98-103890 CITY OF FEDERAL WAY a, pp uN, .,,p,,. pp �1' � pp PERMIT NO: MEC98-0235
33530 First Way South II � !I;::, �•� li "lid"°�i ry'If ..,Ii,,. �, ,.�.`°p ,„,, il'""k 'M;;;,••ii"'�a.�"� ..11,. 111 ISSUED: 10/09/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661--4140 BY: FC2
253-661-4000 EXPIRES: 04/06/99
ADDRESS: 222 SW 292ND ST
NO. : 119600-0066
PROJECT DESCRIPTION: INSTALL GAS PIPING AND GAS LOGS
r= OWNER --- ---- -_ _. -. CONTRACTOR ----__. - -- _.- - ____.__-. LENDER
_
JERYY KNUTIEN RITE WAY GAS SERVICE
--«_-_.__ _.
222 SW 292ND , PO BOX 994
FEDERAL WAY WA 98023 I KENT WA 98035
f
946-0323 i 631-4700
RITEWGS236JG
US CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 **Z
--- .--:: --- -- -- , ___ . - _.__.
1
PROJECT VALUATION 1500 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 10 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 42.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 I
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 $ 62.00
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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)
Inspection Record: Mechanical Rough-in -- Date Gas Piping -. , Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS TARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRU CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
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FILE COPY
3 A-4
CITY OF FEDERAL. WAY
PERMIT " NO: MEC9U -0235
33530 First Wry South „MNIC L. PERM' I LSSS.:SUED:
10/09/98
M ede.r'a1 Way, WA 9800.1 Mechani c tl. IA:,pect-ion Requc r.s 253-661 41.4A BY: FC2
2.53--661 -4000 EXPIRES: 04/06/99
ADDRESS: 222 SW 292ND SI
NO. : 119600 -0066
PROJECT DESCRIP I ION:INSTALL GAS PIPING AND GAS LOGS
OWNERSdG55 C' C Smi:: S:CisSLS CaEaY Ys smSSY2@a :Lxla2z"iCamayi CONTRACTOR =_ _S*s Stmm:;� m mmvm aP•@.ms„Saaffi�ffi '. .� i�at= LENDER S`aL SASS aS@: >GCtlCaGa:CC MaaSCa SmY1CSWY:NKa2:C1:5
JERYY KNUTIEN RITE WAY GAS SERVICE
1 222 SW 292ND PO BOX 994
1 FEDERAL WAY NA 98023 KENT WA 98035
946-0323 1 631-4100
=RII[WGS2364G
sss CONTRACTORS, PIL1's I int Ltat.AMIU CODE 1132 RIiLA BLPORIBIS ALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 825 nt
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1 PROJECT VALUATION 1500 o3t,41I FEES:
FUEL TYPES.:GAS ? FANS...... ...: 0 }.[LE!' /C!U'•I LSSWS 10, v*
o e .; � 'NCE... $ 20.00
GAS PIPING.: 10 ft HOOD...,....... O 0_2 TON.. .., a #A> -. mm'�a .rmit* $ 42.00
1 FURN<lOOK..: 0 ICT FORK. .. 0 1 1TON • L. s F'
GAS Hill • 0 WOO STAVE .,; 1 ,r ,,; 1 .I. , : TT
CONV BURNER: 0 FURTM1)0Y.,. : s�l % 1,,,1.... 4,,
1 BBQ • 0 MISC. .. ....: n 5131 lOti..., .: 0
1 GAS DRYER..: 0 AIR HstILl$ IW 1a F0EL TANKS-- 1!0 40*4 I
iRANGE - 0 <:10,000 C}ti. 6 ii ABOVE GROUND: ;1
GAS LOGS...: 1 > 10,000 CFM- 9 ` UNDERGROUND.: 0 TOTAL FEES $ 62.00
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1 Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( No (If "Yes" then water expansion tank is required on Hot Water Tank)
I Inspection Record: Mechanical Rough-in ... _ .._ .__. •._.__. Date ____..______ Gas Pipi: Dl< G.r.. ,• Date /O-/3— 9 e
1
{; MECHANICAL FIN1. D k. ' .L) __ Dal.Dal: 1-0 i —i8
E:xacsa.:aaxsaass•�e>;::<cmaaclascar;ax:raaaaaa.�'_. ..::. ._. ::.._,: -::_.;.1a@ma:=s.:.._:. '.-..:c::acarnaunnas:aax+u::�. ;,.acaaiGsa.».¢Gas.sa:«mszcssmaelc:-xss«:za:lcnuzzcec:sxas@cas,rea:as:a.zrm:amm¢rs:a:ars@Gs:az',>:z.ax'� ...
PERMITS EXPIRE 180 DAYS AFTER ISS MMC[ It NO WORX .IS IARtED.
(A\\/\`
I CERTIFY THE 111FORMATION FUVN1A.D t°1 MI IS 101 tt CORRECT TO 1NI BEST OF NY KNOWLEDGE AND IRE APPLICABLE CITY 01 FEDERAL. WAY REQUIREIILNTS VIII BE MLT.
_„...-- - ' \N V\-1
OWNER OR ADEN( ..‘-r---- --7.... ..-----_4�. DATV _.'!' ..
FIELD COPY
CITY OF
=,..., R E_C F P T,R-A l BUILDING DIVISION
• E� 33530 First Way South
W 1f-7Y OCT o 91999 Federal Way,WA 98003
(253)6614000
Fax(253)661-4129
CITY OF FEDERAL RAL ,l„
BUILDING DE?T.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: Pejo(I i 00\
'
I
MEC 98 - 0 ?tea
PARCEL # I I C l °°4 Si Single Family' Multi-Family ID Commercial 0
SITE LOCATION
Tenant/OwnerJE ! K/YIU2EW '
Phone 0/.53-946- 0
Address/City/State/Zip cta a Ze...) q,, 69 b (/)19V gV 23
Nature of Work //V$72LL �'J Pi/P/#6 - 6fl Project Valuation: $ is560-
L.vS
APPLICANT
Rite-Way Gas Service
Name P.O. Box 994
Kent,WA 98036
Address/City/St/Zip
Contact Person Phone cl -G 3i. g7CC Fax
MECHANICAL CONTRACTOR
Rite-Way Gas Service
P.O.Box 994
Company Name
Kent,WA 08026
Address/City/St/Zip
Contact Person Phone 5 --/r 3/ - 44 rk0Fax
State L&I Contractor Registration# fi I 7Z-b)(;- ' 3 c,TO-- Exp.Date 2 - I <i)'
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) 6_ Gas Dryer Air Handling<=10,000cfrn Fuel Tanks:
Length of gas piping <tar 7 Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log I 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
RRO'a
.
Wood Stoves A/C TONS iiigagaggiiiiiiiiiiiiiiiiiiiiignigiiing
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 Wray 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 iii '
1 Date / l "CM
MEcrr.Arr
REVISED 7/29/98