99-102614CITY OF FEDERAL WAY
335aO F r'ct Way '_','Outt) MECHANICAL PERMIT'
Fede. ral Way, WA 98003 Mechanical 1r)spection ReqUeSts 25:3--661--4140
253-661---4000
AI)DRES;:30904 2Nf) AVE <3
qO.: 667265-0320
PROJECT I)ESCRIPT10t4,-,HVAC - INSTALLING I At( UNIT
PROJECT VALUATION
FUR TYPES.:GAS
GAS PIPING.: 0
GAS HNT..... 0
CORY BURNER: 0
BBQ......... 0
GAS DRYER_: 0
RANGE__: 0
GAS LOGS.... 0
CONTRACTOR.= ..VIM" : � S W, a i
WASHINGTON ENERGY SERVICES CO
2800 THORKDYKE AVE W
SEATTLE WA 98199
---------- ----------
"t CNIIACIOi# 94*4461140 i,ot f SALES TAX FOR PROJECTS VIIIII IN[ CITY OF FtKKAL RAY.
3000
FEES:
R,
ELE FANS.. 801M,
JECHPERMI
61111-_
It HOOD.. ,1 0'.
MkoMffiffiow 11
'AN
DKLAU"�*, 4
R
WOOD it
fURN�100f._.: 30-50 TOW
1111:(.. , " _,., 50 f ION....
AIR HANDLING UXIV*1 f fit t TAK,.'� - -
e-10,000 (111: 11 kBOVI. GROUND, 0
� 10,000 M. U MIDERGROUND.: 0 TOTAL FEES
PERMIT NO: MEC99--(_1_
ISSUED- 07108199
BY: FC2
EXPIRE13: 01/03/00
� ENDLR ......
TAX RATE :: 8.25 Us
EE $ 83.25
$ 83.2`
.... — ......... = ... .... .... .... .... S:.- .... MM ..............
Wes the nater supply system cc-ntain a Pressure Reduction Device or Check valve? Yes No (If "Yes' then nater expansion tank is required on Not Watt
Inspection Record: mechanical
Rough -in
Date
-_-_-__-.,1 Gas Piping Date
MECHANICAL
FINAL
Date
I Ito!C,
-9
.........
PERNITS EXPIRt WO MYS AFIlk ISSUANCE If NO WORK IS STARTED.
I Q9111y IM, )XIORNPITOR ftw"ISIK9 BY HE Is 19% An CORUCT tO INE KSI Of VY 1KNOVIEDGE AND Ilk 0MICABLU CITY Of' FIDIPAI WAY AtOUIRENINTS MILL K NEI
OWNER OR AtIRT
FIELD COPY
N
k -
CITY OF FEDERAL WAY � u „,,. u PERMIT NO: MEC99-0236
33530 First Way South l w ii ;;;,.. �r,w,.. it I �� , II 4 ., -i ' �'"' IF'
'� EF"11 w r` / /
»,,,. ,�,. .,.,,. �,.,, ! ;:. I1
ISSUED: SUED : 0 7 0 E3 99
Fecleral Way, WA 98003 Mechanical Inspection Requests 253-661.-4140 BY: FC2
253-661.•-4000 EXPIRES: 01/03/00
ADDRESS:309O4 2ND AVE S
NO.: 66726.5-0320
PROJECT DESCRIPTION, "HVAC - INSTALLING 1 A/C UNIT
= OWNER=___________________________________::_________=====T= CONTRACTOR =______-_________________________::__________;=
LENDER
CATHY COVEY
WASHINGTON ENERGY SERVICES CO
'
}
30904 2ND AVE S
2800 THORNDYKE AVE W
s
FEDEP.A!_ WAY WA 98003
� SEATTLE WA 98199
WAS TtQ07403
}
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS
WITHIN THE CITY
OF FEDERAL NAY. TAX RATE =
8.25 :xx
PROJECT VALUATION
3000
FEES:
FUEL TYPES.:GAS ELE
FANS..........: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE
$ 83.25
GAS PIPING.: 0 ft
HOOD.. .....: C
0-3 TON.....: I
FURN<100K..: 0
DUCT WORK.....: 2
3-15 TON....: 0
GAS HWT....: 0
WOOD STOVES...: 0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...: 0
BBQ........: 0
MISC..........: 0
50+ TO .....: 0
4
GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE......: 0
RANGE ......
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$ 83.25
1
I
�
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 INFORMAT ON FURNISHED BY ME IS TRUE AND CORRECT TIL.THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CIVP OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENDATE
FILE COPY
crr OF
�``
Y Ay
C::GeJV V_®
BLwLDiNG DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
O NG
MEC
PARCEL # 1�� �"� �v Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner —
Address/City/Stat
Nature of Work S
APPLICANT
Name
Address/City/St/Zip
Contact Person _
C-A�— 0
I C_C�
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
0 `, v�w4 A_Y1AZ , S .
G_.c *v I0-- v
Phone
Phone I I D—
Project Valuation: $ -30-�-_Yc
Fax
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000c&n
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Futn <100K BTU's
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler BTU
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
(C
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 1 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 (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the and Med, and filed against the City of Federay Way but only where claim a_ rises out of the reliance of the city, including its officers and employees upon a accuracy of the
information supplied to the city as a PT
of this application. —
Owner/Ag entDate
MEcu.APp
REvrsm 1/7/99