97-104020CITY OF FEDERAL WAY
33530 First Way Sough
Federal Way, WA 93003
2.53-661-4000
ADDRESS:349O2 30TH AVE
NO.: 502946-0520
PROJECT DESCRIPTION: HVAC
q rl ion oto
��yyi��1� ��� PERMIT NO: MEC97-0319
li'11 !I, ;,. �,.,�. ,.,,41-11"t I1 II :„II,.. �,., .: I,I ,. ..: II1H'�a. ' 'li :. �;:....,. ISSUED: 10/30/97
Mechanical Inspection Requests 253-661-4140 BY: KLC
EXPIRES: 04/27/93
SW
- INSTALLING ONE GAS FIREPLACE INSERT & GAS PIPE.
OWNER__ ________________________________________________ CONTRACTOR=___==________________________________======z= LENDER
MARY PHILOMENO NORTHWEST WATER HEATER
34902 30TH AVE SW 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 E TACOMA WA 98444
s
984-6404
NORTHWH103R2 p}
i*= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25
PROJECT VALUATION 2000
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERSICOMPRESSORS
GAS PIPING.:
99 ft
HOOD..........:
0
0-3 TON.....: 0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 TON...: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...: 0
BBQ.........
0
MISC...........
0
50t TON...... 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
1
> 10,000 CFM:
0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes O No (If
Inspection Record: Mechanical Rough -in ----------------- Date --------- Gas Piping ---------------- Date j
$ MECHANICAL FINAL j
� _ ___--- Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND
CWNER OR AGENT
Of MY KNOWLEDGE AND/THEE APPLICABLE CITY �OF L
FEDERAL WAY REQUIREMENTS WILL BE ME
-- f --------------C._ 3$TE LI/-��--
FILE COPY
� T ` 07
�ltY � �,DeRALwAPPLICATION FOR MECHANICAL PERMIT
BUILDING DEPT.
MEC- �):�1CJ
PARCEL # 4/(I70 S_a(-J Single Family ❑
SITE LOCATION
BUIMING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Multi -Family ❑ Commercial ❑
Tenant/Owner y A T, LA I L._U(Vl'c-Jtj] G Phone ( 0 LQ l a19 W
Address/City/State/Zip L� `3i7 ✓ `� V� ��� ���
Nature of Work L� ` (2 �T! %iI "`- �1 Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
i
Company Namel/J��
Address/City/St/Zip.,0 co (0 �-' �% �� � ✓,A�� � T 7'S�
Contact Person 6 1 /Y! o..-% —Phone Fax
State L & I Contractor Registration # 6,/O—:a I L13 l -i t I� ,�— Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfrn
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Under ound
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
I Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true an
for which permit application u made. I further agree to save harmless the City of Federal Wa to any=
made by any person, including the undersigned, and filed against the City of Federay Wa}+- ut only where sw
information supplied to the city as a part of this application. 7
Owner/Agent
Mrcu.Arp
Revrsm 8/26/97
of my knowledge and further that 1 am authorized by the owner of the above premises to perforin the work
=ts, expenses, r tomeys' fees incurred in investigation and defense of such clave), which may be
out of e ince o the city, including its officers and employees, upon the accuracy of the
Date
17-ft) VO•LO
. /
CITY OF FEDERAL WAY . „ PERMIT NO: MIC9/-0319
_
33530 First WSouth ay Sou ,
MECHPM .[ CAL Pi_ Ril I 1 ISSUED: 10/30/97
Federal Way, WA 98003 Mechani( a 1 fri,-4,,ec. ti on tequor-,1 . 2'13 661 - 4140 BY: KI C
253-661-4000 EvPIRES: 04/27/98
ADDRESS:34902 BOTH AVE .L.W
NO, : 502946 -0520
PROJECT DESCRIPTION:10/k - INSTALLING ONE GAS FIREPLACE INSERT t GAS PIPE.
NARY PHILOMENO NOPIHNIST WATER NEMER
349030IH PE SO 2506 i0418 ST CT S, SUITE A
MEHL WAY WA 18023 TACOMA WA 18444
• 984-6404
NORTIN8103R2
n' COMPACION, sow talonscon 1141401111611116 SALTS TAX fOR PROJECTS V111111 Illf (LIT Of FEDERAL WAY. TAX RATE : 8.25 as
wttumzw4n nmtt Imammanum*mmacramr=altrmmumgmmtma-Atramm.=mtrasa,wa.....,,rum=m.cm
,
PROJECT VALUATION 2000 FEES:
FUEL TYPES GAS ? FANS . * 0 HIL1>,X0/100fSSORS NEC PRNI ISSUANCE... $ 20.00
GAS PIPING.: 99 ft HOOD : 0 0-3 NM, .: 0 Mechanical Permit' $ 52.00
FUI/10100X..: 0 DUCE HOPI * 0 1-1c, u
*
GAS NWT • 0 WOOD tc.TOYES.. . I 15 fl 1(IN..11 0
COIN BURNER: 0 F04,1001_ ,.. 0 ,0.,,,0 foN. ,, n
Ilw • 0 NEC.......-.: 0 9-I luN, „.: U
GA s DRYER..: 0 A:R HANDLING 0411S ILIL IANP7---------
RANGE • 0 '10,000 JM: 0 1.80VE -ROIMH. 0
GAS LOGS...: 1 > 10,000 CIL: 0 UNDERGROUND.: 0 TOIA1 FEES $ 72.00
the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes f ) No Elf *Yes* then water expansion tank is required on Hot Mater lank)
Inspection Record: Mechanical Rough-in Date , Gas PIP10,, NL-- 11?--L/7 Date
MECHANICAL FINAL oft, _DA__ ._ at 12--HT- 'i'?
MANTIS EXPIRE 180 DAYS AFTER ISSIONCE II NO WORK IS SIARFLO.---- -
I CERTIFY IRE 111011411011 MOWS WY If IS 11111 AND CORIECT 161 OF NY KINIV1110 AND 110.. APPLICAILE CITY OF FEDERAL MAY RFOOTRIYANtS VIII If NEI.
(7- , , )
, c
OWNER OR AGENT
FIELD COPY