99-103878CITY OF FEDEROL WAY
33530 First Way South 14CCUIMMMML PCM141T
Federal Way, WA 9800'_3 PeIqUests 253-661-4140
253-661,4000
ADDRUSS:30318 10TH AVE
NO.: 515370-0140 gLk, vr) at Ce
PP,OJFCT DESCRIPTION: INSTALL (1)-EHER102*101 AND 12' Of GAS PIPING
GLENN BLACrj(AROL
30318 10TH AVE S
FEDERAL WAY WA 98003
253-941-7330
.el-.:4C'--a.z.-."U.I.n...� a.
Its CONIRACIORS, PLEASE USE LOCATION CODE,,
PROJECT VALUATION
1500
(11EL TYPES.:GAS
?
FANS..
GAS PIPING.:
12 ft
HOOD.......
FURN100K..:
I
DUCT WOM. 0
GAS Owl .....
0
WOOD STUvt"...': rj
(OXV EMIR:
0
FURH)10U: 'i
Ho .........
0
M 1 S .. 0
GAS DRYER..:
0
AIR HANDLING; 0911"
RANGE.....: _:
0
10,009 (f", U
GAS LOGS...:
0
> 10,000 (Fh: 0
CONTRACTOR .......
WASHINGTON ENERGY SERVICES CO
2800 THORNME AVE W
SEATTLE WA 98191
WASHILS07403
PERMI'r NO: MEC99-0332
nsuub: 10/05/99
BY: FC2
EXPIRFS. 0",!01/00
Glc - I L)3q 'T ?
LENDER a=v
IMLK REPOKIING SALES TAX FOR FMCIS 911111 INE C111 Of tLKAAL NAY. TAX RATE : 8.25 "S
NJ ILI ps 1CO"PffsSORS
_4 2Z16
3-11 Toil 0
Afft)VE MUNK 0
UNKRUOUND. 1 0
FEES:
MECH PERMIT FEE
TOTAL FUS
54.00
1 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 Not Water Tank)
Inspettion Record: mechanical Rough -in Date Gas Piping Date
MECHANICAL FINAL Date -ql
FMITS [Vill 180 DAYS AFTER ISSLJAM if 0 M is
I CERTIFY w-twom"ON FMISKorwa-is IM All
OWNER Qk'Affvf-' W. Y1.
NY KNULEMI AID I81E APPLICARJE CITY 01 fLtlEfi,r9. WAY RQUIRIAMS WILL K 011.
DATE X, J
FIELD COPY
CITY OF FEDERAL_ WAY
33530 F i rs t Way So u t r,I J., ,I,.,
Federal Way, WA 98003 Mechanical Inspection F eque�;ts 253,-661--4140
253--661--4000
ADDRESS:30313 :110TH AVE S
NO.: 515370-0140
PROJECT DESCRIPTION: INSTALL (1) FIREPLACE INSERT AND 12" OF GAS PIPING
PERMIT NO: MEC99-0332
ISSUED: 10/05/99
BY: FC2
EXPIRES: 04/01./00
OWNER___________________________________________________-- CONTRACTOR
GLENN BLACK/CAROL WASHINGTON ENERGY SERVICES CO
30318 10TH AVE S i 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
253-941-7330
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 12
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
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 1*- #FQMATAON FURNISAftr7-!�E�IS TRUE AND.eNrECT
OWNER 0�9GFN,i!j _
MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE --
FILE COPY
r
i WASHIES07403
Sts CONTRACTORS, PLEASE USE
LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR
PROJLCIS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE
= 8.25 sts
1500
s FEES:
? FANS.....,....: ��
, ICO?FiEssGRS
MECH PERMIT FEE
$ 54.00
ft HOOD .... ..... 0s
DUCT WORK......
WOOD r
MIC:........... 0
50+ TOA...... 0
AIR HANDLING UNITS
FUEL TANKS ---------
<:10,000 CFM. 0
ABOVEGROUND: 0
> 10,000 CFM: 0
UNDERGROUND.: C
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)
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 1*- #FQMATAON FURNISAftr7-!�E�IS TRUE AND.eNrECT
OWNER 0�9GFN,i!j _
MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE --
FILE COPY
aa►or G
t
n 19 V E�=�
RECEIVED
OCT 0 51999
(:11 Y OF Fi=i3t�RAL WAY
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # 5 LS 3-7 d (5 1 D
SITE LOCATION
Z.
BuimmG DrmoN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC611 - 09' -32 -
Single Family Multi -Family ❑ Commercial ❑
Tenant/Owner F" (---) LQ ` G� C-�' C_ L__ Phone ` LJJ 1— ! � 36
Address/City/State/Zip �U i
Nature of Work
APPLICANT
Project Valuation: $ �S-W
Name.
Address/City/St/Zip 12/2,22',/ 2 - aJ' �Z /7-
Contact Person �� L1 �G" r /'� Phone 111 �r� -_17dd Fax
MECHANICAL CONTRACTOR
Company Name
aAddress/City/St/Zip o `
Contact Person ��%��/7 �/� Phone a'�� ��7n�? Fax
State L & I Contractor Registration # Zt Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as pip*
Range
Air Handlin > = 10 000cfrn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Under and
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas HM
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO'q
Wood Sto—
A/C TONS
DISCLAIM ER 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 I 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 Wed 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 pan of this application.
Owner/Agent
Meth Arr
RrmmD to/v9
Date �o)12/�1