97-101153('fTY OF FEDERAL RAL WAY
33530 First. Way Soutti MEC IIAN CAL PERMIT'
E ecle ra l W<Zy, , WFC 98003 T3ui l (J i rig f nsp(�c t i nn PegOes is 661-4140
661-4000
ADDRESS:32504 30111 AVE SW
NO.: 5.3731.90--2200
PROJFCT DESCRIPTION:HVAC - GAS TOGAS FURNACE REPLACEMENT.
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OWNERa=...............:
LARRY DARBY
32504 30TH AVE SM
FEDERAL MAY WA 48023
473-8025
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PROJECT VALUATION
1815
FUEL TYPES,:GAS ?
FAN
GAS PIPING.:
0 ft
H0
FURN<1QOK...
1
DUCT WOK fw
GAS NMT.....
0
WOODTOt� >O
COHV BURNER:
0
FURN>1�,v�
BBO.........
0
MTSC..
GAS DRYER..:
0
AIR HANDe S
NLRMII NO: MEC97-01.1.7
Lt;SUL D: 04/03/9-/
BY: FC1
EXPIRES: 09/29/97
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CONTRACTOR#sczaxo.ursaMet sc. sarst
NORTHWEST NATER HEATER
2506 1041H ST (I S, SUIT£ A
TACOMA WA 48444
P..... 0
tt TANKS---------
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tIRDER
CRSYt#xG#�.x:`Yi•:3CS Y. d:i: i':K:'R#TY.xCY:SI.• .Lt'w#gn.^-5SK#:;:Zx _x:itJY.. tY:LL Weir# W.i ¢T. ^.T.}
ES TAX FOR PROJI'CTS NIV11110N TIE CITY OF FtOERAt MAY. TAX RATE = 8.25 $*1
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2Mech2a 4.000
.00
.00
RANGE....... 0 c-10,000 CIS. 0 3. HUM GROUND: 0
GAS LOGS...: 0 10.000 CFM: 0 r, UNDERGROUND.: 0 TOTAL FEES S 70.00
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Does the vater supply systeo contain a Pressure Reduction Device or Check valve? O Yes O No (If "Yes` then vater expansion tank is required on Not Water Tank)
Inspection Pecord Mater Line OK Mechanical Inspection Notes:
GAS PIPING Of, ..__ Date ..__...__- BY
D•i::.::.... ='::=?WF;3CCffixt G....s. J._.....'".... W -=W gX.:x'.+::
PtRNIIS EXPIRE 180 BAYS AFTER ISSUANCE IF NO PORI( IS ST SIB" -m-# GR411C PfRNTIS EXPIRE ONE YEAR AFTER PAR OF ISWANCt.
I CERTIFY 1K INFORNAI ION FINLNISN[b BY NE IS TRUE ORRE IIiST OF NY 0OVt1DGf AND Ilk APPLI(WE CITY OF Ftt)[RAL NAY REQUIR[XVIS MILT. 8E NtT.
!�WNEC? OR AGENT DA _. -___.--- _. _ •��
._. _�,,�.,....._ , ._.._._ _ .. _._ . =.�. __....
FIELD COPY „tom
CITY OF FEDERAL WAY ,�, w.. ,,, tltl �'""M �'"' ..�. „�,,,_
33530 F i rs t Way South i" �,".. I I �,.," 9""„. �-
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32504 30TH AVE SW
NO.: 873190-2200
PROJECT DESCRIPTION -HVAC - GAS TO GAS FURNACE REPLACEMENT.
OWNER==axxaaxxxxxxx
LARRY DARBY
32504 30TH AVE SW
FEDERAL WAY WA 98023
973-8025
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT N0: MEC97-0117
ISSUED: 04/03/97
BY: FC2
EXPIRES: 09/29/97
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CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 M
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PROJECT VALUATION
1815
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
NEC PRMT ISSUANCE... $ 20.00
( GAS PIPING.: 0 ft
HOOD..........: 0
0-3 HP......: 0
Mechanical Permit* $ 50.00
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 ...... ; 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES $ 70.00
L---------------------------------------------------------------------------------------------1---- ____--------------- ---- -----
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IDoes 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 ______ _________M________
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED:- RESIDE IMG PERMITS EXPIRE ONE YEAR AFTER DATE Af ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AJI-4REC MY LEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE NET.
OWNER OR AGENT DATE
_�-
- ------------ - ----- -- --------------------- ---�-tL-s�2
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003
(206)661-4000 \\\ H V1" t G ,l l
�/� Leo 1 I J APPL/CA TION FOR ME
CAN/CAL PERMIT
AY
4i tREP W
cai`t�`ir'Q;' I
PARr] l �Q 2'zQ�
CEL Single Family Multi -Family o Commercial o
SITE LOCATION:
Tenant/Owner: �� ►/� ie B q Phone: q -::
Address/City/State/Zip: _3�Z� -" -�01� AW ��L%��R -t0 dZ�
Nature of work: (2 - La (" u R �A o - Ac 6-ytProject Valuation: $
APPLICANT:
Name
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: hl- �C
hone:
Fax:
Address/City/St/Zip: (tt('�( D'[ :, ;—L- TU VI�
Contact Person: Phone: `�'� Fax:
State L & I Contractor Registration #: - Exp. Date: - I
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,Ooocfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,00ocfm
Above Ground
Furn <100K BTU's
1 Gas Log
Unit Heater
Underground
Furn > 1OOK 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 furnis y e is true
Premises to perform the work for which permit appliaati on is made. rther agree to sa
incurred in investigation and defense of such claim), which ma made by any pers , in
out of the reliance of the City, including its officers and a yees, upon *cc
orrect beat 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 txWeroi ned, and filed against the City of Federay Way but only where such claim arises
mation suPined
lied to the City as a part of this application.
Owner/Agent: k, , � a \-:z Date: