97-100236 /7 /i)(,). .j
CIT' ' OF FEDERAL WAY PERMIT NO: MEC97-0019
33530 First Way South PIIn W.: IYlih'i PI 44'.'.'“:111 L. #'.:,,k,#.;".Fl M.31 V"' ISSUED: 01/23/97
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 01/17/98
ADDR ESS:33510 39TH AVE SW
NO. : 109961-0270
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE CHANGEOUI AND 70' GAS PIPE.
I- OWNER --____=-= := = _.. CONTRACTOR ==:--_ _-.--__-_= LENDER == __�
( KEITH ALLEN ir NORTHWEST WATER HEATER 1
33510 39TH AVE SW a 8201 DURANGO ST SW 1
( FEDERAL WAY WA 98023 r TACOMA WA 98499 )
1
661-2226 ; 984-6404 1
) NORTHWH103R2 {
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
( PROJECT VALUATION 2500 ) FEES:
FUEL TYPES.:GAS ELE FANS • 0 BOILERS/COMPRESSORS ; MEC PRMT ISSUANCE... $ 20.00
( GAS PIPING.: 70 ft HOOD • 0 0-3 HP • 0 t Mechanical Permit* $ 54.00
( FURN<100K..: 1 DUCT WORK • 0 3-15 HP.....: 0
( GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 4
( CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 (
( 880......... 0 MISC..........: 0 5+ HP • 0 I
i
( 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 I TOTAL FEES $ 74.00
3
( Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O 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 .-._....... ____. _._.
I
4 �
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST:'' D. RESID • • D GRADPERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS RUE A'; CORRECF I I` M LEDGE AND THE APPLICABLE 'ITY OF FEDERAL WAY REQUIREMENTS Wilt BE MET.
AP
OWNER OR AGENT4Cw.
f ....._._._.__ 0 DATE ._/ G' (- 7
FILE COPY ar y ,i 5,j 0 G a
_ 17-/oO36
CI TY OF FEDERAL WA PERMIT NO: Mt4_
:33530 first Way So t ti PI r c r 1" Pi t C. ri IL t ih C:fit PI I 'f' IUSLIED: 01 /2-3/9
F ede r a 1 Wa y, WA 98 0:3 Hui Idinti .1 n‘Lpoct:.:i(lit Pc..,,citie,-.:.t.s 661 ,i• 140 BY; Kt.(
661-4000 EXPIRES; 01/17/9
ADDRESS:33510 :39 1 11 AVE SW
NO. : 109961 - 02 70
PROJECT DESCRIP 110N.OVA( - EEL 10 GAS FURNACE CHANGEOU1 AND /0' GAS PIPE.
"F-1', . •
KEITH ALLEN NORIOW1,1 WATER REAIIR
1 33510 39TH AVE SW 8201 DURANGO ST SW
•
IllifDERAl WAY WA 98023 TACOMA WA 98499
( 661-2226 184-6404 ,
I .
,40."2141:2 : : :::: „..,„.-....—...„ ,.„,„„.............„,,,,,,..,1,..„........,.--„,-,—,.„--„.......„ --., .....,,..... „
I
*** CONTAIKW Kt ,E- , A•:•! • t • I : INC SALES TAX FOR PITTURIS KOHN TM 4.11Y 01 TESINII. WAY. TAX KATE .= 11.6 I**
PROJECT VALUATION 2500 '... I FEES: 1
4,414 • :1 - Oh, OMPP ' ' ,w.., '-, tr,o...d..o , .., - . --- - " ' 'MIKE.— $ 20.°1)
. - -__ -
GFUAIE',1-PIrP(Pli'0 .: 10
.:GASELI
3 ..it 1 FliA0MOSI;.si....:..44- tk4
:-'1,!' ..,,.., --A, 7: ::•., :T r:706 : IR 1 .:.• •4.:.- derw, . ersi t* $ 54.00
_.
FURN(10UK..: 1 I... - . ----:'; -7,--.--:-.-.* ', .1,1.5,,,!., .•*:
GAS 0141 • 0 , .0;4-,,,., .‘,.. . .:,, ,, ; ,„, :., .3 . 1),:*
CONY BURNER: 0 fly I. , .... ,,, i ,,,. $ itip ' L....—_,
000 • 0 MISC. .244 4VV - ' - •.4.444 I
GAS DRYER..: 0 AIR HA , • ' _ '., 1 „ • ,• ,•.• I
RANGE • 0 (:10,00, ,4 Ali( GROUND: 0 I
,..,
GAS 10Gt...: 0
* :s 10,000 . 0 4.4f- UNDERGROUND.: 0
411,.,,,M.P.,..",......, P s,,,-,,,....,4,,,,rmx,m,—,,.. f IOW iftS $ 14.00
.
1 1
Does the water supply systea contain a Pressure Reduction Device or (heck valve? 1) Yes 0 Ho 411 "Yes' then water expansion tank is required on Not Water Tank)
I
1 Inspection Record Water line OY Mechanical Inspection Notes:
I
1 GAS PIPING OK Date By I
PLANTS EXPIRE ISO DAYS AI lilt ISSOAKU. if kki PORI IS SIANIW-1iiitILIT1AL AND GliA1)104, PERNITS 10031 ONE TEN MIER OW 04 14SUtilK.E.
I (111111T INT INICIISAIION IORNIS113 0 HY NI Is 'HUE ANDAtilitirl 10 1,1101a OTAIY 190011.10C1 AND THE APPLICADIE (11T OE FEDDIAI WAY RTOOIRENENF.; WM HE NET.
OWNER oft AO Of
Q.„..
(' (r?I''.(..-----4:.--:/----7------
,
FIELD COPY
CITY OF G BUILDING DIVIM::or
• EC7 33530 First Way South
�" Ay Federal Way,WA 98003
Y (206)661.400t)
:" 1 V Fax(206)661-4129
AN 2 2 19 APPLICATION FOR MECHANICAL PERMIT
..I BUILDING DEPT.WAY MEC ct0019
PARCEL# l D `(0 [C) � � Single Family CI Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner t TH A- - Phone (Q-L
Address/City/State/Zip - C 39 A k1 ���L) t'! t3 ( I
Nature of Work 6-1 Eu1S,.\,i -E (-C n T Project Valuation:$
APPLICANT
Name
Address/City/St/Zip
Contact Person f' Phone Fax
MECHANICAL CONTRACTOR
N
Company Name f'\v� �A ��� I
Address/City/St/Zip 7)- G(0 CT 5 l'fkaMft t T.(c(
Contact Person y In. 04 PI Phone -S '4 —C ) OdI Fax
State L&I Contractor Registration# (/)<-7-14 uJ 14 I O `J g Exp.Date
(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>=10,000cfrn Above Ground
Finn<100K BTU's Gas Log 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
RRQ's Wood Stoves _ A/C TONS Jmt Ctlutst
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 Way as to any claim cmcluding 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.
� C
Owner/Agent // r Date r 1 /
MEcu.APE
REvcszo 12/11/96