99-103595I
CITY OF FIEDFFAl- WAY
33530 [ij~�f Way South C %CI I Vi H X Ic H L mc:r%Kfl T
rederal Way, WO 98003 Mlei--h�'arvl.cal. It'i-spectic.-ri )-equest.!-, '12'5,-3-661-4140
NO.: 78',*1 t j' 'z`)O
,0ROJEC1 DESCRIP1ION:111C INSTALL ONE FURNACE 4/ PIPING, INSTALL WATER HEATER W/ PIPING, ADDIITON GAS OUTLET FOR WYER
OWNER
LEE RUGgLES
31729 1A 481H LN SW
FEDERAL WAY WA 980413
CONTRACT"
WASHINGTON ENERGY SERVICES Co
22900 INOROPYKE AVE 9
SEATTLE #A 98199
WASHIES07403
LENDER
6 -lel - I os�'5
PERMIT NU; MLC -99--0311
Issurl): 09/16/99
BY: FC
LXPIRES: 03/13/00
its CONTIACT"S,. "St rh AT 46' TIN SALES TAX FOR PROJECTS VITNIN 1K CITY OF FEDERAL VAY. TAX RATE 8.25 M
ro
PROJECT VALUATION 5000 FEES:
FUEL TYPES.:GAS ? FANS...... ... 0 f I L t f S tj OPR L Sr s - m- wgwt
$ 111.25
CAS PIPING.: 60 ft HOOD..........: 0 0-1 ION--: 0"' �es PERMIT FEE
FURK(100K..: I DUCT WW,4*. 10,
GAS HNT....: I WOOD S i 64S. "i wo
COHV BURNER: 0 f (I R k lam'.... 0
884......... 0
GAS DRYER..: t AIP RANKING ONITr FUEL IAKS— -
RANGE......:
RANGE...... 0 <:10,000 CFM: 0 ,',ROVE GROOND. U
GAS LOGS...: 0 10,000 ffm': 0 0 TOTAL FEES 111.25
Does the nater supply systes contain a Pressure Reduction Device or Check valve? Yes
No (If *Yes" then eater expansion tank is required on Pot Water tank)
Inspection Record: mechanical Rough -in Date Gas Pipl"' �15 �ai A -
MECHANICAL FINAL Pate
........... ....... .............
0,111111S EXPIRE 180 DAYS At ILP ISSUANCE If No MK IS STARTED.
I CERTIFY Tut 11+QRNAIIQN IftfsatD By 1H. IS INUL AND CORRECT TO 1K BEST Of NY KIWOU AND TOE AMICAILE CITY Of FEDERAL MAY I[QUIRENENTS Vitt K NET.
K
OWIR 0 11) DATE
FIELD COPY
FlAA0 I
CITY OF FEDERAL WAY
33530 F i rs t Way South C, W IT""A ?'li P4.11, M.C., ir"k. M :11"
Federal Way, WA 98003 Mechanical Ir'), pcctiori Requests '42I53-661—+140
253-661-4000
ADDRESS:31701 47T[] AV SW
NO.: 784300-0290
PROJECT D E S C R I P T I 0 N :MEC - INSTALL ONE FURNACE W/ PIPING, INSTALL WATER HEATER W/ PIPING, ADDIITON GAS OUTLET FOR DRYER
PERMIT N0: MEC99-0311
ISSUED: 09/16/99
BY. FC
EXPIRES: 03/13/00
= OWNER _____________________________________________________ CONTRACTORLENDER
LEE RU'GGLES WASHINGTON ENERGY SERVICES CO
31729 #A 48TH LN SW 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
WASHIES07403
_13 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL RAY. TAX RATE : 8.25 t__
PROJECT VALUATION
5000
FEES:
FUEL TYPES,:GAS ?
FANS..........:
0
3"ILc2S/COMPRESSORS
Mrru PcR"'_T FEE
GAS PIPING.: 50 ft
HOOD..........:
0
3-' 'ON__:
S
FURN<100K... 1
DUCT WORK......
0
3-il TON.....
S
GAS HWT.... : 1
WOOD STOVES...:
O
15-30 TCN
2
� ��°" ���m
CONV BURNER: 0
FURN>100K..... .
0
30-50 TON....
"
BBQ......... 0
MISC...........
0
50+ TON......
0
GAS DRYER..: 1
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
O
ABOVE GROUND:
0
,
GAS LOGS,..: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
I TOTAL FEES
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 APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER 0 EN
FILE COPY
DATE
C" OF
iijE�=�
BURRING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business Licenkiiwnber:
2 MECA - 05
PARCEL # ! �d 6 Single Familytl' Multi -Family ❑ Commercial ❑
SITE LOCATION /
Tenant/Owner L �� RA kt� G (.1L� Phone 3 .g - lea 17
Address/City/State/Zip
Nature of Work
ARPLICARTr owv'_ Y 6k-�
Valuation: $
Name lx�'S_C 0
Address/City/St/Zip c21?r-� 16/ j",O ✓ lCy A4 LS 1-t)
Contact Person ASG &-LP_ A-L40'ef Lq- Phone g 'Ouz) Fax ,
Ij
Mg9HAX"L-CONTRACT6R 41"
Company Name
Address/City/St/Zip
Contact Person
Phone
Fax
State L & I Contractor Registration # �'�/��S 7 d Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/,other
Gas Dryer//
Air Handlin <
= 10 000cfn
Fuel Tanks:
Length of gas pipin
l Range
Air Handlin >
= 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
FUm>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
BBO's
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fimushed 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 pemtit application is made. I farther agree to save hamiless 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 tiled against the City of Federay Way but only where such claim arses 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.
Own /Agent Date
A
Mmi pp �a
R-- 1/7/99