99-100263CITY OF FEDERAL WAY
33530 First Way South
rederal Way, WA 98003
253--661-4000
Mechanical Inspection Re (jLjests 253.-661-,4140
ADPPESS:32005 41ST AVE ':;W
NO.: 873190-2210
PROJEC'T DES;(.'R IPT ION _- WAC - INSTALLING I GAS fURNACE, NOT AND ASSOCIATED GAS PIPE
OWNER
SANDRA KOERPIR
32005 41ST AVE SW
FEDERAL WAY WA 48023
........ ......
its CONIWIOWS, PLEASE H
PROJECT VALUATION 2500
FUEL TYPES.:GAS ELE FANS....... .. 0
GAS PIPING.: 50 ft HYID.. _ ... it
FURWIDOr..: I DOLT 40PY, Q
GAS HOT....: I 1.100 STOVE" 0
CONY BURNER: 0 rURN)IOOr_.'
BBQ......... 0 NISC .......... 0
GAS DRYER_: 0 AIR WANKING UNITS
RANGE......: 0 <:10,000 CFM: 0
GAS LOGS...: 0 ) 10,000 (FN: 0
CONTRACTOR .-A ... -._m .... ;�
WASHINGTON ENERGY SERVICES CO
o"i unow sQ gio rL
PO Box 91060
SEATTLE WA "111-9160
SO4 ION_ ... 0
FUEL TARS ----
ABOVE GROUND: 0
YNDIRCHUND.- 0
LENDER
qq, - 1 T�a��
PERMIT NO: MLC99-0015
11:*,SLJED: 01/14/99
BY: FC
EXPIRES: 07/12/99
INP ONG SALES TAX I% PROJICIS WITHIN THE CITY Of FIVEL41. MAY. TAX Ulf : 8.25 m
FEES:
TOTAL FEES $ 83.25
.M4 .... ... ...... ... ... ........ ..........
Does the nater supply system contain a Pressure Reduction Device or Check valve? Yes No (If "Yes" then water expansion tank is required on Not Water lank)
01011
Inspection Record: Rechanical Rough -in Date Gas Piping Daty
MECHANICAL FINAL Date .6/� �a
KNITS Expitt 100 MYS ATTER ISWAKE II NO WWI is STARTED.
I CERTIFY INE INFOWTION ILMNISULD 8Y Rt IS INt AND CWKI 10 INE VEST OF IT KNILEIM W THE ANLICAKE CITY Of FEDERAL MY RE*lt[KKTS HILL K KT.
OWNER OR AGENT -DATE
FIELD COPY
Ak
CITY OF FEDERAL_ WAY
30530 First Way South
Federal Way, WA 98003
253-661--4000
ADDRESS:32005 41ST AVE
NO.: 873190--2210
PROJECT DESCRIPTION:HVAC
PERMIT NO: MEC99-0015
POW !'!f,M;m. It'l ?"I I'll .;,�,.: M;, .: i�'�i I„,,. �:., h � ,,: I��I �'”` 11:�.M .,,�,. ISSUED: 01/14/99
Mechanical Irispectior) Req(.iests 25<:,;-661-4140 BY: FC
EXPIRES: 07/12/99
SC
- INSTALLING 1 GAS FURNACE, HWT AND ASSOCIATED GAS PIPE
OWNER=,.___:=====T:==________________ ___________
__________-=
CONTRACTORLENDER
SANDRA KOERPER
WASHINGTON ENERGY SERVICES CO
32005 41ST AVE SW
ONE UNION SQ 9TH FL
I
FEDERAL WAY WA 98023
PO BOX 91060
SEATTLE WA 98111-9160
4
WASHIES07403
1
xs:
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE : 8.25 xxx
PROJECT VALUATION
2500
FEES:
FUEL TYPES.:GAS ELE
FANS..........: 0
BOILERS/COMPRESSORS
MECH PERMIT
FEE $ 83.25
GAS PIPING.: 50 ft
HOOD..........: 0
0-3 TON.....: 0
s
FURN<100K..: 1
DUCT WORK.....: 0
3-15 TON....: 0
GAS HWT.... : 1
WOOD STOVES...: 0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...: 0
BBQ......... 0
MISC........... 0
50+ TON...... 0
GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE ......
RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND: 0
`
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
i
$ 83.25
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 INFORMAT N FURNISHED BY HE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITTY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ —DATE ✓I �� L
FILE COPY
err of G BunDINGDIVISION
F� 33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANiCAL PERMIT
Federal Way Business License number:
60 -:
MEC go +,
PARCEL # e )T� Single F mI`I Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant:/Owner-s. C46' p -Q ale Phone
Address/City/State/Zip nn
Nature of Works Q • G G S ru�C A� . tit �^ a► oW . H ►•'Project Valuation: $
�I � rtib k r� �fi w �-�✓ �
APPLICANT
Name 10 1)A Q.
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip 2-- un '1h ornr ` L.
Contact Person TY �- Phone Fax
State L &I Contractor Registration # t Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling <
= 10 000c&n
Fuel Tanks:
Length of as piping
Range
Air Handling >
= 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furn>10OKBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO's
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fiunished 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. I fiather 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 pelt of this application.
Owner/,
MEmAPP
REVISED 7/29/98
Date