99-100987CITY OF FEDERAL. WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS: 30202 :301"6.1 A'JE
t4O.: "f16660--0470
PROJECT DESCRIPTIONAVAC
OWNERei».esaaAnRxectsma
WILLIAM IrAERRITSER
30.202 30TH AVE SW
FEDERAL WAY WA 98023
838.7496
MECHANICAL PERMIT
Mechani(7al lnspactlioui R6'qL10!:,;LS; 2)*,3`661-4140
SW
1. GAS TO GAS HVI (RANCEOUT
Sts
PROJECT VAtUATION
Soo
FUEL TYPES.:GAS
FANS .........'.•.
GAS PIPING.:
0 ft
HOOD.. x .......
FURN<100K..:
0
DUCT Rr
GAS HNT....:
1
WOOD STOVU
(OKI BURNER:
0
FLIRM100r...
BBV.........
0
MIS(..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<710,000 (FM: a
GAS LOGS...:
0
> 10,000 ffm: 0
CONTRACTOR ........ =—= ....... LENDER
WASHINGTON ENERGY SERVICES CO
ONE ORION SO 919 FL
PO Box 91060
SEATTLE WA 98111-9160
qq - IUM 3 -
PERMIT NO: MEC99-00Kj
ISSUED: 03/09/99
BY : KLC
EXPIRES: 09/04/99
sws Tax FoR Powfas viam THE my ot rEKut my. TAX RATE :: 8.25 US
- ... ... 4 .... .... .... . .... ge"M.17% ..... =. ".- 11 ... .... ....
Does the water supply systes contain 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
_ Date .- Gas Piping Date
Date 1-__z('- 'C,.q
pf"lls fXPIRE 100 DAYS MR$ IT0AK1 if No VWX is STARTED.
I CIRTII Y 199 110'00 N1IION FURNISK8 BY ME IS IRK AND CMECT If 1K IW NV KKOKL[ PQ AND THE WLIUWE CITY`OT ff
JUK WAY RIQUIkIKENIS PILL BE N11
OWNER OR AGENT
- A DATE
FIELD COPY
FEES:
EE 23.50
T
Su'Jbil...: 0
RIO, TANKS-_._,___,
AR'S---------
ABOVE
ABOVE GROUND: 0
ONDERGROCIND.: 0 v
TOTAL FEES S 23.50
- ... ... 4 .... .... .... . .... ge"M.17% ..... =. ".- 11 ... .... ....
Does the water supply systes contain 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
_ Date .- Gas Piping Date
Date 1-__z('- 'C,.q
pf"lls fXPIRE 100 DAYS MR$ IT0AK1 if No VWX is STARTED.
I CIRTII Y 199 110'00 N1IION FURNISK8 BY ME IS IRK AND CMECT If 1K IW NV KKOKL[ PQ AND THE WLIUWE CITY`OT ff
JUK WAY RIQUIkIKENIS PILL BE N11
OWNER OR AGENT
- A DATE
FIELD COPY
s
s
CITY OF FEDERAL WAY.�
500
FUEL TYPES.:GAS
PERMIT NO: MEC99-0073
33530 F i rs t Way S o u t h
wl 11:.;,., �,,,.
p � �
II ,,,, � .'; ��'9f ...Il,.. �,;,. �, ;'. ,,, , ;,; + !lu';;:,. II'"�, �" .,,�,,. ,,,�.,,
ISSUED: 03f09/99
Federal Way, WA 96003
Mechanical
Inspection Requests 253-661-4140
BY: KLC
2.53-660.-4000
WOOD STOVES...`. 0
CONV BURNER:
EXPIRES: 09/04/99
ADDRESS:30202 30TH AVE SW
NO.: 416660-0470
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT CHANGEOUT
OWNERCONTRACTOR=___________________-:__________________=====T= LENDER
WILLIAM INGLEBRITSEN WASHINGTON ENERGY SERVICES CO
30202 30TH AVE SW ONE UNION SQ 9TH FL f
FEDERAL WAY WA 98023 1 PO BOX 91060
838.7496
SEATTLE WA 98111-9160
WASHICSO74O3 I
i
u: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 xtx
PROJECT VALUATION
500
FUEL TYPES.:GAS
?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<IOOK..:
0
DUCT WORK.....: 0
GAS HWT....:
1
WOOD STOVES...`. 0
CONV BURNER:
0
FURN>100K... - : 0
BBQ.........
0
MISC- ........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
C
<:10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
BOILERS/COMPRES
0-3 To ...
3-15 TON....:
15-30 TON...:
30-50 TON...:
50+ TON......
FUEL TANKS -----
ABOVE GROUND:
UNDERGROUND.:
SORS
0
C
0
0
FEES:
MECH PERMIT FEE $ 23.50
TOTAL FEES
$ 23.50
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 _--------.--_---- Date ---------- Gas Piping ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED.
I CERTIFY THE INFOR�A//TON FURNISHED BY ME IS TRUE AND CORRECT TO THE BE MY KNORLEDGE AND THE APPLICABLE CITY OFF ERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
DATE
FILE COPY
Cry OF G
Y V AYC
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC'
PARCEL # I
LLL L % `�
SITE LOCATION
Tenant/Owner
Single Family ox
BUILDING DivisioN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Multi -Family ❑ Commercial ❑
Phone ( U 7(l
Address/City/State/Zip _r v ;4 A 1 "'-'<�_
�/ tee?
Nature of Work I{ 1� ` 5 �� Project Valuation: $ l l �C
APPLICANT
Name C5L ti' l'JEz_:Y�
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR S
Company Name (/ \' e C O
Address/City/St/Zip
Contact Person
Phone
2=9 C�)_ Av A/ -
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
h' rt� U5t>�l Phone
K, AS H
Fax
'ZQ(O ?WZ- �� Fax
Exp. Date
Fuel T as/other
Gas Dryer
Air Handlin < = 10 000efin
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Undereround
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is hue 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. I further agree to save harmless the City of Federal Way as to any clam (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 *bc hon.
Owner/Agent
MEcu.APP
Rmsm 7/2/98
Date ��
f