97-103684V
CITY OF FEDERAL. WAY PERMIT NO: MEC97-0281
33530 F i rs t way South �'� :�v ':; �..,.� :; :: ,,,: �w� ,.,.. ,,� ' ,.: ' �'' ,,.�.. ISSUED: 10/02/9j17
Federal way, WA 98003 Mechanical Inspection Requests 25:1-661-4140 BY: FC2
253-661--4000 EXPIRES: 03/30/98
ADDRESS:30218 27TH AVE S
NO.: 798480-0090
PROJECT DESCRIPTION:Gas to gas furnace replacement
r -OWNER- - - _
-__-------- -----------------= CONTRACTOR =___-___= ___________
______________________=
LENDER
PAGE CLYDE
NORTHWEST WATER HEATER
30218 27TH AVE S
2506 104 ST CT., S#A
FEDERAL WAY WA 98003
i
TACOMA WA 98444
(206)839-0289
(253)984-6404
NORTHWH103R2
-------------------------------
-_---_____-_-------------------------------------_---___.._
xxx
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE =
8.25
xxx
PROJECT VALUATION
635
' FEES:
FUEL TYPES.:? ?
FANS..........: 0
BOILERS,ICOMPRESSORS
Mechanical Permits
$
26.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....: 0
' MEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 TON....: 0
GAS HWT.... : 0
WOOD STOVES...: 0
15-30 TON...: 0
CONV BURNER: 0
FURN>lOOK.....: 0
30-50 TON...: 0
BBQ........: 0
MISC... ......: 0
50+ TON.....: 0
GAS DRYER..: O
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......;
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$
46.00
- --- --
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
MECHANICAL FINAL Date •__________
PERMITS EXPIRE 180 DAYS ALTER ISSUANCE If NO 4jORX IS ST
I CERTIFY THE INFORMATION FURNISHED BY ME TRUE A TO BE OF MY NOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ______________________________ __ U
------------� --- ------ �_-_------ - ----¢— 2 -
DATE - -
FILE COPY
CrrY CrF
h ^^
wg�;7
BuiwiNG DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC
PARCEL # Single Family ❑ Multi-Famil a Commercial ❑
�
SITE LOCATION
Tenant/Owner - IA C-7 Phone
Address/City/State/Zip (11 2--1 �1 (l i(w lJ C)C
Nature of Work 62 `Lc4 kA,:Qfi,Q'project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name
Address/City/SdZip L L (L'� <:S -T C—T TACLYA CLS
Contact Person + •� �` � ► L-� Phone 1�84 464 Fax
State L & I Contractor Registration #/ —nj jam) F1 LCA Exp. Date --
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T e other
Gas Drver
Air HandlinR < = 10 000cfin
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C
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 perforin the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claire (mclu es, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and tiled against the City of Federay Way bu[ only w e such c out of th reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent % -4;�L "- 1 11 Date
Mectr.APP
Revrsm 8/26/97
9-7./036, gy
x 1 Y OF FE DEP A I_ 14()*Y PERMI I NO: MI4_9/ 1E2111
#,3 -30 5rt st, Way South 11 r 11/..".: 'ler N 11 CVL P eft t•1 i r I S1,11.D: 10/0 /
,..) <4 7
.3 ...
1.- de r a I Way, WA 9800 c..1.1 Inspectiori Peque -,11-,8 .-",13 661. -414o BY: 1C2
' V-1 .661, 4000 EXPIRES: 03/30/98
ADDRISS: 30218 27TH AVE: S
NO. : 79F480 0090
1)ROJic:1 DIS( P I'VE ION:Was to gas furnace rer 1 atesent
E.- gulp waym=wwwwamom..camman=.6#03mmaammunumsanwoommazium,.mmt4 (OWIRACIOR ha ZrJ:.VL LENDER
'SAGE, CLYDE NORTHWEST WATER HEATER
30718 . TH AVE S 2506 104 ST CI., so
EDERAT WAY VA 98003 TACOMA WA 08444
41!!06)831-0289
id\
(253)984-6404
.144k1014434
....-...F4 imm.sA,...x.tu=s;,,,rmr, M..., .- T1,14
L''''t"*'4.'"'''''-a.n
a"'a v;111"(tt .W.".1.:At'::;1;;;);°:St.'''''.
1'*"*C..ti i Mil it 1-7',I2 SHIN R:PorTTIfe. SINES lax FOR PROJECIS ir/rvi.vg5c,r.I.T.OLF!DE.!*1....,01.5_,I .. .,IIX..,„!A.!!.:.,1,1.,_75,„..:1, ,.,,,,_..,,..,...,,
, , ,
I PROJECT VALUATION 635
, FEES:
'
I FUEL TYPES.:? ? FANS ,1 t ROTEOSKOMPRESW: 4 na4cptoriICE..OiNical,-P,thr1
t* . $ 2( 0)211...0t0
I
GAS PIPING.: 0 ft 11001)...44.....,..: 0 .wia_0.4 f0a...,., 0 tiL
1 FURN/10a..: 1 DEICE RX.....: 41 ‘A%-- 145 ION....: 0
GAS 1INT .. : 0 WOODSIOIrr...'' 0' it,lo EON...: 0
%'IN.... 0*
CONY BURNER: 0 FUR111,100X.....E 0 .30-
BR 0 liTsc . . a sof 4.....;. 0
•
riAS DRYER. : 0 91R HAN01-14‘WI', ROL frItS"". *
RANGE • 0 ". 10.000 00: 0 AVE 60°1°.• 0
GAS LOGS...: 0 ) 10,000 CFW'0 UNDERGFOUND.: 0 101AL FEES $ 46.00
„--... Ont.t.... Z4A1...M.UMM.X....,...1.4 -MW.M... ,......-X..1.1
'Does'the water (upply systel contain a Pressure Redtfttion Device or Check valve? ( ) Yes ( ) No (If 'les" then vett r expansion tank is required on Hot Water lank)
IInspe,Hon Record: nechlnical Rough-in ,_ ____ Date ti3S Piping , _ _ Date
1 MEIHARIE41 FINAL Date
, -
_::--,---
.• tors EXPIRE we DAYS NEIN ISCUANCE If NISO SI /
( •- I v )Y. 01 '1Wit. NAY REQUIREN1111-1;4111. Et NET.
k 1 CE1111fIr rot tiropNaritim 1,URNIS/11, rr NI IRRE,10410 1 le RR IASI el NOW1VIEKI IIND lilt finill 1,0)1 I . , I
l.
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*41(4 R A61141 : _ / , //• f)ill 'lfV f , '
*1 I V\
,
FIELD COPY
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1 SETBACKS a FOOTINGS • •
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CD0193(Rev 4/97)