99-103479C11'Y OF FEDERAL WAY
3° 530 First. Way F,-outl)
Federal Way, WA 98003 t1pchanical Inspection Kequests 253-661-41.40
253--661--4000
ADI1RESS:1002 S 301ST ST
NO.: 51,5390--0140
()P,QJ FC T DESCR I P f I ON: RVAC - INSTALLING NEW GAS WATER NEATER
OWNER
PATRICK RACETTF
1002 S 301ST ST
FEDERAL WAY WA 98003
253.529.5236
Sit (ONIRK101
44.M --a ... Z.
(ONTRA(IOP ...... LENDER
OWNER, IS CONTRACTOR
N/A
PERMI'T NO: MEC99--0299
09/09/99
BY: FC'11?
EXPII�Eg., 03/06/00
0PA*n1 W1,11 141 fito A0*11K SALES TAX FOR PMECTS VITNIN INCITY of FIKW VAT.
TAX RATE : 8.25
PROJECT VALUATION 220 FEES:
FUEL TYP[S.:GAS ELE FANS..... 0
"M PERMIT FEE 23.50
GAS PIPING.: 25 ft 0 f 0 '45b"A-M
FURWIOOr,..: 0
DUCT wfpt a
GAS NWT....: I Not' 0
COKV BURNED: 0 fURK 10jK ...... 4 U, j
BBQ......... 0 HIS(_ ....... el:• i of,
GAS DRYER..: 0 AIR HAHRIRG vpllS FUEL IAKS- -
RANGE......: 0 (40,000 JM: 0 A -WE GROUND: 0
GAS LOGS...: 0 ) 10,000 CfM: 0 -14H D61 r1pi OU N D. : 0 TOTAL FEES 23.50
=., .. X.WXM.=.9v ....
Does the water supply system contain a Pressure Reduction Device or Check valve" ( ) Ye, I ) 0-1 (If "Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in ...... Date Gas Pipili, 10 Date
MECHANICAL FINAL Date
PLRNITS EXPIRIF ISO DAYS AFIEK ISSOWE if No Not is Sim`19.
I,CERfIFY IRE INFOWTIO"ISKI V K IST TM CM K C1 10 BEST Of NY KNOILIKE AND "L
INE ALM CITY Of FLKKAt NAY REQUIRENVIS HILL BE NI I,
No I
OWNER OR AGENT DATE
FIELD COPY
-A
CITY OF FEDERAL WAY
33530 F i rs t Way South 1,11 C,., 4':... 111 FI P"I I,.,., F"m C:M. tlf ."T. „T,,
Fecleral Way, WA 98003 Mechanical Inspection RegLiests 2.53-661-4140
2.53-661.-4000
ADDRESS:1002 S 301ST ST
NO.: 515390-0140
PROJECT DESCRIPTION: HVAC - INSTALLING NEW GAS WATER HEATER
-- OWNER ----- CONTRACTOR =_________________=_____=_=________________=:= LENDER
- PATRICK RACETTE OWNER IS CONTRACTOR
1002 S 301ST ST !
FEDERAL WAY WA 98003 i
253.529.5236
s
N/A i
's
� x CONTRACTORS,; PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
PROJECT VALUATION
FUEL TYPES.:GAS ELE
GAS PIPING.: 25 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ ........ • 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
220
FANS..........: 0
HOOD........... 0
DUCT WORK.....: O
WOOD STOVES...: 0
FURN>106K.....: 6
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON...... 0
3-15 TON....: .0
15-30 TON...: O
30-50 TON...: 0
501- TON—_: 0
FUEL TANKS---------
ABOVE GROUND: 0
UNDERGROUND.: 0
PERMIT NO: MEC99-0299
ISSUED: 09/09/99
BY: FC2
EXPIRES: 03/06/00
TAX RATE : 8.25 ;_;
FEES:
MECH PERMIT FEE
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 F WISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT__ ._. �y n�
<� ` C ---- - -- - ------------- ! I
FILE COPY
C" ofji
BUILDING DIvLS10N
Air Handling
33530 First Way South
Federal Way, WA 98003
Nuel Tanks:
(253) 6614000
Range
Fax (253)661-4129129
rs00"XPPLICATION FOR MECHANICAL PERMIT
SEQ Federal Way Business License number. r% f
MEC -
PARCEL # Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner t~+1 I 1 Ck et} 'j Ti Phone Z-5- '
Address/City/State/Zip
Nature of Work RS7" I !tf:Z? �(>R Project Valuation:
APPLICANT
Name 9Q
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name 7 Ct'4 < !�z
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Phone
Fax
Fax
Exp. Date
Fuel Type as/other
Gas Drver
Air Handling
< = 10 000cf n
Nuel Tanks:
Length of gas piping
Range
Air Handling
> = 10 000cf n
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO's
Wood Stoyes._
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information furnished 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. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' Cees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the Cityof Fed y 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 asap application.
Owner/Agent Date
MMIAYP
REvtsrm 1/7/99
O