97-103508CITY_ OF T E. ERAL WAY PERMIT NO: MEC97-O269
3;3530 F i r -c.+ Way c,outh MEC �'��.�R, CAL PERM I T ISSUED: 09/18/97
Federal way, WA `110003 Ilecliani(.-at Inspec,tion Regttest.s 252-661-41.40 BY: FC2
2153-661-4000 00 EXPIRES: 03/16/98
AnDRESS : 31722 51'H AVE S
t4o.- 194170-0:70
PROJECT DESCRIPTIOt4:NVAC - 2 GAS TO GAS FURNACi: REPLA(EMENT")
Fp OWNER CONTRACTOR Sz:sDxmS:. gDDS;:xaamla0.'q;3D:.'RYDC iGti Ci 4lGID"'-CDE:D'�J�f1PSiC:>S 6ta91CYStE �>6 LENR p10D:T'C;VZS>r.'-1?DICC6L9SSSXL^.PJ.^�. [a h"+iq:i.:I tR.i:Y�ATG"DM?'S ;'.
PHILIP GRIFFITHS
NORTHWEST HATER NEATER
31722 51N AVE S
:506 1041H Sl CT S, SUITE A
FEDERAL WAY WA 98003
TACOMA WA 9£444
946-0650
984.6404
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NORTHWH2O3R2
+. ssaX: as'c3uzmcaRme!uaYCl D¢ c:aMS.acaS: art:R::sus::im risCaam�tanmc¢nailrc:.s:s.aak.:"�eu:cx:'sr-..:YR.^,'Rac i:-amxascsmias
txt CONTRACTORS, R IWX USE LOCATION COPE 17V WM:N REPOKIIN SALES TAX FOR PROJECTS VIIIII TNI CITY
.�::Sms.^.:axe'ar.:axiaaair.ixr:i+uaSmssty:al#auc.:wttr.^.m:.saDisu':aLcxalCocDaBf:s+am:R,:aar
Of F£NflTll. MAY. TAX NATE = 8.25 #a=
1:4.Y5; "�:ap^.-..2'v-^+�Z.':i 'IT.4'5..'31_...,PY_..:-FYD'..0 [-.ri..S..ae�c:. ::xpD.cc"".SIX:e:iA1CCL�.C::'iSID1C'1:8f:G-93Y..RY �/AYi.'iiD�,K.T.rwX:x40.i8Yi 5Ap DCAttJ Y.A'GC1eCL'itCD9'vi8t.$aCC 3..'.iCR'SS:G-<40LI±•••S:uA'».IiACX'...d
2Y ^...::RAS:S.LR:..'d 9taCLY:389a1ti:'G1q.JS i:Yir:K L9CRR0ilitlSRA6CAW �R'1'!C{:.4
PROJECT VALUATION
20125
FEES:
FUEL IYPFS.:f.AS ?
FANS...........
a
9C+1LEPS!COKPRU'w+1k:,
NEC PRMT ISSUANCE...
3
�+
20.00
GAS PIPING.: 0 ft
HOOD..........:
0
(1-3 TON.._: n
Mechanical Persit;
f
54.00
F1JRN<100K..: ?
DUCT WORt.....:
0°
;:.111 10x... ; n
GM HWI....: 0
WOOD STOW, ...:
0
1500 Vi ..: D
CONV BURNER: 0
[URN;
1
30-'1,0 T€ N - : 0
�
BBQ......... 0
MISC...........
0
9f 14N__,. 0
GAS DRYER..: 0
Alp HA:iRD11G +TttT;�
fU{U IAIR';- --------
RANGE......: 0
0, ()of'; (, 11-
APO,,[ ;T 01 1D. 0
CAS LOGS...: 0
;u fjfjo rim.
t(
3fN11r11(P1'0ND.: 0
TOTAL FEES
74.00
LLO:C�DiHL�lasr Stl'Jl:i.iiJw:.5m5YypY.MDBCtu:3D:'%15Lt At4D .. iXl4M4 W's-L',:,m......'M.R.:::zG:p:.aCCCm^.:%xrS:G9ac.".=1T.0s'bffiaai4"Ntm9X41u:aGRft.4-.....ibZx•CAILS9StLua:��:n:�x9LL:G.:. i3 DaGFa Sl2SL'.mR.•�:9: Xx iM1a L -0R....... u!>nncakS84+04D1Dv�1P.Ak1F
Does the eater supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes` theta cater expansion tank is required on Not Nater Tank)
Inspection Record: Mechanical Rough -in ... w_._- Date _.-_-1 .. ____ Gas Piping __. _..._. Date
MEC"ANVAE FINAL Date
PER#IIIS EXPIRE 1041 DAYS AFTER IS5UW.f TF NO Mt1RX IS STARTED.
L CFRTITY IN1 IIMQRIIAITUN IUkWIs N! Nit N£ IS TRtlE AIM CORK£TME C I16`E AN! THE AI�PLILCADI C� FEDEhAT my REMtIIRlt1ENTS IkTlt Vwl 1,
OWNER PIR AGENT _. DATEm/
FIELD COPY
CITY OF FEDERAL. WAY
33� 20 ; i rs t Way South ..,..
Federal Way, WA 98003 Mechanical Inspection Requests ?�'I 661-4140
253-661-4000
ADDRE.SS:31722 .5TH AVE S
NO.: 794170-0370
PROJECT DESCRIPTION: HVAC - 2 GAS TO GAS FURNACE REPLACEMENTS
OWNERCONTRACTORLENDER
PERMIT NO: MEC97-0269
ISSUED: 09/18/97
BY: FC2
EXPIRES: 03/16/98
PHILIP GRIFFITHS NORTHWEST WATER HEATER
31722 5TH AVE S 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
(
946-0650 984-6404
i NORTHWH103R2 ,
i------------------------------------- ___ ---...---------------------------------------------__-_-______-_----=-=-_=___=--
["PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 2
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
i;= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL HAY. TAX RATE : 8.25 =_*
2025
? FANS........... 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC...,.......
AIR HANDLING UNITS
t: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
F.
$ 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
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 CORRE 0 THE OF DGE AND THE APP B C,iTJt QF FEDERAL MAY REQUIREMENTS WILL BE MET.
c
OWNER OR AGENT .........................................
FILE COPY
CITY OF G
�� RY
BUILDING DIWSION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
APPLICATION FOR MECHANICAL PERMIT
Wcgq - ^C1
PARCEL # Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner 7PH l L - U0 r 1� I i�E L nd _ > Phone — ``y' u _ (_X�10
Address/City/State/Zip,�1�
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
E
l
Project Valuation: $ l 0) Z<�_
Fax
Contact Person Kt/v'1 ora A "510- La Phone C'Kt4U � Fax
State L & I Contractor Registration # ,\ j 6� ,A Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfin
Above Ground
Fum <100K BTUs
'2 Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty ofperjury, that the information furnished by me is true and correct to the
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (m
made by any person, including the undersigned, and filed against the City of Federay Way but only where s
information supplied to the city as a part of this application.
Owner/Agent
Mrcu.Aee
REvtsm 8/26/97
Aber that I am authorized by the owner of the above premises to perform the work
.romeys' fees incurred in investigation and defense of such claim), which may be
ofthe city, including its officers and employees, upon the accuracy ofthe
Date