99-100817C 11 Y OF FEDERAL WOY
33530 First Way South►
Federal ral Way, WA 98003
253-661-4000
-•4000
t" e(Jiatli(';:i4:1 1.Cispe ct:ioii Regttest.�5 '253-661--4:140
01DDRE:SS :10121 S 2199"1`14 Fel,
0) .: 515160--0030
t-ROJ E"C T DESCRI: P'r ION -REPLACE ELECTRIC HOT WATER. NEATER
OWNER CONTRACTOR
LORRAINE PIETERMAN OWNER i5 CO
1021 S 29918 PL
FEDERAL WA'. WA 48003
253/839-4038
:.n aaaasramaarsm<c,aar
PROJECT VALUATION
FUEL TYPES.:ELE
GAS PIPING.: 0
fUPH<100K... 0
GAS 1011....: 1
(ONv.,BURiIV, 0
EBQ. 0
GAS bm... 0
RANGE....... 0
GAS LOGS...; 0
Ull
389
FANS........ 0
ft HOOD.. .,. 0
DUCT Nta!f , . f)
WOOD STOVr,-.,
FUR#>TOtTf,...... F)
MIS( ........
AIR HANDLING UNITS
1-109000 OM: 0
) 10.000 CEPS: 0
N/A
i
i -l. TON,_: u
0 '�0 COI.. . .
1,UEL IAHKS-__---_-_
ABOVE GROUND: 0
UNDERGROUND.: 0
LENDER
PERMIT' NO: MEC:99--UO59
1I ;SUE.D: 02/24/99
BY: I'C2
LXPIRE S: 013/22/99
M SAIIS TAX FOR PROTECTS MITMIN TK CITY Of F[KPAl. MAY. TAX RATE -- 8.25 M
( FEES:
j MECN PERMIT FEE $ 23.50
5
TOTAL FEES $ 23.50
csxrrs:, . iaa:acx nncaar3sr>2saCre¢scs-acsausaec 73xarssxau«c c: r.. �. a�..swai:,�m�m�asuxma a. x�urreaxac.¢na[eaaaxmssmsxssasmuaseeaagcrratzcsxxamata�mmSmrCmc:m.^.xx:asaroa:
............
Does the eater 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 _.__.,._...._ T Date _-- Gas Piping _. Date
MECHANICAL FINAL Date g7_h_jq
xaa42WmAka�mC k^AxS S:sAx59m0t::<i+atf 3..Y.�:RaaASiicXa.:iFHatli=raSm.^.::u Cess-.i'r.•Ica xa<(wa'.a>�cza:waz.W
-4 -== -----.masua Ute .. i^3xaYaim.a��ns9 zaastma:afu�sTu;a'8wwm+4 i::;S'Sv:ismm
PERMITS kXPIRE IWI DAYS AITIR 113SUAMCC If MA VW IS STARTED.
I Ct�I.[FY ,,i [llFr llA1ION FURNIS00 4Y IS f AND CORRICt 10 TIE BEST Of MY [WEDGE W IN[ APPLI(AIiLE CITY Of FEIERAL MAY REQUIRENEVIS MILL BE NET.
EROR' AGENT _..a.. �,...:..... .x_.,,.w.���::_:. �.._r_:.�........._...... . .... ... ... . __.._... .. _ . _ _ ._...__ ORTE
FIELD COPY
CITY OF FEDE=RAL WAY 11� p pp p
33530 F i r -s t Way S n u t r'r � 111 !IM; �..., 1.,,111';;;',. �, SII .wll.
Federal Way, WA 98003 Mecr)anical Inspection Requests 253-661-4140
253-661-4000
ADDRESS:1021 S 299TH PL
NO.: 515160--0030
PROJECT DESCRIPTION :REPLACE ELECTRIC HOT WATER HEATER
P= OWNER =_______________________==___________________ =____= CONTRACTOR
LORRAINE PIETERMAN OWNER IS CONTRACTOR
1021 S 299TH PL
FEDERAL WAY WA 98003
i
4
253/839-4038
N/A
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF
i runrn
- 4-
PERMIT
PERMIT NO: MEC99-0059
ISSUED: 01/24/199
BY: FC2
EXPIRES: 08/22/99
PROJECT VALUATION
389
FUEL TYPES.:ELE ?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK...... 0
GAS NWT....:
1
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON.....: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
FEDERAL WAY. TAX RATE
i
_4
: 8.25 xs=
___-____-------------________________-_______________________ ===I
FEES:
MECH PERMIT FEE 23.50
z
UNDERGROUND.: 0 Eb TOTAL FEES $ 23.50
i r
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 .................
PERMITS EXPIRE
I CE 1 THE
OWNER 0 AGENT
MECHANICAL FINAL
Date ---------- Gas Piping ---------------- Date ----------
Date
----_--Date--_----_-_
9
180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED.
INFORMATION FURNISHED BY HLIS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE
FILE COPY
- .2. .
CrrY OF
V V Ry
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661AI29
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: MEC 2 v i - OD Cj
PARCEL # 5-15-160 — 00-30 Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Teen wrier Phone j
Address/City/State/Zip 1621 styL-
Nature of Work
L'- ' L / �I V� Project Valuation: $ ��� �
APPLICANT
Name
Address/City/SUZip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Fax
Address/City/SUZip
Contact Person Phone Fax
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000efm
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
0WHwt r
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER I certify, under penalty of petjury, that the information famished by me is true and correct to the best of my knowledge and further that 1 am authorized by the owner of the abovepremises to perform the wuk
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), wldch may be
made by any person, including the undersigned, and tiled 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/ 910rrY
MEca ArE
RE ED In199
j
Date