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99-101166q01 - It, I 1 (00 CITY OF FDERAI- Wf)YPERMIT NO: MLC99-0094 33530 First. Way South MECH1�3 ANICAL 'PERMIT SYULD: 03/24/99' Federal Way, WA 98003 Mechaiiie-al Inspection R(,:�quests 253-661-4140 BY: F 253-661--4000 L-XPIRES: 09/19/99 ADDRESS.. -31230 91'11 AVE S tlO.: 858220 0030 PROJECT DESCRIPTICO-1:HVAC - GAS TO GAS FURNACE (HARGIOUT OWNER­­ ... ....... CONTRACTOR N=Z=: ....... WALTER NELLIE R111 WAY GAS SERVICE 31230 91H AVE S PO BOX 994 FEDERAL WAY WA 98003 i KENT WA 98035 253.9411.5086 PROJECT VALUATION FUEL TYPES.:GAS GAS PIPING.: 0 FURH<100K.,: I GAS HWI .... : 0 (09V OWNER. 0 RHO......... 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 Its CONfUCTORS, PHASE USE LOCA 1500 LOW1. SALES TAX FOR PIWECTS VITNIN TOE CITY Of FEDERAL WAY. TAX RATE : 8.25 M ? FANS.. ft 0000. ...... 4 4'' )m DU( I RORK ...... 0 1011.. , WOOF SIOVES... 0 1 30 UK 11 FRN: loot 0 30 110 V* 0 1) 50V Tom:_,: 0 AIR HANDLING 1.11111S Rflt Ififts ---------- '10,000 (fil: 0 ABOVE GROUND: 0 > 10,000 (fm: 0 UNDERGROUND.: 0 FEES -- F1 $ 54.00 TOTAL HES $ 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: Nechanical Rough -in Date Gas Piping Date A-11 MECIIANICA1. FINAL /0/�,/ : 4 PERNITS CXPIRE 180 DAYS AFICK ISSUANCE If 00 WE IS SIARIED. I CERTIFY fitt INIORMIJON IUANISNfD ff by K Is AND CORRECT 10 TNI K -Sr Of NY f#Wtf1fG1 00 1111. ftPPLI(ADtf CITY Or ftKAK NAY RLOUIR!'"tNIS Vitt. It NET. OWNER OR AGINI DATE FIELD COPY i CITY OF FEDE=RAL. WAY u� w �ikp .11 �k E IllIYu33530 First Way South if -f Federal Way, WA`.-)eoo3 Mechanical Inspection Requests 253-661-4140 253-661-4000 ADDRESS : 31230 9TF3 AVE S NO.: 85822O --003O PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE CHANGEOUT r= OWNER=______=___:_______________________________________.T_ CONTRACTOR =___-=__-___________________--______________= LENDER WALTER NELLIE RITE WAY GAS SERVICE 31230 9TH AVE S PO BOX 994 ( FEDERAL WAY WA 98003 KENT WA 98035 253.941.5086 631-4100 RITEWGS236JG _ts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. PROJECT VALUATION 1500 FEES: ( FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/CCMPRESSOR.S MECH PERMIT FEE ( GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....; 0 ( FURN<100K..: 1 DUCT WORK.....: 0 3-15 TON.... 0 GAS HWT....: 0 WOOD STOVES...; 0 15-30 TON...: 0 ( CONV BURNER: 0 FL'RN>100K.....: 0 30-50 TON...: 0 ( BBQ......... 0 MISC........... 0 50+ TON--: 0 GAS DRYER—: 0 AIR HANDLING UNITS FUEL TANKS --------- RANGE ...... -------- RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10.000 CFM: 0 UNDERGROUND.: 0 PERMIT N0. MEC99-0094 ISSUED: 03/24/99 BY: FC EXPIRES: 09/19/99 TAX RATE = 8.25 ;_t $ 54.00 Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes ( ) No (If "Yes" then water expansion tank is recuired on Hot Water Tank) Inspection Record: Mechanical Rough -in ---------------- Date ---------- Gas Piping ----------------- Date -- MECHANICAL FINAL Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THE INFORMATION FURNISHED BY MEIS E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. � OWNER OR AGENT DATE --- -- c,�' _.------------------------- _ _ _ FILE COPY Crr of G BUILDING DPaSION 33530 Fust Way South Federal Way, WA 98003 (253) 6611000 Fax (253) 661-4129 00 M�� . APPLICATION FOR MECHANICAL PERMIT 000010 �Ev� Federal Way Business License number: 22 `%9 MEC,* - Dq PARCEL # a/��► 3 a Single Family Multi -Family ❑ Commercial ❑ SITE LOCATION "T nt/Owner 1Y794 Phone IQ63 - '12 Address/City/State/Zip --:2! 2 3 c 9 U S- Nature of Work (LI / b�` A S F a /e N A Com- Project Valuation: $ APPLICANT Name 6 1 I — b.) 4 k & 14S -.5 e/e o l el!�: Address/City/St/Zip Contact Person MECHANICAL CONTRACTOR Company Name 6J LE7- 4,) P Y (�!Iq-:5 ` R U l &- Phone Address/City/St/Zip 906 21 f:)JT 9S -D 3S Fax Contact Person W p l t` t (,,'I 1 z: Phone c1 , 3 4.31 - 44 7 GL) Fax State L & I Contractor Registration # 1 10 tl--' J C� Exp. Date (Card must be presented) MECHANICAL UNIT COUNT Fuel Type as/other Gas Dryer Air Handling < = 10 000cfm Fuel Tanks: Length of gas piping Range Air Handling > = 10 000cfm Above Ground Furn <100K BTUs Gas Log Unit Heater Underground Fum>100KBTUs Fans Boiler BTU/H Miscellaneous Gas Hwt I Hood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other DISCLAIMER I certify, under penalty of perjury, that the information fiunished 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 (mcluding costs, expenses, and attorneys' 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 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. Owner/Agent Date - r MECELAPP REvrsm 7/29/99