99-101305CITY OF FEDERAL WAY
33530 F,i rst Way Soutl)
Federal Way, WA 98003
?5'4-661--4000
H C C H A WE r -N I_ P E RHIT
Mectialli.cal IFISPeCtic)[) ReqUeELs 253-661-4140
ADDRESS :32'703 IST PL S UtAtt 2::31
NO.: 701680-1260
PROJECT DESCRIPTION:RVAC - INSIAtLING INSERT 10 EXISTING FIRERKE, WITH ASSOCIATED GAS PIPE
OWNER
RICHARD ELLINGSON
32703 IST PL S, 1231
FEDERAL RAY WA 88003
927.9924
US
PPOJECI VAtUAII08
FUEL TYPES.:GAS ELL
GAS PIPING.: 30 ft
FURN(100r..: 0
GAS NWT....: 0
(O#V DURNER: 0
BOO......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: I
CONTRACTOR ...... = ...... ......
AMERICAN HEATING SERVICES INC,
11503-C PIPTLAND AVE
fA(OMA WA 98404
253-539-1702
2239 Ae...........
FAQ . WI S
75
p -
HOOD",', 1A
DUC
WOOD STOVES... 0 15 - JO 0
MIS( ...... 0 904 0
AIR HANDLING OI TS FULL TAKS--
<!10,000 CFM; 0 ABOVE GROUND: 0
10,000 CFM! 0 UNDERGROUND.: 0
i ruArh
30S
PERMIT NO: MEC99-0107
ISSUED: 04/01/99
BY: FC2
EXPIRES: 10/03/99
,4SALES IM FOR PROJECTS RITNIN THE CITY Of FI KRAL MAY. TAX RATE :: 8.25 t2s
FEES:
E( 3 83.25
TOTAL FEES S 83.25
Does the water supply system contain a Pressure Refiction Device or Check valve? ( ) Yes ( ) No (If *Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough in ....... Date .. __ ___ GAS Piping Date
MECHARRAI FINAL Date q�3
PERMITS EXPIRE ISO DAYS AFTER ISSWE If 90 VORI is STARTED.
I CERTIFY liff, ["Few NIL 1 91 BL Nt 1
NL is TRUE Awe CORRECT TO Iff AtSI Of NY tKOULLIKA AND ]HE APPLICABLE CITY Of FtKRAt MAY RLOVIRI 9 S LL
OWNER OR AGENT DA I E.
FIELD COPY
M
CITY OF FEDERAL WAY `
33530 F i. rs t way So u t i,
Federal Way, WA 90003 Mechanical Inspection ReqUests 253-661-4140
253-661-4000
ADDRESS:32703 _LST PL S Unit:: 231
NO.: 701680-1260
PROJECT DESCRIPTION:HVAC - INSTALLING INSERT IN EXISTING FIREPLACE, WITH ASSOCIATED GAS PIPE
OWNER:______________________________________________:__=.= CONTRACTORT= LENDER
RICHARD ELLINGSON ° AMERICAN HEATING SERVICES INC.-
32703 1ST PL S, #231 7503-C PORTLAND AVE 1
FEDERAL WAY WA 98003 TACOMA WA 98404
927.8924 253-539-1702
AMFRIHSO83M5
------------
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
PERMIT NO: MEC99-0107
ISSUED: 04/07/99
8Y: FC2
EXPIRES: 1.0/00/99
PROJECT VALUATION 2239 FEES:
FUEL TYPES.:GRS ELE FANS.......,..: 0 BOILERS/CGMPRESSORS )` MECH PERMIT FEE $ 83.25
GAS PIPING.: 30 ft HOOD..........: 0 0-3 TON.....: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0
c n n r n
GAS NWT....:
0
WOOD STOVE.,...: U
15-3u T,;1— :
CONV BURNER:
0
FURN>IOOK.....: 0
30-50 TON...:
0
BBQ........:
0
MISC..........: 0
50+ TON.....:
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
r-10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...:
1
> 10,000 CFM: 0
UNDERGROUND.:
0 TOTAL FEES
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (If "Yes" then water expansion tank is required on Ho
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 INFORMAT FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL. WAY REQUIREMENTS WILL BE MET.
-7 p
OWNER OR AGENT-- ---- :.-------- =----- -- ---------------------------------- ---- DATE
FILE COPY
A6 5318696 P_02
em o G
wt
'a'D cb 10 APPLICATION FOR MECHA AL PERMIT
fkP FAD- , WAI Federal Way Business License number:
T.
(;1� "3 01- G DEP
PARCEL #
SITE LOCATION
Tenant/Owner
Address/City/State/7ip
Naturc of Work��/.Q�
APPLICANT
Name
Addre:
Contac
t
Nults.ouro Divizursr
33530 First Way South
Fodefal Way, WA 99003
(253) 661-4000
Fac (253) 661-1139
MEC_W=_ 0 0
Single Falaily l�J
�U'•�I lti-Family ❑ Commemial M
,
3/ v I
terAj Phone — _ C �7
[�aC�.Projtmt Valuatiam: 8 cis--sa..�:.,Ls_=.�..
M'CHANICAL CONTRACTOR
Cornpnny Nalne Cx5
Address/City/St/Lip
coptf1cE Parson �%_Phone Fax
6�
State L & I Contractor Registration # , S Exp. Date �.
(Card must t,e presontedl
MECHANICAL. UNIT COUNT
Fuel oS as/other
Goa Dncr
Air Handlia
< - 10,00Gtafm Ped rniq:
Langli of Sm pipipg ✓
Air HLridlin
> =10 000ck Ground
am <100K B"Mra
Ouss Loit
Unit Heatrr
tTndCFjVFWXkd
Lrn >I OOK Mrs
Fast
Boils
BM I Lwallaneoua
Cam Rwt
Hood
Bolt
BTU/H I mg
Conv Burner
Duct Work
AIC
TONS Other
1
a $
015('tJ.l HST3R: I entify, under p—hy nfpq) W. lh$k dta Wbeeatien tonlahed by rM u ku4 VA aomta to the bet of my toiorledee and fmtha UW I am %mMo&;d by ft oama of me abo.e Dtaf Wea H parnm Cv varr
ZMilch pcmJt appQ-a .e b made- I Fanha rise m tart hatrnLe ux City of rod" Way w to ww'46% 6fwu&,# wars. a qr %n and attorneys' fia innatc�d in iav djpdm� and defm r of ouch claim). which inay be
� M .,y p—, 1^e1A.W14 Inc ufdw1i9n".L and 6tad against Uta City of pedeny War 1,0 only—A-- arch daim aria&, oat ofmc wwi- of Ott dry, Maltwoc iY am-_ and teoployaaa, upon tlu _. .y of th.
t,Jormr6an..pp6d. th4 c;ty as a paa of VW kpoL41i0e. In
Owner/Agent
Narn,krr
Date
2�
04/02/99 FRI 12:49 [TX/RX NO 90131
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