ( ) Yes ( ) No
Inspection Record: Mechanical Rough -in ---------------- Date ---------- Gas Piping
MECHANICAL FINAL Date
t
FEES:
MECH PERMIT FEE $ 54.00
i
1
TOTAL FEES $ 54.00
(If "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORKAS STARTED.
I CERTIFY THE INFOR SNED BY M TRU D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �L -------------------------------------- DATE���_J_,!��
FILE COPY
RECEIVED
APPLICATION FOR MECHANICAL IPERMIT
JJJJV "I" vvay 0....Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Federal Way Business License number 1Z, BUIDEPT..
MEC 98
PARCEL ,t `�� �� Single Family'L3 Multi -Family ❑ Commercial
11
SITE LOCATION
?-�/
Tenant/Owner
Phone
Address/City/State/Zip f;—;`' �3 0
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
L-0 Project Valuation: $ S C?1(0
Phone Fax
MECHANICAL CONTRACTOR
WC_0
Company Name
Address/City/St/Zip
�
�C;1 11� -Phone Z`�W2- ��O
Contact Person Fax
� Q
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
�vASH
Exp. Date
DISCLAIMER 1 off*. under penalty orperjury, that the information famished by me is tnu and carat to the best of my Im,mledge and Cu lha that I am authorized by the owner of the above prenuses to perform the wort
for which permit application is made. I fiatha agree to nave harmless the City o[ Federal Way as to any claim (in hiding costs, expanses, and attorneys' fees incurred in investigation and deface of such claim), which my be
made by any person, cwludu% the undersigned, and filed against the City of Fedeny Way but only where such claim arises out of the retiana of the dry, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
—A
Owner/Agent
Mctss.Arr
Rsvtswv 7!29/98
Date