99-100721CITY OF FEDERAL DE RAL Wt)Y
33530 Fir—st Wziy Sotith
F-9de,ral Way, WA 98003
253-661-4000
PERMIT NO: MEC99-0049
C"A IANICAL PERMIT ISSUED: 02/16/99
T°Ipchardc;AI inspection RVmgtiests 253-661-4-140 BY: FC2
EXPIRES: 09/14/99
ADDRF-',;S:3211.48 91'H OV a
110.: 609390---01'10
f ROJ E"C T DESCRIPTION. -gas to gas furnace changeout
OWNERmmscm ..: smm:ar:ra assxxcc Cmar ...... wa em m..=
ANDERSON
32148 4TH AVE S
FEDERAL WAY WA 48003
2531524-5670
mamal.ft.=
its CONTRACTON *,_#L . % U [ I AD
PROJECT VALUATION 800
FUEL TYPES.:GAS ?
FANS...
0
GAS PIPING.:
0 ft
HOOD... ,... ,:
n
FURN:100C..,
1
DUCT :*1 i- ,.,:
U
GAS NWT.....
0
WOOD S!Oftja,.,:
)
C0RV BURNER:
0
FUP0100l:.....:
r�
EBQ........ .
0
MISE..... ...
,+
tAS DRYER..:
0
AIR HANDLON 1011Y,
RANGE......:
0
<:10,000 CF":
0
GAS LOGS...:
0
� 10,000 CrM:
0
CONTRACTOR�. ....SKwUNDER
ALL SEASMS INC
12500 BRIDGEPORT NAY (;W #126
LAUROOD WA 98444
253-483-8541
:.>.a.._...:-xCmms::t.GC..T'�.::i:::a2Klaarm:ru:aA:xS:e4asus^•ue'LTeFlJxn9 esa�ba�tasms.
NTf# 11CWTING eAI.ES TAX FOIL PMECTS NITNIN THE CITY Of FEINERAL NAY.
t,!F,r[�wt�
0-3 ir1N.
_ W
ABOVE GROUND:
0
UNDERG40UND,:
0
TAX RATE 8.25 tri
fEES:
MICH PERMIT FEE $ 32.65
TOTAL FEES 3 32.65
'W.^-SCC.:.3p'.aQ>k.^.�CLGtOSNlC.........:a.Z1—..:...:t.¢.......:aa.... :f....."ASI». S:...... ..M.
Does the eater supply systes contain a Pressure Redaction Device or Check valve? (} Yes (} No (If 'Yes' then seater expansion tank is regvired on Not Water Tank)
Inspetion Record: Mechanical Rough -in _.._._._ _.__. ._..._ DateCCGas Piping ....._... _._..._....____. Date _.__..__....__..
MECHANICAL FIRM , Dat
e�,"_) e!
PiRMITS Exet'K'f. 1,80 DAYS Artty ISSUANCE If' NO WORK IS
I (EKI fY TNt DitFt�i4t+110# IVANISIED Wit IS� D/q�D
OWNER OR AGENT
i�./
acs �sc �:;as.,x:.:xsavetma.z c�xsKaxrsa^=:^:m:a,-t z:r.x.'r-,+•a..:....�
CT 10 TILE OISf Of NY KNOYI.EDGL AND ]HE APPLICABLE C11Y OF 1I.11961 K%T RLQUIRIMENIS WILL K 1[f.
__...... _....... _ .. ._ Dart
FIELD COPY
CITY OF FEDERAL WRY
33530 F i rs t W a y South P"yyE C 11-1
��'4 s
�...... ii,,,,,p !I......:,,,�,,
Federal Way, WR 98003 Me?chariical Inspection'Requesis 25:3--661-4140
253-661--4000
ADDRESS:32148 9TH RV S
NO.: 609390--0130
PROJECT DESCRIPTION:gas to gas furnace changeout
PERMIT NO: MEC99-0049
ISSUED: 02/16/99
BY: FC2
EXPIRES: 08/14/99
,.= OWNER :-________________________ _______________ _______==z== CONTRACTOR =____________________________ ________________ LENDER
a ANDERSON
ALL SEASONS INC
32148 9TH AVE S
j 12500 ERIDGEPORT WAY SW #126
FEDERAL WAY WA 98003
= LAKEWOOD WA 98499
253/529-5670
253-983-8541
s
ALLSEI*03055
CONTRACTORS, PLEASE
USE
LOCATION CODE 1132 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 it*
PROJECT VALUATION
800
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 32.65
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON...,,: 0
FURN<100K..: 1
DUCT WORK.....;
0
3-15 TON....: 0
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......:
RANGE ...... 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 32.65
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
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS S
I CERTIFY THE INFORMATION FURNISHED MME IS TRUL AND
OWNER OR AGENT
Date --------- Gas Piping -__--__-_ ....... Date ..........
Date
TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
FILE COPY
DATE
CITY of G BumDuvG DrVrsrON
EO 33530 First Way South
Federal Way, WA 98003
(253) 661-4000
F;E CEINIEM Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 0 L%
C11 B~�
BUILDING DEPT.
MEC - C' G� ` l
PARCEL # SingleFamily Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner All A:9-< �- Phone
Address/City/State/Zip �� ZzI A/
Nature of Work S �� S//1 Project Valuation: $�
T
APPLICANT
Name
Address/City/St/Zip 1_;Z<�X�
Contact Person ����������✓w�
MECHANICAL CONTRACTOR
Company Name 101-L-�� 1-✓
Phone -2<3 2/5>3 LL/ Fax
Address/City/St/Zip �� A r. L- /4
Contact Person Z;44AAy �f�c� l� Phone 2L22 L�/ Fax
State L &I Contractor Registration # ef-1a'A15?CLr//S� ,' � ���l Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handling < = 10 000cf n
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTUM
Other
Conv Bumer
Dud Work
A/C TONS
Other
Wood Stoves
A/C TONS
affir.-T-.-T
DISCLAIMER: I certify, under penalty of perjury, that the information fiunished by me is true and correct to the best ofmy knowledge and further that I am authorized by the owner of the above premises 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 (mets, expenses, and attomeyi tees insured 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 c 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
Mecn.App
Revnsm Ini9v
G
Date 'L z�