99-101116CITY OF FEDERAL WAY
33530 First, Way S o u t h �'h ?:::;, �,;,,, 10,,.EwN
Federal Way, WA 98003 Mechanical Inspect:irri Requests 253--661-4140
253-661-4000
ADDRESS:2726 SW 332ND CT
NO.: 894430-0270
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT CHANGEOUT
OWNER=_____________________________________ _____________= CONTRACTOR =____ __________.:________ ______________== LENDER
ROBERT LIPP ! WASHINGTON ENERGY SERVICES CO
2726 SW 332ND ST ONE UNION SQ 9TH FL
FEDERAL WAY WA 98023 PO BOX 91060
SEATTLE WA 98111-9160
941-6413 927-1178
WASHIES07403
*;= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<1OOK..: 0
GAS NWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
600
? 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
FEES:
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
UNDERGROUND.: 0
:Tcl-— IuIII(
PERMIT NO: MEC99-0085
ISSUED: 03/19/99
BY: FC2
EXPIRES: 09/14/99
TAX RATE : 8.25 Us
MECH PERMIT FEE
$ 26.55
$ 26.55
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes O No (If "Yes" then water expansion tank is required or, Hot Water Tank)
Inspection Record
Mechanical Rough -in
MECHANICAL FINAL
Date ---------,- Gas Piping ------------------- Date
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 AGE DATE _, 1.. ._ _ L
FILE COPY
C7rY OF G BUILDING DIVISION
ED 33530 First Way South
�� Ay Federal Way, WA 98003
G�. (253) 66113000
✓�i� �i Fax (253) 6614129
'IQ"
P�ICATION FOR IViECHANICAL PERMIT
v�aP� Federal Way Business License number:
� Of p�NGo�� _ LV k
�� J
MEC
PARCEL # " l` / Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION j
Tenant/Owner.1 i P one
flAddress/City/State/Zip'
qj
Nature of Work Z Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name (A/ G�SC 0
Address/City/St/Zip 279 CC� —7q0) 0 " - I t
Fax
Contact Person Phone 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 gas piping
Range
Air Handlin
> = 10 000c&n
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
tt
Gas Hwt f
Hood
Boiler
BTU/Ii
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO's
Wood Stoves
A/C
TONS
xx�
DISCLAIMER I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowl,dge 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 (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 city as a part of this application-
Owner/Agent
MECa.APP
Rrvtsm 7!29M
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