99-101919- �C
I C-1
CITY OP FEDEFtO L WAY PERMIT NO: MEC99--0182
83530 First Way ,;oath C F1 N I'(.- f-1 L P ERH T iISsUL D: 05/18/919
Federal Way, WA 98003 Mcchan.i(l a1. Enspe,:ct:ic,n Regtjestts 253-661-41.40 BY: TN
253--661--4000 EXPIRES: 11/13/99
ADI)RESS:2636 S 31.176 SI
NO.: 798440--0105
FIROJ ECT DE``SC.R t PT ION: GJG FURANCL CNAMEOUI
OWNERrte. == ZM x4MXMW¢
BILL CANNON
2635 S 311TH ST
FEDERAL WAY WA 98003
253-946-0556
PROJECT VALUATION
FUEL TYPE'l.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS NWT..... 0
COWV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS.... 0
CONTRACTOR ...................
WASHINGTON ENERGY SERVICES CO
2800 INORNDYKE AVE W
SEATTLE WA 98199
LENDER
YP.`y.A3:t;r'%i.x'-Atki@M[pflY7:Y..:: :, .:;7.PS.... fuw�n.a: ... marScc::a�xx.'�:�Y:EQ.].'^..7t3 P4Yi:ui.:rm:»Y.Y»:w7::R¢�'lP..-..:.':L7tP:S1SSn'9m. a:mss•.:.
M CONIRMTORS, POPA USE LOCAI i 11 LOK 1132 ISI UMIIIK SALES TAX FOR PROJECTS VI IIIN TIL CITY 9F FEDERM MAY.
¢xoPP7:tt1m :'a G:7:R:5aVPC4.Y ��....._.ALY..C:JA`lZii�:C:i:�S�SJCCm.�2'"1m,347[.Yr.ID:"m1Y"4tltQYdCJSC1�QY.K5ZCi1:4)t-atiRJA S:6YlYi2]Y54ZF.'.'.aC.SJ,^�:'T.aYCS".i iPYt"Fal:'iKKI(C:4'.»G::2at�C"ICY"L"s
TAX RATE : 8.25 Us
971 Fl;��
GAS FANS.........` 0 3`:1LEf ,10,Ms1ISSUR5 Mt�:IIilk?si� tfE I 38,75
ft 400D.. .. ... +, ,�,.3 I!* - lF
DUC1 h01"i .. �F ;. XS iOtl, J
HOOD STOVE'- .: 5-3 Te n
MISC......... 0 sot TON...... 0
AIR HANDLING U#IIS PILL IAHKS �
(.:10,000 Cfh: 0 ABOVE GROUND: 0
) 10,000 CIM: 0 !1NDERGROUND.: 0 TOTAL FLES $ 38.75
25.S:3m::+31P;`!]9.^..:.P"tY»4ldMtrz.C55YII4S::U::x7.w"17t ice:FpiTa......JPa.Y:53,e..ip3CYu:a....U:itC:0..t.Y::::7.6 it a:'C:lSiP'1A.:sa::t.....3G.:]Pi4'IK...
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 Pecord: Mechanical Rough -in •--...._-.__M-Date G�Gas Piping Date
MECHANICAL FINAL ._.�Date
PFRNITS EXPIRE 180 DAYS AFTER ISSUAKI It 119 MORX IS STARTE).
I (ERTIfY INF IIF )ION fuFAISKI Ry`' IS TRUE, AMD CORRECT TO THE KST OF HY KNOWLEDGE AND INP: APPLICat CI%Y OF MAY 91.01REMINIS MILL 9E II11.
OWN R OR AGENT IN "'�y w ._ _ _ _-.-_ - . _..__ ---.... DATE
., J i
FIELD COPY "
{` %
CITY OF FEDERAL WAY
33530 Fir-st Way South
Feder -al Way, WA 93003
253-661--4000
ADDRESS : 2636 S 31TIl S-(
NO.: 798440--0105
PROJECT DESCRIPTION:G/G FURANCE CHANGEOUT
OWNER
BILL CANNON
2636 S 311TH ST
FEDERAL WAY WA 98003
253-946-0556
Mechanical Inspection Requests 253--661-4-L4O
PERMIT NO: MEC99-0182
ISSUED: 05/113/99
BY- TN
EXPIRES: 11/13/99
::s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 $;2
PROJECT VALUATION
971
FEES:
FUEL TYPES.:GAS GAS
FANS..........:
0 301LERS%COMPRESSORS
' MECH PERMIT FEE $ 38.75
GAS PIPING.: 0 ft
HOOD..........:
C 0-3 TON...,.:
fr
0
FURN<100K..: 1
DUCT WORK....,:
3-15 TON,...:
GAS HWT....: 0
WOOD STOVES...:
0 15-30 TON...:
3
CONV BURNER: 0
FURN>100K.....:
0 30-50 TON...:
0
BBQ......... 0
MISC.........,.
0 50+ TON......
0
I
1
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
0 ABOVE GROUND:
0
t
GAS LOGS...: 0
> 10,000 CFM:
0 UNDERGROUND.:
0
i TOTAL FEES $ 38.75
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 IS IF NO YORK IS STARTED.
1 CERTIFY THE INFOR TI FURN B M S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE Cl/ OF JADERAL MAY REQUIREMENTS PILL BE MIT.
OWNER OR AGEN., - _.---------------------------------- DATE
FILE COPY
aw G RECE1'\lF=
W�ER MAY 18 1999
C17BUIL/AY
DING DEPT.
APPLICATION FOR MECHANICAL PERMIT
PARCEL
SITE LOCATION
BUILDING Drvlsmorl
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
MECci� -�'61 S Z
Single Family Multi -Family ❑ Commercial ❑
I�
UY,Tenant/Owner �`'i `M/ ` Phone
UA Lc� LA
Address/City/StateJZip ` x I � L 9
Nature of Work ` y/ I Project Valuation: $ O
APPLICANT
Name «�'�/ /) Y_�4 x)
Address/City/St/Zip
Contact Person Phone Fax
J
MECHANICAL CONTRACTOR
Company Name
Address/1;1ty/JUGmp I
�// ��jj � - L 3�
Contact Person Phone�y� UL Fax
State L & I Contractor Registration # ld �' ! �� �`� �qQ2� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handling
< = 10 000cfm
Fuel Tanks:
Length of as pivinizRange
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTUs (
Gas Log
Unit Heater
Underiwound
Fum>100KBTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
BBO'q
Wood Stoves
AIC
hft'a:
DISCLAIMER 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 work
for which pemrit application is made. I further agree to save him -Jess 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 ked against the City of Federay Way but only where such clam 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 applicatiore,
Date
MaarAee
Rrvrsm 13/26/97
I