98-104744 CITY OF FEDERAL WAY .- PERMIT NO: MEC98-0320
33530 First Way South �'M' ' C ��,� ,x,.,11 Mti•,,:1 " „•,•. P !��;;,. "�',�`"" :,.�,,: ...�.., ISSUED: 10/4_4/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 06/11/99
ADDRESS:1025 S 324TH PL 9-8-16417cty
NO, : 150240-0380
PROJECT DESCRIPTION:CAS FIRE PLACE INSERT W/PIPING
f= OWNER ----- __ ___.___. CONTRACTOR =__ ___.. -- LENDER
JENNIFER JOHNSON } WASHINGTON ENERGY SERVICES CO
1025 S 324TH PL ONE UNION SQ 9TH FL
FEDERAL WAY WA 98003 PO BOX 91060
SEATTLE WA 98111-9160
WASHIES07403
F 3
s:x CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 us
PROJECT VALUATION 2000 FEES:
FUEL TYPES.:GAS GAS FANS 0 BOILERS/COMPRESSORS $ MECH PERMIT FEE $ 69.25
GAS PIPING.: 25 ft HOOD 0 0-3 TON • 0
FURN<100K..: 0 DUCT WORK • 0 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+ TON • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 69.25
--------- ----------- _. .
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
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFO TION FRN SHED ME IS TR E 'ND CORRECT TO THE B ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT t,kid*• LWCDATE ' � _1()
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CRY OF /.•••• BUILDING DIVISION
•
ED 33530 First Way South
' FIM' RECEIVED Federal Way,WA 98003
(253)6614000
Fax(253)661-4129
BEC 1 4 1998
APPLICATION FOR ryI.FCJ-I ,QJICAL PERMIT
Federal Way Business ewe N4alll :
MEC98 - 6Z52O
PARCEL# I JOU (" Single Family Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Ownerie(Al,r1+r` V �',cPhone
Address/City/State/Zip `v I
1 1 r ' (
Nature of Work ) I Y1. (A- \Mi r " Project Valuation:$ (.: ) 0
APPLICANT
Name Q Air
..Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR S
Company Name (Ar,, e C O
Address/City/St/Zip ?ice -C't '�J V ZJ ' Ali i It/
Contact Person H Phone 7,0C,7V2- -4- -00 Fax
State L&I Contractor Registration# b�r '> t �-� Exp.Date �`'
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Typ to ther) � Gas Dryer Air Handling<=10,000cfin Fuel Tanks:
Length of gas piping
cl L'( Range Air Handling>=10,000cfm Above Ground
Furn<100K BTU's Gas Log 1 Unit Heater Underground
Furn>100KBTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
RR(Z's Wood Stoves A/C TONS ntalTJnt(,raaxrt
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 ' 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 part of ' application.
n
Owner/Agent A/V / u Date
l 0 A ,,e/E
Macn.APP
Remo)7/29/98 _.