99-100958c11-100q
CITY OF FEDERAL WAY � �,,. k'I If PERMIT NO: MEC99-0072
33530 F i rs t Way S o u t ri � „";i li;:„,. ��,„„ I,„ „I �, . ;� li,--1 .,�,.. �,,,,, . �',,,,;� 1I...,. il, ,.,N !I;;;.;,. 11'q�i. I � I .,din. ,,,i.,, ISSUED: 033/08/99
Federal Way, Wil 980033 Mectialnlical Inspection RE#quests 25:3-661-4140 BY: HTS
253--661--4000 EXPIRES: 09/03/99
ADDRESS.27919 21ST OV S
NO.: 757.562--0550
PROJECT DESCRIPTION REPLACE GAS HOT WATER HEATER (GAS TO GAS)
OWNER=_______=_:_____;_________________________.____=====8= CONTRACTOR =__-_________________=_________________=____ = LENDER============================
CHRIS SHELMIDINE ACTION WATER HEATERS ONLY INC
27919 21ST AVE S 12704 NE 124TH ST, SUITE 43
FEDERAL WAY WA 98003 KIRKLAND WA 98034
a �
839-3405 425-820-8848
ACTIOWHO55DP
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
FILE COPY
DATE —5/49/1 1
5 /49/1.q __.
;_; CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY
OF FEDERAL MAY. TAX RATE : 8.25 ##
PROJECT VALUATION
1300
FEES:
FUEL TYPES.:GAS
? FANS..........: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 58.00
GAS PIPING.: 0
ft HOOD..........; 0
0-3 TON.....:
0
FURN<100K..: 0
DUCT WORK.....: 0
3-15 TON....:
0
GAS HWT.,..: 1
WOOD STOVES...: 0
15-30 TON...:
0
CONV BURNER: 0
FURN>100K..... : 0
30-50 TON...:
O
BBQ........: 0
MISC....... _.: 0
50+ TON.....;
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND:
0
s
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.:
0
}
TOTAL FEES $ 58.00
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 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
FILE COPY
DATE —5/49/1 1
5 /49/1.q __.
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RECEIVED
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BUILD{Nu DEPT,
APPLICATION FOR MECHANICAL PERMIT
PARCEL # Single Family
SuaimmDrMON
33530 Fiat Way 8=*
Fadacd Way, WA 98=1
CB3) 661.40W
Fax 953) 661-4W
MEC I DI - D D lZ►
Multi -Family O Cammac+ W G
SITE LOCATION/
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�N � �o �.✓� Phone
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Address/city/state/Zip
/(;' F /`�/ Projoct Valuation: S /
Natured Work
6-r79 5
APPLICANT
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Name
Address/City/St/ZiP / �2 /=
Contact Person /�r�T7 12�2 j` /0ZzZWO
MECHANICAL CONTRACTOR
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Phone � � Fax
Company Name 1 L
Address/city/St/Zip 1a -10 y A45- %a Zi '-
Rn �7T
Contact Person M�bL�4ND Phone �'� Fax a
State L & I Contractor Registration # Ae tl 0W //O � S �� - Exp. Date }
(Card must be wumtcO
MECHANICAL UNIT COUNT
DISCLAIMER 1 calif). ttttda PaW ry o(f Jury. flat the
information (un IW by me u hue attd correct b the bat of my lmowW&C and fitrUha Utal 1 am vAwdzed by the owner Of ew wove pt ttaow o p•w �• �•••
t u nude. l fitttha agta b uvc hutnkss the Gry of Federal Way u to any claim (mclu&4 costa. aPatse+. and ano°teys* feu utaared in investiPum and defiaue o(wch dthittt), chid z;b
fix which pami applhattorh and filed athumamiat Uo City City
of F d Way but ody where each claim arwa out o(dw tdia t of the city. ituMdini its o�caa ttnd tttnployesa, upas tM aeetaaoy O(*A
made by any posot4 vwjudiryl the atdem4p d.
infoaouiott aWPLod to the city r a pat o(this apph"UML
Date
Owner/Agent
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PAVUM V2"7
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CITY OF FEDERAL. WAY�,, "�,�A�N��.,,�� PERMIT
PERMIT NG: MkC,99-aC172
33530 First. Way South ISSUED: D: 09/08/99
Federal Way, 14A 9800-1 Mechanical Inspection RequeStS '153--661-4140 BY: HTS
i�S::T 661. 400) _EXPIRES: 09/O3/99
t4O 757'162-0550
PRO-JFC.TW t.)!~S(.',R1P`TI0f4:REPtACE GAS NOT WATER 14LATER (GAS TO GAS)
ONNER:4RiYx:W;JAJ«SW": Gtim CONTRACTOR"� ��•dSSC�.�R.oK:Jr.,.^.Atitl1'Yi trk::1P9G:::GY4.TiK.[i4xY3Lw Ci: Jl'ZAViCiSS�AC �ti LENDER .:3 Aa Rfx L'A$SxcvR:a.'CS1#n:CCtF3C.G4."RRi:xCBAIAtSCOS=FYS: q+i:."13:.'. B:: +F. R:eY i.=.•� ��
CHRIS SHELMIDINE ACTION WATEA HEATERS ONLY INC
27919 21ST AVE S 12704 HE 124TH ST, SUITC 43
FEDERAL. WAY NA '18003 KIRKLAND NA 98034
899 3405 425-820-8848
ACTIOWN055DP
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a+; CONTRACIORS, P11K USE LRCATION CUit 1132 410 4001IN SALES TAX FOR PROJECTS NITRIN TNF CITY of FEDERAL MY. TAX RALE = 8.25 ttr
�YWra;,x�;i;Sit•Fd1::maaF¢xS:T4:�D; x45tx x'2:—_A :': G.A��#miG '�ATiY(�:511R�x�MA �:h/"�fi e,_w r..„_ "' xFSA'�:mC...'tALY.C#A'1::21G�'3T-..d.l.lmlx];w'C w':g1pt J'AIYoM.:C.._:FLY.:• �:.STiiJSr'.3'SFC.A:itlCC,.S.:It'.YmY:=:-�1:]�.aS3C,R.bGS.Y:4C1S36A:ii=:Sl'.lD:R3tKr:Cl4S:.'Y SxY'R'^:a4iT
PROJECT VALUATION 1300 FEES:
FUEL. TYPES. -GAS ? FANS.. 0 801 RS C1 a` MICH PERMIT FEE # 58.00
GAS PIPING.: 0 ft
FURWIOOK... 0 DUCT WORK....' . 34,j TO1f....: 0
GAS HWT....: 1 HOODTavtit
COHV BURNER: D
BBQ......... 0 RISC........... 0 50! 114...
GAS DRYER..: 0 AIR 114NIN.IN6 "Hill FUEL TANK`:' -
RANCE......: 0 <:10,000 Cf": O AIY)VL r"'OUND:
GAS LOGS...: 0 3 10,000 CFM: i UNDERGROUND.: ;, TOTAL f 11 $ 58.00
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Does the nater supply system contain a Pressure Reduction Danica or Check Valva? (}Vas (} No (It 'Yes" then aster axpar. inn to+k i Y?ui�. nn�r rank)
Inspection Record: Mechanical Rough -in Date _.._.__ Gas Piping ._..�_ Date _.....___._.
MECHANICAL FINAL Date Aj, 02_ 41 el
_.__._......�_, L/J
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PERMITS EXPIRE 180 DAYS AFFF.k ISSUANCF TF NO NQRX I5 STARTED.
I CERTIIY TML INFORMATION FWNISIKD BY ME 1S 1RUE AND C0119kCT 10 THE MST of MY CNONI.tiDGE ANIS TMt APPLICAA.E CITY Of tEDL tlal_ HAY REQUIREMENTS WILL BL: At[.
OWNER OR AGENT __ .-..___-__..__ ......IAT[
�.,
FIELD COPY