97-103236I M f V.- DI 1,40 PERM11 NO:
V ;3t Oav 15*Cw1,11 MCC l M NX VC V4 L %%r_'. 1'4f 1 V
W:Ay, wig 9k`0j111 MictizAitic.-41, Icw,f,wcticri
'16111 t"I'll: 134
PRQ-11�'C'f P! �;i V,11[11'11,1RA- install I gas furnance
ONHIP. ... , CONTRACTOR LERPLR
JOHN LENNON KORTAESI WATER RIMER
J2730' 3610 AVE SN 2506 11141H SI 0 S, SUITE A
f [KRAL WAY WA 98023 IACOMA WA 98444
838-8854 184-5404
ss* (00KIOU4 ptw, ft, Mkfjtnl, (JIG SALES JAX FOR PMECIS V111111 IK MY Of FESM NAY. IAX RAK = 8.25 sts
PROJECT VAtUAIIO# MO FEES:
FUR TYPES.:GAt, (AS FANS ....... •WILEKI(OMISSOK Ps.rzitl 42.00
GAO, PIPING.: 0 ft HOU D .... I* ..... U HU Vftfl I 11SUAK(f 20.00
fumlow.: I X10 foh. ,* 1.1
GAS HITT....: 0 WOOD 0 4-10 0
880........: 0 0 0
GAS DRYEK.: 0 AIR, NAI K114,0111TS
RANGE......; 0 10,060 _,C F#-. 0, AWff GRMI' 0
OAS LofS ... 0 > 10,000 09:1 0: dwPGROUND.: 0 i TOM fffil $ 62.00
.............. ........
Does the vwr supply system contain a Pressure Reduction Device or chec*Q
,valve? Yes No (if *Yes' then eater expansion tank is required on Not Water Tank)
Inspection Record: 'Mechanical Rough -in Date Gas Piping Date
C, k
MECHANICAL FINAL Date .14,7_q4p--,-
PERMITS fxr(pf, 110) DAYS At I(V IIISUaKf It VU VtWK IS SIARIM
I CLRIIFY 10 I11FORM11011 1LORKIIA11.0 BY Mt V, M1 ADC le CtKU0 AND 11-1 APP10911 MY Of FLOM VAbIMM
Y RENTS 911.1, K. ht 1.
OWNCR OR AGENT
FIELD COPY
'k- - r
CITY OF FEDERAL WAY PERMIT NO: MEC97vO247
33530 First Way South tra "qM� 11° 114 11,41. ' N,.,,, li"'�° „;`ir"'r �+r.� , ,. "� ISSUED: 08/26/97
Federal Way, WA 98003 Mechardcai li')s ect:iori Requests 25'----,661-4140 BY: FC
253-661--4000 EXPIRES: 02/21/98
ADDRESS:32736 36TH AVE SW
NO.: 873195--0420
PROJECT DESCRIPTION: install 1 gas furnance
F= OWNER ______________________________ _____________________ CONTRACTOR =_=______________________= _________________= LENDER
JOHN LEMMON NORTHWEST WATER HEATER
32736 36TH AVE SW 2506 104TH ST CT S, SUITE A 4
FEDERAL WAY WA 98023 TACOMA WA 98444 s
838-8854 984-6404
NORTHWH103R2
------------
__s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES FAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE = 8.25 M
PROJECT VALUATION 1500
FEES:
FUEL TYPES. -GAS GAS
FANS..........:
0
BOILERS/COMPRESSORS
j Mechanical Permit* $ 42.00
j GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....: 0
MEC PRMT ISSUANCE... $ 20.00
I FURN<100K..:
1
DUCT WORK.....;
0
3-15 TON....: 0
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 TON...: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...: 0
BBQ.........
0
MISC...........
0
50+ TON...... 0
j
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE......:
0
<;10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 62.00
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 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 CORRM TO
OWNER OR AGENTDA
EDGE AND THE AP BLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
FILE COPY
City of Federal Way
clTyof ICS 33530 First Way South n�j
Federal Way, WA 98003(�
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL /7 l D C Single Family ❑ Multi -Family ❑ Commercial 0 0
SITE LOCATION: / ^
Tenant/Owner. Phone:
Add ress/City/State2ip:
Nature of work: �L ���-S r/� G�/C /1//� C L✓
Project Valuation: $
APPLICANT: ^//
Name:
Address/City/St/Zip:
Contact Person: L
MECHANICAL CONTRACTOR:
Company Name: �6�
Address/City/St/Zip;
_7 d o rt ls(�S Dpi' a=
Contact Person: �� �v d- Phone:
Fax:
State L & I Contractor Registration /i: ��+�TF�i(J l � 71� Exp. Date: z
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (as/ot r
Gas Dr er
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10,OOocfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas HWt
Hood
Boiler BTU/H
Other
Conv Burner
J Duct Work
A/C TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information fwnis y e is true
Premises to perform the work fm which permit application is made. ther agree to u
incurred in investigation and defense of such claim), which ma made by any pen i
out of the reliance of the City, including its officers and em yees, upon ace
Owner/Agent:
best of my knowledge and further that I am authorized by the owner of the above
City /Federal Way as to any claim (including costs, expenses and attorneys' fees
leni nod, and filed against the City of Federay Way but only where such claim arises
sup lied to the City as • part of this application, a
Date: ((f
W.
y,
A