99-100594CITY OF FEDERAL_ WAY
:33530 First Way SoutYi
Federal Way, WA 9£3003
253-661-4000
ADD R,EI aS : 32`03 47-141 AVE:
NO.: 802950--0 520
PROJECT D.ESC::R:I6'r1Ot1:HVAC
MECIIANICAL PERMIT
Mechardc al Irispe?ction Request. 253-661-4140
SW
- INSIALLI96 I GAS INSERT W/PIPE
n OWNER mzaamx,a:..a¢n rwc:.'a�acnnarmmwaturnuraa.:nsrsa>a:xxaa::.:scc
DALE MESE
32903 41TH AVE SW
FEDERAL WAY NA 98023
1
5�-:iar r:: s. ar+a tt,«a^...« c._:.. W _, x z vea .: _.....: s W •_ iyv"'AS:dI=�lf`:.��� .'af+"N,a=�r+ett±� e.:.a
:ts CU1mKIO2S, PLtASE USE LACATI
PROJECT VALUATION 2500
FUEL TYPES.:GAS
7
FANS.. ..
V
GAS PIPING.:
20 ft
HOOD,°,
FUP*1OO(...
0
1)UCT"1 .
GAS HWT ....:
0
WOOD. f r'
CON, BURNER:
0
FURN>1b0 ... :
BBQ.........
0
MIS(...........
O
GAS DRYER..:
0
AIR HANIII 16 110114
RANGE......:
Q
:-10,OQ(R CFri:
0
GAS LOGS...:
1
) 10,000 CFM:
C"IRACTOR
WASHINGTON ENERGY SERVICES CO
ONE MON SQ 910 FL
PO TIOX 91060
SEATTLE NA 98111.9160
TASIIIESW40, .,.
LENDER
PERMIT W): MEC99--0037
ISSUED: 02/08/99
BY: FC::2
LXPIRES: 08/06/99
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SALES TAX FOR PROJECTS V11111 TIE CITY OF FEDERAL WAY. TAX RATE : 8.25 sts
FEES:
e\n,*"w EE $ 83.25
TOTAL FEES $ 83.25
Does the hater supply systes contain a Pressure Reduction Device or Check valve? (} Yes ( ) No (If "Yes' then eater expansion tank is required on Hot Water Tank)
X111 / Q
Inspection Record: Mechanical Rough -in _.__._..._ .__...:_. _ Date _; __ .._..._ Gas Pipdtl
ALCHANICAL FINAi .._ ...-._ Date
:wrocasa wa¢tG:"� ac::saeaa:-�aa:.stes�ca.
PERMITS EXPIRE 180 DAYS AFiLk ISSUANCE IF NO MK IS STARTED.
I CERTIFY TNL ILIFOR111ATION FURNISNEED BY ML IS TRUE AND CORRECT TO TNT: REST OF MAY R:NOMLLOU AWD INI AMtICABLE CITY Of FEDERAL MAY UQUIRENENTS MILL K NET.
OWNER OR A� NT ���" "."- ...__. _ _ _...._ ._ _ DATE _....._
FIELD COPY
FUEL TANKS-
AK111 GROUND:
0
UNDERGROUND.:
0
FEES:
e\n,*"w EE $ 83.25
TOTAL FEES $ 83.25
Does the hater supply systes contain a Pressure Reduction Device or Check valve? (} Yes ( ) No (If "Yes' then eater expansion tank is required on Hot Water Tank)
X111 / Q
Inspection Record: Mechanical Rough -in _.__._..._ .__...:_. _ Date _; __ .._..._ Gas Pipdtl
ALCHANICAL FINAi .._ ...-._ Date
:wrocasa wa¢tG:"� ac::saeaa:-�aa:.stes�ca.
PERMITS EXPIRE 180 DAYS AFiLk ISSUANCE IF NO MK IS STARTED.
I CERTIFY TNL ILIFOR111ATION FURNISNEED BY ML IS TRUE AND CORRECT TO TNT: REST OF MAY R:NOMLLOU AWD INI AMtICABLE CITY Of FEDERAL MAY UQUIRENENTS MILL K NET.
OWNER OR A� NT ���" "."- ...__. _ _ _...._ ._ _ DATE _....._
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
ADDRESS:3290 47Thl AVE
NO.: 802950--0520
PROJECT DESCRIPTION:HVAC
Mechardcal Ir)spect:iori Requests 259-661-4140
SW
- INSTALLING 1 GAS INSERT W/PIPE
PERMIT NO: MEC99-0037
ISSUED: 02/00/99
BY: FC2
EXPIRES: 08/06/99
OWNER_______________________________________________._.==T= CONTRACTORLENDER
DALE 'WIESE ° WASHINGTON ENERGY SERVICES CO
32903 47TH AVE SW ONE UNION SQ 9TH FL
FEDERAL WAY WA 98023 PO BOX 91060
SEATTLE WA 98111-9160
� a s
y WASHIES07403 a
e i
� # CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 M
I PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 20
FURN<1OOK..: 0
GAS HWT.... : 0
5 CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: i
f
2500
? 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: 1
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
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes (j N
Inspection Record: Mechanical Rough -in ----------------- Date ----------- Gas Piping
MECHANICAL FINAL Date
MECH PERMIT FEE $ 83.25
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATIO 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 A NT 01)
_ - - r-=---- j ...---------------- DATE _� C
FILE COPY
City OF G
� EDEJZFIL
vii AY
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC So�-
Q0PARCEL # Single Familp� Multi -Family O
SITE LOCATION
Tenant/Owner
Address/City/State
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRrA,,C/TOR
Company Nvv ame esc 0
Address/City/St/Zip
Contact Person
t,
Phone
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Commercial ❑
Phone -1 " "�
Project Valuation: $ )
Fax
Phone 'Z-}(0 WL 47k)o 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 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER 1 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 f ether agree to save harmless the City of Federal Way as to any claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the mmdersigned, 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, upo a accuracy of the
mfortnation su ss a part of this Galion.
A
1
Owner/Agent Date
Mwn.Arr
Rmsm 7/29/98
J