99-100131CITY OF FEDERAL WAY
33530 First, Way S<-)uth M E C.'. U I A N I L C A L P C" f 1� M L f' I
Federal Way, WA 98003 41,140
253-661-4000
ADDRESS : 31710 4111 AVE ;,3
NO.- 794180-0060
PROJECT DESCRIPTION: HVA( - GAS TO GAS NMT CHANGEOUT
MER
DALE BENNETT
31710 41H AVE S
FEDERAL WAY #A 18003
CONTRACTOR ............ =; ......
WASHINGTON ENERGY SERVICES CO
ONE UNION SO 91H fL
PO BOX 91060
SEATTLE WA 98111-9160
j r aftra
PERMIT NO: MEC99-0003
ISSUED: 01/07/99
BY: VC2
LXPIRLS: 07/050/99
. . . . . . . . . .
"S CONIRAC(Ofto -tt,04 94 LIKATIOO i'vot I!-;7 UNEP RfMRT , IN SAM TAX FOR PROJECTS WITHIN I* CITY Of FEKL4L VAT. TAX RATE = 8.25 Us
Does the nater supply systes contain a Pressure Reduction Device or Check valve? Yes No
Inspection Record: mechanical Rough -in
MECHANICAL fINO,�,6
4_ _, -- _
I FEES:
$ 23.50
TOTAL FEES $ 23.50
(If *Yes* then eater expansion tank is required on Not Water Tank)
Date Gas Piping -_1__--_-_---. Date
PERMITS EXPIK 180 DAYS AFTER ISSSUAKE If NO M IS STARTED.
I CERIIIY IE INFOW11411 CORNISNED BY HE IS TFX AD Cgka 10 Iff KSI Of 0K AND IME APPI.101111 CITY Of FEKRAI NAY R10"IMINIS WILL 4E Ott.
OWNER OR AQ*T-� DATE
FIELD COPY
PROJECT VALUATION
Soo
FUEL TYPES.:GAS
?
FANS ......
0
'GAS PIPING.:
0 ft
f URN<100k,.:
0
DUCT`' "ft K.
10.4.
nth(, }NIT....:
I
WOOD STOVE"
100
(OXV BURNER:
0
FURN)IODY ...
3i -50 �TON.
1)
BeQ ........ :
0
MISC.........0
504 TO11— ...
GAS DRYER..:
0
AIR HANRIN6 UNIP
FUEL TANKS....
RANGE......:
0
<:10,000 cfm:
0 ABOVE GROUND:
0
GAS LOGS...:
i
0
> 10,000 CFN:>
0 UNDERGROUND.:
0
Does the nater supply systes contain a Pressure Reduction Device or Check valve? Yes No
Inspection Record: mechanical Rough -in
MECHANICAL fINO,�,6
4_ _, -- _
I FEES:
$ 23.50
TOTAL FEES $ 23.50
(If *Yes* then eater expansion tank is required on Not Water Tank)
Date Gas Piping -_1__--_-_---. Date
PERMITS EXPIK 180 DAYS AFTER ISSSUAKE If NO M IS STARTED.
I CERIIIY IE INFOW11411 CORNISNED BY HE IS TFX AD Cgka 10 Iff KSI Of 0K AND IME APPI.101111 CITY Of FEKRAI NAY R10"IMINIS WILL 4E Ott.
OWNER OR AQ*T-� DATE
FIELD COPY
r. Y
CITY OF FEDERAL_ WAY yy� yy llll �
33530 F i rs t Way South 11,, I !I.;; ;. �;;.,. �,, l �i.,;.� �44, ..;�1,. � ', �'"'� !I.,..,. �:;;;�� II,�';;,. R P11„.0.
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140
253-661-4000
ADDRESS:31710 4T11 AVE S
NO.. 794180--0060
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT CHANGEOUT
PERMIT NO: MEC99-0003
ISSUED: 01/07/99
BY: FC2
EXPIRES: 07/05/99
�= OWNERCONTRACTOR ==-_-_______-_________________________ =___,= LENDER
DALE BENNETT
WASHINGTON ENERGY SERVICES CO
31710 4TH AVE S
s ONE UNION SQ 9TH FL
FEDERAL WAY WA 98003
E PO BOX 91060
SEATTLE WA 98111-9160
WASHIES07403
F
a
axx
CONTRACIORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE
= 8.25 tit
PROJECT VALUATION
500
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS MECH PERMIT FEE
$ 23.50
I GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....: 0
FURN<100K,.: 0
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......: 0
<:10,090 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0 TOTAL FEES
$ 23.50
Does the water supply system contain a Pressure Reduction Device or Check valve? (; Yes O No (If "Yes” then water expansion tank is required on Not 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 INFORMATION FURNISHED BY ME IS TRUE AND COR'kECT TO THE BEST OF MY "E AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
O __ ,,WNER OR AG
lf--� _ ._ •C� -- ----._ _. ^ATE -----
FILE COPY
crTY OF G
Y�i AY
R
JPN,Z 11999 APPLICATION FOR MECHANIC, ERMIT
�Lvv�� Federal Way Business License number:
C;tt Bur, 6%ty� 4.DEPT.
PARCEL # ::] [ q � 1� O o C) (_0 0
SITE LOCATION
Tenant/Owner
Address/City/State%
Nature of Work
APPLICANT
Name
Address/City/St/Zip
k -c C
2vl�lc)
-c1/,JrEDrK
BUILDING DngsiON
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC 98 -�
Single Family / Multi -Family ❑ Commercial 11
S.
Phone 6 sa D -39 - (.Q05Z6-
Project Valuation: $ sa
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name �1 e._ C O
Address/City/St/Zip 279 0�) - t -CJvMlhE� . " A I
Contact Person T ► Y--� C_ Phone Zl!u WL 4qoo Fax Q
� � � �� -�Exp.
State L & I Contractor Registration # �ti/ AS H Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T Wother
Gas Dryer
Air Handling < = 10 000cftn
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furn >100K BTUS
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
BRMg
Wond Stoves
A/C TONS
DISCLAIMER: 1 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 or the above premises to perform the work
for which permit application is made. I further agree to save harmless the City or 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 officer; and employees, upon the accuracy of the .
information supplied to the city as a pad of this application.
Owner/Agent Date
Macu.Are
REmED 7/29/98
F
t.
4