99-101811— I
01C, -I
C f I Y OF F ET)E14.AL WAYPERM11' : MEC99-0168
33530 First Way South MECIIANICAL PERMIT* ISSULD: 05/11/99
Federal Way, WA 98003 Mechanical Inspection Request 253--661,-4140 BY. FC2
EXPIRES: 11/06/0
r).w*Ess.-ti,n sw :3.,:n,rv1 si-
NO.: 926496-0140
PROJECI 1)ESCRTP'f10N-.KE( - INSTALL fiREPLA(E INSERT AHD PIPE, FINAL INSPECTION f0f, EXPIRED PERMIT ME(97-0177.
ONNER CONTRACTOR - ...... LENDER
SAN MONTGOMERY WASHIKYON ENERGY SERVICES (0
1123 SW 335 CT 2800 THORHDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199
657-6613
$6, TO ..... 0
fUEL --
AlDVE 0
INDERGROUND.: 0
SAILS TAX FOR PROJECTS VITNIN INE. CITY Of I
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No
'kso" home.,
Inspection Record: hethanical Rough -in Date Gas Piping
MECHANICAL FINAL
f EES:
TAX RATE .- 8.25 ns
9=.1-1.0-w.0 .............
11 $ 35.00
0
A)
NZ,
I
TOTAL FEES 35.00
(If *Yes* then eater e'Zoansion tank is required on Not Water fa*)
J
Dat/0_/S-9q
Pf"IJS LXPIK 180 DAYS AFTLP ISSUANCE If 10 NOPE; IS SIAKILD.
I CERTIFY INE: INFORMHON I-OPNISfEfD
ME IS lKly, AND CORRECT TO THE KST Of NY tIOLLIDU h9l) THE APPLI0911 CITY Of f1l*PAL VAY
(J
AWHILR OR 'AGENT -4 [ � ( �.L ( k, , t,� i DATE
k -a( ------- ----------
FIELD COPY
K NEI.
t;#
CONTTtACTORS, T`IEAST !P
PROJECT VALUATION
0
FUEL TYPES. :QS ?
FAITS.. W_
QS PIPING.:
10 ft
fURN"100K..:
0
Duo m,
GAS HNT.....
0
WOOD ST
COHV BURNER:
0
FURN)I00t....': 0
80Q ........ :
0
Mill'( .......... : 0
GAS DRYER_:
0
AIR HANNON(, UNITS
RANGE......:
0
� -10,000 (fo: 0
GAS LOGS...:
I
` 10,000 crk, 0
$6, TO ..... 0
fUEL --
AlDVE 0
INDERGROUND.: 0
SAILS TAX FOR PROJECTS VITNIN INE. CITY Of I
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No
'kso" home.,
Inspection Record: hethanical Rough -in Date Gas Piping
MECHANICAL FINAL
f EES:
TAX RATE .- 8.25 ns
9=.1-1.0-w.0 .............
11 $ 35.00
0
A)
NZ,
I
TOTAL FEES 35.00
(If *Yes* then eater e'Zoansion tank is required on Not Water fa*)
J
Dat/0_/S-9q
Pf"IJS LXPIK 180 DAYS AFTLP ISSUANCE If 10 NOPE; IS SIAKILD.
I CERTIFY INE: INFORMHON I-OPNISfEfD
ME IS lKly, AND CORRECT TO THE KST Of NY tIOLLIDU h9l) THE APPLI0911 CITY Of f1l*PAL VAY
(J
AWHILR OR 'AGENT -4 [ � ( �.L ( k, , t,� i DATE
k -a( ------- ----------
FIELD COPY
K NEI.
CITY OF FEDERAL- WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:1123 SW 335TH
NO.: 926496--0110
PROJECT DESCRIPTION:MEC
�,�"�� !1;';;:. C.4„,,li ilt';;;�i ��''i; .,,�.e�.,., i'..� !l...,. �.,.� i' . I , � w,� .,1i PERMIT NO: MEC99-0168
�,' ' 1 i(' �';; . F �,. .,,II,.. w� ISSUED: 05/11/. 9
Mechanical In pectiorn Ftquests 253--661-4140 BY: FC2
E=XPIRES- 11/06/99
ST
- INSTALL FIREPLACE INSERT AND PIPE. FINAL INSPECTION FOR EXPIRED PERMIT MEC97-0177.
OWNEP,______________________== _=--__..___ ____:__. _.- ::= CONTRACTOR ==-_____-__ _____-____=-__=__ _________-= LENDER
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 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 THE INF ATION FURNIS ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT - ---------- DATE
FILE COPY
SAM MONTGOMERY
' WASHINGTON ENERGY SERVICES CO
1123 SW 335 CT
# 2800 THORNDYKE AVE W
e
FEDERAL WAY WA
SEATTLE WA 98199
657-6613
[
WASHIES07403
z*; CONTRACTORS, PLEASE
USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 xxx
-----------
PROJECT VALUATION
0
FEES:
FUEL TYPES.:GAS
? FANS.......,..:
0.
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 35.00
GAS PIPING.: 10
ft HOOD...........
G
�-3 TON... 0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 TON. ..: 0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 TON...: 0
CONY BURNER: 0
FURN>10OK.....:
0
30-50 TON...: 0
�
BBQ........: 0
MISC..........:
0
501 TON.....: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 35.00
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 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 THE INF ATION FURNIS ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT - ---------- DATE
FILE COPY
G RECEIVED BUILDING DmsION
33530 First Way South
vv MAY 1 1 1999 Federal Way, 98003
(253)) 6614000
Fax(253)661-4129
LI i Y OF FEGi:HAL WAY
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
4/.
MEC -1
PARCEL #
SITE LOCATION
Tenant/Owner
Single Familk] Multi -Family ❑ Commercial ❑
Phone
Nature o(W` ork "- ,1
IVKp)&v
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Phone
Fax
Address/City/SUZip "
ContactPerso� u "\ -- Phone ', '`Fax
State L & I Contractor Registration # �' `I JL1 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handlin
< = 10 000cfm
Fuel Tanks:
I--ngthofgas piping
Range
Air Handlin
> = 10 000cfm
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Underground
Fum>I00KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
Wood Stoves; YT))v"
A/C
TONS
DISCLAIMER I certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premium 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 (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 appli
i
Owner/Agent / Date C7
MecxAre
Revnm &J26/97