99-100187CITY Of' FEDERAL. WAY
33530 First Way South
Federal Wiy, WtA 98003
253-661-4000
ADDRESS:30616 STH PL
NO.: 174510-0160
PROJECT T)U;CRIPTT0N-HVA(
PERMIT NO: MEC99-0008
MECHANICAL PERMIT ISSUED., 01/(. 8/99
Mechanical Inspection Rq
eue2
sts 53-6 i61-4140 3Y: FC2
I-XIDIRES: 07/06/99
ftVt5t D' t /SLAB"
- GAS TO GAS FURNACE (HANGIOU) &W [ Rvo
UWWtA CONTRACT ....... .......... . ItwvtK
GLORIA MRNLS WASHINGTON ENERGY SERVICES CO
30618 8TH PL S ONE UNION so 91H Ft
FEDERAL RAY WA 98003 PO BOX 91060
SEATTLE WA 98111-9160
*to C011WINS, PitAq. trit"ILKAT chu 11-32 WIN 4~1K SALES FAX FOR MICIS VIIIII IK CITY OF FEKM, WY.
PROJECT VALUATION 1500 FEES:
FUEL TYPIS.:GAS ? FAK ........... 4
"IT S M[�H PERMIT F!
GAS PIPING.: 0 ft ROOD .........
3L
GAS HW -1 .... WOOD SIMS-.: d 15 3U TON—: 0
CONV BURNER: 0 FORN'loor .... : 0 30 0
8130.. : 0 MISC. .......... (1 1104 TO!). ♦ .. • 0
GAS DRYER..: 0 AIR HANDLING UH115 FUEL TANK).....-_._ .
RANGE ...... n 1:10,000 cf": 0 ACOVI, GROUND: 0
GAS tK'S ... 0 i 10,000 CF": P UNDERGROUND.: 0 TOTAL FEES
TAX RATE : 8.25 no
$ 54,,00
12-.-ZO
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 Record: mechanical Rough-iA ------ Date I I - - - - I Gas Piping Date
MECHANICAL FINA, Dat,, -./6/0
PERMITS EXPIRE 186 DAYS AFTER IS%WT IF 0 YORK Is STARTED.
I CERTIFY INE INIF0101100 FNMSKD By K Is TIRE APID CURRE0,10 19t KSI Of NY K1 LEDGE AND )H[ APPLICABLE CITY Of JLPLRAL MAY REQUIRLKIRS PILL BE NET
OWNER. Of AGENT DATE
FIELD COPY
CITY OF FEDERAL WAY
33530 F i rs t Way South'w°:,:,.`,,,,� ��''''r �" ::f:: �':.:.: q:.,,,r.....;,.,�;;...:...,�,'`''
Federal Way, WA 9800:3 Mechanical Inspection Requests 255.-.661-..4140
253--661-4000
ADDRESS:3O616 STH PL S
NO.: 174510..-0160
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
= OWNER
GLORIA BARNES
30618 8TH PL S
FEDERAL WAY WA 98003
3
CONTRACTOR
WASHINGTON ENERGY SERVICES CO
ONE UNION SO 9TH FL
PO BOX 91060
SEATTLE WA 98111-9160
WASHIES07403
LENDER
1
3
w
PERMIT 'N0: MEC99-0008
ISSUED: 01/08/99
BY: FC2
EXPIRES: 07/06/99
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES FAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1500
FUEL TYPES.: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
BO '.ERS/COMPRESSORS
0-3 TON...... 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON 0
S:
MECH PERMIT FEE $ 54.00
50+ TON...... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0 TOTAL FEES $ 54.00
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)
a
Inspection Record: Mechanical Rough -in ---------------- Date ----------- Gas Piping -------------.----- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE aF NO WORK IS STARTED.
I CERTIFY THE INFORMATION F RNISHED BY ME IS TRUE AND CORRECTc4O THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
rr * ( / /
'70
OWNER OR A��h _C�- *'- (.�------------------- DATE
FILE COPY
F1i25.i .; I.; 11111 ,""I -i
State of Washington
County of King
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 WASHIES07403 06/24/1999
EFFECTIVE DATE 09/23/1993
WASHINGTON ENERGY SERVICES CO
ONE UNION SQ 9TH FL
PO BOX 91060
SEATTLE WA 98111-9160
Dctach And Dnp!;... Ceruncite
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 WASHIES07403 06/24/1999
EFFECTIVE DATE 09/23/1993
WASHINGTON ENERGY SERVICES CO
ONE UNION SQ 9TH FL
PO BOX 91060
SEATTLE WA 98111-9160
Si-nacur;f j
I sued by DEPARTMENT OF L.-kBOR AND INDUSTRIES
I certify that this is a true and correct copy of the original document presented to me by Anne
Schmidt of Washington Energy Services on Thursday, November 19, 1998.
4arlahe&
Notary Public in and for the State of Washington
My Commission Expires 09/09/99
Please Remo\ e
.\nd SiLn
Identification
Card Before
Placin�z [n
Billfold
0
J
C11;
11 OF G
W\> A�57 WN -c--1
JAIL Q 8 1999
APPLICATION FOR MECHANICAL PERMIT
DINUAFederal Way Business License number:
MEC bar-
1 � r
PARCEL # ` ' I �O C3 Single Family
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR=S
Company Name �/ e" C_ O
Address/City/St/Zip
BUILDING DngsioN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Multi -Family ❑ Commercial
Phone S
Project Valuation: $ 1,5-C)
`SC) O [)b
Phone Fax
Contact Person
"r1i2— Phone -z"Ou –yz- 4�0
State L & I Contractor Registration # Uv AS H
(Card must be presented)
MECHANICAL UNIT COUNT
Fax Q
Exp. Date
Fuel T aslother
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs 1
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/11
Other
Conv Bumer
Dud Work
A/C TONS
Other
BBO's
AIC TONS
DISCLAIMER I certify, under penalty of perfidy, 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 wort
for which permit application is made. I further agree to save hamiless the City of Federal Way as to any claim (including costs, expense, 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 cit as a pert of this application.
Owner/Agent
Mz m.APP
Revum 7!29/98
0
CITY OF G
� E�
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
4ON FOR MECHANICAL PERMIT
/ Fed ay Business License number:
MEC -
PARCEL # Single Family �' / Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Address/City/State%
Nature of Work —
APPLICANT
Name
Address/City/St/Zip
Contact Person
(-N,L 4-',/,J' kr
MECHANICAL CONTRACTOR
Phone
)c�- LA. 0'72
�, i Gil C9 U'C i
Project Valuation: $��
Phone
Fax
Company Name (A'/
Address/City/St/ZipAV
C 't -v�� A" -
Contact Person o c,� - Phone Fax
C'L` t� S I t � 6:—::S� �� -� Exp.Date
State L & I Contractor Registration #
(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 Handling > = 10 000cfrn
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Under ound
Fum>100KBTUs
Fans
Boiler BTU/11
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
DISCLAIMER 1 certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my kn,rwledge and further that I am authorized by the owner of the above ptrnuses to perform the work•
for which permit application is made. I further 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 part oli this application.
Owner/Agent
MWMAPP
nevus® Vn9i98
Date
i'
r 1 _ cl (I