99-1031894
'k
(QTY OF FEDERAl- WAY
,33520 Fit -s1: Way South
Fe(jel--al Way, WA 98003
253-661--4000
mccrimN141��AL PCMMXT
M(--chaiii(7rel 1nsp(-,-,,,cH.ori Rc(4uests 253-661-4140
ADDRESS:2810 S 2851'H Pt_
NO.: 730320-0420
PPOJECT DESCRIPT 10N:MEC - INSTALL ONE INSERT AND TWO GAS OUTLETS
PERMIT NO: MLC99r-0279
13StJED. 08/19/99
BY: FC2
EXPIRES: 02/14/00
HER ....... (ONTFACTOR .............
LENDER ........
HER
FIDE j WASHINGTON ENERGY SERVICES (0
q10 S 285TH PL 2800 THORHDYU AVE N
IDIRAL WAY WA 98003 SCORE WA 98199
gn
PROJECT VALUATION 2900
FOU TYPES.:GAS ?
FANS.... . : 0
GAS PIPING.:
0 ft
HOOD.,
FURN190t..:
0
DUCT
GAS WWI.....
0
WOOD 0
CONV BURNER:
0
rURPIOOK. U,
BDA.........
0
HIS(........... 2
GAS DRYER-:
0
AIR HANDLING U#11;
RANGE......:
0
<:10,000 Cfo: 0
SALES Tax FOR PWICTS VIIIIN TIE CITY or FEDERAL WAY. TAX RATE w 8.75
ILI
02, Ift
`4
a 'a
FOL L TARS.
ABOVE GROUND: 0
FEES:
1 $ 83.25
GAS LUGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES 83.25
............. V ..... ......
Does the water supply system contain a Pressure Reduction Device or Check valve" Yes H "Yes*Wn linter P",ansiin. tank is required on Not Water Tank)
In'Date
Inspection Record: Mechanical Rough -in Gas Piping �i�
MECHANICAL FINAL Date
PERNIIS EXPIRE 180 DAYS AfItR ISSOW1. If 10 VOK IS STARTED.
I CERTIFY ju INFORMIJON INNIS11to by "I IS IRK W CORRECT TO IK REST OI: MY KNONLEDGE AND TK AMICABLE CITY 01 ftKRAt WAY R1,01RIN1.91S MILL K NET.
OWNER OF AGENT DAT
FIELD COPY
CITY OF FEDERAL WAY � s PERMIT N0= MEC99-0279
33530 Fit-st Way South rp"., F.".1:;. ;';; i{* kv. F`11�1"..,n,,1-C4I I ISSUED: 08/19./99
Feder -al Way, WA 98003 Mechanical Inspection Requests 253--661-140 BY: FC2
253-661-4000 EXPIRES: 02/14/00
ADDRESS:2810 S 285TH PL
NO.: 730320-0220
PROJECT DESCRIPTION:MEC - INSTALL ONE INSERT AND TWO GAS OUTLETS
= OWNER ________________-______________ _______________=====r= CONTRACTOR
LENDER
RICHARD FIKE
WASHINGTON ENERGY SERVICES CO
2810 S 285TH PL
± 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003
SEATTLE WA 98199
I
wASHIESO74O3
f
ixs
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE = 8.25
PROJECT VALUATION
2900
r
FEES:
FUEL TYPES.:GAS ?
FANS.........., 0
SOILERS/COMPRESSORS
MECH PERMIT FEE $ 83.25
GAS PIPING.: 0 ft
HOOB..,,.....,: 0
0-3 TON..:..: 0
FURN<100K..: 0
GAS NWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 1
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC.........., 2
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
3-15 TON..... 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON...... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES $ 83.25
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 INFO TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CI Y OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ----------------------------------------- DATE ( 1
FILE COPY
ctrY ofG BUIMING DIVISION
EO R E� r- 33530 First Way South
�(253) 6614
" Federal Way, WA 98003
�/ AUG 19 1999 Fax (253) 66140129
GI f OF FEOLHAL WAY
APPLICATION FOFPWfMffANICAL PERMIT
Federal Way Business License number:
MEC
PARCEL #,a'� J b Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner ? (�A-" S. I �� -- -- Phone
Address/City/State/Zip � V `�
Nature of Work n(S rn u Y /A/ Project Valuation: $
APPLICANT t—
Name -w 9< tcp
Address/City/St/Zip
Lgo L)
Air Handling < = 10 000cfm
1� V C 4// )e� l
_
Range
Air Handling > = 10 000cfm
Contact Person
PoQbe, L40v A-L.,Mtr
Gas Log
Phone X+1 �a 2! 200 Fax
MECHANICAL CONTRACTOR
Company Name v" C6 Vo
Address/City/St/Zip
Person
Phone Fax
State L & I Contractor Registration #n 50 -7 q -t9'-3 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underground
Fum >100K BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
RBO's
Wood Stoves
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 perforin the work
for which prnnit 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 part of this appfication.
Owner/Agent Date
Meca.Aer
Rt sm 1/7/99