98-104772 x
9g- JO V 77e;)
CITY OF FEDERAL WAY PERMIT NO: MEC98-0325
33530 First Way South ii'l ':. MClet t144.1:4: .:e''"I 1,.., ifffr4: ' I T ISSUED: 12/17/98
Federal Way , WA 98003 Mechanical Inspection Requests 253 ..661-4140 BY : FC2
2.53-661-4000 EXPIRES: 06/14/99
ADDRESS : 28211 28TH AVE S
NO. : 111700-0150
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
r= OWNER --- -- ---------- - -9. CONTRACTOR ----- ------ -- LENDER _ _
LAWRENCE MALCOLM WASHINGTON ENERGY SERVICES CO --
28211 28TH AVE S ' ONE UNION SQ 9TH FL
FEDERAL WAY WA 98003 PO BOX 91060
SEATTLE WA 98111-9160
WASHIES07403
=!t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 223
PROJECT VALUATION 1500FEES:
� FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MECH PERMIT FEE $ 54.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0
FURN<100K..: 1 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
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 TOTAL FEES $ 54.00
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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFI ,•TION F RNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
/OF FEDERAL WA REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE_...___ r Iif , ()I-\� / DATE J�`/1_
FILE COPY
Y
c
CITY OF FEDERAL WAY PERMIT NO: MEC9B-•0325
33530 First Way South MEC lieli H I CA L.. p AP/I "r ISSUED: 12/17/98
Federal Way, WA 98003 Mechar7:tcai Inspection Requests 25'3 -661 -4140 DY: FC2
.x,53•--661-4000 EXPIRES: 06/14/99
A.DDRESS:2E.3211 28TH AVE S
. : 111700•--0150
PROJECT DESCRIPTION:HVAC .. GAS TO GAS FURNACE CHANGEOUT
t""" OWER 4`.INFI/«:R.".tC?sli COfSffifL' ,'.R-i]0Y:21auts .tq:et at s�i.:wLzwaaasmsGPC.CA9[ai6 .:J CONT)AA. OR :'^CC::.atCiCLS.'¢C3CC3.'.'.T.�:'•.',i]R�.iSS 3C 33:.2 L.3 L'.C:ttXart. !4E1.t x LEER `Q1 R.SiW::]3.Sp LtR'Ck i7»R9t;tA1Cr'i�CT.Gm3LS3QL 1G3i�£;F191YA 06:tlffiR:CttSti:::.::A:tt
I LAWRENCE MALCOLM WASHINGTON ENERGY SERVICES CO
28211 28TH AVE S ORE UNION SQ 91H FL
FEDERAL WAY WA 98003 PO BOX 91050
SEATTLE WA 98111-9160
SHIESO7403
::2a1C">CuC524C.:1."°aa'%t`::Y't9ig36ffi'@:�aIa.tr'C4::.:�'LL afl ' G'b "".C¢�G:Sjtr ffi'd7A94:"�t'".. :-a 3YC..-.".r..,:.YLterflfl lC a c�iCaa,r]3»4n;sCS,atg.7:c.. Ct:Y1a...-:s.'...i'.er.=9.:S ii i::9 wa€6LtSC.SE=Cicffia�Attei@Oi:LcS:t CY.:Sxe9G9tt R?EiRC4iG.a1p.2GCJY:
*Is CONTRACTORS, PLEASE USF MOCAI .1.742,10,1110iiO4 SALES TAX FOR PROJECTS WITHIN THE CITY Of TEifHAL WAY. TAX RAIL = 1.25 Its
itC'L"Sfr 2WRSf...�1:G'3i..L.zr.ry.aCi:.^.X'::X.ffiCi•:a.2C:cSL:3ClSid9a nk.:aYkW SCJ iL Ci iWTXx St, c.. '.adxlm9C.3pbi"S3S SSi'NCs:.713MiRt0Kii£';:tt CxiGii6t;ASZ�mCiQ IiCRL�ti'kdti SipS.^.sL'JYnS-rii[L«BAe..0 A4K6[i:if3i`SCACCLO:i9i G'2SCmC4"Ff.'SNiPJK a=iYY�E'FG::R-0AiiLtiit.'CW:'C0.k.L'fi:im$
PROJECT VALUATION 1500 FEES:
FUEL TYPES.:GAS ? FANS... .. : 0 IWIIL S�9MPR.1i ,.,� t zRv' EE $ 54.00
GAS PIPING.: 0 ft HOOD., . R 0,., TON., 44, ,
FURN<1O0T..: 1 DUCT OPE., ''''.° " a : '
..A. rl 5 �. k',-s 0 ����( ��j ex
7t
ft
IHWT • 0 WOOD �TOVEC.., 0 15r-3T; ION.... 0 < F °n e� ,'Q w r
CONY BURNER: 0 FURN'100K,....: 0 30 50 TON, 0
880 • 0 MISC...... ..... 0 501 TON...... 0
GAS DRYER..: 0 AIR HAND1IN; UNITS FUEL TAli ---.___..._
RANGE • 0 x710,000 CFM 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 54.00
n.4S>rS.'Y%asau«Ls,amrv::.'¢;sM1ot.m`f.r.a:aa53:3*Z'.+:•, t3.3.il:ar:4i.'9..3..AU Cl3 a,tt. I dE?-.m>oatr.smzaacnrmaaaix�otsax 3,Sa:9{Am3lisa xaaamca aR:arY alx�w'•tsmaaxmx::i rxif:ycs;esm r::,•.:r:i..xmm»x?iris ec:a:Gcs+x�i:mttsRC.rsx4asaL'Ca9mxsama:s3:.:'s�:m,¢+Cavata.^..:smm:z:..xSs+\aY:z.�
l Does the water supply systea contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) Na (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in ____________ Date _______ Gas Gas Piping _..---_ Date __________
MECHANICAL FINAL _C„,..) Date /-Z2-- S I
-iYWiCCk:m3Ciawar awa�az,a'Y.:t::StSa 3.CS.':�.a:a:4i1C.:?i.Ydit Sl9CG"I:ZL}Y4i;�tia'BWTw.�^.�S�t,ar Yi Tt.T:QAGG3 WZL»i:::;....':a.t.t..til&SAY]6RAxii.Caa'Ci Gi%iit«im8**,RY'Gr-aiG tilGL4iS.:a aa,., a*6iF:':4:C.IICEtYT.A5SC:5:i9.'wt6.KSiC9i2gwa,WYDCIta GaXQ9tm2Li:SlMn* ".�
PERMS EXPIRE 180 DAYS AFTER ISSUANCE IT NO NOOK IS STARTED.
'` I CERTIFY INE INFBHAIIOR FIIANISHEO DY fit IS TRUE AND CORRECT It) TME BEST 01 HY MIKE AND THE APPtICADLE CITY Of FEDERAL. VA PEOIJIREILULS YIlL RI HET. -c.
'ti
OWNER OR AGENT-_-- t...1 c iL--- 0.. _)( Li IL. .( ! (.-✓ DATE /.� 1. f.
_ w _IP /
Y
FIELD COPY
CITY OF /-• BUILDING DIVISION
• ED 33530 First Way South
V FiY
Federal Way,WA 98003 _
w (253)661-4000
A r0 U Fax(253)661-4129
cil`t p1N DEPT AY APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 2
MEC98 - 0 T
PARCEL # ( I II D00 I ° 0 Single Family II-----
Multi-Family❑ Commercial 0
SITE LOCATION
Tenant/Owner �0 4,,ti`-e.1(1 0--e..— `'W1 -Le_, Phone (0155)1C? — 4
Address/City/State/ p U 1 ( a s ""T_ (,,,,t_ S - ll
Nature of Work ( , -- • • _....9-• / 50oa0
Project Valuation: $
APPLICANT
Name k/Ai ��
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name ��/ S C.C
Address/City/St/Zip
Contact Person ?(2t — 4('LOU 7r2— 4-7-4 -0, Fax
State L&I Contractor Registration# 1 � I ` l � Exp.Date g?-7
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfin Fuel Tanks:
Length of gas piping Range Air Handling>=10,000Lfiu Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler 13TU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
RRQ's Wood Stoves A/C TONS a2iC #i3 ` > at ; <
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 undersigne 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 application.
Owner/Agent ai--taxu___
d I"d _ri Lew �iL--- Date 02. /9 t 1
McCI.APP
Revurn 7/29/98 a