99-102638CITY OF FLDERAL WAY
33530 First Way SotitVi
Federal Way, WA 9B003
'153--661
ADDRESS:1302 SW '.1281'H
W.: 926494-0600
'P,ROJE(.'T DESCRIPTION:HV
V
PFRMIT NO: MEC99-.0239
Mr-CliONNI CAL PEJAH IT ISSULD: 07/08/99
Mechanical Inspection ReqUCASts 253-661.--4140 1 BY. r N
EXPIRES: 01/03/00
(."T
- G11G HNT
OWNER ................=- X- CONTRA((OR
BETTY BAKER ACTION WATER HEATERS ONLY
130" SW 328 C1 12704 HE 124TH ST, SUITE
4
f EDIRAt WAY #A 98023 KIRRAND Wk 98034
87x; -b391 425-8208�8
A014005509
PROJECT VALUATION
FUEL TYP[S.:GAS
GAS PIPING.: 0
FUFW1OOK_: 0
GAS UHT....: I
(ORV BURNER: 0
PBQ ........ : 0
6W: DRYER..: 0
RANEE..... , 0
GAS LOGS—:— 0
LENDER
INC
43
PiPvI 4"A 10(00* (t& 1132 00 RI TING SALES TAX FOR PAWECTS VIININ IK CITY of fEKKAL VAY. TAX RATE :: 1.25 M
1200 FEES:
GAS FANS........ 0 !'oftfj -11Q MICH PERMIT FEE 44.85
ft HOOD.. 0C.
DUCT #04 ..... 0
WOOD slofts.. 5
HIS(... .. . . it 50 TON...... 11
AIR HANDLIPG UNIT' ffft TANt.)
19
"000 cfr3 RBOVI (JR000. 0
10,000 Cf": 0 UNDERGROUND.: 0 TOTAL FEES 44.85
Does the water supply system contain a Pressure Reduction Device or (heck valve? ( ) Yes ( ) No (If 'Yes' then water expansion tank is required on Not Hater lank)
Inspection Record: Mechanical Rough -in Date us Piping Date
MECHANICAL FINAL Date
-)4"ITS after wo, DAYS AFTER ISSUANCE it No W1 Ii STARTED.
J CERTIFY ttu INF(ANAIJON FURITS"fo By HE is TRILL AND CW[CT 10 TOE 8 S Of NY tWW1[DG[ AND THE APPLICAULt CITY Of fIDENAL DAY PtOUIRLOINIS MILL III MET.
OWNER OR AGENT Mfl
FIELD COPY
CITY OF FEDERAL WAYPERMIT NO: MEC99-0239
23530 First Way South ii'""�i 1".. N�„" 4:;;�,,: M;;..: 9"~'1P... ";:.: .'" n �,:..�... ISSUED: 07/03/99
Federal Way, WA 99003 Mechanical Inspection Requests 253-661-4140 BY: TN
253-661.--4000 EXPIRES: 01/03/00
ADDRESS:1302 SW 329Thf CT
NO.: 926494-0600
PROJECT DESCRIPTION: HVAC - G/G WHT
F= OWNER
BETTY BAKER
1302 SW 328 CT
FEDERAL WAY WA 98023
3
CONTRACTOR____________________________________________4= LENDER
ACTION WATER HEATERS ONLY INC
12704 NE 124TH ST, SUITE 43
KIRKLAND WA 98034
874-6391 425-820-8848
? ! ACTIOWHG55DP
i
*t= CONTRACTORS. PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS—: 0
TAX RATE : 8.25 Us
1200 FEES:
GAS FANS..........: 0 30iLERS/COMPRESSORS MECH PERMIT FEE $ 44.85
ft HOOD.........., u O-3 TUN...... 0
DUCT WORK.....: 0 3-15 TON....: 0
WOOD STOVES...: 0 15-30 TON...: 0
9
FURN>100K.....: O 30-50 TON...: 0
MISC........... 0 50+ TON...... 0 g
AIR HANDLING UNITS FUEL TANKS ---------
<:10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES
$ 44.85
Does the ;rater 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 WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE
C" of iiiIE-0• VV
PARCEL #
BUIIDING DrvisroN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Single Family trl Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner� i'� Phone
Address/City/State/Zip O Z
k% z"gc-A �`,� 5 �cJ.9 /�' �Ef�T�G� Project Valuation -p$ 2 ®
Nature of Work 1
APPLICANT
Name �G�/�/✓ (� A T�'�Gc.A �✓� S C� otl G y
Address/City/St/Zip
t.ontact Person A <9
t1;1ECHANICAL CONTRACTOR
Company Name �� .7 % Ltf � � h`i % 2/ /S OA14, Z /JYG
Address/City/SUZip p
Contact Person / M �l'��✓ Phon#2�) F� — eG Y'Za
State L & I Contractor Registration # �/�O �-� O . Exp. Date 0
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handlin <= 10 000cfm
Forel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cftn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
13110's
A/C TONS
DI SCLAI M ER 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 premises to perform the work
for which permit application is made. I further agree to save hamdess the City of Federal Way as to any claim (including costs, expenses, and attorneys' 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 Federay Way but only where such claire arises out of the reliance of the city, including its officers and employees, upon the accuracy oCthe
information supplied to the city as a part of this application.
Owner/Agent
Mecm.Are
Rrwsrn 8/26/97
Date - -