99-103966HY OF'
FE:DE.RAL. WAY
,23530 First Way Soutl,
F eci ral Way, WA 98003 M c.tjz r�:i.cal 1 t)sp(yct ofi RegLlest�s 21n3-661-4140
X53-661 4UtJCl
ADI)RFSS : -t4754 36'1"H PL_ SW
NO.: 63851.5.-0090
F)ROJE (—T DF CREP`FIC, N,,aech - replacement of existing gas hot nater heater
OiiNER .rc .. m�rxz � :<� r _- WRIK CIOR ..... ......
PAUL GEIS[ ACTION HATER HEATERS ONLY INC
34254 36TH Pi. SW 12704 HE 124TH ST, °SUITE 43
FEDERAL WAY WA 98023 1 KIRKLAND WA 98034
253-838-4091
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURM<1OOK..: 0
GAS HWT.... : I
CONV BURNER: 0
BOO......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
PERMIT NO: MEC99--0349
ISSUED: 10/1.:3/99
BY: FI -F
EXPIRE : 04/09/00
425-820-8848
ACTIOWHO55DP
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=n
(ON INAC 1401S, 01% lits£ t+iNAT1i* CODE 1132 II TING SALES TAX FOR ?MIC1S MIIMIN TML CITY Of FE.DLRAL MAY. TAX RAIL : 8.25 m::
mama:rsw:e:cuz���mWas7l�+x�e4Aeuiks�carak. ...;aR�Rwa�asaxeeuaaaass:;twureuaa�sac+aossc:nar�awacamss�xamnmarvsassmavrumaaa�:enr;m:arrau::xazumvmass:e�::_ua!esG:zaa,
1.3{15 MR04M,��s,
? FAn........
ft. HOOD. ..,...•
�I(t "1.w. O. o45 R �3
WOOD';Y"ts.. 0 15 1 I,
n
MISS:........... 0 `0+ fol' ...... f
AIR HANDLING UNITS FUEL 1AS
(_10,000 CFM: C ABOVE GROUND: 0
10,000 CLh; 0 URI+ERGROUND.: 0
FEES:
MECH PERMIT FEE 44.85
PEW ,,,FEE 6.10
TOTAL FEES $ 50.95
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Does the water supply system contain a Pressure Reduction Device or Check valve? (; Yes N� (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piling ._ Date57
- t
MECHANICAL. FINAL w_ �Dat�;
L`•aaiasmm_Ia�CCsea:cla%mtaCo,,sxs;umrwcaorlmslsa9�li:sx'f:ecrm;c:xrs::i+C�rir::N�sw a:.:; :�taivrd�:a::mti.^. ona9anfmaa:9xtCmst�era:a+iwad:fat:ai!§tt:YfGs�acs+axzr�Jss'tGmiact`: �a,mL.aR:s:::rrr_'3•_'.'SLm..^.:z maanarsaa±m::ac�mC+st:C�mmraA:•:C ra-S a�r.�..cxavcxs ��sv:^. a:3:.: laxsa�4cnGaa
PERMITS LXPIRL 180 SAYS AFTER I5SXlAKI: Il 10 MORI! IS SIAR1LD.
I CERTIFY ILL LBFOW110N 1URNISNtd BY I0: IS TTWd AND CORRECT 10 lilt VST Of NY KNOWLEDGE AND TBt AePl1CAl/LE CITY ot notat. MAY RioulkIMLNIS WILL Bt 11FT.
04M0 OR AGENT � sem - _ ✓"�� M. ._ _ _ _ DA11
FIELD COPY
CITY OF FEDERAL WAY
:}! 33530 F i rs t Way South
Federal Way, WA 08003 "Iecnanical Inspection Requestc, 2153-661 -4140
253-661-4000
ADDRESS : 34254 36TH PL SW
NO-: 638515-0090
PROJECT DESCRIPTION:mech - replacement of existing gas hot water heater
OWNER=_: _____________________________________-_____=====7= CONTRACTOR =_____________=_-__________________________= LENDER =_
PAUL GEISE ACTION WATER HEATERS ONLY INC
34254 36TH PL SW 12104 NE 124TH ST, SUITE 43 r
FEDERAL WAY WA 98023 KIRKLAND WA 98034
i
253-838-4091 425-820-8848
ACTIOWH055DP
3
PERMIT NO: MEC99-0349
ISSUED: 10/13/99
BY: FLF
EXPIRES: 04/09/00
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 _------__- I
MECHANICAL FINAL Date 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUf AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABtF CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
:xx CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN
REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE
: 8.25
=::
PROJECT VALUATION
1305
t FEES:
FUEL TYPES.:GAS
? FANS........, 0
E34fRS%COf4PRESSORS
MECN PERMIT FEE
$
44.85
GAS PIPING.: 0
ft HOOD........... 0'
O.3 TON......
"�'
�! PE4',., FEE
$
6.10
FURN<100K... 0
DUCT WORK......
3-15 'TVN1..
GAS HWT.... : 1
WOOD
CONV BURNER: 0
FURN>1fMtt ...... D
30 �C '^'
C
' �u>>a
BBQ......... 0
MISE........... 0
50+ TON......
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND:
0
i
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.:
0
; TOTAL FEES
$
50.95
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 _------__- I
MECHANICAL FINAL Date 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUf AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABtF CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
fii
rmal�
F1F_0�1VCV
ocy 0 81999
CITYOFAY
iLDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
PARCEL # Y V �7 ` 100"o
SITE LOCATION
' I.
BUIIDING El m[oN
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax(253)661-4129
MEC I Q - 6 j'f q
Single Family Multi -Family ❑ Commercial O
�, , I V e 1t S e- Phone S 9- V e f
Tenant/Owner p
Address/City/State/Zip
Nature of Work
�� e it S t YS Project Valuation:y
'r
APPLICANT
Name f-f7T7C' h �� "� 1
Address/City/St/Zip
Contact Person 6 Ye
MECHANICAL CONTRACTOR
/
Company Name O h
I
qRN
Phone
�so_ Fax
6Lr%.j
•
Address/City/sdzip A / / /I./—`/- �%'�
��}/�Tl lI �c�lC� f�CY Phone C .ice �'�Vf
F7 9�
Contact Person ���
State L & I Contractor Registration # A1 7`7" D "' Lo Exp. Date yL—
(Card muet be presentcd)
MECHANICAL UNIT COUNT y 10-C -C q a S GLJel- 4
Fuel Type as/other
Gas D 'er
Air Handlin
<= 10 OOOcfrn
Fuel Tanks:
Range
Air Handlin
> = 10 OOOcftn
Above Ground
Length of gas piping
Furst <I OOK BTUs
Gas Log
Unit I leater
UnderiTound
Furn >I OOK BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Cony Burner
Duct Work
A/C
TONS
Other
()'
DISCLAIM ER I certify, under penalty of pajury, that the information fumishcd by me is true end conect to the beat of my knowledge and furtha that I am andtonzed by the owner of the above prenuses to perform the work
Cor which permit application is made. 1 firths agree to save harmless the City of Federal Way as to any claim (including costs, experuea, end attorneys' fees incurred in investigation mid defense of such claim), which may be
made by any Paton, including the undersigned, and filed against the City of Federay Way but only whae such chum 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.
L_ c?,
Owner/Agent ' 2 D��'��� '� ' Date J 0
MP.CHAPP
Rnurm 8n6/97
-i qq- gs