96-100697 qt, leo(//7
k. ITY OF FEDERAL WAY . PERMIT NO: MEC96-0050
335'30 First Way South MECtiANICAL PERMIT ISSUED: 03/14/96
Federal Way, WA 98003 Ruilding Inspection Requests 661 -4140 BY: FC2
661 -4000 EXPIRES: 03/08/97
ADDRESS:425 S 305TH ST
NO. : 104250-0014
PROJECT DFSCR IPTION:OIANGEOUI OF FURNACE, GAS TO GAS
CNANGEOUT Of FURNACE, GAS TO GAS
1 VAN WILLIAMS 1 NORINWESI WATER HEATER
1 425 S 30510 Si 8201 DURANGO SI SW
FEDERAL WAY WA 98003 TACOMA WA 98499
941-9356
984-6404
,, IloPiWar A2 . ,
*** COIRRANCIS:111::0 ,VA LOCATON CODI In? WREN REPORTER SAM TAX FOR PROJECTS NIMBI INF CITY OF FEDERAL NAY. TAX RATE : 8.25 *Is
*13 33.1113. trSt"SI- 65
I PROJECT VALUATION 595
I FUEL TYPES GAS ? FANS , ..--- . 0 OILPSP "PRB4a-, ,k' ,4-- :=2',, ,, .1-'°- ,;..P'0' ,71.„, ,. , c ermit* $ 24.00
GAS PIPING.: 0 ft PPP . ' n
fUR0(1001(...: 1
GAS NW! • 0
COHV BURNER: 0
844,,,...,,l, .;—: 0 ..-t--_------= ------ - : ---'t;r. tit1,01 dik,14. q i ,
0- ' HP ..-,* c' _ 4--, z4.-L_ _ 'T,- 'JAI. ,940 - I ' :It $ 20.00
,,„,i0 ;ft....: 0 40-
10 50 41)._.:
RN 0
GAS DRYER..: 0
• :ISRCiiO
.m0,604, ,.01TTANKS
RANGE 0
e,:10.000 q1,1.. I ABOVE GROUND: 0
IGAS lOGS...: 0 s., 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
I Does the eater supply systes contain a Pressutt, Ree..uLtion Device or Check valve? 0 Yes 0 No (If "(es" then eater expansion tank is required on Not Water Tank)
I
Inspection Record Water tine Or Mechanical Inspection flops:
I
IGAS PIPING Or Date By
PERMITS EXPIRE 1811 ORS AIM ISSUANCE IF NO WOREJ5iir! O. , :` 111.1 ANO GRAM , PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY 101 INFORMATION FURNISHED BY NE IS/JR4 ANA OR; '
OWNER OR AGENT ( KO TH,E BEST Of - I . URGE AND INT APPEJ(ANTE CITY Of EEDERIEE WAY REQUIRENENIS VIII RE NEI.
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DAIL .,/ • '‘--/-
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FIELD COPY
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CITY OF FEDERAL WAYPERMIT NO: MEC96--OO50
33530 First way South t"'l 171(1:1'1 tf"„4 W” .... ,. C.A y,,.... P 'E.;,.IR ti 3: "IISSUED: 03/14/96
r Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 03/08/97
1ADDRESS: 425 S 305TH ST
NO . : 104250--0014
PROJECT DESCRIPTION CHANGEOUT OF FURNACE, GAS TO GAS
CHANGEOUT OF FURNACE, GAS TO GAS
F. OWNER .- _.. ------_-__- _. . - .__.--j- CONTRACTOR ------- -----_-a - LENDER =-_.-_..__-_._
VAN WILLIAMS NORTHWEST WATER HEATER
425 S 305TH ST l 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
941-9356
984-6404
NORTHWH103R2
-. _.-............______.....___________________________________________ ..... -- 1___.... ___-_-. _______
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
-- ____.....=_,......._----=. _ _.. ___ ------------------ _ _ ___----------------.. _
PROJECT VALUATION 595 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS ; Mechanical Permit* $ 24.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP .: 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP - 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 }}
IGAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 44.00
t�
t .__. ._....--.._-_ccca•._.__.... ._ _____...-_...racc-c-c----- �^cr -- .._.-____.. -•-...r.._•.•.•-_aa____.-_.....____
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 Water Line OK - Mechanical Inspection Notes:
GAS PIPING OK Date __.-__..._. By
M :>__,,o*,-------Th. . . =A
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF. NO WORK IS ST- -I. ' �1'►=' AND GRADI . PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND ' ''i / 0rr� IF , K ,s LEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
7. .
9
OWNER OR AGENT DATE- ___ _
FILE COPY
City of Federal Way •J iv
CITY OF t''- 33530 First Way South
i Federal Way, WA 98003 // v --0o
5c
(206)661-4000 ��
WRY
APPLICATION FOR MECHANICAL PERMIT
Ge,vo
PARCEL it• C Single Family.--Er Multi-Family 0 1(4o'40rcial 0
SITE LOCATION: ( Ok"OF F Na'pEP?
303
Tenant/Owner: N(t t,I M , Phone:C' / - 23.51,
Address/City/State/Zip: • 2-"J J ,
Nature of work: /w1( Project Valuation: $ 5 - _
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: ��� V(5Z� Phone: (1‘:3'#7. - Fax:
MECHANICAL CONTfiw
c/ai-r
0-7--
Company Name:
Address/City/St/Zip: ---7-Y06 C () "D`(c /f &
Contact Person:
1(._ �I /t1 ( Phone:' -' 1--- -157-2— Fax:
State L & I Contractor Registration #: 4/de---(0/ (A/19 1 6-5VExp. Date: l I
(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 > = 10,000cfm 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
BBQ's Wood Stoves A/C 'itAti
TONS < `#:)iii:Moi >
i <>>:»»>< >: >' ><;`:
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is tr torr ct to the of„ nowledge 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 t ave harmless t. "doral W y as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any rson,includi • 'th" •ned,and fil 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 a uracy of the' �. ''rsupplr to the ty as a part of this application. 4
Owner/Agent: ,...._—__ Date: 4