94-102473CITY FEDERAL Sou
33530FOirstWay uth MECft.ANIC.AL PERMIT
Federal Way., WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:811 S 299TH PL
NO.: 515160-0055
PROJECT DESCRIPTION-mech - ADD GAS HMT/ kdded (() t0044 -4-um6cE
OWNER CONTRACTOR
GARREN HIGGERSON NORTHWEST WATER HEATER
811 S 299TH PL ia1 DURANGO ST SO
FEDERAL NAY NA 98023 1 --_111A VA 98499
FUEL TYPFS.:GAS ?
GAS PIPIK,: 0 ft
FURN(1001. .: 0
GAS) ftf I
C09V BURNER: 0
884..<...... 0
GAS DRYER—: 0
RANGE......: 0
GAS LOGS...: 0
P -1o2 q 11�
PERMIT NO: BLD94--1038
ISSUED: 12/30/94 /30/94
BY: FC
EXPIRES: 06/28/95
111c,(qr, wit
LENDER = :�
TOTAL FEES
20-00
6.50
$ 26.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (if 'Yes` then water expansion tank is required on Not Water lank)
Inspection Record Water Line OK ___ Mechanical Inspection Notes:
Uk-W-Li5 Wk k 11 /_X_ I by
17410) ,2,Ar
L
PURPITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND 6RAOIK PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE I NfORXATIOR FURNISF0 BY OF IS TRUE AND CORRECT TO THE BEST Of MY KNONI-EDGf AND THE APPLICABLE CITY OF FERFRAI NO RFQU1RfM[NT9 WILL BE NET.
A&E
NT OK" NT DAII
FIELD COPY
0
0-41', UP
FOR%
Rise.
4)
.......
AIR HAILING1,"
I IEt TANKS-
ABOVI GROUND- 0
> 10,000 -CFM.
0
UKD(RGRm*,: 0
P -1o2 q 11�
PERMIT NO: BLD94--1038
ISSUED: 12/30/94 /30/94
BY: FC
EXPIRES: 06/28/95
111c,(qr, wit
LENDER = :�
TOTAL FEES
20-00
6.50
$ 26.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (if 'Yes` then water expansion tank is required on Not Water lank)
Inspection Record Water Line OK ___ Mechanical Inspection Notes:
Uk-W-Li5 Wk k 11 /_X_ I by
17410) ,2,Ar
L
PURPITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND 6RAOIK PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE I NfORXATIOR FURNISF0 BY OF IS TRUE AND CORRECT TO THE BEST Of MY KNONI-EDGf AND THE APPLICABLE CITY OF FERFRAI NO RFQU1RfM[NT9 WILL BE NET.
A&E
NT OK" NT DAII
FIELD COPY
CITY OF FEDERAL WAY MECHANICAL
PERMIT
33 h .530 First Way Sout
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:811 S 299TH PL
NO_: 515160-0055
PROJECT DESCRIPTION:mech - ADD GAS HWT
OWNER
GARREN HIGGERSON
811 S 299TH PL
FEDERAL WAY WA 98023
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<IOOK..: 0
GAS HNT....: I
CORV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FAR5........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.... .: 0
MISC..........: 0
AIR HANDLING UNITS
<:10,000 CFH: 0
> 10,000 CFTC: 0
CONTRACTOR — LENDER
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA WA 98499
984-6404
NORTHWHI03R2
8011 ERS/COMPRES5ORS
0-3 ITP......: 0
3-15 T?P..a,.: 0
15-30 Hip.. ._ 0
30-50 HP....: 0
54 ITP........ 0
FUEL TANKS---------
ABOVE GROUND: 0
UNDERGROUND.: 0
PERMIT NO: BLD94-1038
ISSUED: 12/30/94
BY: FC
EXPIRES: 06/28/95
F-5
QFC PRKT 7SWANCE. _ . � 20.00
C Ar -1 14MC F FEES.* S 6.50
TOTAL FEES $ 26.50
Does the rater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Water Tank)
Inspection Record '.dater Line OK Mechanical Inspection
4s PIPs
Notes:
By .—._
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT Tom- NFORMATION URNISED BY ME TS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNEF r. AGtNi _. --- - ------------------------------- inti t
FILE COPY
City of Federal Way
CITY OrI-- 33530 First Way South `
_ Federal Way, WA 98003 t
(206)661-4000
vvY t
APPLICATION FOR MECHANICAL PERMIT
q- o�
PARCEL. �� n `7 ' (��,
AUT �, - Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner:
Address/City/State/Zip:
Phone;
Nature of work: - f l toe Project Valuation: $ ar
APPLICANT:/
Name:
Address/City/St/Zip;._ -
Contact Person:
MECHANICAL COnfTuer-TnD-
Company Name:
Address/City/Stn
ImpPhone'- '� __I6' G1 Fax:
Contact Person: Phone:, �/ 1� Fax:
State L & I Contractor Registration #: IL' 'i I�� 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
Fu < 10OK BTU's
Gas Log
Unit Heater
Underground
Furn >1OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTUM
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify under penalty of perjury Out the information furnished by me is true and correct to the best of my knowledge and further that I rut authorized by the owner of the above
premises to perform the work for which permit application is made. I further agree to save harmless to City of Federal Way an to any claim (Including coats, axpentasa 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 Federey Way but only where such claim arises
out of the reliance of the City. intcitoigg its officers 4 employees, upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent:
Date:
City of Federal Way�+ U�`!Cc
CITYOJP_ 33530 First Way South Eg8EI b ®
_ ®_ �- Federal Way, WA 98003
(206)661-4000 �� 1 ®'995
APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL WAY
BUILDING DEPT.
a
PARCEL &* Single Family. Multi -Family 0 Commercial O
SITE LOCATION:
Tenant/Owner:
Phone:
Address/City/State/Zip: t v '� `� �`' �� - \_A2tw,�-�
Nature of work: ' \ "- "= - a - Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: �� Fax: 3 2 t ""� X_
MECHANICAL CONTRACTOR:
Company Name: 1l %__J
Address/City/St/Zip:
Contact Person:
Phone: �`= Fax:
State L & I Contractor Registration #: �' '' 2 �'� `'� `� �' 3 Y-- L Exp. Date:�_„�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gaslother) LS
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > me 10,000cfm
Above Ground
Furn <I OOK BTU's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAW ER: 1 certify under penalty of perjury the irdormsti furnished by me is true end correct to best of my knowledge avid further that 1 rut authorized by the owner of the above
premises to perform the work for which permit cation Is mod I fu thter agree to move harmless the C.
of Federal
.Way as to any claim Oncludin a costs, expenses and, attorneys' fees
incurred in investigation and defense of such d I' which may meds by any person, udi and red, and tiled against the City of Fedxay Way but only where such claim wises
out of the reliance of the City, including Its offs and employ , upon the ecwracy o tte W ation ied to the City as • part of this application.
Owner/Agent: Date: —