97-100553t-._. 97 1,rr55,
(:1 TY OF FI:I)EF441 W()Y PERMIT W): MLCV/-UU55
L��4530 Fit-st Way 15,out.ti C IC I`1 P4 HTAw M L 174 C. MH 1 1"'
C.,
Vedpr<il W., -i%,,, WA 9800'3 0(li'1(1iriq 1- 2
661 - 4 000
ADORE IS:-':403 %3W 308111 S
t4O.: 072104-9180
IIROJF(T T)E �CFtI I'`F 10t1: HVAC REPLACING ONE NNi, 7U UNIT HEATERS.
vvOWNER . . ....................
LAKE GROVE ELEMENTARY
303 SW 30810 Sl
FEDERAL WAY WA 98003
839-9250
Ist 1.'ONIRAC
COMPACTOR i — ......
I E C MECHANICAL SERVICE CO
PQ BOY 3550
REDMOND WA 98073-3550
881-3247 -
SALES TAX FOR PROJECTS IIIIIIIN 191 CITY Of FMAL MAY.
TAX RAI[ - 8.25 its
PROJECT VALUATION 10000
Sm—r0d - -- - -1 1, 1 FEES:
FUEL TYPES.:GAS FANS— P P*,[R m
on DANCE... S 20.00
GA" PIPING.: 17.00
0 f t
FURW100k..: 0 Rfrl U011'r ...... "I
GM HNT....: I Wool) :q o
(ORV wpmu: 0 f uptvjft.. . 0-5
BBQ......... 0 of 0
GAS DRYER—: 0 AIR RAN r"LL TANIOAl
03
00,
RANGE......: 0 10,000 0 AN)VL GROUND: 0
10: TOTAL FEES
GAS LOGS—: 0 0 �JHDEPGROUHD.: 0 131.00
.......... 1-4 ........
Does the water supply systes contain a Pressure Reduction Devi �rfieck valve? Yes No (If *Yeso then water expansion tank is required on Not Water tank)
Inspection Record Water the (it mechanic a0spec s:
GAS PIPING OkW4�'.- BY .... ...... ...
....... t ........... .......... 11 ... -map--
P[PAI(S EXPIRE ILM DAYS I" IFR ISSUANLL If IN) VORI Is SIAR110. RISIRM JAI, AND GRADIK PIR"Ifs EXPIRE ONE YEAR Af TER OAT[ of IS9ANC1
I CERTIFY THE INIORMAIION 1URRISIN, BY KE )6 IRU( A - .Rv1 110 int BEm w NY twiptiou MD I* APPI.10811 CIIY Of (LDERAL HAY RM1IRLhL9b V111 to h)
OWNER OP AG1141 ZC—
FIELD COPY
L `
CITY OF FEDERAL WAY PERMIT NO: MEC97-0055`
33530 F i rs t Way South 0,114 l�;;;;,.'T;.IN°" iM''' `, gip iN°"N' E.,:: iN'�ik IN's �! .:,IN. IN ISSUED: Cl2/ 9/97
Federal Way, WA 98003 I3uiluirig Ir)spect�ior) Requests 66::1.--41,40 BY: FC2
661--4000 EXPIRES: 02/13/98
ADDRESS:303 SW 308T[A ST
NO.: 072104-91.80
PROJECT DESCRIPTION :HVAC - REPLACING ONE HWT, 30 UNIT HEATERS,
4= OWNER
CONTRACTOR=____-__________________________________====Y= LENDER
LAKE GROVE ELEMENTARY
T E C MECHANICAL SERVICE CO
303 SW 308TH ST
s PO BOX 3550
FEDERAL WAY WA 98003
k REDMOND WA 98073-3550
0
839-9250
( 881-3247
4
y
TECMESC143BA
E
V Y
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL RAY. TAX RATE
= 8.25 sa
PROJECT VALUATION
10000
FEES:
FUEL TYPES,:GAS ?
FANS..........: 0
BOILERSJCOMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.: 0 ft
HOOD....,.....: 0
0-3 HP...,..: 0
t Mechanical Permit*
$ 117.00
FURN�100K..: 0
DUCT WORK.....: 0
3-15 HP.....: 0
GAS HWT.... : 1
WOOD STOVES...: 0
15-30 HP--: 0
�
CONV BURNER: 0
FURN>100K.,...: 0
30-50 HP....: 0
BBQ......... 0
MISC...,.....,. 30
5+ HP....,.., 0
I
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
i TOTAL FEES
$ 137.00
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)
Inspection Record
Water Line UK ,-.._
Mechanical Inspection Notes:
-.--.__ _ --_ -------.i
-----------------------------------
GAS
GAS PIPING OK ._._________
Date ._.__,...,_ By ------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION F RNISHE BY ME TRUE AN RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTDATE
---_
________________..________________-----____-- --------
FILE
__----_FILE COPY
crWF G
V V Ay
RECEIVED
BUILDING DiwsION
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax(206)661-4129
FEB 1 APPLICATION FOR MECHANICAL PERMIT
Gl I Y UF FEDERAL BAY
BUILDING DEPT.
PARCEL #
SITE LOCATION
Tenant/Owner F&GfCl2
Address/City/State/Zip
Nature of Work
APPLICANT
MECri - 001
Single Family ❑ Multi -Family ❑ Commercial ❑
l 71?�>
Phone
Project Valuation: $ Ile
J ADD, OrZj
Name Al-
Address/City/St/Zip
Contact Person Phone ItLi-L- 3,-3/Z Fax _ J J e-) 2
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact PersonPhoned 3 I Fax F912 - 6 -2 2-
State L & I Contractor Registration # -���— /, "ILC%C' t% ' ✓ 76 Exp. Date L
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfrn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater L)
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Hood
Boiler BTU/H
Other
ffB.m-
Dud Work
A/C TONS
Other
DISCLAIMER I certify, under penally of perjury, that the information furnished by me it true and correct to the beat 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 attorneys' fees incurred in investigation and defense of such claim), which maybe
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 city as a part of this application.
Owner/Agent
Date
Mrcrr.Are / \���� G�� •
!! r
R�®fv1l/96 ��