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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