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99-101415('IJY OF FEDERAL WAYPERMIT NO: ME(_99 -U12U 33540 First Way Soutt) MECHANICAL PEF'MIT ISSUED: 04/13/99 Fed6ral Way, WA 98003 Mectianicz-A.1. Inspection 253--661-414.) BY: KLC 25:3--661-4000 LXPIRES: 10/09/99 It: A ADDRESS:317'�-30 48'1' Ft LN 4>W On't t,10� I � 784300,-OX�;() PROJE('T I)FS(..RIP'TI4)N:HVAC - ELECTRIC TO ELECTRIC WATER HEATER RIPLACINtNt OWNER.—U.: .... M.4— JIM SIREHLOW 31730 481H I,H SN, to FEDERAL WAY 4A 98023 661.0098 CON(RA(TQR LENDER ACTION WATER HEATERS ONLY INC 12704 NE 124H SI, SUITE 43 KIRLAND WA 98034 1 425-820-8848 G SALES tax FOR PROJECTS 111111111 THE CITY Of FEDERAL MY. TAX RASE :: 8.25 "* FEES, POT �R M, 10,AAM" i Aw m"o, #Wj EE 27.00 z i 4 b lhsvwzw� 3+ 50t 0 Ftf';L IAKS --------- APOV[ GROUND: 0 UNDERGROUND.: 0 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 Not Water Tank) Inspection Record: Mechanical Rough -in Date tst Common, ptaq a to MECHANICAL 1, FINA! '_ 0 PROJECT VALUATION 0 FUEL TYPES.-.ILE ILE FANS.. -Ann, GAS PIPING: 0 ft "DOD M-1%tk- FUR0<100K..: 0 Duk I w�. GAS TINT — .: I WOOD sfdlk� ... o CORV BURNER: 0 FURN>100Y.... 0 BLS......... 0 MISC., ...... 0 GAS DRYER.,: 0 AIR HANDLINCOMIT') RANGE...,..: 0 <:10,000 CIM: 0 GAS LOGS...: 0 > 10,000 CIM: 0 CON(RA(TQR LENDER ACTION WATER HEATERS ONLY INC 12704 NE 124H SI, SUITE 43 KIRLAND WA 98034 1 425-820-8848 G SALES tax FOR PROJECTS 111111111 THE CITY Of FEDERAL MY. TAX RASE :: 8.25 "* FEES, POT �R M, 10,AAM" i Aw m"o, #Wj EE 27.00 z i 4 b lhsvwzw� 3+ 50t 0 Ftf';L IAKS --------- APOV[ GROUND: 0 UNDERGROUND.: 0 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 Not Water Tank) Inspection Record: Mechanical Rough -in Date Gas Piping Date MECHANICAL 1, FINA! '_ 0 "a t ' .. :...a ..... .:«.= ...... ... 0 ...... . .. PERMITS EXPIRL 180 DAYS KIER ISSUANCE If 00 WK IS STARTED. I CMIFY INt INFORNAII 'OLD NY III IS IRK AND CORRECT TO IK HEST Of NY XNOVLEDGt AND THE APKICA61.1 CITY OF FEDERAL NAY REQUIRIKENTS 111U. K Rl' DATE FIELD COPY CITY OF FEDERAL WAY 53530 First Way South Federal Way, WA 98003 253-661-4000 ADDRESS:31.730 481'H LN NO.: 784300-03:30 PROJECT DESCRIPTION -HVA( uu� p°�� y � p PERMIT NO: MEC99-0120 I'l 11. ;.. �4,.� ,.,,N �',; .r t,41 .1. �.,� : °r !i...., ;:";� 11:' ' F`" , �:,u,. ,.,�,.. ISSUED: 04/1.3/99 Mechanical Tr)spection Requests 253--661.--4.1.40 BY: KLC EXPIRES: 1.0/09/99 SW Unit: A - ELECTRIC TO ELECTRIC WATER HEATER REPLACEMENT OWNER=_________________________________________:_________- CONTRACTOR JIM STREHLOW ; ACTION WATER HEATERS ONLY INC 31730 48TH LN SW, #A i 12704 NE 124TH ST, SUITE 43 FEDERAL WAY WA 98023 KIRKLAND WA 98034 651.0098 425-820-8848 } ACTIOWH055DP ttt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECT VALUATION 0 FUEL TYPES.:ELE ELE FANS..........: 0 GAS PIPING.: 0 ft HOOD.......... 0 FURN<100K..: 0 DUCT WORK.....: 0 GAS HWT....: 1 WOOD STOVES...: 0 CONV BURNER: 0 FURN>100K.....: 0 BBQ......... 0 MISC........... 0 GAS DRYER..: 0 AIR HANDLING UNITS RANGE......: 0 <:10,000 CFM: 0 GAS LOGS...: 0 > 10,000 CFM: 0 LENDER PROJECTS WITHIN THE CITY Of FEDERAL NAY. TAX RATE : 8.25 ttt FEES: F BOILERS/COMPRESSORS MECH PERMIT FEE $ 27.O0 0-3 TON.....: D 3-15 TON....: 0 15-30 TON...: 0 30-50 TON...: 0 50+ TON.....: 0 , FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 ' TOTAL FEES $ 27.00 Does the water supply system contain a Pressure Reduction Inspection Record: Mechanical Rough -in MECHANICAL FINAL Device or Check valve? () Yes { } No (If "Yes" then water expansion tank is required on Hot Water Tank) Date ---------- Gas Piping ________________ Date Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. I CERTIFY THE INFORMATIO 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 _ .__.. _.._.C--ctTw-?-!��itL-r_-�__i___-----------.-_--- ------ DATE --V/j FILE COPY BUII.DING DIVISION omror "a 33530 First Way South E� Q Federal Way, WA 98003 VV Fjy ` (253) 661-4000 de� Fax (253) 6614129 NIL11999 �oFfeR PLICATION FOR BUILDING PERMIT PLEASE PR/NT �' Y ! t( K� l �� APPLICATION # Address 31 -73c> C> ? 4eVI 14!F, -S.140 -_ 161-1'17- ,09 Tenant (if known) Lot # Assess is Tax # / v Building Owner's Name Gt �M ST.RFf/L o , Address -31-73a, / SW City 'gn K-vM- State GJA Zia 9 �d �3 / Phone (P/ - 6-0 509__ (Nature of Work i� �GiYL :��RM7��1;��#:::�:i:iii::ii:. it i:;:;:.:.i;Yi it `:?::5::::�::::::.'•:i ,A Name(F,M,L) Address (�-6e' Ci - 4/g1v;C> State Zi Con ct Person R .✓o Day Phone Other Phone Fax - Fs 9 Company Name Address City State Zi Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No LEGAL DESCRIPTION 't Please Comvlete Reverse Side Contractor Name Contact 00 G.�k�'tX14,�:�'Q�............................ Address State Phone Exoiration Date Fax ❑ Yes ❑ Contractor Name # (- 77 y, 4ti / 3; � . , s �N`� J�� !T Address Cit ��-K[Ai✓'»-� State zip Contact/�'�; `��N� :.>>: Existing Use License # td)/ -I'D Proposed Use Verified ❑ Yes ❑ No. Permit includes: Washing Machine ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other MECHANICAL EVALUATION ONLY $ Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck Air Handling > = 10,000 CFM 30-50 Tons ❑ Commercial ❑ Addition ❑ Garage _ ❑ Shed ❑ Other Fans Enter 1 at Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Conv Burner Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Tota[:*0-h Ceunf. Water vailability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation $ Zoning Lot Size Existing Bld Valuation S Contractor Name Contact 00 G.�k�'tX14,�:�'Q�............................ Address State Phone Exoiration Date Fax ❑ Yes ❑ Contractor Name # (- 77 y, 4ti / 3; � . , s �N`� J�� !T Address Cit ��-K[Ai✓'»-� State zip Contact/�'�; `��N� Phpr�,e �� ( o7� ._ c�5�� Fa*, X 0 _ 7: S ,1,-, License # td)/ -I'D Expiration Date�J'%- Verified ❑ Yes ❑ No. Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains :Total Fixture Coin MECHANICAL EVALUATION ONLY $ Fuel Type (electric/other) Gas Dryer Air Handling < = 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 Under round BBQ's Wood Stoves 3-15 Tons Tota[:*0-h Ceunf. 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 (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: % c alK- A- Rumo 6/26J97