97-104111TY OF E' DEROL WF3Y
3530 First. W=jy (?tii,lt
ecir-ral WAy, WFC 98003
x'53-_0561.--4000 '
01)fVLS,>:33430 26ihl PL � VI
_IN(t 010060.-0080
`PROJECT PE!��CRIPTION:HVAC - }'(PLACING GAS NATtR NEATER
I
p OWNER aaaaamaamc:ao-CDNIRACTOR mti---=m-m$SC------C-:--::.....u:,[x-a tEND(R
ALLEN SWANSON ACTION NATER HEATERS ONLY INC
33430 76TH PL SN 1500 11710 PL HE
FEDERAL NAY NA 98023 BOTNELL NA 98011
838-2296 206 806 8608
i�T1�556P
�...:u.s.+mu�r. a,::four.+sst;'.�:t:.x�s_•cc.: nci c.;z_^:_.:Ks:=:xaarxac vc�w*'-...ac��+,aP4-.:..;FwYd, ..,...r',c.......:,:,c..:_,:.__'.-.,...x'r.,.:cm;::ss_-xnxsw�..,.s'cr:..v z; s:s±m s,..,,: .xa;,iz »:zm:s •�. rr .:. �.:z
(0111tACIORS fttAsT 0 1 1011 (OK 173" IAL(N REPORTING sALES TAX FOR PROTECTS MIIBIN JUL CITY of fto[RA1. MAY. TAX RATE = 8.25 M
PERMIT NO: MUC97-03 9
BY- Kt.r_.
I: u1='IRLS: 0.",/04/98
' Tjn,:s,-s3...Y :/ataxSewlaro:Ams raa}aawse:maetYwo6de:'mo«x is. z:stxmur.�.�:n Ass #f:', ^ _.. .. _.:-.a �R'7tYffia'.�s_-':••
$ 56.00 11
:Ck: a"SOpAYr.':Se.xvG.L^ aCit.. 1:..0.4.0. :Y..... ........RS:t'G.........nom'JImx:S:::....s<wQ.2:27Cm6wT.i3....^.
Does the crater supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (if 'Yes" then Yater expansion tank is rewired oo Not Yater lank)
Inspection Record: Mechanical Rough -in Date Gas Piping Date ...., _p .._..
HECHARRAL FINAL . _ .._,^G. __.. Datt 57:17,6' S
ws'S r.Zm aCC31.YSam2::. 9:S mea:-^.RwRaS-W."E5:�9GSY..d^6%C::di:CRccaC¢auR::Rmm wCCa2�u6..N saa�i:..-.atcnx�W r.ACCA0C a6wmcaasil;asacc.aral�'�ac�':z.mxxmntt 5:w:.scsxsae tsaa: S:T+3:a R, a"3. r.::.mJUs:9
Is EXPIRE 1101 DAYS 4110 TSSNNCt it No Won Is fTARFED.
TIFY THE InORNATION wRRLm NT Mt is aut: at CORRECT 10 TME BEST of NY LtNBIN.EDG't ANP 1101 APPLICwt CITY OF FEKKAL. WAY K4012MVIS MISE BE N11.
FIELD COPY
5
............
�c:aas Cw:ud:a:osrs.
TWitl VALUATION
956
F(f":
F.004 TYPES..:GAS
FANS.... :
0
PPNT ISSUANCE...
GAS_ PIPIW..: 0 it
... ,
HOOD...........
0
Pie hartiral Permits
FUR9100K..: 0
DUCT 400f_.. .. :
€T
-1; TON....:
0
GAS HNT ....: 1
WOOD .' I+4:'! `" . , :
0
t 5.33 TiiN ... '
O
CONV 10PIR: 0
fURNS,100;I...... :
rr
30-50 TOT+ ... :
0
Bail......... 0
NISC.. .., .:
0
50+ ION......
0
GAS DRYER. 0
AIR HAK,Llof- +IN11'.
FUEL TANGS--
-
RANGE......: 0
<=10,000 4h
0
ABOVE GPOOND:
0
GAS LOGS...: 0
> 10,000 CF11:
0
PODERGROUND.:
0
TOTAL FE[S
$ 56.00 11
:Ck: a"SOpAYr.':Se.xvG.L^ aCit.. 1:..0.4.0. :Y..... ........RS:t'G.........nom'JImx:S:::....s<wQ.2:27Cm6wT.i3....^.
Does the crater supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (if 'Yes" then Yater expansion tank is rewired oo Not Yater lank)
Inspection Record: Mechanical Rough -in Date Gas Piping Date ...., _p .._..
HECHARRAL FINAL . _ .._,^G. __.. Datt 57:17,6' S
ws'S r.Zm aCC31.YSam2::. 9:S mea:-^.RwRaS-W."E5:�9GSY..d^6%C::di:CRccaC¢auR::Rmm wCCa2�u6..N saa�i:..-.atcnx�W r.ACCA0C a6wmcaasil;asacc.aral�'�ac�':z.mxxmntt 5:w:.scsxsae tsaa: S:T+3:a R, a"3. r.::.mJUs:9
Is EXPIRE 1101 DAYS 4110 TSSNNCt it No Won Is fTARFED.
TIFY THE InORNATION wRRLm NT Mt is aut: at CORRECT 10 TME BEST of NY LtNBIN.EDG't ANP 1101 APPLICwt CITY OF FEKKAL. WAY K4012MVIS MISE BE N11.
FIELD COPY
5
It -
CITY OF FEDERAL_ WAY
33530 F i rs t Way South
Federal Way, WA 93003 Mechanical Inspection Requests 253--661-4140
253-661-4000
ADDRESS:33430 26TH PL. SW
NO.: 010060--0080
PROJECT DESCRIPTION :HVAC - REPLACING GAS WATER HEATER
OWNER
ALLEN SWANSON
33430 26TH PL SW
FEDERAL WAY WA 98023
838-1298
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER.,: 0
RANGE.....,. 0
GAS LOGS...: 0
CONTRACTOR
ACTION WATER HEATERS ONLY INC
15020 117TH PL NE
BOTHELL WA 98011
206-806-8608
ACTIOWH055DP
wi"{ y1.1
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
956
? FANS........... 0
ft HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON.....: 0
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
PERMIT NO: MEC97-0329
ISSUED: 11/06/97
BY: KL_C
EXPIRES: 05/04/98
i
{
TAX RATE : 8.25 Ut
FEES:
MEC PRMT ISSUANCE...
Mechanical Permit*
TOTAL FEES
$ 20.00
$ 32.00
$ 52.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (If "Yes" then water expansion +�^a ;c renliirel nn Un+ Wj+er ?nn41
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 RGEHTC__. a U�--------------------- - -------- DATE ------
FILE COPY
IV/ ta7/tit rmv iJ:4v rA-i :vuuui4izo 1.11Y Vr rLVhJKAL "AY IgiUUz
i
of ls:4ice. �— 0�:�
ftmWJNr. Dtv=oN
33530 tirtst Way South
Federal Way, WA 93003
(253) 661-4000
Fax (253) 661.4129
APPLICATION FOR MECHANICAL PERMIT
PARCEL # MECSin le Tamil �
S Y multi -f. amilY 0 Commercial ❑
SITE LOCATION
TenanvOwncr ld� I -L eh/
Addri ss/City/StatvZip
Nature; of Work
APPLICANT
3 3 IJV o PL -
Phone
Project Valuation_ S—(7,
Name
Addre,wCity/svzip /2�/ S�,- " %
F
MECHANICAL CONTRACTOR
��
(+jmpaayNamc f 7f ` - "I - ?r e< b,✓
Address/City/SdLip
c
Conta(.t Person - f� ilt r✓/ �rl �t�1 /fi� phon �l O �S Fa
�`f�1 7S Y(.=,
State L & 1 Contractor Registration # L / O W
(Cord muxL be Prn cxucd) Exp. Dalt
Far Muth ur ._,...toSAV harrow TIKCi nWaymaisrruoandcnuc�Iwmjieitstofmytaiuwle�eYldfinlrrx�unlunRUurotitsalyWGOR�1eroClhe.buvC ret
permit e7Fd moon u rrtas6.1 Amba njco r� sovc ltattnlera t(w Y ul Fe l ael W,y u to any claim lincht 14 costa. cxPenwS wtd taomey� feet instated m inv �ntt attd def P �i w pari<atu Ute arnrt
aside by NY Petcs't� tncluAatc the erntetni�fted .red fikd ryyptri thr Coy of Fedm f way hiss Ludt , char such cLuirt a&ca au ufdw tetwive ofrtsr. pity, inclvAntK its oiric and anvWYeas +gym theIs
-uuery ofdre� be
informwttun suppl.�.t to the.ity d a p.n of this utstbcadon.
Owner/Agent
Mr"A nrr
NC-W{n K[U,97
" _2'1