99-100925C1'rY OF FEDERAL WAY PERM1ISSa
NO: MLC9900�0
33530 First Way South MECHANICAL F) ERM.11' �JED: 03/04/9�)
Federal Way, WA 98003 Mech,_Ardc,Al. lrr.,,pection Re(4ue,J,E:" 253--(;61-41.40 BY: FC2
LXPIRFS:.08/30/99
ADDRESS:30417 215T AVE �;W
NO.: 005100-01.40
PROIJE(.'T DE1S'CP1PT101N-.G/G FURNACE CHARGE OUT, FIREPLACE INSERT WITH PIPING
OMER
TIBOR SZABO
30417 21ST AVE SW
FEDERAL WAY WA 98023
"I (ON
PROJECT VALUATION 4500
FUEL JYP[S.:GAS GAS
FANS.. . 0
GAS PIPING.:
53 ft
FUR"/IIOOK..:
1
TO( f -1 #W
GAS HMT. ..:
0
WOOD ST* ..
(M I*N[R:
0
FURS 10or ......
BBQ
0
MIS[.. _: 0
9S DRYER-:
0
AIR HANDLING
RANGE......:
0
<:10,000 CEN: 0
GAS LOGS...:
1
` 10,000 Cr": 0
CONTRACTOR--- — ---- == . .....
WASHINGTON ENERGY SERVICES CO
ONE UNION SQ 910 FL
PO BOX 91060
SEATTLE WA 98111-9160
PC&
I" li
T�'
A
504
Pff, L TANKS-._-. _.,__
ABOVt
ANKS---------
ARAVt GROUND: 0
ONDERGROUND. - 0
s4as im foft moncis vimo TK ciff or nKmL my. 1AX RAZE :: 8.25 $**
FEES:
TOTAL FEES
I FEE S 0.00
1 $ 111.25
Does the eater supply systes contain a Pressure Reduction Device or Check valve? Yes R tanP, is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in sm AA5f.=a
MECHANICAL FINAL Date
P042K
EXPIRE. 180 DAYS AMR ISSUOKE If NO WWI 15 SIARILD,
101 Ify 'HE ""wnwraulsw tw a is IRK 490 (MEET 10 1& -KSI Of MY INMEDCL AND K APPIKABLL (ITY OF FIKKAt WAY REQUIRLMILKIS V111 K NET.
DATE
OWNER dK GERI
a:_yA 4-- __1
FIELD COPY
L
CITY OF FEDERAL_ WAY .,. I33530 First WaySouth E � � . ,,, '
Federal Way, WA 93003 Mecharnical Inspection Requests 253-66:1-4140
253-661-4000
ADDRESS:3041.7 21ST AVE SW
NO.: 0053.00-01.40
PROJECT DESCRIPTION:G/G FURNACE CHANGE OUT, FIREPLACE INSERT WITH PIPING
PERMIT NO: MEC99-0070
ISSUED: 03/04/99
BY: FC2
EXPIRES: 09/30/99
- OWNER•___________=____=__.=
CONTRACTOR(ENDER
TIBOR SZABO
) WASHINGTON ENERGY SERVICES CO
!
I 30417 21ST AVE SW
s ONE UNION SQ 9TH FL
j
FEDERAL WAY WA 98023
' PO BOX 91060
' SEATTLE WA 98111-9160
s
�
WASHIESO14O3
4
***
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE =
8.25 xxx
PROJECT VALUATION
4500
g FEES:
FUEL TYPES.:GAS GAS
FANS..........:
0
BOILERS/COMPRESSORS
MECH PLAN CHECK FEE
$ 0.00
GAS PIPING.: 53 ft
HOOD..........:
0
0-3 'ON...,.: 0
MECH PERMIT FEE
$ 111.25
FURN<1ODK..: 1
DUCT WORK.....:
0
3-15 TON....: 0
F
t GAS HWT.... : 0
WOOD STOVES...:
0
15-30 TON. .: C
t
CONV BURNER: 0
FURN>10K.....:
0
30-50 TON...: 0
6
BBQ........: 0
MISC..........:
0
50+ TON.....: 0
GAS DRYER,.: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<=10,000 CFM:
0
ABOVE GROUND: 0
€
GAS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 111.25
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No
Inspection Record: Mechanical Rough -in
Date ---------- Gas Piping
MECHANICAL FINAL Date
(If "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION URN SHED BY ME IS TRUE AND CORRECT TO ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER
DATE
FILE COPY
CITY OF G BUILDING DIVISION '
33530 First Way South
F� Federal Way, WA 98003
�i�i FAY (253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: qC1
MEC � - DD�6
PARCEL # .--�` ' ( �J Single Famil��J Multi -Family ❑
Commercial ❑
SITE LOCATION
10
Tenant/Owner Owner �— n 2 Phone
Address/City/State/Zip
Nature of Work
APPLICANT
Name
Address/City/St/Zip _
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zi
L'y
2 a)_ r � q0 f_1j�% �(
Project Valuation:
Phone Fax
P
Contact Person 2� �`'`" Phone ID -1(c20— Fax
�Exp.
State L & I Contractor Registration # Cv AS H I � (7� Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Ungth 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
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBQ',q
__)Ynild Staves
A/C TONS
DISCLAIMER I certify, under penalty of perfiuy, that the information furnished by me is true and correct to the best of my knowl,dge and further that I 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 filed against the City of Fedemy Way but only where such claim ariscs 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 --7X1V_ - Date
t
t+ EcELAPP
PaViam 7/29M ._. _.