99-101804CITY Of FEDERAL WAY PERMIT NO: MEC99-0169
335130 first Way Smith C: tl rl H 1, H L # PEM141 T 0.5/11./99
F=ederal Way, WA 98003 Mechanical .Enspectic)n Regtiests 253...661-4140 BY- FC.2
25:3-661_.4000 EXPIRES: 11/06/99
ADDRESS:11.3 `=aW :0411.1 sTf
NO.: 556000-0180
PROJECT DESCRIPTION:HVAC - INSTALLING A FURNACE AND A/C UNIT AND WATER HEATER CHAHGEQUT. FIkAI INSPECTION FOR EXPIRED PERMIT 11EC97-0259.
OWNER >w Y ....t...Va.
GEORGE ROBERTS
113 SW 304TH ST
FEDERAL WAY WA 98023
946..5')16
US CAMTRACIK'S.
CONTRACTOR ......
WASHINGTON ENERGY SERVICES CO
280 THORNDYKE AVE W
SEATTLE WA 98199
LENDER� 4".4...I.I.—
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(001117W.0 RtWIING SAFES 10 FOR lROJECTS NITNIN IK CITY AF FET. MY. IU RAIL 8.25 M
TuSt:KAl3:�Rta1
PROJECT VALUATION O mow, wo -
FUEL TYPES.:GAS ? FANS..
GAS PIPING.: O ft HOOD..,
FURNAOOK ... 1 DUC t Ca I-
5
-
GAS NWT,...: 1 40.,) 1, `1M4f-F ..' 0 1'S' 101 M...°
CONV BURNER: O R0)lUuk...... 0 30-50 To ...: O
BOO........: 0 RISC. .... _: U %1 W ...... O
GAS DRYER..: O AIR HAHMTHG UNIT'- IUrt TAR43-- -
RANGE......: 0 ;:10.0100 CIM Ii katy[ GRONLI: 0
GAS LOGS...: 0 > 10,�t�1��tt/�V�lR� UNDERGROUND.: O
FEES:
TOTAL FEES
EE t 35.00
t 35.00
Does the water supply system contain a Pressure Reduction Device or Check valve' ( } Yes () No (II "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in Date C,�^. Piping _.. _„�.........._... Date_•
PF.RIiiTS 11PIRL 1801 DAYS MILR ISSOAKE 11' N9 MORC I5 SIARTEN.
I Cfl4IIfY lit 1*06 MITION IURNISREI: Bye#[ I5 TRITE AM CAi1RECT 10 INE KSI Of NY tti V1EDGE AkD INE ANPI.ICAIR.E CITY7 It AL WAY Rt.t? iRLHLRI'' PILI ht nil.
OWNER OF AGENT _.. Nil h4
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FIELD COPY
NECHANICAL FINAL
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PF.RIiiTS 11PIRL 1801 DAYS MILR ISSOAKE 11' N9 MORC I5 SIARTEN.
I Cfl4IIfY lit 1*06 MITION IURNISREI: Bye#[ I5 TRITE AM CAi1RECT 10 INE KSI Of NY tti V1EDGE AkD INE ANPI.ICAIR.E CITY7 It AL WAY Rt.t? iRLHLRI'' PILI ht nil.
OWNER OF AGENT _.. Nil h4
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FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
2.53-661—+000
ADDRESS: 113 SW 30411-1 ST
NO." 556000--0180
PROJECT DESCRIPTION: HVAC
OWNER
GEORGE ROBERTS
113 SW 304TH ST
FEDERAL WAY WA 98023
946-5116
Mechanical Inspe¢ticrr Requests 25:3 661-4140
PERMIT NO: MEC99-0169
ISSUED: 05/:1.1/99
BY: F'C2
EXPIRES: 11/06/99
- INSTALLING A FURNACE AND A/C UNIT AND WATER HEATER CHANGEOUT. FINAL INSPECTION FOR EXPIRED PERMIT MEC97-0259.
CONTRACTOR____________________________________________ _ LENDER
WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W
SEATTLE WA 98199
e
WASHIES07403
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If "Yes" then water expansion tank is required on Hot Water Tank)
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 THE7,4"ETION FURNISIS TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C11Y OF FEDERAL
OWNER OR AGE'' -__ DATE
FII F CAPY
WAY REQUIREMENTS WILL BE MET.
PROJECT VALUATION
0
FEES: j
FUEL TYPES.:GAS ?
FANS..........:
0
BOTLERS/COMPRESSORS
MECH PERMIT FEE $ 35.00
GAS PIPING.: 0 ft
HOOD..........:
C
0-3 'ON.....: I
FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....: C
GAS HWT.... : 1
WOOD STOVES...:
0
15-30 TON.,.: 0
CONV BURNER: 0
FURN>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
TOTAL FEES $ 35.00
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If "Yes" then water expansion tank is required on Hot Water Tank)
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 THE7,4"ETION FURNISIS TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C11Y OF FEDERAL
OWNER OR AGE'' -__ DATE
FII F CAPY
WAY REQUIREMENTS WILL BE MET.
cRr of C.
``'►`` EM
Y
RECEIVED
MAY 1 1 1999
BUIIDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
G11 Y OF FED�NAL WM
APPLICATION FOR M� THAI IT PERMIT
MEC
PARCEL # Single Famil}�&. Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
)()l/1
Nature of Work `T
( IIkj 1
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St
Contact Person
State L & I Con
(Card must be presented)
Phone
Phone r2 ` Lo
Project Valuation: $
Fax
i
MECHANICAL UNIT COUNT
Fuel Type aslother
Gas Dryer
Air Handlin
< = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin
> — 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
I Other
Duct Work
A/C
TONS
Other
J[tBumer
Wood StoveS
A/C
DISCLAIMER 1 certify, tinder penalty of perjury, that the information famished by me is true and correct to the bat of my knowledge and further that 1 am authorized by the owner of the above premises to perform the work
for which permit application is made. l 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 tiled against the City of Fedeay 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
Owner/Agent ( app ca
Date y �► l
MearAer
Rcvum 8126/97