99-102877CITY Of FEDERAL WAY
33530 Fit -St Way Soutt)
Ferjeral Way, WA 98803
253-661-4000
AI
HECHA 1`4.10tiL FACRHIT
Mecharij.cal Impection Reqtjests 253-661-4140
ADPRESS:4636 SW 3141"H PL
NO.: 211551-0600
PROJE(-.'.'T DESCP,1PTI0N:MECH - FURNACE TO 100K, GAS NWT. THIS PERMIT IS TO FINAL EXPIRED PERMIT MIC96-0233.
OWNER CONTRACTOR
MONICA DOERE WASHINGTON ENERGY SERVICES Co
4636 SW 31410 PL 2900 IHORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
874-1368
$S*
PROJECT VALL4110H
FULL TYPES.:? ?
GAS PIPING.: 0 ft
FURH<IOOK..: I
"AS I
CORV BURNER: 0
PRO......... 0
GAS DRYER..: 0
PANG,[ ...... : 0
GAS LOGS...: 0
LENDER —,
PERMIT NO: MEC99-0258
1�,"SUED: 07/21/9'9
BY: FC2
E'.XPIRES: 01/22/00
*TRACTORS, PLEASE USE LWAUN COME 1737 WN RUPORT114 SALES 1AX FOR PROJECTS VITNIN INE CIrY Or FEDERAL WAY. 19 2411 : 8.25 ns
17 ... . . ...anent. . ........ I ........ ..... = ......... :.U....S9. ..... 4-2 .... .*. ... :-:t"........ -.0 I I I ''
Does the water supply systek 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 --- DFkk Date?_,-
Q,�t� r
PIRNITS EXPIRE 189 LAYS AFTER ISSUANCE it NO Vogt. is S Ime-
I CERTIFY THE INFOUATION FURNIS1111D of Mf IS ]PUL. 04 (ORPRI To Iff NEST Of my towtoGt AND fill APPLI(Abtl (11Y Of Itt(RAL WAY REQUIREMENTS WILL It MCI.
OWNER OR AGENT
FIELD COPY
0
DUCT WORV..... Q
[ON,
0
WOOD STOVES_.:
15 -30 10m...
FURN100Y ....
30-50 ION—:
0
MIS(...........
504 ION—_:
0
AIR HANDLING 41TS
FUEL TANK" ----
--
"10'000 (FM: 0
ABOVE GROUND:
0
) 10,000 (FM: 0
UNDERGROUND.:
0
TOTAL FEES f 35.00
17 ... . . ...anent. . ........ I ........ ..... = ......... :.U....S9. ..... 4-2 .... .*. ... :-:t"........ -.0 I I I ''
Does the water supply systek 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 --- DFkk Date?_,-
Q,�t� r
PIRNITS EXPIRE 189 LAYS AFTER ISSUANCE it NO Vogt. is S Ime-
I CERTIFY THE INFOUATION FURNIS1111D of Mf IS ]PUL. 04 (ORPRI To Iff NEST Of my towtoGt AND fill APPLI(Abtl (11Y Of Itt(RAL WAY REQUIREMENTS WILL It MCI.
OWNER OR AGENT
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 93003 Mechanical Inspection Reclue!�ts 253-661-4140
253-661--4000
ADDRESS:4636 SW 314TH PL
NO.: 211551-0600
PROJECT DESCRIPTION:MECH - FURNACE TO 100K, GAS HWT. THIS PERMIT IS TO FINAL EXPIRED PERMIT MEC96-0233.
OWNER
MONICA DOEBKE
4636 SW 314TH PL
FEDERAL WAY WA 98023
874-1368
CONTRACTOR
WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W
SEATTLE WA 98199
PERMIT NO: MEC99-0258
ISSUED: 07/27/99
BY: FC2
EXPIRES: 01/22/00
LENDER
C
4
i
WpcurEcn�,n�
-------------------
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE : 8.25 ***
PROJECT VALUATION
0
15-3C
s
FEES:
CONV BURNER:
FUEL TYPES.:? ?
FANS..........: C
2O'L _,A DRESSORS
;.
mEC1'
PERMIT FEE $ 35.00
GAS PIPING.: 0 ft
HOOD,.....
K, V
n
FUEL TANKS ---------
FURN<100K... 1
DUCT WORK...... 0
3-15 T�
Oki.m,� �w��t�y;�,��,
.��
�,,.;�� •..
GAS HWT....:
1 WOOD STOVES..,: C
15-3C
i
CONV BURNER:
0 FURN>100K.....: 0
30-50`TON ... :
0
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...:
0 > 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES $ 35.00
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)
I
Inspection Record: Mechanical Rough -in ________________ Date ____ _____ Gas Piping _----__-_______ Date __________
s
MECHANICAL FINALDate
-------------_--_---- _..---- ,
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMA[ION 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
FILE COPY
DATE __7r Z/`_.
crrr• oR G
F�
IRE0,r- E®
JUL 2 7 1999
Y Oi- ; ti... �t t`iL.
BUILDING DEP",
APPLICATION FOR MECHANICAL PERMIT
BUIIDmNG DrvmmoN
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
MEC qq — 0 &S S -
PARCEL # z+rL��`'��Y� Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner 11
L::c.\,II +� �L)a v11 C i
Phone
Address/City/State/zip
Nature of Work ��1211, Y1G C� I i� 1 11/ Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip � Ads I -oil
Contact PersonX� i C �— Phone 00 Fax
1
State L & I Contractor Registration # v }� / J�
(Card mast be presented)
MECHANICAL UNIT COUNT
Exp. Date `f (M
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000din
Fuel Tanks:
Length of gas pipingQ
Range
Air Handling
> =10 000cfm
Above Ground
Furn <100K BTUs a
Gas Log
Unit Heater
Underground
Furn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Hwt
Hood
Boiler
BTU/H
Other
LGas
Con" Burner
Dud Work
A/C
TONS
Other
W(WA Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of pegrvy, 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 (mchufing costs, expenses, and attorneys' fees marred 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 a
RX as a part of this apphcatTpa n
Owner/Agent
Mecn Arr
Rrn m M&191
Date