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99-1002366'C1 — i o o a3(f CITY OF FEDLRAL. WAY8530 F i stt Way South .0 �- I L P I T pa;RT�II',�L:D. 11/14/1.9 I.' der-a.I Way, WA 98003 Mec-ha air -r:0. I:ri ;1)cvction Re,queE >t;,,, 253-661-4140 1:3Y: FC 253-661-4000 EXPIRES: 07/1't?/99 t3DDRESS :1.021. S:; 324 T 1-1 Pl- f40..: 150240-0390 b,3 -5- PROJECT DESCR I P T I©M : HVAC - INSTALLING 1 GAS INSERT WITH A SOCIAIED GAS PIPE OWNERae.�maaro.uxxc+.x:rsa�artx�� ss�s,z.m.ta. a.uxux.�e;-:ces::rmx::va:ar:ax�x ROY PERALES 1021 S 324TH PL FEDERAL WAY WA 98003 CONTRACTOR nsxu�caex sari x mz�xar-anent :asc as WASHINGTON ENERGY SERVICES CQ ONE UNION A 91H FL PO BOX 91060 SEAIRE WA 98111-9160 WASHIES97403 LENDER m=xV.P.:u.x:cTcuu fl tip; x'_;asssy,,ra:..c:vacir,ms::�m....mans.^.>a..c..s.:a��: o.r ttxrs..x tit COMTRACTOirs, mist U'bt 1+ umf COQ 11j� W1.'LA ' M11A SALES TAX FLOP PROJI(IS MITNIN THE CITY OF I EDERAL MAY. TAX FATE : 8.25 Ot 77 PROJECT VALUATION 2500 FEES FUEL TYPES.:GAS FANS......... Boll St GAS PIPING.: 25 ft NtH1D,, T pie �,t�, €URN<lOOK..: 0 DUCT idrL �� �� GAS HNT..... 0 W10.. 3yES 4 0 1 i 30 *!R1 .. '„ CONY BURNER: 0 FURH?1014 .....; .l 30 50 ,TON..,: 0 880......... 0 NISC....... ;. 0 501 ION...... 0 GAS DRYER..: 0 AIR HANOLIN6 141f" FUEL TANKS---- ---- RANGE ...... 0 <:10,000 CFH: O ABOVE GROUND: 0 GAS LOGS...: 1 > 10,000 tfN: U UNDRGROUND.: 0 TOTAL FEES S 33.25 ............... —.x.,m............. ... —------ 11.,....,..., 11-1--l—,.,.,,.,x. --111--.1-1-1 ---- --------------- - Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Not Water Tank) Inspection Rerord: mechanical Stough -in_ -------- .----- _ Date .,_....-._.� _,... Gas Piping . _. ._ .�..._ Date NECHANICAL FINAL .xa:Ga::a:os.,::a::.S Ketal u�9l:�xss:� A».:S�:2m:zar¢^.i.c::ac;:.:���FSnczb-a-'tya.�ra c::s.0 uas:.N.r:c�Ir�e;uesbaar� xt :'aamx.n:ssaticxiaa«.« xaa:smmCmfeXglNYx L;:Y c: su-t9,:s::mr_Na s'em^:. KNITS EXPIRE 180 DAYS AFTER ISSUAKE If 40 MR IS STARTED. I CERTIFY 101 INFORNARON FURNISHED BY NE IS TRUE AND CORRECT 10 IHE BLS1 Of NY NOVLEKE AND Tff APPLICAILE CITY Of FEDERAL. MAY REQUIRENENTS MILL K NET. OWNER OR AGENT _--': _:. _1_ _ .�.� ..: _�.Y.:_...r`�DATE FIELD COPY M.. t It CITY OF FEDERAL_ WAY 33530 F i r -s t Way South !� !I; ;;;, C Ii,,. Fedet-al Way, WA 93003 Mechardcai In,3pection Requests 253-661--4140 253-661-4000 ADDRESS:1021 S 324-111 PL_ NO.: 150240--0390 PROJECT DESCRIPTION: HVAC - INSTALLING 1 GAS INSERT WITH ASSOCIATED GAS PIPE - UWNLM __ __� __-_- _ ______________________====f= CONTRACTOR =__ _______=_________________= ___________ = LENDER WASHINGTON ENERGY SERVICES CO 1021 S 324TH PL € ONE UNION SQ 9TH FL FEDERAL WAY WA 98003 ; PO BOX 91060 ' SEATTLE WA 98111-9160 ' WASHIES07403 __.----.---------------------_.--'.------__.__- US CONTRACTORS, PLEASE USE LOCATION CODE 1732 RHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. PERMIT NO: MEC99-0014 ISSUED: 01/14/99 BY: FC EXPIRES: 07/12/99 TAX RATE : 8.25 xx: PROJECT VALUATION 2500 FEES: FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS MECH PERMIT FEE $ 83.25 GAS PIPING.: 25 ft HOOD.,........: 0 0-3 TON.....; 0 FURN<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 t GAS HWT.... : 0 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.25 _______________"_' --------------------- =____"_____________= ==s•_n==c====c=n= _____=====ccc=.c=======n=c=acc=a=c=cxc=c_c==c=c=scccc=oc:-===_= ------------ 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 MECHANICAL FINAL ---_--- Date Gas Piping Date ---------- Date _-------Date _ -------- 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 AGENTy --------' DATEt --------------.._._� / FILE COPY r CITY OF G BUILDING DBISION 33530 First Way South ED Federal Way, WA 98003 (253) 6614000 Fax (253) 6614129 APPLICATION FOR MECHANICAL PERMIT Federal Way Business License number: PARCEL # �LSingleFamily*Ibc— SITE LOCATION Tenant/Owner,� t Nature of Work 1 ' APPLICANT Name Address/C4/St/Zip (7�'L �-! IJr E=-3' Contact Person Phone MECHANICAL CONTRACTOR S Company Name (&/ c- C_ O Address/City/SbZip -- Contact Person �- Phone 200 –A;"Z- Fax Q Kt AS � � � � �-,'i� �� Ex Date G' State L & I Contractor Registration # p (Card must be presented) 2=K Cc) ` T E f o�t�►��k MEC 9q - Multi -Family ❑ Commercial ❑ Phone (&� C( ` I ' Project Valuation: $ " Fax MECHANICAL UNIT COUNT Fuel T as/other Gas Dryer Air Handling < = 10 000cfm Fuel Tanks: Length of gas piping Range Air Handlin > = 10 000cfrn Above Ground Fum <100K BTU's GasLog Unit Heater Under ound Fum >100K BTU's Fans Boiler BTU/H Miscellaneous Gas HWt Hood Boiler BTU/If Other Conv Burner Duct Work A/C TONS Other DISCLAIMER: I certify, under penalty of perjury, that the information fitmished by me is true and correct to the best of my knowledge and further that 1 am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save hamiless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claire), 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 pa"f this application. Owner/Agent MECILAPP REvrsED 7/29M Date