99-103630CITY OF FEDFRAL WAY
33530 Fir-st WaY 5;OLJth mcscrimNXKAML r%CrNIK41T
Federal Way, WA 98003 Ne(Awmi�-al 1r)spe(,_f:_i.on Re(ju;�FLs 'w-.15'3--661-,4140
253-661--4000
ADDRESS:28650 11114 AV
NO.: 515296-0590
PROJECT DESCRIPTTON:111C GAS TO GAS FURNACE CHANGEOUT
OWNER
PAUL SCULLEY
29650 III" AVE S
FEDERAL WAY WA 911003
941-6281
.......... ...... ............
"S COUNWIMS-, 9HIM M LKA11
PROJECT VALUATION 1500
FUEL TYPES.:GAS ? FANS..
GAS PIPING.:
0 tt
HOOD ........ . 0
(UF.N<IOOK..:
I
DUCT NOR .... o
QS HWI .... :
0
WOOD STOVES_ 0
CORV WPHER:
0
n
BN.........
0
MISC.......... 0
GAS DRYER_:
0
AIR HANDLING YKITS,
RAKE.......
0
<40,000 CFM: 0
GAS LOGS...:
0
10,000 0m: 0
CONTRACTOR — ......... .. = ......
WASHINGTON ENERGY SERVICES CO
2800 IHORNDYKE AVE W
SEATTLE WA 99191
WA)HIES07403
Gk ... =! .........
IK SALES TAX FOR FINECIS NII8i8 IK CITY IF fEKM NAY. TAX RATE - 8.25 *9*
LENDER b..
9ei-103030,
PERMIT NO: MEC99-031b
lssm): 09/2(3/99
BY: FC
EXPIRFS: 03/17/00
100, 0
J-1
_611
A -P
15 30 1!!N_: 9
30.-50 Tog,
FUEL
ABOVE GROUND:
UNDIRGPOUND.: 0
FEES:
MICH PERMIT FEE 54.00
TOTAL FEES S 54.00
.... =:.. .... =.X.a .... 1�=.=. .... MI" ... .. ....... .%I}.- ... ........
Does the vater supply systes contain a Pressure Reduction Device or Check valve? Yes No (If "Yes' then cater expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date _,_ - _ _.-
MECHANICAL FINAL
(As Piping
Date
FmIfS EXPIRE 180 DAYS Aff[ft ISSUABLE If No lot Is STARTED.
I CERTIFY THE INFOW11011 fURNISNED w NE is II1* An (MICI To JUL BEST or NY KlImfou w IN[ AFF1.1011.1 CITY Of f[DRAL NAY NIQUIRL"INK 111111 OF "it.
O11INCR DATE
11,14
FIELD COPY
CITY OF FEDERAL WAY
335:30 First Way South
Federal Way, WA 90000-
253-661-4000
3003253-661-4000
ADDRESS:28650 11TH AV
NO.: 515296-0590
PROJECT DESCRIPTION:MEC
PERMIT NO: MEC99-0318
1,14 C,. r" I P11 P,VIL'�';; ,,, R';, ,;.: �,,. ISSUED: 09/20/99
Mechanical ,nspection Requests 253-661-4140 BY: FC
f EXPIRES: 03/17/00
S
- GAS TO GAS FURNACE CHANGEOUT
OWNER_______________ :__:_____=_____________________==== -r= CONTRACTOR =__________________=____=__=____________=___= LENDER
PAUL SCULLEY ; WASHINGTON ENERGY SERVICES CO
E
28650 11TH AVE S E 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
941-6281
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
4
6
WASHIES07403 '
tst CONTRACTORS, PLEASE USE LOCATION CODE 1732 kHER REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 M
1500 FEES:
FANS..........; 0 BOILERS/COMPRESSORS MECU PEwMIT FEE $ 54.00
ft HOOD........... 0
DUCT WORK.....; 0
WOOD STOVES ...; 0
FURN>100K..... :
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
3 TON.....: 0
3-15 TON....: _'
15-30 ,^N...:
30-3-0
FUEL TANKS -------
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve?` (} Yes ( ) No
Inspection Record: Mechanical Rough -in ---------------- Date ----------- Gas Piping
MECHANICAL FINAL Date
54.00
(If "Yes" then water expansion tank is required on Not Water Tank)
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 APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNERENT___.._.._
_- DATE
FILE COPY
SEP -20-99 10:43 FROWNORTHWEST-CASSIMAR 206-374-0834 T-584 P-01/08 F-281
�- A�— CUT or Durtz eDr4L= I
33530 Fust Way South
EC`. F 1 N/� 0 Fedleral Way, WA 98003
C253)661 -4M
Fax (253) 661-4129
SES' ;nnn
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC
,�/�
PARCEL # Singlc Farm'.. Multi -Family ❑ Commercial O
SITE LOCATION
Tenant/Owner 2k&2 1 x o Phone Q?
AddreWCiry/State/zip ed- I l-osn t v\ Y e
Nattrc of Work V13 Project Valuation:
�
APPLICANT
Name 42t4 =I&.--
Address/Ciry/St1Zip J 7a 4219 . �2 AZz., �. 4
Contact Person— ���- - - �(� 1 °` Phone • ������ 70� Fax
• MECHANICAL CONTRACTOR
Company Name /
Address/City/St/Zip1/QX/� �i )/7� �ClW
Contact Person �/% _ �/ Phone �t�a�.r�t?�-�/7n�) Fax
State L & 1 Contractor Registration - �f�rE"5 ��`GZ� Exp. Date
(Card must be proseriad)
MECHANICAL UNIT COUNT
Fuel Bother
Gas Dryer
Air Handl' < - 10 004cdm
Fuel Tank:
1--nah of Ras piping
Range
Air Handlin > a t 0 000cfin
Above Omad
Furor <100K BTU's 1
Gas LAW
Unit Hester
Undergound
Fum >100K Bills
Fans
Boder BTLYH
Miscellaneous
Gas Hou[
Hood
Boiler BTU/H
Other
Cony Burner
Duct Work
AIC TONS
Other
DISCLAIMER 1 cm*, undo tmal4' oftxdmy. that the konmetioa liraished by ma is true w d roam to dro bear ormy WOOD* and formas that I am a dmumd by the owns ofthe above tsmm to pafmm rho work
for which pamk appl oam is Meda. I halm ag= to ave huakkm ft city of Fedwal Way a to any daim Cwt; mss, expauea, arA wauwW fm ywwwd m b vsrAWm and dofarue oiuude d6nJ .Neh may be
make q NY PaAM kwbWa6 the . and Bed ap— the city of aedasy Way bur anty MMar: aueh claim avian out of the rda= of Me dty, indading in oMc= ad amploycm, upon inc &: =q of do
vZonnaSm aupptiea to me &y u a pan or M6 ayphaauoa.
Owner/Agent
Mccx..Vr
arum Inm
Date 2
09/20/99 MON 10:43 [TX/RX NO 64961