99-102598CITY OF FEDERAL MAY
33530 F i rs t Way South tl e.), P4,H L..,. F", �",;;: �"r�,, nal "T'
Federal Way, WA 98003 Mechanical :Inspection Requests 253-661-4140
253--661*4000
ADDRE55:36008 6rf-I AVE 8W �
NO.: 302104-9056
PROJECT DESCRIPTION: install gaspipe and 2 insert
�= OWNER ___________________________ ____ ____ ____________=z= CONTRACTOR
JOHN SAULBERG WASHINGTON ENERGY SERVICES+
36008 6TH AVE SW 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 981941
253-838-3864
WASHIESO74
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN RE G OR PRO WITHIN THE
PROJECT VALUATION 11224
FUEL TYPES.:GAS GAS FANS..........: 0
GAS PIPING.: 50 ft HOOD..... . . --3
FURN<100K..: 0 DUCT W
a GAS HWT.... : 0 WOOD STOVES.... 2 '. J
CONV BURNER: 0 FURN>100K.....: 0
- v
BBQ......... 0 MISC .......... TON.....: 0
GAS DRYER..: 0 AIR HAND UNI U yTANKS------
RANGE......: 0 ot=10,0 • 0 VE GRO 0
GAS LOGS...: 0 _ > V CF1. 0 UNDERG D.: % w�
Does JUMter s
ntai#PressurjI1eduction Device
FEE
"I -CH PERMIT FEE $ 209.25
PERMIT NO: MEC99-0235
ISSUED: 0/06/
1
BY
EX P I R Qjje-01 /01 /00
TAX RATE : 8.25 Us
TOTAL FEES $ 209.25
( ; Yes ( ) No (If "Yes" then Water expansion tank is required on Hot Water Tank)
Inspe Re Rough _--------------- Date _\ Gas Piping .................. Date
M ANICAL AL Date
—___.----------------._______---------___.._--.-----________._____________.-______.-------------------------.______—_.—_—_—_----...�____________
PERMITS EXPIRE 180 FTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE ION F WISHED B E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER n .T DATE
V 1�ER V T
FILE COPY
CITY OF
BUII D1I�G DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC [ - ! - 02-3-5
PARCEL #��� Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Nature of Work (hll'�A CI%SO) -f
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Phone
3kL4
Project Valuation: $ 1- a J `l - !� C)
Company Name �< x—
Address/City/St/Zip
Contact PersonCy PhonP��q� Fax
_
State L & I Contractor Registration # � �'` L1q bf2 � Exp. Date c'
(Card must be presented)
Fax
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin <= 10 000cfm
Fuel Tanks:
Lengthof as piping
Range
Air Handling > = 10 000din
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>l00KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other 61-4," C
Conv Burner
Duct Work
A/C TONS
Other `
13130's
Wood Strive,.;
A/C TONS
DISCLAIMER: I catify, under penalty of perjury, that the information liunished 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 (including costs, expenses, and allomeys! 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 Fedaay 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 application-
Owner/Agent Date
MEcvAPP
REvrsm W6/97
CIT'Y OF FEDERAL. WAY
33.530 Fit—st Way Sc_,uth
Federal Way, WA 98003
2.53-661.--4000
HCCVJ1114�'41C.HL. FIE-JIMI"Ir
Me(-hat),i,c1'--1l 'In Eipecf ioti Reqtje�;ts 4140
ADPRESS:'36008 61-1.1 AVE SW
NO.: 302104--9056
PROJECT DESCRIPTION: install gaspipe and 2 insert
F OWNER II9Cs0kGT Zug ... =..W.= ... namum . CONTRACTOR ...... ...... .......
1090 SAULBERG WASHINGTON ENERGY SERVICES (0
36009 61H AVE 4� 11COO THORNDYtE AVE W
'FEDERAL WAY WA 98023 SEATTLE WA 18199
WASHIES07403
LENDER
�9_ )15;�55ia
PERMIT NO: MEC99-0235
ISSUED: 07/06/99
BY. FC
EXPIRLS: 01/01/00
*SS COMINACIONt, P11ASE USE LOCA1101 COK 1rJ2 ULA ILMUNG SALES TAX FOR FMICIS 11111111 1K CITY or FEKW MAY. To Ulf : 8.25 tss
PR#0 VALUATION 11224
01,
FUEL, iYPES.:GAS
GAS FARS ...........
GAS PIPING.: 50
ft HOOD,
0
0-3 ON..
FURM<IOOK..: 0
DUCT WT.'_
A
3-I5 foil
GAS JWT .... : 0
WOOD STOVES-.*'
16 30
0
CORY MMIER: 0
Ftipw)
0
30-51IJ Tilfi,
0
...... 0
015(...........
2
504 I(IN._
GAjXYER..: 0
Alp, HANDLING UNITS
fiAl 1ANK",
RANGE......: 0
!:10,000 (FI:
0
ABOVE GROUND:
0
GAS LOGS...: 0
) 10,000 lrfm.-
0
UNDERGROUND.:
0
FEES:
MECH PERMIT FEE $ 209.25
TOTAI, FEES S 209.25
... --"_=M "U= tN. .... V111==._1 n ...... ......A.zu .. 0..'C1WWV.Ur. =.= .... ..
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
MECHANICAL FINAL
____.__. Nte Gas Piping Date
Da to
PEAF'43 EXPIRE 180 DAYS AFIIR ISMIKE If No WOR[ Is STARTED.
I CERTIFY IK !KFORNAIION FONISK) IYAL Is 1"t AND CORRECT 10 JK REST Of NY KMFIKE All 111 CITY Of FEDERAL NAY NEWIREMENTS WILL K K1.
OWNER OR AGENT DATE
FIELD COPY
CITY OF �+
G
�G / ^ 7 33530 1ST WAY SOUTH BUILDING DIVISION
■ •' FEDERAL WAY, WA 98003 66 1 -4000
CORRECTIONNOTICE
ADDRESS: Vii, R w, uJ PERMIT #:
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
y. t'
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
REINSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE