98-100175 .JDD175-
CITY OF FEDERAL WAY 11, . ,, + p �,,,., � 11, ..,!! _ PERMIT NO: MEC/8-0015
33530 First Way South E"ii I ,,' i ""I' Q hi! .w,µ L��"""l !I�.,.. r...P 7'7 :711, w�I� ...1i�. {I,,, ISSUED: 01/20/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661--4140 BY: FC
253-661-4000 EXPIRES: 07/18/98
ADDRESS:29324 7TH PL S
NO . : 515270-0120
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE CHANGEOUT
= OWNER _ - CONIRACTOR __ - _-._.. _--_--.. --,- LENDER ------ _.__..___-:__�
JUDITH HYDE ; NORTHWEST WTR HTR INC/DAVIS WH
29324 7TH PL S 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
839-4549 A (253)984-6404 800-292-4328
NORTHWH103R2
i _ .____.. ___.__...-w:__ -_ -., . I . _,_____. --_....
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
------ :_._._.. - ------ ----.- :_- - =-.. __ _---v --------------•-------•- _. -- -
PROJECT VALUATION 1200 f FEES:
FUEL TYPES.:GAS
FANS..........: 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 36.00
FURN<1O0K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>10OK • 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 $ 56.00
__._ _ _.____.____-- --_--. .__. _. f
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 NE IS TRUE AND CO- r OF NOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _Y_-- I DATEk- -- ' .. .
FILE COPY
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'CITY OF FEDERAL WW1, . . PURPTI I NO: MEC9O 001.5
13530 First Way ot.,11 11 MECHANICAL PERM 1. '1 p .‘,1 :l h. 1,11 ./ 'fir4
lede ra 1 Ways W( 9b0o 3 . II
Mechanical Inspection Reque ;ts .„") -.1 1 061 .,, , OY : If,
53-661-4000 I 1)11.'1. '.,, -. fr/ !In/QH
ADDRESS:29324 /111 PL
$40. : 5152/0-0120
PROTECT DESCRIPTION:RVAC - GAS TO GAS FURNACE CINNIGEOUI
t. OWNER mamMta*m4almimordwswmmumews=mems4aMOMMUMO=amcan.t .a 1 JUDITH HYDE HoRTHirs, HTR HTR wiRols tom
29324 7TH Pt S
FEDERAL2800 INORNDYEt AVE N
WAY WA 98003
SEATTLE WA 98199
1 339-4549 (253)984-6404 800-292-4328
'NNONNIfiffik,
4""' '''''''''''''''''';;;"CWAi'R'Aii0;70174;11;;TWAii *Ci;riiir0)00000REING SALES TAX FOR PROJECTS NII1111 IN/ CITY OF FEDERAL NAY.ma ,TAX.,RAIL : 8.! ..7.,_,,,,,„._.,,,,,,,„,.._
.. ...,—= ,0 ,-„mm*rcktitaull ..Lmaidm.vaigWegmoran.m.x.xx=mAa..Alscwalluommumwsim4mm,4Jr..=.ix...mnamwasaw. w.mamimma—m*====mxim - . ...,
PROJECT VALUATION 1200 : f FEES:
FUEL TYPES.:GAS ? FAN41801tIps/c0mpfusoks 1 #ic PitMi issuANc.t._ ! 20.00
GAS PIPING.: 0 ft 00p.„.......1 00-3 TON...-. 4 Mechanical PersItt
FUR11:1001..: 1 DUCT WO* ,....:' 0' ' 3.15 TON....: 0
GAS NWT • 0 00041 STOVES. ; a, , 1si0 ,f0m...: 0 ..)r ( ..,..,-
,
(ONV BURNER: 0 FURIOISOC;O.: „ ,0 - , ,,39!it104.6.--- t 0
880 • 0 IIISC•••**..•;:*,.• 0 - ', *1
GAS IWYER..: 0 AIR NANDIIIG VIPS,
RANGE....,.: 0 (10,000 tE0:-4 ''', ANOVE GROUND: 0
,
GAS 106S....: 0 > 10,000 (111 0 -,011DERGROUND.: 0 TOTAL FEES $ 56.00
';;;;—ti::ex;:t:'rTli'pP'17s;;;;!;-;:ontain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Not Water tank)
Inspection Record: Mechanical Rough-in Data 1r Piping Date
NICHANICA1 FINN! f atc
/-
i D 10-1‘ ..- . 0
f , 19" Alt" a 40/
,,
PERMITS EXPIRE 180 IM( MICR ISSUANCE if NO ion IS SIARIER 1 ___
t (LIMIT IRE INFORNATIOR FURNI%NED NY At IS MK Alt C CT INI/J61 01 NY,441tfOgt ARO INE APPIACAINI CITY Of FLNRAL RAY REOAIRININI!.= Ala At to t
0410 OR MANI 0411 I (
•, t 1 \
FIELD COPY
CITY OF de. ..... C�-+ BUILDING DIVISION
• - !iECEIN/EQ 33530 First Way South
---..._---z-- MO AY Federal Way,WA 98003
V V JAN 2 n 1998 2
Fax(253)661-41290
APPLICATION FOR MECHANICAL PE IVIrr
MEC6i6 - 001
PARCEL # Single Family, Multi Family❑ Commercial❑
SITE LOCATION
Tenant/Owner ILI Di t"'jj 1 De Phone S q4 S Li 1
Address/City/State/Zip 2-91 3 (-1- - et__ • -.-->-, r _.0 I, •( '=_C O
Nature of Work ("A- CU A Ce tel-Del--6 0- `i-t�:', Project Valuation:$ l C C1 C�
APPLICANT •
Name -
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name .
III i
Address/City/St/Zip = -asf i
r'
Contact Person y
1 - - - --- ;fn �� r one S3) q5'4-1 ( t4 Fax
State L&I Contractor Registration# Iii(N; -4 IA;H. (u- 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>=10,000cfm Above Ground
Fum<100K BTU's I Gas Log Unit Heater Undeound
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work - TONS Other
....................................................................
RBQ's Wood Stoves A a TONS >TAt22>ttitif CAunt`'>»m:i*i:"?«">>'''>'i:iiii z;
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by e is• and cone •-•t of•- .ow ::a 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 F deral Wa as to ••el: • I ••,:costs, •• es,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 F-•- .y Way b t o j where A..• arises••t 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. o,
A
Owner/Agent Date
Mec.A
uee
_
REVISE])8/26/97