99-101162CITY Of' FFI)ERAL WAYPERMIT NO: MEC99-0090
33530 Fi mf, Way 'S(Dutt4 M CC VIA N61 CA L P R MI T ISSULD: 03/23/99
Federal Way, WA 98003 Pleclianic--.il. lrisp(-�ction Reqtjec;k,,-,; 25,3-661-4140 BY: F(-"
259-661-4000 EXPIRES: 09/1.8/99
ADT)RESS*28801 1.41" AVE S'
t4O.: 51,6210-0650
PR0,7ECT T.)ESCRIP,rj.om:GiG fUPHKE CHAKEOUT
OWNER CONTRACTOR LENDER
DANIEL GREENLEAF WASHINGTON ENERGY SERVICES CO
?0801 14TH AVE S ONE UNION SQ 9TH FL
FEDERAL WAY WA 99003 PO BOX 91060
SEATTLE WA 19111-9160
WASHIES07403
'kit CONTRACTORS, 04t 1,KA1 10 f0K 1732 VK* REPORTIN SALES TAX FOR PROJECTS VITNIN 01 CITY OF #KRAL WAY. TAX LATE = 8.25 M
............ I u"..Ux"a;
PROJECT VALUATION 3000 FFU:
FUEL TYPES.:GAS GAS FANS.,..... .. 0 VIEPTT EFfl 83,25
GAS PIPING.: 0 ft HOOD ........ 0 il-3 i.,)N- I
FURN<100r..: I DUCT W09r,.. 0
-
GWi NWT ..... 0 WOOD "TOMS 0 15, Al TON. v
COM, BWRLR: 0 FURN100t 0 40-5t' TON...: 0
BBQ......... 0 NIDI:........... 0 56, 0
GAS DRYER..: 0 AIR HANDLING UNITS 11011, f0rS ---------
RANGE ...... 13 <:10,000 CFM: (I ACOVE GROUNI)i 0
GAS LOGS...: 0 10,000 (fh: 0 UNDERGROUND.: 0 TO At FEES 83.25
.. ...... ....... .........
Does the water supply systee contain a Pressure Reduction Device or Check valvel Yes No (If 'Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piping Data
MECHANICAL FINAL _ 0 te
.... . ...... —. ........... . . xz. ........... ................. =. ................... ......
149"ITS EXPIRE 180 DAYS AFTER IsstmA(A It NO UK is SfARIED.
I CERTIFY THE. INFORNATION I'URNISULD BY fit. IS TRUE AND CORRECT TO 101 BEST Of NY ENON-LEME AND IRL APPLILANU CATY Of FLOLVAI MAY PIQUIRDIFITS VIII. IK m!)
OWNER OR AGENT IE
FIELD COPY
CITY OF FEDERAL WAY au �
33530 First Way South it �r� E C IF1 �f�, it h4l I C L. P E R.. Py Np
11
Federal Way, WA 98003 Mecr)anical Ir)spect:ion Requests 253-661-4140
253-661-4000
ADDRESS:28801 14T11 AVE S
NO.: 516210--0650
PROJECT DESCRIPTION.G/G FURNACE CHANGEOUT
OWNER___________________________:_::____________ =___-_ ___= CONTRACTORLENDER
DANIEL GREENLEAF WASHINGTON ENERGY SERVICES CO
28801 14TH AVE S ONE UNION SQ 9TH FL t
FEDERAL WAY WA 98003 PO BOX 91060
SEATTLE WA 98111-9160
c
s
WASHIES07403
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHIN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY.
PROJECT VALUATION 3000
FUEL TYPES.:GAS GAS
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES_: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
BCILERS/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
Does the water supply system contain a Pressure Reduction Device or Check valve? ( } Yes ( } No
Inspection Record: Mechanical Rough -in ---------------- Date
MECHANICAL FINAL Date
Gas Piping
PERMIT NO: MEC99-0090
ISSUED: 03/23/99
BY: FC2
EXPIRES: 09/18/99
TAX RATE : 8.25 s_s
FEES:
MECH PERMIT FEE $ 83.25
i
TOTAL FEES $ 83.25
r
(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 URNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C TY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ATE Q�
_ U__ _-------------
FILE COPY
MY F G
R 2 3 1999
%NAY
APPLICATION F09
I'VittgANICAL
Federal Way Business License number:
PARCEL #
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Nature of Work
APPLICANT
Name
Address/City/St/Zip
CMZ, -11' /1Jr �
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661.4000
Fax (253) 6614129
PERMIT
9
MEC 90-c �,O
Single Family' Multi -Family ❑ Commercial ❑
V(--, 11
Contact Person Phone
MECHANICAL CONTRACTOR
Phone C) L � ��� `.' 30 �-'
Project Valuation: $ f 71)
Fax
Company Name W e'-5 C- O
Address/City/St/Zip C ' t `I
Contact Person 0 -S t ti'YlOP Phone Z`(0 ?W'L Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of asi mi
Range
Air Handling > = 10 OOOcfrn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER I 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 wok
for which permit application is made. I further agree to save harmless the City of Federal Wry 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 yppficatiorL
Owner/Agent
MBca.APP
Rcvmsm 7129/98
Date b �/ 9