97-101206(� T f Y QF F t D Rfil_ WOY
f' -i'45 -4o First Way sout:l ►
1.- ede r -a 1 Way, WA 9£300:3
661-4000
ADl;)Fit-SS:31953 :3614-1 A,1V :
NO.: 873198–w4320
PRCA1(-T D£SCR1PTT0N.:HVAc
r�
Building Inspect-ic,r'j 41,'10
("5 W
- GAS 10 GAS FURNACE REPLACEMENT.
OWNER' ...—....ww. .....n:rttyF:�m> wxx�
ELVIN BURGESS
31,953 36TH AVE SW
FEDERAL NAY NA 9802?
i 838-9048
zmasau.x,saxaamxma:. . n
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURNt1001(..: 1
GAS HNT....: 0
CONV BURNER: 0
880........: 0
GAS DRYER..: 0,
RANGE....... 0
GAS LOGS..:: 0
aii tI1NTr' if Tilii :, iFt s € ":
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:31953 36TH AVE SW
NO.: 873198-3320
PROJECT DESCRIPTION :HVAC - GAS TO GAS FURNACE REPLACEMENT.
F= OWNER
ELVIN BURGESS
31953 36TH AVE SW
FEDERAL WAY WA 98023
838-9048
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT NO: MEC97-0126
ISSUED: 04/08/97
BY: KLC
EXPIRES: 10/04/97
=m= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 nt
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
2169
FANS........... 0
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 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 54.00
TOTAL FEES $ 74.00
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
GAS PIPING OK
Mechanical Inspection Notes:
Date ...... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST".
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ANDICORRECT
OWNER OR AGENT
NITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
AND THE APPLICA CIF 6 REQUIREMENTS WILL BE NET.
--- DATE --- ------ ---
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003 ,
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT
tl�
PARCEL ff•� ` vL� v)� Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
l ,� �1��2C-sl
Tenant/Owner: Phone:
Address/City/State/Zip: �� Ao SW
Nature of work: �� 43CY✓Ild_project Valuation: $ I �'
APPLICANT:
Name:
Address/City/St/Zip:
s
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Z`0o (ttW, P, JlD`'r—
��Contact Person: P�
ne:
Fax:
1{y. l y./z�6u foil � cT A
State L & I Contractor Registration #: N��T�� t b�7[� 2— 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 >
= 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information fur i y e is true
premises to perform the work for which permit application is made. rther agree to as
incurred in investigation and defense of such claim), whichma made by any para , in
out of the reliance of the City, including its officers and em yeas, upon acc
Owner/Agent:
>rreot best of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim lincluding costs, expenses and attorneys' fees
the:;deli nod, and filed against the City of Federay Way but only where such claim arises
nation sup lied to the City as a part of this application.
Date:
11.