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99-103418"(:ITY OF FEDERAL WAY PERMIT NU. ML( -9V --U'A;19U 33530 Firsi; Way South N C 4C t I IeW, I C 04 L PCIC* T ISSULT): 09/02/99 Federal Way, WA 98003 Plechanical. tnspe--Lion Reqiiests 253-6-61-41.40 BY: KLC 253-661-4000 EXPIRES: 02/28/00 ADI *LSS:32004 41ST AVE 'SW NO.7 873190--2720 PPO.TECT T)ESCRIP*r'[0N,.HVAC - REPIACING ELECT WATER HEATER OWNER �Z.m. PAT MALONI 32004 41ST AVE SW FEDERAL WAY WA 98023 PROJECT VALUATION FUEL fYPLS. ALE GAS PIPING.: 0 FORN<100t..: 0 GAS NWT....: I CONY BURNER: 0 DR.— .. —.: 0 GAS DRYER..: 0 RANGE....... 0 GAS LOGS...: 0 CONTRACTOR ----.......=— ACTION WATER HEATERS ONLY INC 111704 HE 12419 ST, SUITE 43 KIRKLAND WA 98034 4256' . -^0-9948 LENDER -- TAX RATE - 8.25 M EE 1 27.00 $ 27.00 — .... =—..— ....... ........ va....=... A-.1 ..... 1-.111 ...... ... .... »= ............. m--1A-=U--.- ........... ... Zz.... Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes' then water expansion tank, is required on Not Water lank) Inspection Record: Mechanical Rough -in Date Gas Piping Date MECHANICAL 1`111AL � Date 77� 019 PERMITS EXPIRE 180 DAYS AFTER ISSUANQ If NO W. RK IS STARTED. I CERTIFY Iff INFORMATION FMOISHIP BY hL IS (KUL W CORRECT 10 181" Kl Of MY KNIWLEDG[ AND INE A"LICW1 CITY Of FEDERAL MAY RE4011MITS MILL IF NET. OWNER OR AtImf DATE FIELD COPY itx (OrtiRACIMS, PI-LA"'I Wit 1.0011,0A COIX 1142, WU UY0.1t[IN SALES TAX 1*0ft PROJECTS VIININ IK CITY Of FEDERAL MAY. .................... 0 FEES: [L[ FANS... WMRSP!f,Pussf Ras PIK, w-- A A ag ft HOOD'. 100 ..... N" &P 4, U WOOD SIOVES"... b, t; A) 1 (W, � "0 -50 TON. 0 NIS(........... 50i 101...... AIR HANRIN6 Umflf> R!LL TAMS I I —10,000 CICS: 0 ABOV( GROUND: 0 10,000 (Fm: UNDE06POUND. : 0 TOTAL RIS TAX RATE - 8.25 M EE 1 27.00 $ 27.00 — .... =—..— ....... ........ va....=... A-.1 ..... 1-.111 ...... ... .... »= ............. m--1A-=U--.- ........... ... Zz.... Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes' then water expansion tank, is required on Not Water lank) Inspection Record: Mechanical Rough -in Date Gas Piping Date MECHANICAL 1`111AL � Date 77� 019 PERMITS EXPIRE 180 DAYS AFTER ISSUANQ If NO W. RK IS STARTED. I CERTIFY Iff INFORMATION FMOISHIP BY hL IS (KUL W CORRECT 10 181" Kl Of MY KNIWLEDG[ AND INE A"LICW1 CITY Of FEDERAL MAY RE4011MITS MILL IF NET. OWNER OR AtImf DATE FIELD COPY CITY OF FEDERAL_ WRY 03530 First Way South Federal Way, WP 98003 253-661--4000 ADDRESS:32004 41ST AVE NO.: 0'73190-..2720 PROJECT DESCRIPT.T.ON:HVAC PERMIT NO: MEC99-0290 I' �";: R,;::. �...•1K!P,N.!.'Cel, M..0 M,14F"*�':':�M....,y" ISSUED: 09/02/99 Mecha..nical Inspection Requests 252-661-4140 BY: KLC EXPIRES: 02/23/00 SW - REPLACING ELECT WATER HEATER LENDER PAT MALONE ACTION WATER HEATERS ONLY INC 32004 41ST AVE SW ° 12704 NE 124TH ST, SUITE 43 FEDERAL WAY WA 98023 KIRKLAND WA 98034 3 425-820-8848 ACTIOWN055DP *** CONTRACTORS,PLEASE USE LOCATION CODE 1732 WREN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY . TAX RATE : 8.25 *** PROJECT VALUATION 0 FEES: FUEL TYPES.:ELE ELE FANS........... 0 30ILER3/COMPRESSORS „w> ;,,, ;v �: �� f �k4II,FEE $ GAS PIPING.: 0 ft HOOD ...... 0 3-3 TON..,..: 3 BBQ......... I FURN<100K..: 0 DUCT `WORK ... ..: 0 3 . TCN....: 3 GAS HWT ' OCD "rGV�S° � O. 5 27.00 $ 27.00 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 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 HILL BE MET. p p .p q OWNER OR AGENT _ ... /----. __... - --1-'------------------------------------------- DATE R�Z-�_1_1------- -_ FILE COPY CONV BURNER: 0 FURN>100K.....; 0 30-50 TON...: 0 BBQ......... 0 MIS,............ 0 50+ TON...... 0 GAS DRYER-: 0 AIR HANDLING UNIIS FUEL TANKS --------- RANGE ...... ; 0 <:10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES 27.00 $ 27.00 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 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 HILL BE MET. p p .p q OWNER OR AGENT _ ... /----. __... - --1-'------------------------------------------- DATE R�Z-�_1_1------- -_ FILE COPY afffyor xv, Buz 33530: Federal V Fax APPLICATION FOR BUILDING PERMIT 4 ISEPWNT APPLICATION # 'M CqC1 - C, 1161W&iiii�A dress Wklk� d -C: Ll q 4v c. Tenant Of known) Lot #Assessor's Tax Building Owner's Name Address -3 10 CIL/ city T�,V-C— I r, state I ti's. ZiD L?Xoa Phone r-) 9 ?R'-/)(, Address 1,2-20 q City el'r k In n J Contact Ppreon LI . I *14-c- -r ',7217 Day Phpne Other Phone Cornpany Nacre J_ 7 T Address City Y, k State tj e-, Zip Contact PersonPhonFax c ff e, o -ggqg, _ V,? Contractor's # (card must b7re ted) Expiration Date Verified Yes Cl No 0 Gjk.P- SSQ -0 (e --0 0 LEGAL DESCRIPTION <>:::;:>:>:.::::,.,..,..., .; .,..:s :::::::.:::::::::.:::::.:::.::::::::.:•. Existing Use 15-30 Tons Pro osed Use P Ran a Permit includes: 30-50 Tons ❑ Building ❑ Plumbing O Mechanical ❑ Other Type of Work•. ❑ Residential ❑ New [3Remodel ❑ Number of Units _ ❑ Deck Boilers ❑ Commercial ❑ Addition ❑ Garage O Shed ❑ Other Enter lot Floor sq ft 2nd Floor sq ft 3rd Floor eq ft Existing Floor Area eq ft Area Basement sq ft Decks sq ft Garage sq ft I Proposed Total Area sq ft Water Availability ❑ Sewer Availabili ❑ On -Site Septic System Availability ❑ Project Valuation $ Zoning Lot Size Existing Bldg Valuation I $ Name Address Contractor Name Address City State Zi Contact Phone Fex License # Ex iration Date Verified ❑ Yes ❑ No ?_XContractorddress r1 q Al • c 1 p r IZ. i, A Zia 6 i Contact Cl .. . re -0- 1 et Sinks Dish Washers Phone ax 6 , pG �' Fc�/v2S dI o - Q / nar.. 2 -L, -CZ' Verified Ia'Yes O No Urinals Drinkinc Fou wn S Showers 1 Electric Water Heater LaVdLOfreS Washing Machine Drains I Total Fixture'Coun1 MCMA(1lICAfw:N�T.C4�.11117.... MECHANICAL EVALUATION ONLY S Fuel Type (electric/other) Gas DrVer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Ran a Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >I 00 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round BBQ'- Wood Stuves 3-15 Tons Total Unit Count DISCLAIMER: I certify under penalty of perjury that the information famished by me is We and correct to the best of my knowledge, and further, that I am authorized by dw owon the above premises to perforin the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, experacs. and auomeys' fees incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed Against 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 pari of this application. r R Dater Owner/Agent: h_a .AM ..*W2"7 W2"7