98-104768 9e-it y7k,s.
CITY .OF F:DERRL WAY I ,i ,wPERMIT NO: 1EC9t -0329
33530 F i rst Way South " E...(.... I I{t,,,,,,� .,. �,,.",,. ,",.,. P i..i,,,F1,,, .1ISSUED: 12/16/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140 BY : FC
253-661-4000 EXPIRES: 06/13/99
ADDRESS: 36308 6TH AVE SW
NO. : 859490.._0010
PROJECT DESCRIPTION:HVAC - ELE TO ELE FURNACE CHANGEOUT
r= OWNER -- T- CONTRACTOR • -- - LENDER
IRENE SANBACK 9 ALL SEASONS INC
36308 6TH AVE SW 9 12500 BRIDGEPORT WAY SW #126
FEDERAL WAY WA 9823 3 LAKEWOOD WA 98499
1 253-983-8541
' ALLSEI*03055
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;i= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 =;S
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PROJECT VALUATION 600 FEES: _
FUEL TYPES.:ELE ELE FANS • 0 BOILERS/COMPRESSORS MECH PERMIT FEE $ 26.55
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 15-3C 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 $ 26.55
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 Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE // -)Z
FILE COPY
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CITY 4,W _FEDERAL WAY PERMIT NO: MEC980329
33530 First Way South M l'C H ANICAL PERMIT ISSUED: 12/16/98
Federal. Ways WA 98003 Mechanical inspection Requests 253-661-4140 BY: FC
253-661- 4000 EXPIRES: 06/13/99
ADDRESS:3630B 6TH AVE SW
HO. : 859490-0010
PROJECT DESCRIPTION:INC - ELF TO LIE FURNACE CHANGEOUT
1. gym ............................................1. CONTRACTOR ........................................-. LENDER MWMC115A.PIVA=W=.0MAT.MMJ.MWVIA,M=a450:1=====MMXA=CEMW'
IRENE SANBACK I ALL SEASONS INC
36308 ON AVE SW I 12500 !.'IDGEPORT WAY SW 1126
FEDERAL WAY NA 9823 LAKEWOOD NA 98499
1 253-983-8541
ALLSEI*03055
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'*1 CONIRACIORII. Mr,'•,i 'I',)',' WOltuN '709t tW Oltilt ktroPtiNG SALES fAX FOR PROJECTS NIININ 101 CITY OF FEDERAL WAY. TAX RATE 7f. 815 "'
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PROJECT VALUATION 600 FEES:
FUEL TYPES.:ELE ELI FANS1• !I
NECR PERMIT FEE S 26.55
GAS PIPING.: 0 ft HOOD...., . , • fi !-:: uR, ,: f.' 1
FURN(100K..: 1 DUCT worP.,.
GAS HWI • 0 WOOD UOVE'
.,
CONV BURNER: 0 FURN>100K. • ' 1
1030 • 0 DISC. * u ...304 100 0
'
GAS DRYER..: 0 AIR HANDLING WILTS FUEL TANKS--------- I
RANGE • 0 <:10,000 CFA: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOM FEES $ 26.55
I Does thP toater soppl7 systes contain a Pressuro ROductiph ttevic IN' Chpck vAlvP? ( ) '0,7. ( ) tte (If 'YP5° then ter elmvin tafit.. i..- reouired on Hot Water lank)
Inspection Record: Mechanical Rough-in t.9. C—Zr-rilT Ws Piping Date
1 MECHANICAL FINAL a . Dal2ffi
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED.
I CERTIFY TUE INFORMATION FORNISNEDi
NE IS TRUE AND CORRECT 10 101 81:51 (A AY KNOWLEDGE AND TOE APPLICABLE CITY Of DUAL WAY REOUIRIAINIS WILL BE RI.
OWNER OR AGENT .0/71: DATE
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FIELD COPY
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CITY OF G BUILDING DIVISION
`•`` ECIERRL 33530 First Way South.
N).\>V Ay Federal Way,WA 98003
(253)661-4000
Eceple0 Fax(253)661-4129
9
a 19 b APPLICATION eFO1R cense
MECHANICAL PERMIT
®�� 1AIWA number: V
CU`ON 'DE '
SMEC 98 -(532
r l
PARCEL# 15f4 L�v— `v Single Family❑ Multi-Family❑ Commercial❑
SITE LOCATION C ''
Tenant/Owner r f.- /137 > r in `j 4 C k Phone
Address/City/State/Zip 3 r) P� >/Y-
Nature of Work %'--•,j r' !t- 7c c-A-, L `( /, ✓`h 1 r Project Valuation:$ g-�� (/- —
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR/
•, j Company Name /4 // t ,.5-o i7 Z____,__,---/ /tel G .
ZAddress/City/St/Zip 2,5-750 6,- , ',--j--i-,---0)- 74 /A/.4 �/ / ��`
Contact Person X'4 ,.3"/{,1 /-.
Phone 77:7-':-3-- ej-- �/ Fax
State L&I Contractor Registration# /-� //� 7,—+ (93J5,)-- Exp.Date j//-
(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>=10,000cfu Above Ground
Furn<100K BTU's Gas Log Unit Heater Underground
.,/ Fum>100K BTU's ,_, 7� L l_ Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
RRQ's Wood Stoves __A/C TONS
DISCLAIMER:I certify,under penalty of perjury,that'',he 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.
Owner/A ent4�/ ate / Z ��
Mecu.Are / �v"
Renis®7/29/98