99-101366clot - 101 *3(go
c"ITY OF FEDERAL WAY PERMI,r mo: MEC99-U11.4
�33530 Fii-st Way South MECHANICAL F)ERM I T IISSIJED- 04/08/91),
f'ederal Way, WA 9800,,l Mechanic --al. Irispectiori BY: FC
%253-661--4000 EXPIRES: 10/04/99
ADDRESS: <31611 MI PL. S
Lao.: 794150-0070
PROJECT DFSCRIP'rION -.NEC - ISIALL I GAS INSERT W/ PIPI86
OWNER
RON h(CRAMN
31611 7T11 Pt S
FEDERAL WAY WA 98003
253/941-0272
7--7-I !, r 11 A7111-1
- -,-7 `-7777-
CONTAK 116", kiloSALES TAX FORMUMS NIMIN IR CITY Of f[KMt NAY. TAX RATE = 8.25 Its
. . .......... ......
----------
..
2
PROJECT VALUATION Soo �,IQA "D
FEES:
FUEL TYPIS.;GAS ? FANS.. .......... w I obs, fiLl frF 1 23.50
GAS PIPING.. 65 ft HOOD
FORM,100t..: 0 DUCT" , A, TOV,
GAS HWT—.: 0 WOOD ST 0 5 - 30 tijP7TM
CONY BURNER: 0 f URH>I0Or.—.: (i 0
BBQ......... 0 "ISC ........... 0 504 lox--: 0
GAS DRYER..: 0 AIR, HANDLIK UNIfS FULL TAH'K'S,--
RANGE......: 0 (40,000 M: 0 ABOVE GROUND: 0
GAS LOGS—: I ) 10,000 (FM: C UNDERGROUND,: 0 TOTAL FELS 23,50
CONTRACTOR ....... =--- .......... UNDER
WASHINGTON ENERGY SERVICES CO
ONE UNION SO 9TH FL
PO 801, 91060
SEATTLE WA 98111.9160
... = ............ —M ... ...... r..Z..W.0 ... a ... -»�, —ZA4— ...... =.. ...... ........ 4Mr.
Does the eater supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes' then water expansion tank is required on Not Water link)
Inspection Record: mechanical Rough -in Date Ga Piping
MECHANICAL FINAL Date
PfRNITS EXPIRI 180 Mr AFTER IStMIK1 If NO VOKI ISSPTED.
I CF1111-1 THI.. INFORM-110N.-MMISCLO 9 K IS ME AJIVCMECT TO IK REST Of NY INOWLLME PMD THE APPLICABLE 01Y Of MERAL NAY REQUIREIMEMS VILL K "u.
C
OWNER OR AGM DATE_j.
FIELD COPY
CITY OF FEDERAL_ WAY PERMIT NO: MEC99-0)114
33530 F i rs t Way South !I : �. , II.,.,,� it .�, h''li .., .. �.... II..,,, ,,,,,N :'.;.. II; , �� " ...il.. ISSUED: 0 /0E3/99
Federal Way, WA 930013 Mechanical Inspection Requests 253-661-4140 BY: FC
253--661-4000 EXPIRES: 10/04/99
ADDRESS - 3161-L 7TH PL_ S
NO.: 794150-,0010
PROTECT DESCRIPTION:MEC - ISTALL 1 GAS INSERT W/ PIPING
OWNER_________________________ _____ ______________-===a= CONTRACTORLENDER
RON MCCRACKEN WASHINGTON ENERGY SERVICES CO i
I 31611 7TH PL S ` ONE UNION SQ 9TH FL
FEDERAL WAY WA 98003 PO BOX 91060
SEATTLE WA 98111-9160
253/941-0272 !
WASHIES07403
e
______.._ _--._._..---__._______mom__ _ •.--3
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORIING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 six
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 65
FURN<100K..: 0
GAS HWT..,.: 0
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 1
500
? 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....
3-15 TON...
15-30 TON..
30-50 TON..
50+ TON....
FUEL TANKS ---
ABOVE GROUN
UNDERGROUND
FEES: '
MECH PERMIT FEE $ 23.50
$ 23.50
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
Inspection .Record: Mechanical Rough -in
MECHANICAL FINAL
Date ---------- Gas Piping
Date ----------
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATI URNISHED BY ME IS TRUE A ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _-.---_-. _ DATE _ ALA/ l 6)
FILE COPY
f
�c':-�I
vLt-- r...
®8 1999
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
BUIIAING Dr rMON
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
MEC AI - 011
PARCEL # I "�-� ` �% Single Family Multi -Family ❑ Commercial ❑
SITE LOCATIO
Tenant/Owner
Phone
Address/City/State/Zip
Nature of Work ` C�� ��� ( ( Project Valuation: $
APPLICANT
Name Is,—
\ '\ C
-Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone Fax
Company Name
Address/City/St/Zip
Contact Person IL La 1 Phone Z� L '� rf ax
�,
State L & I Contractor Registration # � � � Exp. Date 4LS-a
(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
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: 1 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 pemrit 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 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/
Mm .App
Revism In/99
Date�k 1L��