99-103932CITY OF FEDERAL WAY
:"33530 Firsf, Way Soutli
Federal Way. WA 98003
253 -.661. - 4000
.%2.%jj 26'-"-'
ADDRESS:32146 r714I AVE
NO.: 873180--0710
PROJECT DESCRIPTION:RVAC
f4C1Ct"1P4P41CV4L PCMMIT
Mectianical Inspecti.on R*'quests '253-661-4140
SW
-GAS fURANCE CHANGEOUT ; lel2cllllil; rZ, 4_1V6t . Hw,- ec,:,r-
OWNERau --w-- ................ CONTRACTOR LENDER
ROBERT GAINIS WASHINGTON ENERGY SERVICES CO
32119 2610 AVE SW 2800 IHQRKDYrE AVE W
FEDERAL RAY WA 98023 SEAITL[ WA 99199
253.838,4061,
tn counaws. FuASE to toonoN c#K im mU UPIRTING SUES TAX FOR P#0JI(IS WITHIN IK CITY Of ftKRK MAY. TAX RATE : 8.25 sts
OICT - I ONS.
PERMIT NO: MEC99-0346
ISSUCD: 10/07/99
BY: FC2
1 �-'PIRES. 0,4/03/00
IV= . .
PROJECT VALUATION
4000
FEES:
FUEL TYPES.:GAS ELI.
FANS.
PEP41T FE
97.25
qAS PIPING.: 0 It
0-2 10".....,
0
FURK<100t..: I
DUO WORt ......0
31r, ffis
f!
GAS HW1
WOOD STOVES....
0
t5_10 JL_
COW Rlk#[R: 0
0
30.50
0
BBQ........: 0
RISC.,....._..:
0
510 TAN__:
0
GAS DRYER..: 0
AIR HAIMLIK UNITS
FUEL TANKS---_.__...
6NKS----------
RANGE
RANGE......: 0
<10A0 rfft:
0
ABOVE GROUND:
0
6AS LOGS...: 0
10,000 rFN:
0
UNDERGROUND.:
0
TOTAL FEES
97.25
Does the water supply system contain a
Pressure Reduction Device or (beck 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 1XPIAI 180 DAYS AFTER ISSUANCE If NO WOK IS SIARTFV.
I CERTIFY flit INFORNATION 1URNISK9 NY N1 IS 19% 99D CWLCt 10 THE IKST Of NY INOVITOGI
OWER OW)
..=. V..w
AIW Iflf APPLICABLE CITY Of FEKRAt MAY R1001RINERB WILL K "LT.
FIELD COPY
DATE
FIr� A
CITY OF FEDERAL. WAY
33530 F i rs t; Way South
Federal Way, WA 95000 Mechanical Inspection Re(4uesta 53_.661--4140
255--661--4000
ADDRESS:32116 27TV1 AVE SW
NO.: 873180-,0710
PROJECT DESCRIPTION: HVAC - GAS FURANCE CHANGEOUT
�= OWNER
CONTRACTOR=_____________=____=_=____________ __:____=__=
LENDER
ROBERT GAINES
WASHINGTON ENERGY SERVICES CO
r 32119 26TH AVE SW
2800 THORNDYKE AVE W
j FEDERAL WAY WA 98023
SEATTLE WA 98199
253.838.4081
F
WASHIES07403
;3s
CONTRACTORS, PLEASE USE
LOCATION CODE 1132 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN
THE CITY Of FEDERAL NAY.
PROJECT VALUATION
4000
FEES:
FUEL TYPES.:GAS ELE.
FANS..........: S
2vILERS/COMPRESSORS
{ "'r_Cq PERMIT
GAS PIPING.: 0 ft
FURN<100K... 1
HOOD......... .
DUCT WORK....,. u
3-2, ON. ?
3 _ TON. .,. 0
„ ,1
f
GAS HWT....: 0
WOOD STOVES.,.: 0
15-30 TON_: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 SON...: 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
Does the water supply system contain a Pressure Reduction Device or Check valve? { } Yes ( } No
Inspection Record: Mechanical Rough -in
MECHANICAL FINAL
Date ---------- Gas Piping
Date
PERMIT N0: MEC99-0346
ISSUED: 10/07/99
BY: FC2
EXPIRES: 04/03/00
TAX RATE : 8.25 s;x
EE $ 97.25
$ 97.25
(If "Yes" then water expansion tank is required on Hot Water Tank),
Date
PERMITS EXPIRE 18n DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION 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 00 --(:D��------------ _ ------ DATE7 -
FILE COPY
L-,
z_ 19tl-,N= 3
C<TM Of BunDiNG DramoN
AEO 33530 First Way South
401 Federal Way, WA 98003
RECE��Ep of AFITMENT (253) 661-4000
�MMUNItY 0m.0PMEN Fax (253) 661-4129
A1''LIu
ATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC" l
PARCEL # ' Single Family% Multi -Family ❑ Commercial 11
SITE LOCATION
r pt i Cr) f Iii- Ph-D� 3 -- &-3 VV �i
Tenant/Owner one -
Address/City/State/Zip
Nature of Work
APPLICANT
Project Valuation: $ ! b) - C&
Name
Address/City/St/Zip 4 ZLL421-a -
Contact Person ? 2K212- /� Phone L[1� 7�0 Fax
MECHANICAL CO
Company Name
R
:111A • ul/II=I///l////////.�ilL��/.I��.7�'»'!�i>•La
State L & I Contractor Registration # �{ ifl�fLT -5 CD 7e/Zk---� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
l'
Fuel T as/other
Gas Drver
Air Handlin
< = 10 OOOcfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 OOOc&n
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >10OK BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
AIC
TONS
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 1 am authorized by the owner of the above premises to perform the work
for which permit application is made. 1 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 of this application.
Owner/Agent
Mmt.Are
Date