98-104769 5g-16(1769,-
CITY OF FEDERAL WAY ..,...1_,�..� '� PERMIT NO: MEC98�-0328.
33530 First Way South M �'. M,',' '' N 11. M,;':Y"'°'1i �;,,,a ;;::,:tf"� ,�'M, ;�° ISSUED: 12/17/98
Federal Way, WA 98003 Mechanical Inspection Requests 253 -661-4140 BY: FC2
253-661-4000 EXPIRES : 06/14/99
ADDRESS: 3072 5 21ST AVE SW
NO. : 416760-0080
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
— OWNER _..-_. • - CONTRACTOR ------------ LENDER T
WILLIAM MILLER 1 WASHINGTON ENERGY SERVICES CO
30725 21ST AVE SW ONE UNION SQ 9TH FL
FEDERAL WAY WA 98023 PO BOX 91060
SEATTLE WA 98111-9160
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WASHIES07403
__X CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RAtE : 8.25 ;;_
PROJECT VALUATION 1500 FEES:
FUEL TYPES.:GAS ELE FANS • 0 BOILERS/COMPRESSORS TECH 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
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERA WAY REQUIREMENTS WILL BE MET.
4
OWNER ORACSS- _l��Q J l ' I • �� DATE J 11_
FILE COPY
R- L. 74 .
CITY OF FEDERAL WAY PERMIT NO: MEC981'0321+
33530F i. r<.st Way South :c 'U H I C V L P ....I-1 ISSULD: 12/17/98
Federal Way, WA 98003 Mechanical Inspection ReQuats; 253 661 -4140 BY: FC2
253-•661 -4000 EXPIRES: 06/14/99
ADDRESS:30725 21.SF AVE t.aW
10. : 416'760-0080
.PT?OJEC f DESCRIPTION:HVAC GAS TO GAS FURNACE CHANGEOUT
WILLIAM HILLER WASHINGTON ENERGY SERVICES CO
30125 2151 AVE SW ONE UNION SQ 9TH FL ; -
FEDERAL WAY WA 98023 PO BOX 91060
SEATTLE WA 98111-9160
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*x: CONTRACTORS,,°RUSE OA LOCUM CO*113 NItN REM.O 6 SALES TAX foil PROJECTS WITHIN Mt CITY OF FEIN WAY. TAX RAZE : 8.25 m
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rr PROJECT VALUATION 1500 FEES:
FUEL TYPES.:GAS ELI FANS ' .:: IIT `S}Ct?MPR RS MEtif PLOW FEE $ 54.00
GAS PIPING.: 0 ft HOOD.........:, 0 0.3 PA....<,; .On•,•
FURN,1O0K..: 1 DUCT WORE...;'ti• O 1.1`1 TON....: ,0
GAS liWT 0 WOOD STOVTS.;:: 0 15-20 tOti...: 0
CONV BURNER: 0 FURNx1OOF.... .: 0 20-S0 TON...: 0
BBQ • 0 MTSC ..... . . 0 50f TON.....: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS__ _.___
RANGE..;...: 0 <:10,000 Cft: 0 ABOVE GROUND: 0
GAS LOGS...: 0 % 10,000 UN: 0 UNDERGROUND.: 0 . TOTAL FEES $ 54.00
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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)
a 1
1 E Inspection Record: Mechanical Rough-in _________ Date _________ Gas Piping ____ ..__ __._..__ Date ________
MECHANICAL FINAL . .1,, __ _ Date I72...C4: - /
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PERMITS EXPIRE 180 DAYS ALIEN ISSUANCE If NO WORE IS STARTED.
I CERTIFY INE TRIORNAIIOW fURMISWED IlY ME IS TRUE AND CORRECT TO THE El Of NY KNOWLEDGE AND 10f APPLICAN<E CITY Of FEDERA WAY REQUIREMENTS NILL It NEI —
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OWNER OR AGE'ilT \`\_________ /.,.c.,,L. , C �� ATE _ 1)1
FIELD COPY
CITY OF �— BUILDING DIVISION- ,
`� RED
`V 33530 First Way South
y Federal Way,WA 98003
V (253)661-4000
Q ,% I 1898 98 Fax(253)661-4129
GilliO;tD%NGDEPT `APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC 98 - D5Z.,v
�60oo ��
PARCEL # Single Family Multi-Family❑ Commercial
SITE LOCATION
Tenant/Owner C J D( LU r�11ii —' 1'� ��l ,ut Phone Ca 5-- )P3 2-?jn`f
Address/City/State/Zip ).7c2!5 ci,$.t /q Y S•C.J .
1ct.)
Nature of Work 417) _Q !/fiYilaee--Project Valuation: $ l q
c,' I
APPLICANT
Name
,(-'/v er�
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name CV/ ESC.O
Address/City/St/Zip 7C�
Contact Person Phone - Ll � 47. - -0_, Fax
(,tt AS H / C21. r-o'er �7 `72
State L&I Contractor Registration# Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping , Range Air Handling>=10,000cfrn Above Ground
Furn<100K BTU's I Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
»:: `Vi''i'."i:i:i: ;iiM;Mi iMMii
BRQ's Wood Stoves A/CTONS pid t 7ritL .. .. . .i.'. ..........
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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 and ' ed,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 ace r. .f the
information supplied to the city as a part o this application.
D�/aLD
Owner/Agent ����� ��YJ� v/�� Date
•
MLCa.Are
Revs®7/29/98 _.