99-100760CTTY OF L S
AY
33530 F•3.F•3.rstFEDERWaAy out.ti MECHANICAL PERMIT
Federal Way, WA 9800*3 Mectianiral
253--661-4000
ADDRESS: 3f.1;30 19TI-1 PL SW
NO.: 085050--0020
PROJECT D17SCR.IPTION-.1ristalling one gas furnace and insert; piping insert
OWNER ...
MARION BARTHOLOMEW
30305 1910 PL SW
FEDERAL WAY WA 98023
ttl CONTRACTOR'S, PILAIA 955 19CAT
CONTRACTOR ............... —
WASHINGTON ENERGY SERVICES CO
ONE UNION SO 9TH FL
PO BOX 91060
SEATTLE WA 98111-9160
LENDER"Vma=.A
PERMIT Vff)- MEC99-0054
ISSULD: 0:,?j1.9/99
'13Y -. FC
EXPT:E_S: 08/17/99
SALES TAX 1`00 PROJILCIS WITHIN lot, City Of fL*PA MAY. TAX RATE -- 8.25 M
I
------------ --------- ------------ ........................ ........ ......
PROJECT VALUATION 4000 f EES:
FUEL TYPES.:GAS ? FANS ...... 0 118 4wX 91.25
IN 1,
7
GAS PIPING.: 30 ft HOOD ......Fo
rUP.H/,IO0X..: I DUCT Wopt_.. 11)
kM 11
mom.,
GAS 0 WOOD STOVE,: ... 5 -Al TON. NO
(OKI BURNER. 0 F%vicor. o 0
800......... 0 MISC .......... (1 594 PIK_.: 0
GAS DRYER..: 0 AIR HAND!IMG 110! R91 TAN""i- -
RANGE......: 0 <7101000 lf�; ABOVE 0011911. 0
GAS LOGS...: 0 > 10,000 um- 0 4DEFGROUND.: 0 TOTAL FEES f 97.215
04-,�- C,
----- — -----
Does the eater supply systes contain a Pressure Reduction Device or Check valve' Yes No (if "Yes* then water expansion tank is reqUired on Not Water Tank)
0 1:- � L_
Inspection Record: Mechanical Rough -in Date Gas Piping Date
MECHANICAL FINAL Dat: S'
----------
PERMITS EXPIRE 190 RAYS MILR 1ASSIM-1 It No 9%11 Is STARTED.
I CERTIFY THL INfORNA1101 IURNISI" BY NE IS lWt AND CORRECT 10 IK RFSI Of MY KWLKE AND 101 APPLI(fiULL CITY Of FLDUAL MY REQUIRENENTS WILL If "IT.
OWNER Of, AiDATE n
FIELD COPY
CITY OF FEDERAL WAY q� PERMIT NO: MEC99-0054
33530 Fi r-st WaySouth q
" II !I;� �.,, il,,,, II ""�i �w' II . �, �i �,,, ,,,, p !l�w . �', �, " ISSUED: 02/19/99
Federal Way, WA 9800:3 Mect ardcal I.r ,c:, >p ction Requests53`)- 66.1 ,4140 BY. FC
253-661--4000 EXPIRES: 08/17/99
ADDRESS:30305 19TH PL SW
NO.: 085050-0020
PROJECT DESCRIPTION: Installing one gas furnace and insert; piping insert .
�= OWNER =»»_=-=_____=»_»_»_»»_»»»»__::_'_»________ _»_:»_ CONTRACTOR_»_»»»»_»»»»»»»»______»'.__»___»____==__=====j= LENDER
MARION BARTHOLOMEW WASHINGTON ENERGY SERVICES CO
30305 19TH PL SW ONE UNION SQ 9TH FL
FEDERAL WAY WA 98023 PO BOX 91060
# SEATTLE WA 98111-9160
f
WASHIES07403
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE : 8.25 ==r
PROJECT VALUATION 4000 FEES:
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPR=SSORSMECH PERMIT FEE $ 97,25 {
3 3
GAS PIPING.:
FURN<100K..:
30 ft
1
HOOD...........
DUCT WORK.....:
0
0
3-3 TON.....,
3-15 TON....:
Q
0
cam
GAS HWT.... :
0
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 ...... :
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
TOTAL FEES $ 97.25
i
4
1
Does the water supply
system contain a
Pressure
Reduction Device
or Check 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
PERMITS EXPIRE 180 DAYSTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFOR ATI FURNISHED BY ME IS TRUE AND CORRECT TO THE` BEST OF MY KNOWLEDGE AND THE APPLICABLE CI YY OF FEDERAL WAY REQUIREMENTS WILL BE MEL
OWNER OR
DA 7 E
T
FILE COPY
pry OF
• EO E=CEiIVED
'A EB 19 1990
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # a� J 0 S U 0CLIO
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Nature of Work
APPLICANT
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC�4 -i)5
Single Family ❑ Multi -Family ❑ Commercial ❑
Name CV11-i/-r��
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name --- W esC O
Address/City/St/Zip
27
_[tip .
n
Phone ���
Project Valuation: $
Fax
Contact Person ��"� Phone -E(o Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handling
< = 10 000cfm
Fuel Tanks:
Length of as piping 2-3v t
Range
Air Handling
> = 10 000cftn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
DISCLMMER:1 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 wort,
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including 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 a part of this application.
Owner/Agent
NtEca.APp
Revtsm 7n9ro8
Date
_. -, 1C'.; 11 III l,4-,
State of Washington
County of King
RECEDVE®
FEB 19 19,9p
Tift%IE\T OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 WASHIES07403 06/24/1999
EFFECTIVE DATE 09/23/1993
WASHINGTON ENERGY SERVICES CO
ONE UNION SQ 9TH FL
PO BOX 91060
SEATTLE WA 98111-9160
Dctach And Dt,pi ,,- C •rtaticatc
I
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST . # EXP. DATE Please Remo e
CC01 WASHIES07403 06/24/1999 end Si`Tn
EFFECTIVE DATE 09/23/1993
Identification
WASHINGTON ENERGY SERVICES CO Card Before
ONE UNION SQ 9TH FL Placin�,- In
PO BOX 91060 Billfold
SEATTLE WA 98111-9160
Siun.�turu j
I.�sued by DEPARTMENT OF LABOR A.ND INDUSTRIES
I certify that this is a true and correct copy of the original document presented to me by Anne
Schmidt of Washington Energy Services on Thursday, November 19, 1998.
.t r arla he
Notary Public in and for the State of Washington
My Commission Expires 09/09/99