99-103034CITY OF FEDERAL- WAY
33530 First Way South MECHAKCAL PERMIT
Federal Way, WA 98003 Mechanical Inspectio'n Requests 253--661-4140
253-661-4000
ADDRESS :3609 SW 327TH ST
NO.: 87a195-0350
PROJECT DESCRIPTION:NVAC - INSTALLING AW GAS FURNACE
OWNER A1_aw.w.=.Pz.w=V=.=.w� ......
WALTER RINAK
3609 Sy 32810 ST
FEDERAL WAY #A 98023
---------------------------
— ---------- 1__-..___
ns CONItACIOZ-1 MAW 05
PROJECT VALUATION 2000
FUEL IYPES.:GAS
? FANS._.__,
GAS PIPING.:
0
ft HOOD_
FURH,,100(.,:
1
DUCT wr"_
GAS HNT....:
0
WOOD (I I U V tI-,_ .
CONV BURNER:
0
FURN)I00K_
DIN.........
0
"Ist ........ 0
GAS DRYER..:
0
AIR HANDLIK UNITS
RANGE......:
0
"10.000 ON: 0
GAS LOGS...:
0
> 10,000 cvh: 0
............
LENDER
WASHINGTON ENERGY SERVICES CO
2800 THORNDYtE AVE W
SEATTLE WA 98191
RASHIES07403
10303q
PERMIT NO: MEC99---0268
ISSUED: OB/06/99
BY: KLC
EXPIRES: 02/01/00
f Aftof ING SALES TAX FOR PROJECTS 1101111 IR CI IT Of FEKM NAY. TAX RATE : 8.25 M
TOP. i)
Sul T4 .., 0
futt TANKS— -------
ABOVI GROUND: 0
UNDERGROUND.: 0
Does the eater supply system contain a Pressure Reduction Device or Check valve?
Inspection Record
Mechanical Rough -in . ...... _ Date
MECHANICAL I'I#AL
FEES:
MECH PERMIT FEE
.=0 .... V ... -.w -A ... ...... : ....... ... = ... U.e ........ 1e
(if 'Yes' thea water expansion tank is required on Not Water Tank)
'As Piping Date
PERMITS EXPIRE 190 DAYS Aff[ft ISSUANCE If NO VORM IS STARTED.
I CERTIFY IK I*OWTION IFURNISKONY ME IS IRK AND CORRECT TO THE KSI 01 MY AD IN[ APPLICAKE CITY Of F111'PA1. W%Y REQUIRIKKIS V111, BE N1 1.
04019 OR AGENT DATE
FIELD COPY
CITY OF FET)ERAI._ WAY pp.uu. � uu PERMIT NO: MEC99-0268
33530 F i. rs t Way South
ISSUED: 03/U6/99
F=ederal Way, WA 98003 Mecr)anical Insp67Ct..int) Requests 253-661-.4140 BY: KL_C
253-661-,4000 EXPIRES: 02/01/00
ADDRESS:3609 SW 327TH ST
NO.: 873195-0350
PROJECT DESCRIPTION. HVAC - INSTALLING NEW GAS FURNACE
=OWNER ___ _________________________________________=====Y= CONTRACTOR ________=_=__________=_________-_________=___--
- LENDER
WALTER REMAK
WASHINGTON ENERGY SERVICES CO
3609 SW 328TH ST
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98199
I WASHIES07403---------------
)
US
CONTRACTORS, PLEASE USE
LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN
THE CITY OF FEDERAL NAY. TAX RATE
= 8.25 US
PROJECT VALUATION
2000
FEES:
3
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE
$ 69,25
GAS PIPING.: 0 ft
HOOD...... .,.: 0
0-3 TON.. : 0
FURN<100K..: 1
DUCT WORK.....:
2-15 Tok....: C
GAS HWT.... : 0
WOOD STOVES..,: C
15-20 T`>, ..: C
¢
�
CONY BURNER: 0
FURN>100K.....: 0
?0-5C TON.,.: 0
BBQ........: 0
MISC... C
50+ TON.....: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$ 69.25
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
MECHANICAL FINAL Date
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 OR AGEN' DATE S;10�p
FILE COPY
prypF G BunzjNGDrv=oN
En33530 First Way South
Federal Way, WA 98003
VV ECS E I V E D (253) 661-4000
Fax (253) 661129
AUG O RWICATION FOR MECHANICAL PERMIT
CITY OFFEDERAL MEC T — D � n
BUILDING DEPT..
PARCEL # 9 s Single Family,P� Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Address/City/State Zip S�
Q
Nature of Work
APPLICANT I
Name )1 '7L
Address/City/St/Zip
Contact Person
.7 "? •'l — i 1�d L 11, 1 C -)Y- /7
Phone
Project Valuation. S
/ zz Phone
N
MECHANICAL CONTRACTOR
Company Name z) (—)
Address/City/St/Zip
Contact Person
\J
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone �1�� ��nC� Fax
1�1 Exp. Date 11�LS�l_
Fuel astother
Gu Dryer
Air Handlin < - 10 000cfm
Fuel Tanks:
Length of gas pipingRange
Air Handling > - 10 000cfm
Above Ground
Fum <100K BTUs
Gas Ug
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas HWt
Hood
Boiler BT'U/H
Other
Conv Burner
BRO'S
Dud Work
Wood Stows
A/C TONS
AM TONS
Other
2ig&& .•.
DISCLAIMER: 1 ca *, under penalty orperjury. that the information f anished by me is bue and corned to the bat of my knowledge and futt er dot I am authorized by the owner of the above promises to perform the work
for whirls pamit apptintion is nude. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees roamed m investigation and deface orsuch claim). which may be
made by arty persoq including the tmdenigKd, and filed against the City of Federay Way but only where such claim arises out oL[heidiaw pif the city. mdudmg its officers and anployees, upon the accuracy of the
information supplied to the city as a part of this applicatimL
Owner/Agent Date
Me A"
Rcvtsm 886197