97-103161f" i t W.-1 y c, ij I.
Fedf,r,il Nay,
253-661 4 001)
AI)DR L ` `,::116'?., `.j4 'fr 1_1 (AVE '-V)
140. ', '1$198�50-0160
(- r r)ESCRjPj101.IHSIAL1 THER"OPPIPE Oft FURHAKI
41, 'tf)
91 10& /
PERMII NO: MU(".97 --0238
['Y 7 F'C,"
(011PA(IOR
MICHAEL CHARtEBOIS ROSS01 ENERGY SYSTEMS I#(
F31424 541H AYI SW 9367 RAINIER AVE S
FEDERAL WAY WA 98023 StAlitf WA 98118
938 -?975 7,Aj
mjbw
($11TWINS MIA 99 1.4"Atiou CW Ur WTI Iff"'Iffic sacs TAX IOR mifffs VlfIll# IK Qfy of f1IKRAt MAY. IAX RAI[ - 8.75 Ot
PROJECT VALUATION 3034
FUEL TYPES.:OIL OIL FARS.,
I GAS POLK.: fj ft HOOP. .
1'wN<1001..: I 1WI WORV.--
GAS Owl.—: 0
CONS PURER: 0
BBQ......... 0
GAS DRYER—: 0
RANGE....... 0
GAS LOGS ... : 0
NOODSTOVU.'. .: ;'
AIR HANDLI#6 "iA'
Uh:
10,000 Cf":
FEES
fitchafti(A Permit* 63.00
MIC PRNI ISSUAH((... 20.00
TOTAL fr.(,, 581 N
. . . . . . . . . T. . -- . . . . . . . . . Y......:..
Does the water supply system contain a Pressure Reduction Device or (beck valk,0 Yes f) No Of *Ye-,' t1wo water expansion tank is required on Not Water lank)
Inspection Record: Date (AS Piping Date
MICHARVAL FINAL Date I LV Al
rwils t1fift too PAYS AF119 ls"AKA if No No," Is STARTED.
I affify lot INIQWIMI URNISKS IV NL is Im ab RE(WO IK KSI of by foat-ow fin flo opf luill t (Ily of timfit my R100ININtols lilt K NEI.
t4lob" OF AGENT
7 -
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253--661-4000
ADDRESS:31624 54TH AVE SW
Mechanical Inspection Requests 253-661--4.40
NO.: 189850-0160
PROJECT DESCRI PT ION, INSTALL THERMOPRIDE OIL FURNANCE
�= OWNER
MICHAEL CHARLEBOIS
31624 54TH AVE SW
FEDERAL WAY WA 98023
838-2975
4
CONTRACTOR
ROSSOE ENERGY SYSTEMS
9367 RAINIER AVE S
SEATTLE WA 98118
725-7555
ROSSOES142QP
INC
LENDER =_____
1,
PERMIT NO: MEC97-0238
ISSUED: 08/20/97
BY: FC2
EXPIRES: 02/15/98
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 i=x
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...:
PROJECT VALUATION
3034
MISC........... 0
50+ TON......
FUEL TYPES.:OIL OIL
FANS..........:
0
BOILERS/COMPRESSORS
q GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....: 0
9 FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....: 0
GAS NWT..,.: 0
WOOD STOVES...:
0
15-30 TON...: 0
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
5
s
F
Does the water supply
system contain a Pressure
Reduction Device
or Check valve? ( ) Yes
Inspection Record:
Mechanical Rough -in
Date
Gas Piping ..._
MECHANICAL FINAL
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFOR N URNISHED BY ME IS TRUE AND RRECT 0 THE BEST OF MY
OWNER OR AGENT __--- -- - ---=-- ----- - --
No (If "Yes" then water expansion tank is required on Hot Water Tank)
i
_ - - -- Date ----------
s
KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
-- ------ - DATES(//
FILE COPY
W"F
City of Federal Way
33530 First Way South
Federal Way, WA 98003
(206)661-4000
APPL ICA TION FOR MECHAN/CAL PERMIT
PARCEL tt- / g qg Gy/ 6
Single Family)( Multi -Family ❑
SITE LOCATION:
Ten
Address/City/State/Zip:
i7f}c L G?%fiPL 6- 13 ! s
17Ok
Commercial ❑
— Phone: 9 %,
Nature of work: lxl`- MA . �%P�'>V �jE- / ����oj Valuation: $ j -3�
RECEIVED
APPLICANT:
-R f n ^-n
Name:
"+ t Y O'r FE RAL WAY
Address/City/St/Zip: -. iE61Nr n ` Y'
(contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name:aSSy�
Fax:
Address/City/St/Zip: /��L/L r S'�� 1le
Contact Person: Phone: Fax:
State L & I Contractor Registration #: C'S �- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) tr
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 >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONI.;
04ilf;0,6"b
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 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 may be 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. /T� +/� -
/ �C. / 3 / /
r /
C caner/Agent: Date: , /