99-103438CITY OF FEDERAL WAY
33530 First Way South
Federai Way, WA 98003
253--661--4000
DDRESS:1712 SW A07TIi
m.: '770380--0480
PROJECT DESCR1PT10t4:#E(
F" At"L MCr%r4XT
MCKJIVI 4X
:Irispecti.anJ4-)quests 253 661--.4140
ST
. INSTALL ONE INSERT W/ GAS PIPING
OWNCR ... .... CONTRACTOR
DIANA VANGIFfER WASHINGTON ENERGY SERVICES CO
1712 SW 307TH ST 1B 49800 TOOPWDYtE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98194
stv (04-ty4r, IORS,, PC*
PROJECT VALUATION 500
FUEL TYPLS.:GAS ?
FANS...._... 0
GAS PIPING.:
5 ft
HOOD....... ...
FURN(look..:
0
DUCT #(4K ....
GAS HWT.... :
0
WOOD ;i b,.
(ONV WHIR:
0
FOP0>100C. _ j
Bw ........ :
0
MISC.......... 0
GAS DRYER..:
0
RIR HANDLING UNITS
RANGE......:
0
(10,000 Uel: 0
GAS LOGS...:
1
) 10,000 Cf": 0
LENDER
On - 103438
PERMIT NO: MEC99--0293
ISSUED: 09/08/99
BY: FC2
EXPIRES: 03/05/00
004s, ........m :,a4z nt •..=.3 ... U=..= .. == ...
(W IM IWN RIP01INC SALES FAX FOR PROJECTS 0110IN THE CITY Of FEDERAL MAY. TAX RATE : 8.25 M
0 ILI v',j"jmPq11 ,19S
J-2 !ON__: 1
1-i5
11-x,jbK... : 0
31-50 TON. _: 1)
5"', TON.._: 0
ABOVE GROUND: 0
ONDER(ROUND.: 0
$ 23.50
$ 23.50
.... M .... x=1=.0..1...V ....... -r......1- RC....:.—:......w........xLww
... Z.— ........... a
... S3Wwm.
.= ... =.— ... .... = ........
Does the eater supply system contain a Pressire 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
I
Date
f�/a J
77,
MECHANICAL FINAL_wwDate
.... =Ma- ... w ... P=1w=.;r1=.nw=w_.w1=1 .......
'PERMITS EXPIRE Joe DAYS AFTER ISSMKE if No VoK is STAR11D.
i APPLICABLE CITY Of FEIM NAYREQUIRFMINIS MILL Of. NET.
I C191IfY 101 INFORIL41ION 10ANISHED RY NE Is 0K AND CORRECT 10 lot BEST of " KNMEDU AND THE
OWNER OR AUNT
DATE
/ 1 il
FIELD COPY
CITY OF FE=DERAL WAY
33530 F i rs t Way S o u t l t R ; ; "Y ,; R... R RM'"R ..;R.;: ' ;:�:: !�„,. R'„ h, R »;:: R Ali. R raR x ,.r'
Federal Way, WA 98003 i~lecVianical Inspection Requests 233-661-4140
253-661-4000
ADDRESS:1712 SW 307T[i ST
NO.: 770380-0480
PRO=TECT DESCRIPTION:MEC - INSTALL ONE INSERT W/ GAS PIPING
= OWNER ____________________:_::_ .... CONTRACTORLENDER
DIANA VANGIFFEN ; WASHINGTON ENERGY SERVICES CO
1712 SW 307TH ST #B 2800 THORNDYKE AVE W
FEDERAL WAY WA 98C23 SEATTLE WA 98199
s
WASHIES07403
=ii CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 M
PERMIT NO: MEC99-0293
ISSUED: 09/08/99
BY: FC2
EXPIRES: 03/05/00
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 5 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
----------------
500 FEES: I
FANS....... .... 0 BCI4ERSfCOMPRESSCRS " ERM " FEE $ 23.50
HOOD...__.: C 0-3 TON...... " � I
DUCT WORK.....: - 3-1`- TCN....: 0
WOOD STOVES: 0 15-30 TCN...: 0
FURN>1COK..... : 0 30-50 TON ..: C
BBQ........: 0 MISC..........: 0 50+ TON._.: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ---------
RANGE ...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 23.50
_ ----------_�
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 B IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DA
- --------------------------------------------------- E-4- -4- 7
FILE COPY
crrY OF
Y V Ay
RE=DS;
SEP Q 81999
APPLICATIOI4` k,.MECHANICAL PERMIT
Federal Way Business License number:
BU11MING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
MEC' ,f <1, - G�
PARCEL # D 3a706 `{J0 Single Family Multi -Family 11Commercial ❑
SITE LOCATION
Tenant/Owner &,�4'NA' DING I F�L A' Phone
Address/City/State/Zip d U �� ��✓
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone
Phone
Project Valuation: $
Fax
Fax
Exp. Date
Fuel Type as4other
Gas Drver
Air Handlin <
= 10 000cfm
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 HvA
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stoves
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. I further agree to save harmless the City of Federal Way as to any claim Cmcluding 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 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
inforrnation supplied to the city as a part of this application.
Owner/Agent Date _
MECa.APp
Revrsm 1/7/99