99-103935CITY OF FEDERAL_ WAY � PERMIT NO: ME:C99-01345
33520 First W.ay Scott M ...r�� �� ��, �� TISSUED: 1.01/0//99
Federal Way, WA 98003 Mechanical Inspection Recluests 253--66:1.-41.40 BY: FC
253-661-4000 EXPIRES: 04/03/00
F3.DDRE SS : 3s 720 51ST PL SW
NO.: 189832-0270
PROJECT DES(:RIPT.ION:INSTALL GAS FURWE AND A/C UNIT
E, OWNER .... _— ......... aac.acsara....CONTRACTOR .....0........ LENDER
LAURA WOODRUFF p WASHINGION ENERGY SERVICES CO
32720 51ST PL SW 2800 THORNDYKE AVE N
FEDERAL WAY WA 980?3 SEATTLI WA 98199
253-874-8043
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(ONIRACTORS, pat,”" 110A 11) aTION C81E, 1732 W1 REPORIUK, SALES TAX FOR KOJECTS 01ININ TILE CITY Of FEDERAL VAY.
TAX RATE -- 8.25 sts
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PROJECT VALUATION 5000 fLFS
FUEL TYPES.:GAS ? FANS.........,- G 111.25
GAS PIPING.: 0 ft HOOD..........: a �1..-. 100-- 1
s,
FURN\�lOOK... 1 DUCI YORK...... O 3-1.S 10N.—: 0
GAS HNT....:
0
WOOD "JOVES.... 0
15-3Ct TON... :
0
CORY BURNER:
0
FURN 100L...,.: 0
30-50100— :
0
�
8BQ........ .
0
MIS(:......., 0
501 TON,....,
r
GAS DYER..:
0
AIR NA011% UN;TS
f9EL TAIIKS--- ..-----
-.-__RANGE......:
RANGE ......
0
<-10'000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,Ot"O CIM: 0
UNDERGROUND.:
0
TOTAL FEES
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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 Nater Tank)
Inspection Record: mechanical Rough -in _ Date.,.j..___._...__._ Gas Piping Date
MECHANICAL FINAL _ _ _ Date MAJ Od�
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Pt.RRfITS EXPIRE 1I1R DAYS AFTER ISSUAKE IF N8 WORK IS STARTED.
I (J IFY THE 11 FORNATI80 INNISOED DY NC IS Ift AND CORRECT TO IPL BEST OF MY XRRTIdLIKA AND THE APnICADLE CITY Of FEDERAL MAY R 10KREMENTS VILL 8t: MIT.
0I'R OR 6ENT _s ..; _� ..._ - -- — DATE
FIELD COPY
t
CITY OF FEDERAL WAY „,, PERMIT NO: M C9 -0 45
33530 First Way South tl �"'�. �;�^. �,.� „;, 141 . �,. �.,,,,,. �,,;.,�' „",,. Fm,1 �";,. �"''�, P-1 11µ1i". ISSUED: 10/07/99
Federal Way, WA 95003 Mechanical Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 04/03/00
AD'DRESS:32720 .51ST PL SW
N0.: 189832--0270
PROJECT DESCRIPTION: INSTALL GAS FURNACE AND AJC UNIT
r= OWNER =_______:::,______ ________________::: _::______==______�= CONTRACTOR =_________________
LAURA WOODRUFF WASHINGTON ENERGY SERVICES CO
32720 51ST PL SW 2800 THORNDYKE AVE W
i FEDERAL WAY WA 98023 ; SEATTLE WA 98199
253-874-8043
WASHTIESC7 03
LENDER
-- S;= CONTRACTORS PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 Ut
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICCABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR 01GENT._ __-- -_ . DATE `
FILE COPY
PROJECT VALUATION
5000
FESS:
FUEL TYPES.;GAS '
FANS...........
COMPRESSORS
BOILERS/COMPRESSORS
MECH PER IIT }_: $ 111.25
GAS PIPING.: 0 ft
HOOD. ...:
C
O ON ..: 1
'..:
,
Lh�,����.,
FURN<100K..: 1
DUCT WORK • ..:
0
3-.5 TON. O-
,
GAS HWT....: 0
WOOD STOVES...:
0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K.....:
C
30-50=TON ... : 0
BBQ...... 0
MISE...........
0
50+ TON...... 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
-------------
> 10,000 CFM:
0
UNDERGROUND.: 0
__________________=____==_=________==______—
TOTAL FEES $ 111.25
__________________=:=___=_____
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICCABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR 01GENT._ __-- -_ . DATE `
FILE COPY
r RECEIVED
o%1y
OCT 0 71999
4t t Y OF FEDERAL WAY
APPLICATION F ®M INO CRANICAL PERMIT
Federal Way Business License number:
PARCEL # 'J � L, -)-!G Single Family
SITE LOCATION
Tenant/Owner �.:k:I C—L uk ! D 6 T) pot Pf
Address/City/State/Zip - - -,-)-c I S UOL S L
Nature of Work
APPLICANT
Bun DING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 661-4129
MEC 19
Multi -Family ❑
Commercial ❑
Phone ��
Project Valuation: $�L") • 4 Z }
Name �Gc�7Le-(_
Address/City/St/Zip
Contact Person Phone ; L0 2�2 _/70d Fax '
MECHANICAL CO
Company Name
• • • - • u�Il/S///Q/////////. "' it/.���I��-" `��:�"Jl�7l•L�
Contact' • ��� I I' Phone Fax
State L & I Contractor Registration # 4 )An// e/%k--:� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T cher
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length fgaspiping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
tp / �)S Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
Naa
DISCLAIMER: I 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 of the above premises 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 Fedeny 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 pan of this application.
6 Z�LOwner/Agent %�Q Date l