98-104089 •
CITY OF FEDERAL WAY ,,w , ...pp .,.p PERMIT NO: MEC98-0258
� �� q pp p „.I I. u ISSUED:E D: 10 26 98
33530 F i rs t Way South �"II !I.::...�,,,,.,. ��,.,,��..,,,,� !I°'�� ...II ��,,.,,,.� � M P�.,,. � ,i �' / /
Federal Way, WA 98003 Mechanical Inspection Requests 253..-661-4140 BY: ND
253-661-4000 EXPIRES: 04/23/99
ADDRESS: 244 S 300TH ST
NO. : 692860--0180
PROJECT DESCRIPTION:GAS FURNACE REPLACEMENT
-= OWNER - -- ---- __- _ CONTRACTOR LENDER
JESSE HALL AMERICAN HEATING SERVICES INC.
iEr
3
244 S. 300TH 7503-C PORTLAND AVE 111
FEDERAL WAY WA 98003 TACOMA WA 98404
253-839-2015 253-539-1702 f t
AMERIHS083M5
*tt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1742 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 48.00
GAS PIPING.: 0 ft HOOD 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
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 $ 68.00
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 DATE
FILE COPY
CITY OF FEDERAL WAYI)E RMI F NO: myg`�> 0�' §' r-;
33530 F . r Way South L. H 1"1�r
tI C PERMI I II, it.,/,. .,,,,.
Federal Way, WA 98003 Mocha. nici.:1 I nspect:ion Requests 253.-661--4140 I. Y: HP
253-661-4000 I HT Tri: 11,',/2:1/4'P-!
ADDRLSS:244 6 300TH 51
NO.. : 692860--01:30
PROJECT DESCRI PT ION:GAS PINNACE REPLACEMENT
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JESSE HAIL AMERICAN HEATING SERVICES INC.
244 S. 400TH 7503-C POR1LAND AVE -
FEDERAL WAY WA 98003 TACOMA NA 98404
1
253-839-2015 253-539-1702
AMERINSOC3M5
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sts CONTRACTORS, PLEASE NSE EOCP110W COW 1712 WHEW ?FIRMING SALES TAX FOR PROJECTS NI1N1N TIE CITY of FEICRAL NAT. IAX RATE : 8.25 #t
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PROJECT VALUATION 1742 I 1 . FEES:
FUEL TYPES.:GAS ? FANS... 0ILER.;C{m SS
E < r H OkS 7--
Mechanical Permit* $ 48.00
GAS PIPING.: 0 ft HOOD.......,..: 0 6-3 ION + NEC NMI ISSUANCE:.. $ 20.00
FURN<100K..: 1 DVC= taw, • 0 ?-1.` 101.:..: 0
GAS NWT • 0 Wti;D `tnr,rr,,,: C i5-3O T'N.. . 0
CONY BURNER: 0 FURR 1001%.,..: 0 20-50 TOIL,,: 0
8800 MISC..... ....: 0 50+ TON 0
GAS DRYER..: 0 AIR HANDLING UNIT FUEI. TAM---
RANGE • 0 <10,000 (lb: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFI: 0 UNDERGROUND.: 0 TOTAL FEES $ 68.00
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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 .t__-,,_-___
MECHANICAL FINA{. _____2_,7!..v,,,, __..._ Date/272.,C-71-6,4--
•
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PERMITS EXPIRE 180 RAYS'N IER ISSUANCE If NO MORIX IS SERRIED.
I WHEY THE INFORMATION fORNISNED BY NE IS TRUE AND CORRECT TO TIE NEST OF NY RNO0tEBGE AND 1NE APPtICAllti CITY Of FEDERAL. NAY REt1UIREKENTS NIII. RE MET.
OWNER OP AGENT ...__ .._�.. _ _.
f<
FIELD COPY
t a. .
c' _ BLIILDLNG DIVISION
AL--
- ECI 33530 Fist Way South
` 4) ,. Federal Way,WA 96003
Fn
(253)661.4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: C1l1.2/0( E 06 �{?(lc t o`!3/qg
MEC 98 - 0.:2 TS/
PARCEL# .–.6.-g.:—..C15-6 O d t C - Single Family 121 Multi-Family❑ Commercial Cl
SITE LOCATION c� p
Tenant/Owner J `e 95 e ' `c`(t p-'3(� 'Z,(')IS
— Phone
Address/City/State/Zip L L1 4:X) . 00.4`k
Nature of Work /, ����-t Project Valuation: $ I7(J7 " t ''
APPLICANT ��,,��( ����
Name l�v'�t/
Address/City/St/Zip --
Contact Person________.- Phone -., Fax
MECHANICAL. CONTRACTOR
Company Name ri ' 1 LE/ ,e0i- /n9 Seri,'/c
Address/City/St/Zip 7503 C c r4-1 P,l/ln C� iikLe —rot ��, Liz fj q 01
Contact Person i, ��. '4' ph, Z 3j'5 3(i- l7fZ Fax 2c713- , i'.Y
State L&t Contractor Registration# r+1 f )C.--'- n-/- 5 0%3 3 rn 5 Exp.Date 7 rZ 7 J9
(Crci
ad tStuat bo prcaontot:)
MECHANICAL UNIT COUNT
Fuel Topa(Qas/other) �1Q Gas Diger Air Handling.<=10 000cfm Fuel Tanks:
idrtgth of ga.s PiPing Rana.-�i�....... Air Handling>-10,000ofm Above Ground
Fum<LOOK BTUs I Gas Log - Unit Heater Underground
Rim>100KBTI_Pil __ Fens Boiler 13111/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
A s `- — - Wood Stovec -------- TO15-_._ ----;'"'4 L<<<#5,* - t k `
f
DISCLAIMER;I eetOty,undo malty orpr;Jnry,that the itutmaatiol&Mashed by me is true and oorreet to the beat of my Ice oleic*and Fluter that I un authodzcd by the owner et the dove pttattieea to pulaczn the work
COY winch permit application u made.I further wet to nave ilarruhess tax City of Federal Way as to any claim(including casts.expmum.and attorneys'fees incurred in 6tvatigenon and defer=of such claim),which may be
made by Any prism including the undersigned.and filed against the(City ni F eMuy tray but only where such dram Mica out of the itluuttt attic city,bttluding i6 Officers and employees,upon the accuracy of Ibe
intorrnadon suppbea to Me ryas a pan of aha appb oluac
Owner/Agent ,(. ee9 _,/' ----- Date /0 L/ - q
titan
FCAM 7r/509