99-104530CITY OF F ET)ERAL WAY
33530 First Way �;outh
Federal Way, WA 98003
253-661-4000
MECHANICAL PERMIT
h' ec,havdk-,.saI Ifl�.;Pec.tiori Rc,*gtaest;s 253-661-4140
ADDRE5S:163 3 2`J45 `N c T
NO.: 541721 . 0080
PROJECT DE StRTPT ON:MEC - REPLACE ELI TO ELL NATER HEATER CHANGEOUf
FT- OWNER qpm .rs=-L =..... R CONTRACTOR LENDER
808 MCCAULEY ACTION NATEP. HEATIRS ONLY INC
143 S 295TH Sf 12704 HE 124TH ST, SUITE 43
FEDERAL NAY NA 98Ot13 KIRKLAND NA 98034
253/839-1083 625-820-8848
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CORIKKI(*k , Plial IAF. mAII(ou Co ,,,u MSN RIMIJOG SALES TAIL FOR PROTECTS NIfVIN TK CITY OF FEKW VAY.
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{ PROJECT VALUATION 0 `' �„ �° FIf5:
FUEL TYPES.:ELE ELI FANS. ! T;O t I ;li':'n,,RLSSOKS ; r P1CCH P13 n1 I TE
GAS PIPING.. 0 ft HOOD, 1 0 f 100 tt
FURH<IOOK..: 0 DUCT RORY. —.: 3
cfq -1 �y s3D
PERMIT NO: MEC` 9 0412
IS!�AJE::D: 11/29/99
BY: 'IN
EXPIRES: 05%25/00
TAX RATE = 8.25 M
GAS HWT....:
1
Nt*D STOICS...: u
1`x-30 T 11 .. Ct
(ONV BURNER:
0
RIP11400K....„ t)
30-50 1111...: 0
889.........
0
MIS(...........: 0
50f TO".. 1)
,
GAS DRYER..:
0
AIR HANDLIK UNITS
FULL TANIS-
RArNGE......:
0
<:10,000 Cf": 0
APPS GROUND: tl
GAS LOGS...:
0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
27.00
S 21.00
ut.:'RlG#LIDS i.F.:.:.::.fms:��`:YlaS:�.TItY.�:YAr:16:e:E^.,1'ZeGsiih..:.,S�Y'".5.':SC:&f: }G'-�:'"::CTI.Ci.T:Y.3iS3Si1:'Z:�R.^.9CY:.R."*.:..:�R.`..�:�1ClG�ftl::t[1YtS57.'.:u..IR61:xGLTiw.:^M'YiXIFIq%C2ZS:filYJSc.'4Ni«S:Iia«S.'^.A2:9:v�RCCi'l:iYC::+:a:E3gSRmI1L'Jp:A�f4YYn X':V:]4X.Rn.<:'.It'.iS6tl EFSi1Yi6R�IItgID:.i:O%:9^.,..
Does the eater supply system contain a Pressure Reduction Device or Check valve? () Yes Ho (if 'Yes" then eater expansion tank is required on Not Nater Tank)
Inspection Record: Mechanical Rough-inDate ..__. _ � s Piping _._._... _.........._.__._..._. Date
'_... Z� ,
MECHANICAL FINAL r_,.._,.._ Date
PEINTITS EXPIRE Igo DAYS AFILN ISSN(f tT NO WK IS STARTED.
I CERTIFY To[ INFORMATION ITiIINISNED RY MI I5 TRUE AND CURRECT TO TRE VEST OF NY I(VI <EKE AND TRE APPLICADLE CITY OF IDERAL NAY REQUIREMENTS HILL VE NET.
ONN0 OR AGENT ^ .1 � _: ` \ �' __.__..�.._r _ DOTEF1 yl
FIELD COPY
CITY OF FEDERAL WAY 'p .,,p., ,,, " PERMIT NO: MEC99-0412
Way PIE �,,. �,"".. I[I ii'' °.�� ii ' it .,II,,. �,,.,,. � „"li II �,,,, H �.. I„�, I{ will ,.IL II ISSUED: 11/29/99
33530 First Wa Sc>utf� i
Federal Way, WA 95003 Mechanical Ir)speactiori Requests 253--661-4140 BY: T -N
253-661-40001 EXPIRES: 05/26/00
ADDRESS:163 S 295Th ST
NO.: 543721-00£30
PROJECT DESCRIPTION:MEC - REPLACE ELE TO ELE WATER HEATER CHANGEOUT
p= OWNER CONTRACTOR _____________===_____= ff.=::__________________;= LENDER
BOB MCCAULEY ACTION WATER HEATERS ONLY INC
1 163 S 295TH ST 12704 NE 124TH ST, SUITE 43
FEDERAL WAY WA 98003 KIRKLAND WA 98034
a
253/839-1083 425-820-8848
wi
M CONTRACTORS, PLEASE USE tOCAT'ION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 M
PROJECT VALUATION 0 FEES
I FUEL TYPES.:ELE ELE FANS......... Tf 30ILERS/COMPRESSORS sMECt PERMIT FEE $ 27.00
GAS PIPING.: 0 ft HOOD----: 0 - 0-? TON.. — 2
FURN<100K..: 0 DUCT'NOff
n 3-'S T°. ....
f GAS HWT.... : 1 WOOD S%VES... : C 15-3 0 T”,
CONY BURNER: 0 FURN>.GOK.....: 0 22-5Q TC,N...:
BBQ........: 0 MISC..........: 0 50+ TON.....: 0
GAS DRYER-: 0 AIR HANDLING UNITS FUJEL TANKS ---------
RANGE ......
------ RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 27.00 i
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
4
i
MECHANICAL FINAL
Date
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
EDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -----__.---------
1
-----1�C_jQ -----_____
_ DATE
FILE COPY
arra G 31
��C7EJ'tAL Fed=
APPLICATION FOR BUILDING PERMIT
I
ISEPR/NT APPLICATION # / ..
:: •..:..: •.: ,;:<: Address & S ♦ 7
Tenant (if known) Lot #t Assesso 's Tax
i
Building Owner's Name AddresIA,s
Stats c, Zi G,0 Phone 3 93
Nature of Work
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Nsme IF.Y,L) /
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Address //11
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'r A v,
state % ;
zip Y X03
tCi
Contaot arson
e N
G��
Day hone
�.2i
-,?,2 0-
Other Phone
Fax 6'1,z 5)
Gonvany Name
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's #t (card must be presented)
Expiration Date
Verified ❑ Yes
❑ No
Name
Address
City State Zi
Contact Person Phone Fax
LEGAL DESCRIPTION t
Proposed Use
❑ Plumbing ❑ Mechanical ❑ Other
❑ Remodel ❑ Number of Units _ ❑ Deck
❑ Gara e ❑ Shed ❑ Other
sq ft 3rd Floor eq ft Existing Floor Area sq ft
sq ft Garage sq ft Proposed Total Area sq f1
tic System Availability ❑ Pro•ect Valuation 6
Existinc Bldu Valuation Is
Address
Contractor Name I Address
Contact
Phone +'�
License # Expiration Date Verified ❑ Yes ❑ No
Contractor Name Address f IL
:� �, /,1 t, V N /� J
City state L�JLh Zi �ee Lf
Contact Pjtone Fax (N 2 S
• e, . 1-jej tet,,, C11,25) l' ,;2 IQ - 2
A ..Lt _ -- n A F—iratinn Date'Z - d!) Verified WYes 0 No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories WashingMachina Drains v Total Fixture: Coun.:>:;#>:;:;•;:>;::•:<•:<',
• b'
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFh"
ttt�'QQ
Permit includes:
Existing Use
❑ Building
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
Enter lot Floor
Area Basement
sq ft
sq ft
2nd Floor _
Decks
Water Availabilitv ❑ Sewer Availability
❑ On-:
Proposed Use
❑ Plumbing ❑ Mechanical ❑ Other
❑ Remodel ❑ Number of Units _ ❑ Deck
❑ Gara e ❑ Shed ❑ Other
sq ft 3rd Floor eq ft Existing Floor Area sq ft
sq ft Garage sq ft Proposed Total Area sq f1
tic System Availability ❑ Pro•ect Valuation 6
Existinc Bldu Valuation Is
Address
Contractor Name I Address
Contact
Phone +'�
License # Expiration Date Verified ❑ Yes ❑ No
Contractor Name Address f IL
:� �, /,1 t, V N /� J
City state L�JLh Zi �ee Lf
Contact Pjtone Fax (N 2 S
• e, . 1-jej tet,,, C11,25) l' ,;2 IQ - 2
A ..Lt _ -- n A F—iratinn Date'Z - d!) Verified WYes 0 No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories WashingMachina Drains v Total Fixture: Coun.:>:;#>:;:;•;:>;::•:<•:<',
• b'
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFh"
15-30 Tons
Len th of Gas Piping
Range
Air Handlin > - 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 Stuvos
3-15 Tons
Total Unit Count -
DISCLAIMER: I certify under penalty of perjury that the information fumislted by me is true and correct to the best of my knowledge, and further, that I am author izod by the owns
ilu 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 oo" expatset, and
Auorneys' fires incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed agauut 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: U G''�� : �—�'1 Date:
bucu�. Am