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97-103303C11 -Y or vu)[wil. WA -Y, 3?t5'30 I-irst. Way Fp_ (J�taI Way. WA 9at"10A 253-661--4000 ADDRE.SS:'41613 c,* 304 ',;1 NO-: 0921049.C1?t) PROJE'C'T OWNER DAtj Yon IN 2613 5 10410 IST FEDERAL WAY WA %03 253-946-2201 Tit PROJECT VALUA1100 FULL 191S.:011. ql! FANS.. . GAS PIPING.: 0 ft fopmaoff..: .. .... ... DK-u*K" GAS NOT..... 0 Wo*'STO " ql� com" M)MR.: 0 F UP, Ou BPO......... 0 MIS(.... GAS MYER_: 0 AIR HANDU RANGE... .. 0 ':10'000 GAS 0 > 10,000 010: '0 HC-C1#AH1'ice e!L F*CRHJ`1" h�:l I I.i. t ;I I I rIQ Pe (_ t-, i ('�fl I xP(' I '> t I 64t'J. '17140 ROSSO[ ENERGY SYSTEMS INC 9367 RAINIER AVE 5 SEATTLE #4 "119 725-1555 PERMIT 140: MLC9i 02bc, LENDER fi 40111 9thkilm SAM IAX IM MIMS M8111 Iff (fly of F1KRAt MAY. IAX RAIU 8.25 no vtL'"Xl "m GROUND: 0 0 FEES: "echafti(il Permit4 11Ee PENT issfjillkl'... 20.011 TOTAL FEES 1 83 Does the water supply siitev contain a Pressure Reduction Device or Check valve? Yes No (If "Yes" then ujter expansior, tank is requireJ on Not Water Tank) Inspection Record: Mechanical Rough -in Date 63S Piping Date HICHAHIM (THAI gate KLIJI's M!Kf 140 mys Atf(LIMMI If NO NMI Is SIAOM. I CERMY 1111. 1111'010119N,141�)M' BY ht IS 01t Mt MY Of HDIRAL MAY R[QUINH11[lib WILL a- N't. 041 To Ift KSt Of NY tOREKE AD JK AMIL 0WHIP OF V1 0 - FIELD COPY CITY OF FEDERAL. WAYPERMIT NO: MEC97-0256 33530 F i r -s t Way So u t r, �� .. ,,., iN.,.lf;HI d'14,ik .:�I!: ��,,,,, ,.,�,::� I! .., ; �:;+i ; it ' ! pgjilt i141.,f .;:f "'IIS..' ISSUED: a9/a2/97 �I N I .".. I Mect ardc�al, 'Inspection f`equie t�. 25.E 661 4140 BY: FC2 Federal Way, WA 980a3 , � � �� , . ,�; -� -� -� ,� 253-661--4000 EXPIRES: 02/28/98 ADDRESS:2613 S 304 ST NO.: 092104-9079 PROJECT DESCRIPTION:NEW OIL FURNACE F= OWNER =___________________________________ ______________P= CONTRACTOR =________•:::____ _-_=___===__=___=_____ _=====T= LENDER DAN YONKIN ' ROSSOE ENERGY SYSTEMS INC 4 2613 S 304TH ST € 9367 RAINIER AVE S I FEDERAL WAY WA 98003 M SEATTLE WA 98118 a i 253-946-2201 725-7555 ROSSOES1420P ___--_._-___..-----__..-----------_._..._._---__......_._.....-____--_____....-_---__..._.___..----.----------------------...--.-----____._ xt: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ;f= PROJECT VALUATION 3937 4 FEES: j FUEL TYPES.:OIL OIL FANS..........: 0 BOILERS/COMPRESSORS Mechanical Permit3 $ 63.00 J GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 MEC PRMT ISSUANCE... $ 20.00 FURN<1OOK..: 1 DUCT WORK.....: 0 3-15 TON....: 0 ' GAS HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 � # CONV BURNER: 0 FURN>1OOK.....: 0 30-50 TON...: 0 f I BBQ......... 0 MISC........... 0 50+ TON...... 0 3 i GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- --------RANGE.....,: RANGE ...... 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1 GAS LOGS...: 0> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.00 Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No Inspection Record: Mechanical Rough -in ................. Date -,•_________. Gas Piping MECHANICAL FINAL Date �c=cc=ccc===c=cc====cc===coo====cm=c===cc=❑c==c=-c==-==c==c====c=cc=n=� _____==ccc=c== --------------- ----------- (If "Yes" then water expansion tank is required on Hot Water Tank) 1 Date a F PERMITS EXPIRE 180 DAYS AFT[ SUANCE IF NO WORK IS STARTED. I CERTIFY THE INFORMATION NED BY ME IS TRU D COR T TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYOFFEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT -__ _-.-. _ ..._ --.--------------------- ------ DATE FILE COPY City of Federal Way 1, 'j CITY OF 33530 First Way South Federal Way, WA 98003 C (206)661-4000 • APPLICATION FOR MECHANICAL PERMIT 0 7,z I I gU1LDING DEPT. PARCEL #• /vim j(� / / Single Family Multi -Family Cl Commercial ❑ SITE LOCATION:l� Tenant Own �%� ��/� Phones: �� °�© Address/City/State/Zip:�� Will Nature of work: / /Y APPLICANT: Name: Address/City/St/Zip: _ Contact Person: Phone: MECHANICAL CONTRACTOR: / J Company Name: Project Valuation: $ Fax: Address/City/St2ip: � • .� � / / !_ Contact Person: �? �f i�i�� Phone: ��s ��`J Fax: 7`' State L & I Contractor Registration #: �� `� Exp. Date: (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) ;j Gas Dryer Air Handling < = 10,000cfm Fuel Tanks: Length of gas piping Range Air Handling > = 10,000cfm Above Ground Furn <100K BTU's Gas Log Unit Heater Underground Furn > 100K BTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other BBQ's Wood Stoves AIC TONS DISCLAIMER: I certify under penalty of perjury that the information furnished 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 rincluding costs, expenses and attorneys' fees incurred in investigation and defense of such daiml, which may be made by any person, including the undersigned, and filed against the City of Faderay 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. - 7 Owner/Agent: '� E�_� Date: ,