99-103439CITY Of' FE1)F_R(4L
33530 F.i i-st Way
Federal Way, WA
259-661 -4000
119 - 10343_-7�1
WAY PERMIT HO: MEC990295
South MCC r1ri H 1C iM L M CIMP4 IT T59JED: 09/08/916
9FI003 Nechani.cal Inspecti.ori4-Requests 253-661-4140 BY: FC2
EXPIPES: 03/05/00
ADDRESS:2010 S 2871°I-1 PL
NO.: 422200-0180
PROJECT DESCRIPTION.11H - INSTALL ONE GASPAY W11 PIPING. INSTALL ONE WATER HEATER W1 PIPING.
OWNER CONTRACTOR
JERRY LILJA & SUSAN VASKINGION ENERGY SERVICES CO
2010 S 287TH PL 2800 THOR.NDYrf AVE W
FEDERAL WAY WA 9800
SEATTLE Wh 98199
946-8246
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 10
FUR0<140K.': 0
GAS HWT .... : 1
CONY BURNER: 0
OBO ........ : 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS—: 0
LLRUElk '-"' ...
nt offymcfvs, PtEkst tzL06114 (W" lT82 W# WMIMG wis TAX to# PROJECTS Ult"IN T11t. city or FrOLKA1 Imy. TAX P.m = 8.25 US
2200 FEES:
? FANS. HECH PERMIT FEE 83.25.......
IS
ft rom_... 0
WOOD S,TOVES_ 0
MIS(_ ...... I 50f top.. .. o
AIR RAND119C UHI%'i CUP TAH(1S- -
x.10,000 0 ABOVE GROUND: 0
) 10,000 (th: 0 UNDERGROUND.: 0 TOTAL FEES. 93.25
,,::iG* ... rM .. =..= ... ........ mm.v.uft. & .... ... .... ............. .................
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yps ( ) No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Date
MECHANICAL FINAL
KNITS EXPIRE ISO DAYS AFTER ISSUMICE If NO 91*f is STARTED.
I CERTIFY IK II(FORIMT.OHINIURNISHED-11Y NE 15 IRK AND CORRECT TO TRE 9TS1 Of NY KNONLIBM NO TK AMICAILE CITY OF I'Ll)(RAL WAY KFOUIROW115 Will. BE NET.
OWNER OR AGENT _,r"
DATE
FIELD COPY
CITY OF FEDERAL WAY
PERMIT NO: MEC99-0295
33530 First Way South
T"
�''°'� ";,:4;,,.. ".,�� ,$ 111 .,fi q'w'� "' N,".. ,;ar, ";.:il i. I'll "T",
ISSUED: O9/08/99
Federal Way, WA 98003
Mecharnical Inspc�ction,:Requests 253-661-4140
BY: FC2
253-661,-4000
EXPIRES: 03/05/00
{ADDRESS:2010 S 2a7TH PL.
NO_: 422200-0180
PROJECT DESCRIPTION :MEC - INSTALL
ONE GASPAK W/ PIPING. INSTALL ONE WATER HEATER W/ PIPING.
=OWNER
JERRY LILJA t SUSAN
WASHINGTON ENERGY SERVICES CO
2010 S 287TH PL
2800 THORNDYKE AVE W
FEDERAL WAY WA 98003
SEATTLE WA 98199
a
946-8246
}
I
:t: CONTRACTORS, PLEASE 115E LOCATION LODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE : 8.25 st:
PROJECT VALUATION 2200
FEES:
FUEL TYPES.:GAS ? FANS.......... 0
BOILERS/COMP`ESSCRS �tCH PERM�f
FEE $ 83.25
GAS PIPING.: 10 ft HOOD..........: 0
0 'Of. • �
5
FURN<100K..: 0 DUCT WORK.....: 0
3-15 TCN....: O
GAS HWT.... : 1 WOOD STOVES...: 0
15 30 TON_: 0
I CONY BURNER: 0 FURN>1OOK.....: 0
30-50 TON...: 0
BBQ......... 0 MISC........... 1
50+ T€tid..... : 0 3
i
GAS DRYER..: 0 AIR HANDLING UNITS
FUEL TANKS---------
--------RANGE......:
RANGE ...... 0 <:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0
UNDERGROUND.: 0 1 TOTAL FEES
$ 83.25
R
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)
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 INFORMAT 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 OR AGENT _________ DATE
_________________________ �ep� .
FILE COPY
Crry OF G
gECEA\/E
VY
SEP p 8189Q
APPLICATION FOS MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # d P O00
SITE LOCATION
Tenant/Owner J&
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
MEC- D2gS
Single Family LL Multi -Family ❑ Commercial ❑
Address/City/State/Zip ;D / 6 s • 027 ' ICL
Phone
Nature of Work 0 40 Z %)L Z at& Project Valuation: $ __- -
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
1
MECHANICAL CONTRACTOR
Company Name f/J L� CIO l -
Address/City/St/Zip
Contact Person Phone Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T e other
Gas Dryer
Air Handling < = 10 000cftn
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10,00061n
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Under ound
Furn> 100K BTUs
Fans
Boiler BTU/H
Miscellaneou
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TONS
3 .. Ziff
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. I 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 filed 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 pari of this application.
Owner/Agent --- Oji l/ `Nf Date
MF App
REv sm 1/7/99