97-101239c_ ,I TY (-)F f f'DE:RAL_ WAY
33530 F i. rst: Way Sc)utA
Federal Way, WA -9800-11
00-13
661-4000
ADDRESS:35348 12TH (- f SW
NO.: 502860--1640
PROJECT DFS CRTPt10N:g-g furnance replace
ONHERr14..bm.r�,r:�b.b��>�
RICHARD H1CKS
35348 1210 CT SH
1 FEDERAL WAY MA 98023
j 924.0458
Ott CONTRACTIM, PLEAS[. USE LU AIIOT!1,T
M IE C1 NAN.I.C-AL PERMIT
1,Iu:i. if:iiriq .f r)spec tic: rt 1?egtje<.;ts 6eil -41..40
CONTRACTOR---= .. m> zxLnbrabss.........—an ..aa.....w-n—
NORTHWEST WATER HEATER
2506 10410 ST CT S, SUITE A
TACOMA WA 98444
984-6404
HORTHWH103R2
VLKf'I1 1 NU; PILI-':# i -UIJU
ISSUED: 04/101/97
BY: FC:
EXPIRES: I0/06/97
LENDER.L—A.Z....A=..v.A.tl.=npx6:r— ................_,,,E<i
INTING SALES TAX FOR PROJECTS NIININ THE CITY OF FEDERAL NAY.
'••••••: +Rssax:a ¢LSC.^-SS6S Gi¢mr33Tb:.`W,:i�III YLAs'9Ait<tC:S:3i::.CA.Am7:b�: LSfCS...........
PROJECT VALUATION 555 =
f ? � � s LI r /0"PRtSSOR`s •= x
fUEI TYPES.:GAS FAHS........
GAS PIPING.: 0 ft HOOD.. ...... ,J_ P...
FURH<100K..: 1 90CT1
GAS HWT....: 0 WO �� Tip'' �
CONV BURNER: 0 f > =3 aPo 50" P. n
BBQ......... 0 MI
GAS DRYER..: 0 AIR
RANGE......, 0 <-10,
GAS LOGS.,.: 0 > 10,00 RGR
0
TAX RATE : 8.25 iss
ilJt i' 4' AZ.^.:ILfEwC:Z � � HRL1m:L¢C:S: amb 9ACS �:AmLN:Cb CCLSbLJi
FEES:
Mechanical Permit* S 2;.00
lAHCE... $ 20.00
$ 44.00
'n.�.m:.'SS.:aiw w�'..6]{: RtCA6Atl:ilb WbIDGCL'G9¢SOiCSIKAFtfx CS:'.1%.4:2Cr:"{C:'0:4C.^�Cti:i'..c5.^.m�ili:°^.".�SY (n#otes:
Does the nater supply system contain a Pressure Reduction Device or?(p(, es (I 4 ter Pypansion tank is r uired on Hot Water Tank)
Inspection Record Water line OK Mechanical Inspec—GAS PIPING OK Date BY
{:Si:kLK:C+4':YWbW:CS:SI:lw:`.C9uA:%LY vnuCalY[1.bEL'J9x L'E!.`i@fw.RE[tll.eS.Ybmrl•�i:m<..::s49b@35tiLY:d: ::RCi�3:. n:. [:: ;;: ta:lttmxi:imp^SSALAwLt.'�IAzm3.�.ssltxC30.:39RaGSbaCCQAtRCxmCCCmb9Ci3?9b#.F.........4nCSY,k:AdssG',SScxAY..:::�LbSCCsiE'J_iC."..�sCx�.-..:>;�'k. .5cs:wi.n�9Cxa
PERMITS EXPIRE 180 RAYS AF1ER ISS}LANCE IF NO NORK 1S SIIWt :"RESestmovw
WWI PERMITS EXPIRE ONE YEAR AFTER DALE OF ISSUANCE.
I CERTIFY TH1 1RFORMATIOK FUPNISNED BY MI IS TRUE AN ECT K LEAGIG, AND THE APPLICANLE CITY OF FE6ERAL NAY REQUIREMENTS VILL If Off.
OWNER OR AGENTDATE`
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:35348 12TH CT SW
NO.: 502860-1640
PROJECT DESCRIPTION:g-g furnance replace
OWNER
RICHARD NICKS
35348 12TH CT SW
FEDERAL WAY WA 98023
924-0258
N q �w... ,.� �,,, tl �"' II II ' (� .��U.. ��,�..�• I�.'"11 !I..,.. �"� �...,. �� 4. � � .�,. II
Building Inspection Requests 661--4140
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT NO: MEC97-0130
ISSUED: 04/10/97
BY: FC
EXPIRES: 10/06/97
__s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 s*s
PROJECT VALUATION
555
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
Mechanical Permit*
$ 24.00
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....; 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ......... 0
MISC...........
0
5+ HP........ 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... ; O
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 44.00
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 Water line OK _ - Mechanical Inspection Notes:
GAS PIPING OK ......... Date ------ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR . RE GRAD PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AN RECT MY K LEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS VIII BE NET.
G�
OWNER OR AGENT ---------------------------- -------- ------------------------- DATE
tLF COPY
City of Federal Way Mecoq me
CITY OF C 33530 First Way South '�/r 'I
-
R
� Federal Way, WA 98003 D 2 F 2�
(206)661-4000
APPL/
CA TION FOR MECHANICAL PERMIT
PARCEL & (-Q (3 q 6 Single Family/ Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Phone: a�'4- -2
Address/City/State[Zip: _ _5 4 1 Z� C� stk) C(K Q Z3
Nature of work: �` �� 1 R (-� C (� t? Project Valuation: $- - -
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: OOc<
;�v
Fax:
Address/City/St/Zip: 1pitK,-7-7 /J YL� _
Contact Person: L ` I " Phone: `�� Fax:
State L & I Contractor Registration #: N+�T l I b�71� Exp. Date: —
(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 >
= IO,000cfm
Above Ground
Furn < 100K BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
EEA/C
Boiler
BTU/H
Other
Conv Burner
Duct Work
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information furnis y e is true
Premises to perform the work for which permit application is made. r�acc
incurred in investigation and defense of such claim), which me made
out of the reliance of the City, including its officers and em yeas, upon
erect best of my knowledge and further that I am authorized by the owner of the above
CitJ.d,
f Federal Way as to any claim (including costs, expenses and attorneys' fees
the txWaraand filed against the City of Faderay Way but only where such claim arises
nation suped to the City as a part of this application.