97-103683c1fy OF FEI)ERAL WAY
X3530 Fi rtzt Way Soutti MECHANICAL PERtHl T
F'P.dei-al W.-.iy, WA 9800i I1c,(,h.,iidr.,i.1 tnc-,pecticin Reqticmts 253-661-414C)
253--661-4000
AD[)RES5:30459 11TH AIJL 13
NO.: 091900--0285
PROJCCT DESCRIPTION:gas to gas furnace insert. pipe and replace
P' ONNER ....... 1 ........... LENDER -
JAMES DENMAN i NORTO[ST WATER BEATER
30459 111H AVE ?506 104 ST CT., c1fA
FEDERAL WAY WA 18003 TACOMA #A 98444
"?1 /0005 1 1
PERMIT NO: MEC97-0282
.10/02/97
DY: FC2
EXPIRES: 03/30/98
(206)946-8235 (53)984-640'9
-Man .............
comwims, ntAst ua towiss coK tir, #OCR BEP RIING SatS TAX (OR MKCTS V11111 THE CITY OF FLKRAI MAY. TAX RATE 7 8.25
..1,=C1-_---...- .... —0. .. — ...... N—VV
PROJECT VALUATION 2040
FUEL TYPES.:GAS
?
FANS. .... ....
0
1"1111 '1r01W1,1,-_.",S, K:
GAS PIPING.:
8 ft
HOOD.......:..
1)•
0-3 P)R_ .;
0
FURK<100K...-
I
VU0"1. ...
ft
-1'. 1011....
GAS HNT.....
0
41Q9b
CORY BURNER:
0
f URH�101r_
zo,) 5fs 191-
BBQ........:
0
MISC...... ...:
1
50+ "00 ....
0
GAS DPYIP,,:
0
AIR HARL1.106 101IT"
111ft TAKS-
RANGE......:
0
<:10,000 (fri:
P
ABOVE GROUND.
0
GAS LOGS...:
0
> 10,000 (F":
0
4DERGROUND.:
0
'A a M.
�Z�vw 4--a—M ...
Does the water supply system contain a Pressure Reduction Device or (beck valve? Yes ( ) No (if 'Yes' then water
Inspection Record: Mechanical tough -in Date Gas piping A4
MECHANICAL FINAL Ok— Date
rMITS, EXPIRE 1011 NAYS At If# IS911w). If NO Vogt Is
I CERTIFY THE INFOW] ION f QRNISKD BY KL IS IRUI AN
0WHER OR A""
FEES:
"I( PRNI ISSUANCE. 20.00
MEA'd al Af.reitt t 54.00
TOTAL I`ELSz $ 74.00
ion tank is required on Not R&M00k)
AD TIE APPLICAKL CITY or fwla� PAY REQuRt
DAIF
FIELD COPY
0
^0
MILL BL
CITY OF F=EDERAL WRY„, PERMIT NO: MEC97-0282
33530 F i rs t Way South P1 �:.,, �..,. i�'°' i �” .,,�;: �;;' ,: '.sr L_ if" E R�'k,�l : �;;:.,,�,,, ISSUED: 10/02/97 •.
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 03/30/98
ADDRESS:30459 11TH AVE S
NO.: 091900-0285
PROJECT DESCRIPTION -gas to gas furnace insert, pipe and replace
=OWNER _______________=:_.__.__=___________________ _-______= CONTRACTOR =_=_____________________-______________=-__- = LENDER
JAMES DENMAN NORTHWEST WATER HEATER
30459 11TH AVE S. 2506 104 ST CT., S#A
FEDERAL WAY WA 98003 TACOMA WA 98444
f �
(206)946-8235 (253)984-6404
NORTHWH103R2
#; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
TAX RATE : 8.25 :xx
PROJECT VALUATION 2040 s FEES:
FUEL TYPES.:GAS ? FANS............ 0 BOILERS/COMPRESSORS ) MEC PRMT ISSUANCE...
GAS PIPING • 8 ft HOOD..........: 0 0-3 TON.....: 0 Mechanical Permit*
FURN<100K..:
GAS HWT....
1
0
DUCT WORK.....: 0
WOOD STOVES...: 0
3-15 TON....:
15-30 TON...:
0
0
C04V BURNER:
:
0
FURN>100K.....: 0
30-50 TON...:
0
BBQ........,
0
MISC........... 1
50+ TON......
0
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
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 Not Water Tank)
Inspection Record: Mechanical Rough -in ---------------- Date ---------- Gas Piping
MECHANICAL FINAL
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AN
OWNER OR AGENT
Date
Date
AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
___-- DATE /_
/---
-
FILE COPY
0
r . S
City of Federal Way
33530 First Way South
Federal Way, WA 98003-6210
(253)661-4000
APPLICATION FOR MECHANICAL PERMIT
MEG
PARCEL #:� . Ig00 0 �- �� Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: IAI
Address/City/State/Zip:
Nature of work: ( -1 -
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: —
MECHANICAL CONTRACTOR:
t
r
Phone:
Project Valuation:
Fax:
Company Name: /1{, u+, 1 j-,� ) .F-\ I .-1 " L
Address/City/St/Zip: % D -n ,) 1. L A not q:zq- y -
Contact Person: "uM 0('7k !�61.-C7, LA Phone: C - �� Fax:
State L & I Contractor Registration #: Jy�R A6 0 LO 1`� Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
DISCWMFR: I certify order penalty of perjury that the information furnished by me is tntlf—wnd cured to the beat of my knowledge rd further that I am authorized by the owner of the above
Promises to perform the work for which permit application is made. I further agree save harm 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, inkludingigne • and filed against the City of Federay Way but orgy where such claim arises out of the
reliance of the City, including its officers and employees, upon the accuracy of the in fwP o ati the City -m-) part of this application.
Owner/Agent: (;� \, '- Date: