99-102007C-kq I z -,:;t-o 0
C11 -Y OF FEDERAL WAY PERM11 NO: MEC99-0190
..,#'3530 Fixst Way Sc)utti MCC t1f14 H 1CML- FAIC rk MI T lljSUED: 06/0i/99
Way. WA 198003 Mechatiical ft-i�-.pect-ion BY: KI -C"
S-53-661-4000 EXPIRES: 1.1/27/99
ADViESS: 419 S a29TH LN
NO.: 926871-0390
PROjEC T DESCR I VT ION:HVAC INSIALLING I GAS FIREPLACE, 1 HNT AND '.*AS PIPING. i QF, tv, pfl v c, q5 -
OWNER CONTRACTOR --- ...... LENDER
MARY DISHARE A14- SIM NORTHWEST NTR HTR IK/DAVIS NO
419 S 3?9TH LK 2800 THORND3F AVE W
FEDERAL WAY WA 98003 SEAR IE WA 9811i4
(253)984-6404 800-292-4328
:x# llTTIIRfiCT .Ptd Ust I�CAqoi,
SALES TAX FOR P"JECIS WITHIN THE (ITY Of FUM MAY. TAX RATE = 8.25 Vit
wr-
PROJECT VALUATION 0
FUEL TYPES.:GAS GAS FARS.— I SAN"i W
GAS PIPING.:. 70 ft HOOD..
04t
emu,,� -
FURN<100t,.: -0 DICT W -RK. w�w
GAS HWT.. WOOD S141", 4 1 11 T011 ...
CORV BORNER: 0 f URK loor ..... ,) 30-% UK. 0
BEQ ........ : 0 MISC .......... 0 504 0
GAS DRYER..: 0 AIR RANKING IJNIIS FUEL TANKS—
-
RANGE ...... 0 10,OQO crm: 0 AKK GROUND: 0
GAS LOGS...: I > 10,000 CFO: 0 0"PIRGROP"D.: 0 TOTAL FEES
............. ......... M.M .... M ... —=—a .... nuftv
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes* then water expansion taut is required an Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piping Date -.I--
MECHANICAL FINAL Date
PERMITS EXPIRE 1,0 DAYS AFTER ISSUANCE If 10 WORK IS STARTED.
I CPTIfY IHL INFORMATION funib"f-V is Im No (O"m To TNE REST of NY KNOWS. M An THE AMI(ABLE wy FESELK NAY RI'QUIRININTS NIL[ M MCI.
ON00 Of. Ads, DATE
FIELD COPY
CITY OF F'EDE:RFIL WAY PERMIT NO: MEC99-0190
33530 First Way South �' 1i :';. �,,' ,,,.I el P.:E., .et t"" (�;;, a �`w... �" q; P,I ,]..,T.. ISSUED: 06/01/99
Federal Way, WA 98003 Mechardcal lr)spection Requests 253-6,61-4140 BY: KLC
2.53-661.-4000 EXPIRES: 11/27/99
ADDRESS:419 S 329TI] LN
NO.: 926871-0390
PROJECT- DESCRIPTION: HVAC - INSTALLING 1 GAS FIREPLACE, 1 HWT AND GAS PIPING.
MARY DESHANE NORTHWEST WTR HTR INC/DAVIS WH
419 S 329TH LN r 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
1'253)984-6404 800-292-4328
NORTHWH103R2 I
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 9.25 Ut
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 70
FURN<100K..: 0
GAS NWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 1
0
GAS FANS..........: 0
ft HOOD..........: C
DUCT WORK...... 0
WOOD STOVES... 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
SEES:
BOILERS/CC"!?RESSORS
0-3
3-15 TOK..... 0
15 T': .... O
30-50 :TON...: 0
50+ TON...... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve?
Inspection Record
Mechanical Rough -in ---------------- Date
MECHANICAL FINAL
MECH PERMIT FEE $ 35.
(If "Yes" then water expansion tank is required on Hot Water Tank)
PERMITS EXPIRE ISO DAYS AFTER ISSUANCE IF NO WORK 1S STARTED.
I CERTIFY TURNIFURNt/tIS' BY E TRUE A CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY F FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AG-- _ _--------------------------- DATE
FILE COPY
cmr of 4—
R
RcFvifEU,
BUILDING DJYMON
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax (253) 6614129
JUN 011999 APPLICATION FOR MECHANICAL PERMi7
CITY
u,- �EuERAL WA
BUILDING DEPT. MEC
PARCEL # Single Family�4— Multi -Family ❑ f Co nm(erci`al ❑
SITE LOCATION
Tenant/Owner
Address/City/State/Zip - l lu I ',Lb�J I
Nature of Work
'(Y[Z7
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Phone,;) I
Project Valuation: $
Phone Fax
Address/City/St/Zi ��`� )U U'"JI IV r I V/(iL'1 J�—
_ a�%/ 2
Contact Perso �^ %� - Phone Fax
State L & I Contractor Registration # 4 '2 71S ! 4 L %S/3 -7--f �1
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel T e as/other
GasDryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Loa
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TONS
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 prnni to perforin the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any clean (including costs, expenses, and attorneys' fees named in investigation and defense of such claim), which may be
made by any person, including the undersigned, and tiled against the City of Federay 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 applicatio
Owner/Agent Date
Mecu.AFP
Re -8/26/97