97-103840CITY OF FEDI PAL WAY
133530 F i r-st, Way sotith
Federal Way, WA 98003
253--661-4000
AI11*1,ES',L';:27738 25TH M S
NO.: 757561,0750
PROTECT DESCRIPTION - g -g furnme
rOvm[R
KEBO HOLM
27738 '11510 DR
FLDERAI WAY WA 93003
941-6504
/05 6yo
PERMIT NO: MEC91--0299
MCCHAN-11CAL PCRHIT 10/16/97
MecMnical _',".)J-661 l"'O BY. F(2
CXPIRES: 04/13/98
CONTRACTOR .........
MORMWEST WATER HEATER
2506 10410 St (T S, SUITE A
lh((*A WA 18444
484-6404
LENDER
..........
..........
......
Its
COVIRACIONS, PUASE VK ILOCAIM CONE IM 111" REWTING SALES
TAX Ira PROJECTS V11811 IK city of mtka my.
TAX ME =
8.25
M
..........
...... �
....... .
PROJECT VALOATION
545
f EIS:
FUEL TYPtS.AAS GAS
FANS......K!
i
&chanical
Persitt
24.00
GAS PTPI#G.: 0 ft
MOD ........ o
0-3 10'H__: 0
"Ini !(SUANCE.'.
20. 9C
FuRuioor..: i
v(q Y. , , - (+
MI._: 11
GAS ON]_
0
CORV BUM
[UPPA01% ......
30 SO TOP_
BIJQ .......
0
504
GAS DRYER
AIR, k 141W, {1N1T`;
FOFI, MOB—
RANGE....
AD! 0 0. 0
AM Vott"D_ 0
GAS LOGS..
10.0004 I'M 0
4PIMOUND.: 0
-TOTAL FEES
44.00
...........
.... :x.:.: -: ... .............
Does the water supply
systes contaiii a Pressure
Reduction WM,-e or Check vale:
YEs No (If 'Yes' then nater expansion NO
is required
on Not Water Tank)
Inspection Record: 4echankal Rough -in Date --_1--_--1- Gas Piping Date
MICHAMI(AL H'AL Date
.............
KAPHIS EXPIRE 106 DAYS At TER ISSUANCE If NO YORK IS SIAR110.
I CtRMY Iff INFORNAIIN fURNISKI BY Of IS IRK AN) lc4)k1t.�im dT my I LbGL AND fn APP110111 CI Of ft:KIA MAY MUIRIKES PILL K NET.
UNHO OR A{ifhl
FIELD COPY
CITY1 OF FEDE=RAL WAY PERMIT NO: MEC97-0299
33530 First Way South 11 »Y �, ...� : : �, .: ih�"'h. ,,.,,, ;:;,� ;,,,,: °:;th', �'" .. 1.. ,,,�,., ISSUED: 10/16/97
Federal Way, WA 9800:3 Mechar):ical lrispecta.or) Requests 2.53-661-4140 BY: FC2
253-661-4000 EXPIRES: 04/13/98
ADDRESS:27738 25TH DR S
NO.: 757561-0750
PROJECT DESCRIPTION:g-g furnance
r= OWNER =__=_______ =_____________________________________;= CONTRACTOR =________-______________________________=-_-= LENDER
KEBN LOBEIKO
NORTHWEST WATER HEATER
27738 25TH DR S
2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003
( TACOMA WA 98444
941-6504
` 984-6404
e
NORTHWH103R2
SS
4 p
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE
: 8.25
PROJECT VALUATION
545
E FEES:
FUEL TYPES.:GAS GAS
FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit*
$ 24.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....: 0
MEC PRMT ISSUANCE...
t
$ 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>1OOK.....: 0
30-50 TON...: 0
j BBQ........: C
MISC..........: 0
50+ TON.....: C
GAS DRYER..: D
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND: 0
;
e
GAS LOGS...: 0>
10,000 CFM: C
UNDERGROUND.: 0
TOTAL FEES
$ 44.00
Does the water supply system contain a Pressure Reduction Device or Check valve? O 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 CORREU
OWNER OR AGENT
MMY/KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
-h-------------
FILE
---------
FILE COPY
clic of G BUu,DiNG DmsipN
ED 33530 First Way South
�� RY Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
' MEC ; i
PARCEL #� � �\) Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner bl, Phone qq a Y,�J
Address/City/State/Zip %C �/ C IK%off
Nature of Work -r-J Z4C1C Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person `� Phone
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
0
Fax
Contact Person, �� �� ���111L� Phone Fax
State L & I Contractor Registration # A41�- L � -IV,;', Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T e as/other
Gas Drver
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
iI Gas Log
Unit Heater
Underzround
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
wt
Hood
Boiler BTU/H
OthBurner
Lon
Duct Work
A/C TONS
Other
Wood Stove.
AM TONS
DISCLAIMER: I certify, under penalty ofperjury, that the infornation fimris by me is true and
for which permit application is made. I further agree to save harmless th;,City of Federal Way
made by any person, including the undersigned, and filed against the.eity of Federay Wa t only
information supplied to the city m a part of this application. ;i
Owner/Agent
ME .App
REvrsE 8/26/97
pJ=� e and further that 1 am authorized by the owner of the above premises to perform the work
�g costs, es, and attorneys' fees incurred in investigation and defense of such clam), which may be
arises out the reliance of the city, including its officers and employees, upon the accuracy of the