98-104939 ' 91?-/o te g
CITY OF FEDERAL WAY pp `� P p PERMIT NO: M C98-0341
'�i E L„ H M; ° , ,.. �,,.,.I A N ��..,.. "�, '
33530 First Way South ��.,� ,� �`,,i' II „°„ 'I"'"�'��,� � .JG� if ISSUED: 12131/98
Federal Way, WA 98003 Mechanical Inspection Requests 253...661--4140 BY: FC
253-661-4000 EXPIRES: 06/28/99
ADDRESS: 29644 8TH AVE S
NO . : 515160-0200
PROJECT DESCRIPTION:NEW GAS FURNACE
_._______ CONTRACTOR = _:: ==__ = LENDER =_-.._...._.. _ _
= OWNER --.. . 7-
FRED KILBAIN I ROSSOE ENERGY SYSTEMS INC
29644 8TH AVE S 1 9367 RAINIER AVE S
FEDERAL WAY WA 98003 i SEATTLE WA 98118
253-941-3530 1 725-7555 I
ROSSOES142QP I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
- ----------
PROJECT VALUATION 2241 J FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS MECH PERMIT FEE $ 83.00
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 I
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
I GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.00
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 FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -4!0!:t
_-
/ ----6 DATE . ZI !`t"L.&
FILE COPY
4
CITY OF FEDERAL WAY PERMIT NO: MEC96-9341
33530 First Way South MECHANICAL PERMIT ISSUED: .71 / j8
Federal Way, WA 98003 Mechanical Inspection Requests 253-661 -4140 BY: FC
253-661 ,4000 EXPIRES: 06/28/99
aPDRESS:29644 8TH AVE S
tf0. : 515160-0200
pROJECT DESCRIPTION:NEWW6flaNACE
1 Foonumw ROSSOE ENERGY SYSTEMS INC 1
I
I29644 8TH AVE S 9367 RAINIER AVE S
FEDERAL WAY NA 98003 SEATTLE WA 98118 1
253-941-3530
1 75-7c55
1 , ,2QP
so COVIRACI001,)140-01(1161II*i0,11 1112 *WN MINIM SALES TAX FOR PROJECTS VIININ TIE CITY OF FEDERAL SAY. TAX RATE = 8.25 U1
PROJECT VALUATION 2241 -, --, _
C'lis;:Y. 1111 _1xV,'-'-- ec7)-1,, 9,*- FEES:
FUEL TYPES.:GAS GAS FARS.........'vt.ier- 1010ISSOMPRESSORS -- MI(H PERMIT FEE $ 83.00
1 GAS PIPING.: 0 ft N000.... m $ ' 04 —”
TO OT''' -'-'-'-''''
-0,,-;,;,,k-
FURN<100t..: 1 DU(1 11014.441044v4 ),-. 345 *I..i'-'4' -
GAS NWT ' 0 WOOD STOVES. fr, ,-4--,tii3010N. FAF6r44.11 .--z,rneqe
, -,
ICONN BURNER: 0 FURN)look . a 3040400...: 0
EN........: 0 MISC - 0 50+ TON.....: 0
1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL IANKS---------
IRANGE 0 <:10,000 OM: 0 A:lvE woo: 0
GAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.00
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)
1 Inspection Record: Mechanical Rough-in .... Date Gas Piping Date
MECHANICAL FINAL ora.. -401.. Date
PERMITS EXPIRE 188 DAYS AFTER ISSUANCE IF NO WORK IS SEAMED.
I CERTIFY TIE INFORMATION FURNISHED BY NE IS TRUE AND CORRECT TO THE NEST Of NY INONLEDGE ANI TIE APPLICAILE CITY Of FEDERAL NAY REQUIIENIN1S ITU BE NIL
OWNER OR AGENT .-Y(444.4.J 1 --\i-,,
IY/16(
I' '' ,
DATE
FIELD COPY
City of Federal Way
CITY or (- 33530 First Way South
Federal Way, WA 98003 =IFCEIVEO
1--- --f---)
(206)661-4000
DECVirrY 3 i 1998
. APPLICATION FOR MECHANICAL PE . K WAY
•Il YU Lp'NG DEPT,
3- t6" / GO 0 00 NA
eG,B- 3
PARCEL '�1
Single Family Multi-Family 0 Commercial 0
SITE LOCATION: / [i5 Ifo - q *11 '/ vg ` ' , C1).
Tenant6wnel)
f1LT l& l s A!) Phoney �3"` /4/ -. 5130
Address/City/State/Zip: A.I'E .
00
Nature of work: %AJ C/ 4/--4- f-LfkProject Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
•
Contact Person: Phone: Fax:
Ml CHANICAL CONTRACTOR: c
Company Name: - 10'S
-50-&- �J� �X SYS
9 367 1� /! I)) V�: .
Address/City/St/Zip:` ,
Contact Person: -Ca�j �`") /e Phone:20 - 7Z"_c--75-5-5-Fax: 7 3349
s
State L & I Contractor Registration #: ,fitP 7/, P Exp. Date:/// --v°d .
(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 > = 10,000efm , Above Ground
_Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
i:f::.:?:i*:: :: :::::::<:;>:;::<;s::>::E:>:;i:y<;:; ;i::r: :
BBO's _ Wood Stoves A/C TONS :>T:otSh:#JiiitirAfti i>:: : :> >:
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me is true and correct to the beat 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/Agent: Date: