99-101302-CITY Of FEDFRAL WAY PERMIT NO; MLLV'j--CJ1Ub
V 11-�-SLJED: 04/05/99
13530 Fir%t Way Sr)utft MEC[If NICAL PERMI,r
Federal Way, WA 98003 ML�,char).ical l'Ir-i,,-""t,)k�:�(.",-i(,-)n P'eqtje-sts 25',3 661-111-40 131': 11TI-`
253-66,1--4000 EXPIRES: 10/01/99
ADT)RESS: 2207 s 3owm !;-t,
NO.: 053700-0420
PROJECT DT SCRIPT10N*mecb - install one electric hot water heater
OWNER
ROBERT GOOMPT
2207 S 1.0910 ST
FEDERAL WAY RA 98003
941-0516
CONTRACTOR.... x.— .... =---
A(TIO# WATER HEATERS ONLY IN(
12704 RE 124TH ST, SUITE 43
WIRfLAND VA q8034
4945-81.0-8848
FUEL TANrS ---------
610VL GP""D: 0
UNDERGROUND.: 0
LENDER
SALES TAX FOR KOJECTS 011111 IK city of FEDERAL NAY. TAX RATE : 8.25 its
FEES:
TOTAL FEES
$ 27.00
$ 27.00
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: Mechanical Rough -in Date Gas Piping Date
KCHANKAL FINAL Date
. . .......... =.-.- ........
FLANITS 1XPIK1 130 DAYS Al'ttl ISSUANCE If NO 109 IS STARTED.
I CERTIFY TO[ I#FQMIION 1URNISK0 11V 0. IS IM. AND CORRECT TO INF KST Of Kv. INOW11KC R91 !* APPLICABLE CITY Of 11KRAL WAY 100191"tNIS NiLL OL KY.
OWER OR AGENT PAT[
FIELD COPY
US
C"TAKIOn,
PROJECT VALUATION
0
FUR TYPES.:[L[ ?
FANS..
GM PIPING.:
0 ft
..
HOOK."...
FURN<100K..:
1)
...
DucT
GAS Owl .....
I
—
WOOD St'VE,
Cokv BURNER:
0
FURP�100r.
880.........
0
MIS( .........>:
GAS MYER—:
0
AIR HANDLIK UNITS
RANGE.._...:
0
<-I0,0O1 rffl: 0
GAS LOGS ...
0
" 10,000 CFN: 0
CONTRACTOR.... x.— .... =---
A(TIO# WATER HEATERS ONLY IN(
12704 RE 124TH ST, SUITE 43
WIRfLAND VA q8034
4945-81.0-8848
FUEL TANrS ---------
610VL GP""D: 0
UNDERGROUND.: 0
LENDER
SALES TAX FOR KOJECTS 011111 IK city of FEDERAL NAY. TAX RATE : 8.25 its
FEES:
TOTAL FEES
$ 27.00
$ 27.00
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: Mechanical Rough -in Date Gas Piping Date
KCHANKAL FINAL Date
. . .......... =.-.- ........
FLANITS 1XPIK1 130 DAYS Al'ttl ISSUANCE If NO 109 IS STARTED.
I CERTIFY TO[ I#FQMIION 1URNISK0 11V 0. IS IM. AND CORRECT TO INF KST Of Kv. INOW11KC R91 !* APPLICABLE CITY Of 11KRAL WAY 100191"tNIS NiLL OL KY.
OWER OR AGENT PAT[
FIELD COPY
14
CITY OF FEDERAL WAY 4. y, *
33530 F= i rs t Way South N !I"w �,fl ,,,.� �!, �w' J."'. C I, .....
F=ederal Way, WA 98003 Mechanical Inspection Requests 253-661--4140
253-661-4000
ADDRESS:2207 S 308TFI ST
NO.: 053700-0420
PROJECT DESCRIPTION:mech - install orae electric hot water heater
OWNER
ROBERT GOODER:
2207 S 308TH ST
FEDERAL WAY WA 98003
941-0516
CONTRACTOR
ACTION WATER HEATERS ONLY INC
12704 NE 124TH ST, SUITE 43
KIRKLAND WA 98034
€ 425-820-8848
ACTIOWH055DP
9st CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
PERMIT NO: MEC99-0105
ISSUED: 04/05/99
BY: kITS
EXPIRES: 10/01/99
PROJECT VALUATION
FUEL TYPES.:ELE ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
0 s
FANS........... 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
FEES:
10:LERS/CCMPRESSORS
0-3 TON...... 0
3-15 TON....:
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TAX RATE : 8.25 Us
MECH PERMIT FEE $ 27.00
TOTAL FEES $ 27.00
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
aff OF G
RECEI EL;
APPLICATION FOROB ILDING PERMIT
PLEASE PRINT
1ul LLAOUNV "AYMMA
33530 First Way South
Faieral Way, WA 98003
(253) 661-4000
Fax (253) 661412$
C:t't Y NnAl tivrY
gWJILOIrZ FOT
OPPLICOTICIN # �
�Address
'k't:t�.t{•,'y''F3.:.:xv.t•.•:nw
•::qht..:
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state ,/
Tenant (if known)
Contact Person L p
Lot #
Other Phone
Assessor's Tax #
Building Owner's Name i�
/�j %3
�Do D �� �
Address
a ��-7 s � 3
Ci 40
state
Zi
U 0.3 Phone
Nature of Work e
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Name (F,M,U 7Ze S 7 /y�- %%✓�
Address
Cit //?K:
state ,/
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Contact Person L p
Day Phone \
Other Phone
Fax �;21�
J
Company Name
Address
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
LEGAL DESCRIPTION !
•
SSI
>>>>3< » <z>>
Existing Use
Contractor Name
o ed Use
Pro s
P
City
Ferrrr.t includes:
Zi
❑ Building
Plumbin
❑ Mechanical
❑ Other
Type of Work:
VR..idaintial
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Dock
❑ Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
❑ Sewer Availabili
❑ On -Site Septic System Availability ❑
Project Valuation
$
Zoning
Conv Burner
Lot Size
0-3 Tons
Exist in BldgValuation
$
Name
- — ,,q,. I,,–
Address
Stat
.BUILDINGDEPT ��'
�Li;�VI�EAtG �dN'�'RIQ►.
Contractor Name !� / `', /� Of�L �iyli
C1�
Address 17� %
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
�Li;�VI�EAtG �dN'�'RIQ►.
Contractor Name !� / `', /� Of�L �iyli
C1�
Address 17� %
City
state 111h1v
Zi fD "
Contact
'v /7-) 26✓ `J��LJ
Phrsone�
1 Electric Water Heaters
License # !'qc 770 7
Ex iration Date —6-6c'
Verified ❑ Yes ❑ No
rte
C or -
Water
Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinkin Fountains Other
Showers
1 Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total Fixture Count
1C,QL�NT.:
11ti. CHAIVIGAT:
MECHANICAL E`JALUATkM ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handlin < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
1 3-15 Tons
Total Unit Count
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 c
the above premises to perform the work for which permit application is made. I further agree to save harmless t}ne City of Federal Way as to any claim (including 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 Federal 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.
r
Owner/Agent: / Date _=
WARN AM
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