99-101135I - , . ' I
CITY OF FEDERAL WAY
iR3530 Vii-st Way 15,r,%1jthMECHAN11COL PERMIT'
Feder -.al Way, WA 98003 Nechanil-'al. fns�)ck_ti.(,)n IR cv.q ties ails. 253-6 -'.1-4+140
253-661-4000
4
APDRESS>:3834 SW 313141 "T
NO.: 8731.98-1210
P"OJECT DESC,'RIPTION: replace gas witter beater
KAREN SILVER
3834 SW 31318 ST
FEDERAL WAY WA 98023
Sn
CONTRACTOR LENDER
ACTION WATER }!EATERS ONLY -IN(
12704 K 124TH ST, SUITE 43
flfft,40 WA 98034
425-820-8848
KTIOW110551)p
SALES TAX FOR MJECTS VIT111 TK CITY
otq - I oj 13-5
PERMIT NO: MEC99-0088
ISSIJLD. 03/22/99
HY -. H T'S
EXPIRES: 09/17/99
RAL 11AY. TAX RATE :: 8.25 sts
PROJECT VALUATION 1800 z"imo"
FUEL TYPES.:GAS FARS ......... _&=_KRMIT FEE 63,15
4.85
01.4, fi. 141- PA M-10
GAS PIPIK., 0 ft HOOD ..... — — .: , -t
fop, A
rupw<100C.: 0 DUCT NOPC
GAS HT....
COOV BURNER. 0 f IIPR.'. I 11IJ
880........: 0 mls(.fj ii OR,
GAS DRYER—: 0 AIR IIIANKIRr, UPIM Ili 140f,
RANGE... 0 '10,009 :1
GAS LOGS...: 0 *000 ut, 0 UNDERGROUND.: 0 TOTAL FEES 68.00
.......... == ...... .........
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (if 'Yes' than cater expansion tank is required on Not Water Tank)
Inspection Record: mechanical Rough-inDate Gas Piping Date
h(CHANK'AL
nk"Its EXPIRE 180 DAYSS-AFTL9 ISSUW If 00 WKK IS SIAMD.
V-CER(Ify INI, INFORMATION 1URNISW1 IN "I is IRUI W CORRECT 10 Iff NEST OT" NY KNVLEIGE AD THE AWICAItE CITY Of FE9041L WAY 111WIRMNIS PILL 01 NET,
DATE
fibu). OR AGENT
FIELD COPY
Page No. 1 FEES FOR CASE NO.: MEC99-0088 x
KAREN SILVER
3834 SW 313TH ST
(This is NOT a receipt)
03/22/99
Case Fee Fee Account Fee Amount Receipt Check Date Rcd
# Description Type Number Amount Paid # # Paid By
---------- -------------------- ---- -------------------------- ----------------- -------------- ---
MEC99-0088 MECH PERMIT FEE 8004 001-0000-0000-032 63.15 63.15 02-37863 4444 03/22/99 NTS
2-0010-0001
MEC99-0088 MECH PERMIT FEE 8004 001-0000-0000-032 4.85 4.85 02-37863 4444 03/22/99 HTS
2-0010-0001 \
Total fees: ......... $ 68.00
Payments: ......... $ 68.00 6 `�A&,,,i
fn
Balance due:........$ 0.00 11 (
,lk4^ jj
1 zoo �l W
�z��2o-88�18
0
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33530 1 st Way South
VENDOR: 700318 Federal Way, WA 98003
ACTION WATER HEATERS ONLY INC
12704 NE 124TH STREET #43
KIRKLAND, WA 98034
FOB Point:
Terms: N e t 30
Req. Del. Date:
Special Inst:
r. rintinn
PAGE 1
Date FO3
O )Number
03/25/99 501
SHIP TO:
FEDERAL WAY CITY HALL
CD/PW FIRST FLOOR
33530 1ST WAY SOUTH
FEDERAL WAY, WA 98003
Req. No.: 002728
Dept.: CDS-Bui 1 dl ng
contact: LYLE, SANDY
Confirming? N
BILLTO:CITY OF FEDERAL WAY
ATTN: ACCOUNTS PAYABLE
33530 IST WAY SOUTH
FEDERAL WAY, WA 98003
..................................................... ...
........................................................
SUBTOTAL 4.8�
TAX .0(
FREIGHT .0(
Account Number Amount Account Number Amount
001-0000-000-322-10-001 4.85
Authorized Signature
VENDOR COPY
Authorized Signature (over $1,000)
TOTAL
4.8�
Account Number Amount Account Number Amount
001-0000-000-322-10-001 4.85
Authorized Signature
VENDOR COPY
Authorized Signature (over $1,000)
PAY
r■ ■rJ %4"L- VOID 6 MONTHS
AFTER CHECK DATE
KEY BANK
32400 PACIFIC HWY S.
EDERALWAY, WA 96003
19-57
1250
TO THE
ACTIO( WATER HEATERS ONLY INC
ORDER 12704. NE 124TH STREET #43
OF KIRKLAND,WA 98,034
L46023ii' 1:42S0`00574is
CITY OF FEDERAL WRY�,, !E;;�. � p
A
33530 F i rs t Way SU u t h I.„
� �I! !1;.;;;, �..�, il,,,,, i�,'li li '`li .,,�,,. �..,,. ��” i ' il,., k ii"''��, ��r� .,..
Federal Way, WA 98003 Mechanical Ir)spection Requests 25:3-661-4140
253-661-4000
ADDRESS:3834 SW 313TH ST
NO.: 873198..-1210
PROJECT DESCRIPTION: replace gas water heater
OWNER LENDER
KAREN SILVER ACTION WATER HEATERS ONLY INC
PERMIT NO: MEC99-0088
ISSUED: 03/2/99
BY: FITS
EXPIRES: 09/17/99
3834 SW 313TH ST 12704 NE 124TH ST, SUITE 43
FEDERAL WAY WA 98023 KIRKLAND 'WA 98034
253/838-4031
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<i00K..: 0
GAS NWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
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 ISSUANCL 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 _
Mast __ .------------------ _--.---------------------------
FILE COPY
425-820-8848
ACTIOWH055DP
##= CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING
SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE =
8.25 US
1800
FEES:
? FANS..........: 0
SOIL€RS/COMPRES50RS
MECH PERMIT FEE
$ 63.15 z.
ft HOOD..........: 0
0-3 TON.....: 0
MECH PERMIT FEE
$ '.85
DUCT WORK....,: 0
3-15 TON_.: 0
r
WOOD STOVES...: "
15-30 TON...: 0
FURN>100K _ _ : 0
30-50 TON...: 0
MISC........... 0
50+ TON...... 0
AIR HANDLING UNITS
FUEL TANKS ---------
a
<:10,000 CFM: 0
ABOVE GROUND: 0
E
I
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$ 68.00
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 ISSUANCL 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 _
Mast __ .------------------ _--.---------------------------
FILE COPY
Corr
&ED
uv AY
PARCEL #
APPLICATION FOR
RECE! ED
MECHANICAL
GI►Y Ut- P au=:ir,L VVHY
BUILDING DEPT.
Buujw+a Div==
33530 Fust Way SWA
Foderd Way. WA 96003
053)661-40M
Fax (253) 661.4129 -
PERMIT
MEC SII - 0088
Single Family Multi -Family 0 C
SITE LOCATION /
Teuant/Owner -�'� /`l k)tFd J� I L Phone
AMress/City/Statc0P
11%. 9T]��' %G� Z� projwtvalua+bowS-
Nature of Work
APPLICANT
Name
Address/City/St/Zip 7`
wo
Contact Person �- X/", r /,Y?
MECHANICAL CONTRACTOR
Phone > 00)z��:S- Fax
Company Name L
lAk-
,=, 70y N� /aye St )f"113 f(i,PkcAN�
Address/City/St/Zip r
Contact Person
a°F7T i4ND Phone 9,V 9941 Fax a _7 g
State L & I Contractor Registration # '4C _r/ 0 - — Exp. Date
(f wd mad bo paoaeotO)
MFCHANICAL UNIT COUNT ,4:2� /�,,
DISCLAIidflht: I certify, 'oder pertaltY of Paju<Y. that the ij&n anon fiunisW by me is heat nd ported to the best of my krowledge and b9dw flat 1 am UdWama UY the own" or ma .w.. Po•�" �..— _—
fox wtuch pamit application is made. I fiutha agree to save hamJns the City of Federal Way u b any daim (i`W1udm6'oats, expawa, and &Uoffw t• fees ulctcrcd in invesogatiat and deface
made by any parsoq including the undaaWvA and filed apuut dw City of Federay Way but ody wdtaa such claim arias out of the mhum of de atY. imWdntg its Offmn and amployaak upper"aoa nay clew
wkma iotr auppkod to Wa cty u a part of W* epplicaaoa
Date � '
Owner/Agent
MAMA"