99-102762r CITY OF FEDERAL WAY
33530 F' i. i`s t. Way c;outh
�• red6r'al Way, WA 9£3003
:253-,661-4000
MECHANICAL PERMIT
I`'ectianical Inspection Requests '253-661-4140
ADDRESS:41E3 S 316141 PL_
NO.: 7941.70.0070
PROJECT DFSCR 1 PT 1 ON ., HVAC -INSTALL FURNACE
OWNERCbiANld]2eCartwiL4hfw.
RODNEY LANE, LORETTA
418 S 3161H PL
FEDERAL NAY WA 98003
253-529-3255
$=s CONTRACTORS, FtEASE USE LOCATION
(OHIRA(TOR ....�:...LL...... .,ru... - LENDER
WASHINGTON ENERGY SERVICES CO
7800 TNORNDYI( AVE W
SEATTLE, WA 9619a
WASHIES07403
PERMIT NO: MEC99 „-024f3
TS!3UE;D: 07/19/99
BY: FC2
EXPIRES: 01/3.4/00
SALES TAX FAX PRO,TECIS MITNIN THE CITY AF FEKRAL WRY. TAX RATE : 8.25 "s
FEES:
MECH PERMIT FEE
$ 57.05
TOTAL FEES
S 57.05
Does ^the water supply system contain a Pressure Reduction Device or Check valve? i) Yes {) No (It "Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in h�.�__.�Date Gas Piping .......______. _._ Date
MECHANICAL FINAL _� � �!/_IO'Date
iCF:i+il+YS1C3.:i1t OC<^YiR0.:Y1':11:2S3A1C9NS.7&.:423L."ACL'CLXW::-w"W1..^S«:1129iyt 6'1«32'Yt4CZIb a3ten A'fiEp?BIBtIIO:tl6R.�:f L':�.1W:wii WiX+C0.S'.MR:183166.L^81T=LRJ=S%::YJeizz.*... :2C.S.g...S ...G.^.ALAe.....=
PERRI N EXPIRE 180 DAYS AFTER ISSME IF NO MW IS STARTED.
I CERTIFY RRL INFORNA11011 FURNI SKID lr NE IS YK AND CORRECT TO .Ksl .Qf. NY kitMIKE AND 1HL APPLI(AKE ITY F MAY RIQUIRLALNTS MITI IBE HLT.
0WHLR OR ASW _ �a ' ;_ _St.� ...__ _ ' ��:.4 � , . �� BATE
4W
Fj
FIELD COPY
PROJECT VALUATION
1575��.
FUEL TYPES.:GAS
GAS FANS...........
B01 tSi'
GAS PIPING.:
0
ft HOOD..........:
U
FURW100K...
1
DUCT WORK..
0
GAS HNT....:
0
WOOD S10Yfl' .,
1
?` Tt'I.,,:
u
COHV BURNER:
0
FURN``1CC
BBQ........:
0
MIS(...
GAS DRYER..:
0
AIR HANK IK UN
IS
FUEL 1ANL(S _
RANGE......:
0
<.10.000 'AFM:
0
ABOVE GROUND:
Ll
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
PERMIT NO: MEC99 „-024f3
TS!3UE;D: 07/19/99
BY: FC2
EXPIRES: 01/3.4/00
SALES TAX FAX PRO,TECIS MITNIN THE CITY AF FEKRAL WRY. TAX RATE : 8.25 "s
FEES:
MECH PERMIT FEE
$ 57.05
TOTAL FEES
S 57.05
Does ^the water supply system contain a Pressure Reduction Device or Check valve? i) Yes {) No (It "Yes' then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in h�.�__.�Date Gas Piping .......______. _._ Date
MECHANICAL FINAL _� � �!/_IO'Date
iCF:i+il+YS1C3.:i1t OC<^YiR0.:Y1':11:2S3A1C9NS.7&.:423L."ACL'CLXW::-w"W1..^S«:1129iyt 6'1«32'Yt4CZIb a3ten A'fiEp?BIBtIIO:tl6R.�:f L':�.1W:wii WiX+C0.S'.MR:183166.L^81T=LRJ=S%::YJeizz.*... :2C.S.g...S ...G.^.ALAe.....=
PERRI N EXPIRE 180 DAYS AFTER ISSME IF NO MW IS STARTED.
I CERTIFY RRL INFORNA11011 FURNI SKID lr NE IS YK AND CORRECT TO .Ksl .Qf. NY kitMIKE AND 1HL APPLI(AKE ITY F MAY RIQUIRLALNTS MITI IBE HLT.
0WHLR OR ASW _ �a ' ;_ _St.� ...__ _ ' ��:.4 � , . �� BATE
4W
Fj
FIELD COPY
CITY OF FEDERAL WAY � qpp uu �
33530 First W a y South � wl 9;;;;;, C
Federal Way, WA 98003 Mecharnical Inspection., equests :253-661-'+140
2.53-651--4000 ,
ADDRESS:418 S 316TH PL
NO.: 794170-0070
PROJECT DESCRIPTION :HVAC - INSTAL" FURNACE
PERMIT NO: MEC99-0248
ISSUED: 07/19/99
BY: FC2
EXPIRES: 01/14/00
a= OWNERCONTRACTOR=____-=_____________________________________=
LENDER
RODNEY LANE, LORETTA
WASHINGTON ENERGY SERVICES CO
418 S 316TH PL
2800 THORNDYKE AVE W
FEDERAL WAY WA 98003
` SEATTLE WA 98199
253-529-3255
WASHIES07403
Sts
CONTRACTORS, PLEASE USE
LOCATION CODE 1732. WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE = 8.25
PROJECT VALUATION
1515
!
FEES:
FUEL TYPES.:GAS GAS
FANS........,,:
0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 57.05
GAS PIPING.: 0 ft
HOOD.......,..:
0
0-3 ?ON.....: 0
FURN<1OOK..: 1
DUCT WORK.....:
0
3-15 TON.__ 0
i GAS HWT.... : 0
WOOD STOVES...;
0
15-36 TON_: C
j 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 ......
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 57.05
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 S AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFO TION FURNISHED BY ME IS TRUE AND CORRECT
OWNER OR
MY KNOWLEDGE AND THE APPLICABLE JITY Ot e=1=RAL BAY REQUIREMENTS WILL BE MET.
D94-�..�-__----------- DATE --- I ----�
FILE COPY
cr;0F G BUIIzrNGDrvmoN
• ED N E ® 33530 First Way South
�� RE� Federal Way, WA 98003
(253) 6614000
Fax (253) 661-4129
APPLICATION FOR IVEC9�
t.1 PERMIT
Bol
MEC-(
PARCEL # b OD -7
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
9
Single Family Multi -Family ❑ Commercial 0
Phone
Nature of Work I Z2 I I 4"r VBG CJ— Project Valuation: $�
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name I D
Address/City/St/Zip
Contact Person
d rc c !—
v_
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Phone Fax
Phone q / 0 Fax
Exp. Date �
Fuel Type as/other
Gas Dryer
Air Handling <= 10 000clin
Fuel Tanks:
Length of gas pipingRange
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underl7ound
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Bumer
Dud Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TONS
DISCLAIMER I certify, under penalty of pedury, that the bJomation furnished by me is true and correct to the bat of my knowledge and Cuhha that 1 am authorized by the owner of the above premises to perform the work
for which pemrit application is made. I further agree to save harmless the City oCFederal Way as to any claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any penoN including the undersigned, and 0ed against the City oCFedrny Way but only where such claim arises out o(the reliance oCthe city, vmcluding its o[ficers and anpkoyea, upon the accurery oCthe
information suoclied bAhetity u a Dart oC this Zd filj
Owner/Agent
Mr .App
Rcvrsm M V97
Dale