99-100763CITY OF FEDERAL- WAY �� �p �� ���yp PERMIT NO: MEC99-0056
33530 F i rs t Way South 11 !i .;;, ��,,,,, II„"'Ilii' °, Il��'�I1 ., ,,. �,.,, . ;;' ,,,,w il'° !G�;;,. II "'�, �vj II,, I S S U E D ; 02/le/99
Fecleral Way, WA 98003 Mechanical Inspe;ction Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 08/16/99
ADDRESS:28912 19TI-1 AVE S
NO.: 422300-0190
PROJECT DESCRIPTION : gas to gas furnace changeout
€= OWNER =_________________=________________________________ CONTRACTOR
MARY AARRESTAD GATEWAY HEATING & AIR CONDITIO
28912 14TH AVE S 3802 AUBURN WAY N
FEDERAL WAY WA 48003 AUBURN WA 98002
253-839-8534 } 253/931-0610
GATEWHA025C7
#ix CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING FjLES TAX;
� r
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONY BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Does the water
Inspection Rec
PERMITS EXPIRE
I CERTIFY THE I
OWNER OR AGENT
1726
? FANS- ........: 0
ft HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K...... 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
system conn
M�cal
MECENNAI FI
BOILERS/COMPRESSORS
0-3 TON...... 0
3-15 TON.. 0
15-30 TON, 0
30-50 TON.. 0
KION.—. O
NKS-----
GROUND: 0
GROUND.: 0
THE
LEND
F FEDERAL WAY. TAX RATE : 8.25 *;s
FEES:
MECH PERMIT FEE $ 63.15
TOTAL FEES $ 63.15
t
ucti ,evice v v ) s ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
------- Date _ _ Gas Piping ---------------- Date ----------
Date
AFT SSUANC[ IF NO WORK IS STARTED.
RN TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
------------------------------------------------ DATE ._%,�%�_
FILF ro pv
CrrYOF G BUILDING DIVISION
E� 33530 First Way South
Federal Way, WA 98003
--i t --G E I V E ® (253) 661-11000
Fax (253) 661-4129
FEB l A'OPLICATION FOR MECHANICAL PERMIT
CI SBU F Fi:u-I;tFederal Way Business License number:
MEC - � Ca
PARCEL # Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner MAID\ A A QR f S'T?4D Phone (iso)
Address/City/State/Zip 12- /4 Gt,ll
co
Nature of Work 6 AS G^5 JurrnCc C n—ie s.-%1 Project Valuation: $ `� L
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Fax
V
Address/City/St/Zip 3�c A, ",, 1'61 IV S..- r,e 3 1 A�W z— U..=1 ri yt ;s3
Contact Person ��`J'L � '�V L Phone 3 i" G ��� Fax (4) - (Y66
State L & I Contractor Registration # �Te a S C Exp. Date
(Card must be presented) p
MECHANICAL UNIT COUNT
Fuel T= as/ er
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/11
Other
Conv Burner
Duct Work
A/C TONS
Other
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 premises to perform the work
for which permit application is made. 1 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 riS`s a dart of this application.
Owner/Agent ��Date
MECm.APE
REvism In/99
3°FrtaS3350x.s
RLAY Wy oui.-,h MECHANICAL F)ERMI'r
Federal Way, WA 93003 M(-?chanic:a1 Irispectior) ReqLle-1511,:x 253-661 4140
")53-661-4000
ADDRESS:."C"8912 19TIl AVE
t1O. : 422300-01.90
PIROJECT DESCRIPTION :gas to gas furnace chiogeout
OWNER ...
MARY AARRESTAD
28912 1970 AVE S
fEDERAL WAY WA 98003
253-839-8534
su CONTANIORS, PLEAS[ W LOCATION (a
PROJECT VALUATION 1726
FUEL TYPES.:GAS
FANS..........: n
GAS PIPING.:
0 ft
HOOD.........
FUR14<100K..:
I
DUCT NOR— 6
GAS HNT....:
0
WOOD ',*TOVIP: 0
CONY BURNER:
0
f URH>iw..
BBQ.........
0
HIS( ...........
GAS DRYER..:
0
AIF HANDLING UI!i;,)
RANGE......:
0
<:10,000 CIM: 0
GAS LOGS...:
0
> 10,000 (F": 0
CONTRACTOR........ =...........
(;ATEWAY HEATING & AIR CONDITiO
3802 AUBURN WAY 0
AUBURN WA 990022
253/931-0610
GATEWHAO250
LENDER
PERMIT NO: MEC99-0056
ISSUE: Tl: 02/18/99
BYt FC2
F*',")fPf-'-.- 08/16/99
99-/°D 763
EWTING SALES TAX FOR PROJECTS VITNIN TIME CITY Of F(RIK NAY. TAX RATE -- 8.25 *0
rr
UNDERGROUND.:
0
FEES:
NECK PERMIT FEE 63.15
TOTAL FEES $ 63.15
...... .. .........
Does the water supply system contain a Pressure Reduction Device or (heck valve! Yes No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piping Date
MECHANICAL FINAL
Date
P[NITS [DIRE 180,DAYS AFTER ISWW.t If 00 MY IS STARILD.
I C(Allf Y INE INFORMI 10* RMN"ism Of of. -10 IRK AND CORRECT 10 THE BEST OF NY WKWGIE AD THE AMIMU CITY OF FUM MY REQUILUNITS NIU It NET.
OWNER OR AGENT DATE .142--
FIELD COPY
CITY OF
ED• BUILDING DIVISION
33530 1 ST WAY SOUTH
FEDERAL WAY, WA 9B003 66 1 -4000
CORRECTION NOTICE
ADDRESS: �✓L- I9AyC _ PERMIT #: ASC
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
S All P o -e e, lb Seat &eH e u
uc-f, 4-k'r, -,o- A'0+-eg a -(I"re re 1'4,'ve. wa /I ceg�ForT
PIowsea 00 '/u AOpra ssj► Ca %
-e u se d
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -41 40 FOR
RE-INSPECTION.
L
DATE INSPECTOR F❑R BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE