97-103933oil 7 q7 IC39j3
(.s,ITY Of FEDERAL WAY PERMIT NO: MEC97-0314
3-3530 Fi r-st Way South MECHANICAL. E- R MI T 10/,.%13/9"/
I"ederal Way, " WA 98003 213,3-66-1. -4140 BY -, k1 -C.
253-661-4006 LXPJRES.-
ADDPESS:505 S ;30'2141)
NO.: 064300-0240
PROJECT DESCRIP11t)NAHVAC - REPIOCE GAS HMT
OWNER ... ....... ...... CONTRACTOR LENDER
KAN VOI-111111 ACTION WATER HEATERS ONLY IV
505 s 30?ND ST 15020 1171H PL HE
FEDERAL WAY VA 913003 MILL WA 98O11
253-941-5475 206-806-8608
M (ONIRAC[Oh' PLEASE USE IKA1140 (OK 1112 0*0 RIPQOTING SAIES RAX [OR PROJECTS 111111111 HE CITY Of FEDERAL MAY. IAX RATE :: 8.25 US
00AIr(T VAIIIATT110 1080
11-3 TON.....; * 0
504 TON--: 0
FtIFL TARS— --
ANNE GPOUND: 0
111DERGROUND.: 0
FEES:
#E( KAI lssw-Mcl— i
Itechanical Permitt $
TOTAL FEES
Does the water supply system contain assure Reduction Device or Check valve? Yes No (If 'Yes" then water expansion tank is
Inspection Record: Mechanical R094 -in Date Gas Piping Date
MICHANVAL FINAI
110.00
34.00
54.00
required on Not Water Tank.)
P[Rhi IS 1XPIRE 180 DAYS Af ItIt ISSMINCE It No = is STARTED.
I ([#[try THE 111FORNATION FVMSNED Ily III is IRK AM CMICT to IN[ DIST Ot ki KNOVILKE ND HE APLIME CITY Of FEN -kA[ MAY FOUIVINIMV.,
OVKR OR AGENT Nil
FIELD COPY
WRL K Nty.
Ft v`, .. (
FUEL TYP[S.:GAcj
I
FANS... .
0
GAS PIPING.:
0 ft
WOOD., ., i 1'1�,., .,
0
fUP#<l0OK,.:
0
DUCT '*f ......
GAS HVI.... :
I
WOOVTOVEOI. ...
Ci
0PV BURNER:
0
FUR010fir ......
880.........
0
"IS(.. — — 1:
0
GAS DRYER..:
0
AIR HAR14.1mc tINTIS
RANGE.......
0
GAS LOGS...:
0
> 10,00 crtf
0
11-3 TON.....; * 0
504 TON--: 0
FtIFL TARS— --
ANNE GPOUND: 0
111DERGROUND.: 0
FEES:
#E( KAI lssw-Mcl— i
Itechanical Permitt $
TOTAL FEES
Does the water supply system contain assure Reduction Device or Check valve? Yes No (If 'Yes" then water expansion tank is
Inspection Record: Mechanical R094 -in Date Gas Piping Date
MICHANVAL FINAI
110.00
34.00
54.00
required on Not Water Tank.)
P[Rhi IS 1XPIRE 180 DAYS Af ItIt ISSMINCE It No = is STARTED.
I ([#[try THE 111FORNATION FVMSNED Ily III is IRK AM CMICT to IN[ DIST Ot ki KNOVILKE ND HE APLIME CITY Of FEN -kA[ MAY FOUIVINIMV.,
OVKR OR AGENT Nil
FIELD COPY
WRL K Nty.
Ft v`, .. (
r
CITY OF FEDERAL WAY
33530 F j. r -s t Way South
Federal Way, WA 98003 Mechari.ica1. Irnspection Requests 2531-661-4140
253--661--4000
ADDRESS:505 S 302ND ST
NO.: 064300---0240
PROJECT DESC'RIPTION:HVAC - REPLACE GAS HWT
.i %
PERMIT NO: MEC97-0314
ISSUED: 10/23/97
BY: KLC
EXPIRES: 04/20/98
�= OWNER _________ _________________________________________;= CONTRACTOR =_____________ ::______________________=====T=
LENDER
DEAN VOLHEIM
ACTION WATER HEATERS ONLY INC
505 S 302ND ST
15020 117TH PL NE
FEDERAL WAY WA 98003
BOTHELL WA 98011;
t
253-941-5475
206-806-8608
ACTIOWHOSSDP__:==___-:__-_______________________
Sts
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS
WITHIN THE CITY
OF FEDERAL WAY. TAX RATE
= 8.25
PROJECT VALUATION
1080
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
s
MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....: 0
Mechanical Permit*
$
34.00
FURN<100K.,: 0
DUCT WORK.....: 0
3-15 TON....: 0
€
GAS HWT....: 1
WOOD STOVES...: 0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...: 0
BBQ........: 0
MISC..........: 0
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
$
54.00
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 FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ---- _ _- DATE
- --------------r-_----------- -------------------- _- --
FILE COPY
10/15/97 WED 13:19 FAX 2066614129 CITY OF FEDERAL WAY 1Q 002
4rroF �
VIN)w
0
RMORIG Dfvmor4
33530 First Wry South ;
Federal Wfiy, W,k 9soo3
('-53) 66i.4000
fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
uMEcq} -031
PARCEL # - � Q?.L 1) singlePsnlilya/ Multi-Pamil ❑
y commercil a
SITE LOCA
Tendwowner
Natant of Work
APPLICANT
Nwne C` T/ 01.4
0419/F/
Addresa/City/svZip V0 LD
Contact Person �> �� /i✓% �/'Li✓G� —'
MECHANICAL CONTRACTOR
Company Nawc
S
01_ L
Phone 9 41/ -sv -/�
Ptojcct Valuation: 2. 3 J
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Fax (yam s9�
Addre.WCity/StlZip L7
Contest Perms Phone
State L & I Contractor Registration # C-/-1 C) 5 D
(Cjwd m" be prI:xiiwdcj) Exp. mate
MECHANICAL UNIT COUNT
--•s.71.1�1 �1aur oa murl. met IN mlon iun fmnfahed Fry ma a tau end use ut m tlfe bat of my F�wwledge aid Wet 1 am auUlotima VY the oancY oCdu 4bwe praniacY w p.rtimY d+e nllxlr
for vltiehnermh appliaeeion v made, t funbe aFyco to save larmla+1lw icy n(Federd W ny b loamy claim (incbWin • ��•
�� M .ny pnsiek inclunps lbs mldaeiIIned, and fled anou� ties Ln of Fedgyy Wa M� < < wd alk,mye' fee dfcvned e. iw cwdeatinn aml dekruc of suet shite), whkh may be
iafoemwrvn nt d:cd to tits * as ■ pan of" .1,beadon. r y LAY vhae such claim a&. C* au o[tl1e t.Awtec oltnr yj1y, utclYdutK its orAms and anpltryaes. Won me acaYµy of tiro
Owner/Agent
MI•r1.4tT
l4r}W.1L7(✓9 i
COft INITv mm�i f1PMENT 6FPARTMEPIT y
pt) 107
a