97-103905-JT�' Of FE.L)FF2Al- WAS
V-530 Way CE;0tit'l-I
1-6deir;il W, -Ay, WA 98,003-
-153-661 4000
i)DDf?,ESS:31.01.9 48TH OVE
NO.: 184080-0110
P110,JE(J DFS(,'RIP1 ION: HVAC
HEC. VJrqtq1C-rd1L PERMI T'
Inspect iori Reqtje,31-.s 253-661 1, 1,01
`1W
- OIL TO GAS FURNACE, HMT INSTALLATION & 90' GAS PIPE.
ey (INNER .......
MIKE ROBERTSON
31019 4810 AVE Sw
FEDERAL WAY WA 98023
253-839-5247
$1111 (ONTWORS, KIAU Us( 1,801180 COX I
PROJECT VALUATION 27"
C/1 7 1031105--
PFRM11 NO: MEC97-0309
?,ev,.%e A, 1-2 1 o 14 1 -9 �-
CORTRkCIOR LENDER ..
NORTHWEST WATER HEATER
2596 10410 ST CT S, SUITE A
TACOMA WA 98444
q84-6404
13" WHEN RLI .11W, SALES TAX FOR PR WIS VITNIN TV[ CITY Of FEDERAL NAY. 1AX WE = 8.25 gst
WE( TYPES.:GAS OIL
FANS ...... ..
RAILBS11COMPPbWS
GAS PIPING.: 10 ft
HOOD.....,....:
0-1
0
W I WORX- —,
0
3-15 TON—.:
0
WOOD'STOVS....
0
15-'M TON.,..
0
CONV FJRXIR: 0
0
0-50 P"...:
0
OBS',........ 0
MFS(.....
0
50+ To# ......
0
GAS DRYER.. 0
AIR HANRIW MIS
F(ItL TANKS ---
RANGE ...... 0
<--10,000 C to:
0
ABOVE GROHND:
0
GAS LOGS...: 2t-
> 10,000 at
0
UNDERGROUND.:
0
....................
Net the eater supply system contain a Pressure Reduction Device t'. ick valve? Yes ) No (if 'Yes*
Inspection Record: Mechanical Rough -ii Z- I — 11 * Gas Pipin IT-(
MECHANICAL FINAL Date
FEES*
NEC PROT ISSUANCE... E ?0. 00
Mccharvital Permit' S 54.00
TOTAL FEES IL I -," 74.06
A water e awiOrl
PEP41TS EXPIRI 11PI DAYS AMR ISSUAW-1 If NO VWK IS SIAM).
I WtIll'Y JW 11NOW1101 fWNISR111 BY 1 IS Iftiff AND CIO To 1*11in NY tw4jPGf ANDK 0W
J(AftE CITY OF fNRA
di
OWNER OR ALMVAT[
FIELD COPY
NAY RLQUIXINLNI5
,—Hot `Nater Tan k I
Nit. ft "I I
CDO193 (Rev 4/97)
r
CITY OF FEDERAL WAY
33530 F i rs t Way South
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140
253-661--4000
ADDRESS:31019 48TH AVE SW
NO.: 184080--0110
PROJECT DESCRIPTION: HVAC - OIL TO GAS FURNACE, HWT INSTALLATION & 90' GAS PIPE.
OWNER___ _____________________-:______====-________ ___-= CONTRACTOR =___=_____________=_______________===_=_____; LENDER
MIKE ROBERTSON NORTHWEST WATER HEATER
31019 48TH AVE SW 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
253-838-5247 i' 984-6404
E NORTHWH103R2
ft
PERMIT NO: MEC97-0309
ISSUED: 10/23/97
B`(: KLC
EXPIRES: 04/20/98
#� CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES 1AX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 sts
PROJECT VALUATION
FUEL TYPES.:GAS OIL
GAS PIPING.: 90 ft
FURN<100K..: 1
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
2790
FANS........... 0
HOOD.........., 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON.....: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON...... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
MEC PRMT ISSUANCE...
Mechanical Permit*
TOTAL FEES
$ 20.00
$ 54.00
$ 74.00
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 COR TO T KNOW DGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE
OWNER OR AGENT ________________________
----------- ------ -------_...._. --- - ---- � Z
FILE COPY
CfrY OF
vv FAY
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 661-4129
,OCT 2 2- ,,APPLICATION FOR MECHANICAL PERMIT
`kL AY MEC - D3`�
L/i;;�:ro;'vu C
9
PARCEL # ` f> a� 11` 6 Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Phone
Address/City/State/Zip.v �,►/� 1 GC� �% '%[� '� Y �d �!�
Nature of Work J( �,�, fL /,/�� Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person —
Phone Fax
MECHANICAL CONTRACTOR
4
Company Name r 4L' lL(��✓ f J,/�
Address/City/St/Zip
Contact Person d6L/ A22 Of -� ��'n Phone -! E a T� �" Fax
State L & I Contractor Registration # - / ✓ ,r/���7` l Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling <
= 10 000cfm
Fuel Tanks:
Length of gas pi ing
Range
Air Handling >
= 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underizround
FUrn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
I Other
RBO's
Wood Stoves
A/C
T 0 NS
DISCLAIMER: I certify, under penalty of perjury, that the information famished 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 pemtit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and filed against the City of Federay Way but only whout of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application. ere sac _/)
Owner/Agent
Macn.App
Rp sm 8/26/97
Date��