99-100688�-�ITY OF FEDERAL, WAY
';33`90 Fit Way South
4-'e(Jeral Way, WA 98003
253-661-4000
HC1CJ-1e11q1CML PCRNIT
Mechanical Inspection Requests. 253--661-4140
A
ADDRESS:1017 SW 316ri-I Pt -
Nd. '. 555730-0220
PROJECT DESCRTPT`10N:HV4( - REPLACING WATER HEATER, GAS
OWNERK+Kxas;xsard asoma
FRANK VALDEZ
101? SW 316TH PL
FEDERAL WAY NA 980413
839.3025
WASHINGTON ENERGY SERVICES CO
ONE UNION SO 9TH FL
PO Box 91060
SEMILE WA 98111-9160
WASHI
0?
PERMIT NO: MEC99-0046
ISStff'D: 02/11/99
BY: K2
LXPIRES: 00/09/99
w- LENDER... z ....
ISE IM W194M SALES TAX FOR PROJECTS Wifflil IN[ CITY K FEKW NAY. TAX RATE = 8.25 US
FEES:
mm RES S ORS MKII PERMIT FEE 23.50
OW
R
ft
40 imm, g, "Pr
IN, 50
NO,
0
I
V
CONY OWNER:
0
PROJECT VALUATION
FUEL TYPMAAS ?
350
FANS.., .....
BOI
GAS PIPING.: 0 ft
HOOD.. j7
MISC .... ... 0
sw ION..
it
3
GAS Hwy I
wfifib
I
WASHINGTON ENERGY SERVICES CO
ONE UNION SO 9TH FL
PO Box 91060
SEMILE WA 98111-9160
WASHI
0?
PERMIT NO: MEC99-0046
ISStff'D: 02/11/99
BY: K2
LXPIRES: 00/09/99
w- LENDER... z ....
ISE IM W194M SALES TAX FOR PROJECTS Wifflil IN[ CITY K FEKW NAY. TAX RATE = 8.25 US
FEES:
mm RES S ORS MKII PERMIT FEE 23.50
OW
R
ft
40 imm, g, "Pr
IN, 50
NO,
0
I
V
CONY OWNER:
0
0 1 10, .
0
-MM
BOO... :
0
MISC .... ... 0
sw ION..
it
GAS DRYER—:
0
AIR HANDLINt', 1311ITS
WE. ]ARTIS-1--...
RANGE......:
0
t-10,000 Cf H° ,0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 ffm: 0
UNDERGROUND.:
0
TOIAL FEES S 23.50
w"..wmmXft ... wa; 11 ...... ... ".= .... wu ... .... =W.I. .... ...
Does the nater supply systeo contain a Pressure Reduction Device or Check valve, Yes No (If *Yes' then cater expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Prllim,h in ",Is Piping Date
MECHANICAL I MAL 'R4��DW,
..... I;— - I ........ .. �;ti ....... --914—w7Rm
KNITS EXPIRE 180 DAYS AF IQ ISS%KE It NO 0091 is SIARTE).
I ILLROIFI IDE INFUMNISIVIII 1MR11134117V Of nf IS INMO JIM UUMILI IV IK BLST OF III ammItimst 111111 Jut, liFT'LIILHI§Lt Ull Ut URK111 WHY ft.1j"JIKLRLIID WILL Ill. 0H.
OWKER OR AGENT PATE
ra I
FIELD COPY
CITY OF FEDERAL WAY PERMIT NO: MEC99-0046
33 530 F i rs t Way South �'"�?�:,, �:,.,,,,� ih�' �"' :,. �,1., It';.,$,..,,,':�V, ?��',,.�""'" if .'.: ,,.�,,, ISSUED: 0.2/11/99
Federal Way, WA 98003 Mechanical Inspection Requests 253-66.1.-4140 BY: FC2
253-661.-4000 EXPIRES: O8/o9/99
ADDRESS:1O17 SW 316T1 -I Pl..
NO.: 555730-0220
PROJECT DESCRIPTION: HVAC - REPLACING WATER HEATER, GAS
�= OWNER _____________________--_ _____________:_________=__-= CONTRACTOR =_==_______________=________.::_:__:
________::_..__=
LENDER
} FRANK VALDEZ
I CERTIFY THE
WASHINGTON ENERGY SERVICES CO
KNOWLEDGE AND THE APPLICABLE CITY OF
FEDERAL WAY REQUIREMENTS WILL BE MET.
1017 SW 316TH PL
C=�1�1L Q J�
ONE UNION SQ 9TH FL
i
t FEDERAL WAY WA 98023
' PO BOX 91060
r
SEATTLE WA 98111-9160
839.3025
F
WASHIES07403
4
`
L_______.____________.__._____________________
--_---------___._.-____1
----------------------------------------------------
------------------------------
-__ _ _�
---- s
=*i
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE = 6.25 =x#
PROJECT VALUATION
350
FEES:
FUEL TYPES.:GAS ?
FANS.......,..: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 23.50
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON._.: 0
�
a
FURN<IDOK..: 0
DUCT WORK.,...: 0
3-15 TON....: 0
GAS HWT.... : 1
WOOD STOVES...: 0
15-30 TON...: 0
g CONV BURNER: 0
FURN>100K.....: 0
30-50 TON_: 0
BBQ......... O
MISC............ 0
50+ TON.,.... O
E GAS DRYER.,: 0
i
AIR HANDLING UNITS
FUEL TANKS ---------
r
f
RANGE....... 0 <-10,000 CFM: 0 ABOVE ROUND: O
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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
TOTAL FEES $ 23.50
5
4
(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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND THE APPLICABLE CITY OF
FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN'
C=�1�1L Q J�
_ DATE
FILE COPY
CrrYG BUII,DIIVGDIVISION
;OF
33530 First Way South
Federal Way, WA 98003
(253) 6614000
®� Fax (253) 6614129
�A►PP,:ICATION FOR MECHANICAL PERMIT
�� Gp Federal Way Business License number:
0��Q�N MEC i43 -
PARCEL �j Single Family Multi -Family 11 Commercial ❑
SITE LOCATION
Tenant/Owner —
Address/City/State,
Nature of Work _
APPLICANT
Name
Address/City/St/Zip
It �� -i� ��S
C�z-1-'I/1JrEa'c--
Project Valuation:
MCI
Contact Person Phone Fax
MECHANICAL CONTRACTOR S C -
Company Name (AV/ e O
Address/City/St/Zip
2 -IS . T q0r-N01� k-=Q� A-V .IA,/ _
Contact Person At) N F4 �V► 1kd+Phone 7-00 ?Wz 47�o Fax
State L & I Contractor Registration # ` eS Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type aslother
Gas Drver
Air Handlin
< = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 000ef n
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
BBO's
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information famished 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. l 8uther agree to save harmless the City of Federal Way as to any claim (including costs, expense, and attorneys' fees insured in investigation and defense of such claim), which may be
made by any prior, including the undersigned, an filed against the City of Federay Way but only where such claim arise 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 a$lication.
Owner/Agent
MLCH APP
Rxvum 729/98
Date I
13