97-103912Q.
CITY Of FEDFRAI WiY
y ,-"o u t t i
530 First W;
ireder.--it Wiy, W,'�i 9 0"
,,"2b3 --661 - 40(A)
PDRESS:Z3G44,4 JRD AVL S
i,�10. : 2)32970-0090
PROJECT T)FSCP11PT1.(j1A:MfAC
C: W: tON H I C M L. 14 C FA14 I T 10
R�(juests 253-661-414
GAS 10 GAS FIREPLACE (HARGIM, )t/1314-4- AAdej
9q 106V),
PURMIJ HO: Mt-(-%)/ 0312
M,,M-b. 10/-,!/97
1-1VP,1Rf,,q- 04/20/98
leevisep: 103/q}
P. 98"kK .... - 1UNINK19K ... �;� L[nULr ..... =---
DORLI RAINY NORTHWEST WATER HEATER
304,43 ?P.b AVE S 2506 10410 SI �J S, SUITE A
FEDERAL NAY WA 08903 TACOM WA 9%f44,4
:cam .M.'txaYsu ..... AM .... ..
CONTRACTORS, P1,141 PSL 1,00110 01t .1717 MEN fi)411K IAES TAX fOk MICIS NIININ IIIE CITY Of FLORAL MAY.
aerscSDAs 01 "Cr 010 t3i =a "I 1A
f1 :, T,1 'A"m 0 07 7 FEES: xA � , I , "',
Ery}) LER, /%MPVU�'305
3,-3 14.. . .. : I
,-v foil
30,51)
ONDUGPOUND.: 0
FAX RAII : 8.25 M
hL( PRMT ISSUANCE... 20.00
flek,hanical Perritt 28.00
TOTAL FEES S 48.00
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes' then water expansion tank is required on Not Water lank)
Inspection Record: &chanical Rough -in Date S Piping
Date
MECHANICAL FINAL 4- Z3— W', Date
...ft ^¢a"v ... ... .... 0--m-,-
6115 EXFIHL ISO 1ATS AF119 ISSUANCE If NO WIM Is S101W
.A CERTIFY lot IKOMIMN FURNISNED 9Y R1 IS fRUL AND (i y .'vest Of By lawtou An IN[ APPLICARL CITY of FENPA.NAY RUMMINIS #111 N. *I
Of AGLI11------- DATE
FIELD COPY
FUEL TYPH.:GAS
GAS PIPING.:
be ft
1"004...........
0
FURMOOK..:
0
DU,, I RON ''. -
0
GAS NWT....:
0
WOOO SIMS'...'.
0
CORY BURNER:
0
FURM01r.... . -,
Ij
Bee ....... .:
0
"15,^ .......... :
0
GAS DRYER—:
0
AIR HiHUM 1101T%
RANGE.... —:
0
<:10,000 0".
a
GAS LOIS...:
I
' 10,000 CFN-
1)
Ery}) LER, /%MPVU�'305
3,-3 14.. . .. : I
,-v foil
30,51)
ONDUGPOUND.: 0
FAX RAII : 8.25 M
hL( PRMT ISSUANCE... 20.00
flek,hanical Perritt 28.00
TOTAL FEES S 48.00
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes' then water expansion tank is required on Not Water lank)
Inspection Record: &chanical Rough -in Date S Piping
Date
MECHANICAL FINAL 4- Z3— W', Date
...ft ^¢a"v ... ... .... 0--m-,-
6115 EXFIHL ISO 1ATS AF119 ISSUANCE If NO WIM Is S101W
.A CERTIFY lot IKOMIMN FURNISNED 9Y R1 IS fRUL AND (i y .'vest Of By lawtou An IN[ APPLICARL CITY of FENPA.NAY RUMMINIS #111 N. *I
Of AGLI11------- DATE
FIELD COPY
CITY OF FEDERAL WAY
3530 First Way south 11111 `, ;`t"Ie%w11111p:;:M.; elI..... F.", R". "T
Federal Way, WA 98003 Mechanictil Inspection Requests 250-661-4147
253-661-4000
ADDRESS:30443 3RD AVE S
NO.: 232970-0090
PROJECT DESCRIPTION:HVAC - GAS TO GAS FIREPLACE CHANGEOUT
PERMIT NO: MEC97-0312
ISSUED: 10/23/97
BY: KLC
EXPIRES: 04/20/98
= OWNER _______ ___________________________ _______________,= CONTRACTOR
LENDER
DORLI RAINY
NORTHWEST WATER HEATER
30443 3RD AVE S
2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003
TACOMA WA 98444
I
i
} 984-6404
NORTHWH103R2
€
I_________
-----------
__--____-- !
;is
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE :
8.25
Us
PROJECT VALUATION
750
i FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
'EC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....: 0
� Mechanical Permits
$
28.00
FURN<IOOK..: 0
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
BBQ........: 0
MISC......,...: 0
50+ TON.....: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND: 0
'
GAS LOGS...: 1
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$
48.00
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
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 ---------- Gas Piping ________________ Date
Date
FILE COPY
APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
l Z� `�--
,ATE
City of Federal Way
33530 First Way South
Federal Way, WA 98003-6210 /12
- RECEIVES (253)661-4000
0 C T 2 2 1997 APPLICATION FOR MECHANICAL PERMIT
PARCEL #4263)._ tpl- 0
Single Family 17 Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Dd'Q t_ t RA i \ � Phone: c � J
Address/City/Sta
Nature of work:
APPLICANT:
Name:
Address/City/St/Zip: _
Contact Person:
Phone. Fax:
MECHANICAL CONTRACTOR: # /
ompany Name:
Address/City/St/Zip: ' �� l� `�`' T _T 1 #_� Cdnyq LggV7
Q
Contact Person: j j ''" �' -Phone: -[ G� Fax.•
State L& I Contractor Registration #:./_C �r? �� �il Q,,,�� Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel as ofDryer Air Handlina < = 10,000ofmFuelTanks-,
Lenath f ass pipina Ranaeli > = 1 0,000cfm Above Ground
Furn <100K T Gas LoaUnit Heater Underaround
Furn > 1 OOK BTU's Fans Boiler BTUIHMiscellaneous
Boilerod ' & 1,
tC.nvrner Duct Work C TONS Other
W00 StQQr A IC TONS
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above
Promises to perform the work for which permit application Is made. I res t nava harmless 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 any person, i the undersigned, and filed against the City of Federay Way but only where such claim arises out of the
reliance of the City, including its officer and employees, up the accuracy of r on • ied to IM City a •part of this application.
Owner/Agent:1( �,� Date:
crry OF
VV AY
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
APPLICATION FOIECHANICAL PERMIT
OQ' MEC -
201
PARCEL # Q 0 gle Family [ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Phone
Address/City/State/Zip � Lj e)t St" Co
Nature of Work (6-1 `'i !L et- Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Fax
Company Name 4 Lk� � t A _1' /rs^q--t_�
Address/City/St/Zip L- ou - (d `i C -_r �31__tI4_F � 7
Contact Person A -f 'Y) �' ! ��� �� Phone C t� L �C1 Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling <
= 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling >
= 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
I Other
Conv Bumer
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to th
for which permit application is made. I further agree to save harmless the City of Federal Way as to ariyAanfi76
made by any person, including the mdersigned, and filed against the City of Federay Way butonl ere such
information supplied to the city as a pari of this application.
Owner/Agent
MEcu.APp
Revrsm 8/26/97
and further that I am authorized by the owner of the above premises to perform the work
dmeys' fees incurred in investigation and defense of such claim), which maybe .
ce the city, including its officers and employees, upon the accuracy of the
Date