97-101331CITY OF FEDERAL. WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:3719 SW 331ST PL_
NO.: 873213--0070
PROJECT DESCRIPTION:G-G A WATER HEATER REPLACE
Building Inspection Requests 661--4140
F= OWNER _____________________________________________________ CONTRACTOR =_________=____=__=___=_____==_____________=-= LENDER
I JAMES BUTLER NORTHWEST WATER HEATER
3719 SW 331ST PL 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
874-5634 984-6404
- NORTHWH103R2
#S= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
PROJECT VALUATION 260
FUEL TYPES.:GAS ?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
1
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
BOILERS/COMPRESSORS.
0-3 HP....... 0
3-15 HP..
0`
15-30 HP..... 0 „ u
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
3
PERMIT NO: MEC97-0135
ISSUED: 04/17/97
BY: FC2
EXPIRES: 10/13/97
TAX RATE : 8.25 rt:
FEES:
Mechanical Permit* $ 22.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES $ 42.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK --------- Date ------ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AN
OWNER OR AGENT
RADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
-------------- DATE
FILE COPY
.1..
C41 Y OF i r 14:PAL WAY PERM I F NO: MEC97—0135
•33,!,30 First Way South r4 E.‹..... Illill Hi ./: t.:2 Plf..., Ficritm.): I" ISSUED: 04/17/97
Federal Way, WA 98003 Building Inspeclic,n Request, .',o1 4l40 BY: TC2
- 661 -4000 EXPIRES: 10/13/97
ADDRESS:3719 SW 331ST Pt_ •
NO. : 873213-0070
PROJECT DESCRIPTION:G-G A WATER HEATER REPLACE
4 OWNER CONTRACTOR t1_ t: ttzr - azt,, n.tnt LENDER v%,
JAMES BUTLER NORTHWEST WATER NEATER
I 3719 SW 331ST PL 2506 104tH ST CI S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
(
874-5634
Afi ,)i • , I/•1
,A1 I** CONTRACTORS, 4$111§ISE LOCA N ' " • • ES TAX FOR PROJECTS NITER THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION260
I FUEL TYPES.:GAS ? F• I 4',4 - BO '•th''' '''...--.....-.-.24 '.
. .
MUNI -
RC;. OM' . Mech. a
GAS PIPING.: 0 ft I .. .., • • o EL, • 1 MEC • IS t•• ,.. i 20.00
FURN<100K.,: 0
GAS NWT • 1 WOOD • .-
1 CONY BURNER: 0 EURN>101 ..•.1 H 0
.
880..... ..: 0 MISC • 1 HP • 0
GAS DRYER. : 0 AIR HANDLING TS 'EL TANKS---------
1 RANGE • 0 <110,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 42.00
Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes 0 No (If "Yes" V,ter expansion tank is required on Hot Water lank)
Inspection Record Water Line Ot Mechanical !riSr--1 irn Re ttl— <e;'—g4)--ctq- 0
- 7
1 GAS PIPING OK _ Date by
1
k, )
., ------:
4PERNITS EXPIRE 100 DAYS AFTER ISSUANCE IF NO WORK IS SI' ,. ,ANDIRADINC BERATES EXPIRE ONE YEAR MIER DATE OF ISSUANCE.
'.1 CERTIFY 101 INFORMATION FURNISHED BY NE IS TRUE0- Hi UST Of, Y KNOVELDEA ADD HIE APVIICARLE,CITY Of,FEDERAL NAY REENTIRENERIS WILL BE RI. 0 -
•
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0P l4M1 ' ( (+41. --. , - e
1 -
FIELD COPY
?.-7I/ 77 7,4
. City of Federal Way
CITY of G 33530 First Way South ,r-
_
-0 - ^ gar w= Federal Way, WA 98003 IN/ E rD
(206)661-4000
lq,5001-.17, IM
APPL/CA TION FOR MECHANICAL PERMIT
® k r• F=L , ERAL 'WAY
UiLDING DEPT.
SITE LOCATION:
Single Family Multi -Family ❑
M E �, � .
Commercial o
C/1:?::;15-
Tenant/Owner:4L (-� n L I (
--=r- Phone:
iv
Add ress/City/state2ip: ' ICA S ti) 3
Nature of work: A wk i� G 2, 6 Ce Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/2
Fax:
"!
Contact Person: l_ LLv�- 7tnt 4/A �-- l � �� Phone: ��'!V� � q q
State L & I Contractor Registration #: ��T � b � Exp. Date: r 41,::2 �
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling
< - 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> — 10,000cfm
Above Ground
Furn < 100K BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information fn! is true
premises to perform the work fa which permit appReetion n made. r sgrw to u
incurred m investigation and defense of such claim), which me mads by any para ,
out of the reliance of the City, including its officers and a yesa, upon acc
,t wner/Agent:
k
xraet beet of my knowledge and further that I am nahorhsd by the owner of the above
City r Federal Way as to any claim )including costa, expenses and attorneys, to"
thened. and filed against the City of FWw&V Way but only where such claim crises
nation to the City as a part of this application.
Date: