99-103618CITY OF FEDER(;L WAY
33530 F i r -s t Way South �'�� �;;`;,: �.' . �,.,,� rt�'�f prl, .1. �',�.: ir�i �,.. �'.�' ��„ �"��, �'^� . �° ..,,f...
Feder -a1 Way, WA 19£300'-3, Mechard,--ai Inspection F?ecluests 250-.661-4140
253-661-4000
AADDRESS:705 S 201ST ST
NO.: 515290-0090
PROJECT DESCRIPTION :HVAC - INSTALLING GAS NWT ,
OWNERCONTRACTOR
CAL LUDING WASHINGTON ENERGY SERVICES CO
705 S 291ST ST 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
i
WASPIESO74O3
US CONTRACTORS, PLEASE USE LOCATION CODE 1722 WHEN REPORSALES
PROJECT VALUATION
700
FUEL TYPES.:GAS ?
FANS..........:
0
GAS PIPING.: 0 ft
HOOD...... ...:
0
FURN<1OOK..: 0
DUCT WORK.....:
GAS HWT....: 1
WOODSTOVES.,.:
9
CONV BURNER: 0
FURN>100K:....:
BBQ........: 0
MISC..........:
GAS DRYER..: 0
AIR HANDLING titITS
RANGE......: 0
<=10,000 CFM:
0
GAS LOGS...: 0 > 1%QO0 CFM: 0
Does the water supply system con
Inspection Record: Me
PERMITS EXPIRE 180
I CERTIFY THE INFO
J'WNE AGE T
a
rT!roc.1/v r.��OMPREccc
9-? TON.
3- S TO4
15
A`�+ TON....
FU 'AIR----
GROUND:
OUND.: 0
or Checyd\? (
1
q1 - Ia3w is
PERMIT NO: ME:C99-0316
ISSUED: 09/20/99
BY: FC
EXPIRES: 03/17/00
- ----------------------------------------------
I N T TY OF FEDERAL NAY. TAX RATE = 8.25 sts
s
ECH PERMIT FEE $ 29.60
TOTAL FEES $ 29.60
No (If "Yes' then water expansion tank is required on Hot Water Tank)
Date ns Pipi%_--------- Date
1
IF NO WORK IS STARTED. r
ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
FILE COPY
DATE
crrYOF/.I-- BUILDING DIVISION
F� 33530 First Way South
"" AY Federal Way, WA 98003
v v R EC F—= I \/E: r) (253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business. License number:
BUiLUIN i DEPT.
MECgM - U
PARCEL # I `� (;�—q n �� qSingle Family El Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner C rT L— W o / �J Phone °2 5-3 —9 3% — 6o
Address/City/State/Zip
Nature of Work �vt.V / �iU Gam` 4 Project Valuation: $ �O� • dZ7
APPLICANT
Name
It yL 2�
Address/City/SUZip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name '�v ^ c�7
Address/City/St/Zip ,, //
Contact Person �iJ cwt_, Phone o� o - L 7Q Fax
State L & I Contractor Registration # 01 As -7qU 3 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel TypeA as /other
av Gas Dryer
Air Handling
< = 10 000cf n
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO's
Wood Stove
A/C
TONS
DISCLAIMER: I 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 (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and tiled against the City of Fedmy 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/Agen'N. Date v C��---
MFc Are
Revtsm 1/7/99
Ci 7'Y OF FEDERAL WAY
43530 Fi mt. Way SoUth
tele ral Way, WA 98003
253--661-44000
95-i63 ( ola
PERMIT NO:
HCCHM141%C?4L FAEMMIT ISSOLD: 09/20/99
M(-chardc-al lnspe.:(-, Lion Rc�quc)sts 253.-661-.4140 BY: K
EXPIRES: 0211,7100
AI: fV�ESS: 705 S 291ST St
NO.: 515290 0090
PROJECT' DESCRI PLTION:HVAC - INSTALLING GAS NWT
OWNER
CAL LUDING
705 S 291ST ST
FEDERAL WAY #A 98003
US COMAK1016r. PISA: IP41
CONTRACTOR ...
WASHINGTON ENERGY SERVICES CO
2800 THORNDYtE AVE 0
SEATTLE WA 98199
WASHIES07403
LENDER... mz-uc--
SKIS TAX FOR PROJECTS VITNIN IK CITY OF F[KRAt NAY. TAX RAFt : 0.25 stl
PROJECT VALUATION
700
FEES:
FUEL TYPES,:GAS ?
FANS..........:
0
NECH PERMIT FEE .9.60
GAS PIPING.: 0 ft
HOOD..........:
0
0-" ION_..;
0
f1jRM<IOOK..: 0
DUCT NORI..._
0
3-1 Tb_
0
GAS RWT.... I
WOOD11OVES., -
s1
15 11.1 1 fl_:
0
rljnv BURNER: 0
FURN.100Y ....
0
30-5u TiW.
m
mom "�,nv,
BK, ........ 0
"IS( .......... :
0
50+ TOIL
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL fAKS
RANGE......: 0
<:10,000 Jh:
0
ABOV[ GROUND:
0
GAS LOGS...: 0
> 10,000 Cfm:
0
UNDERGROUND.:
0
TOTAL FEES 29.60
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piping Date
MECHANICAL FINAL Date
.. . ..... .. .... Z.. = ... Q.X-3 ... ... .... =
PERNITS Extiff log DAYS AfTIR ISSUANCE If NO MORK IS STARTED.
I CERTIFY IK INFORNA1109 1URNISHED AT Of IS HK W CQW(I TO INE REST OF NY KNONLEIK AD IK AMICABLE CITY Of FENUL MAY PEOVIRENINIS MILL K NET.
DATE A I
FIELD COPY
CITY OF
EO • BUILDING DIVISIOIN
33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 66 1 -4000
CORRECTION NOTICE
- I c I Sf l� J4
ADDRESS: / ,// � ✓ � � � PERMIT #: : /
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
f '
/ ,✓ i Jet ,f �� l
ba S"
fit
'ie-Xpon S' 1�n /'a'n JA all
ke 'r'f'f V'o,
r e /g /error
�� ",�,� s I s �/l oj
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMIS S UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL ft/61-4140 FOR
RE -INSPECTION.
ATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE