97-101151(,.I I Y 0F' FF: IM'. R (A L� W(:�Y
-3�3-1130 Fi.rsf. Wa, Sc)tjth MECHANICAL PERMIT
leclryral W�iy, WA 9300'3 j-wj.lcjinq Iricsr)ection RPCjL1e!,t4� 661-4140
661-4000
ADDRESS:30304 9111 OVL
NO.: 515365-0100
PROJECT DESCRIPTION-flVAC - GAS TO GAS FURNACE REPLACEMENT .
OWNER ..... . ..... = ...........
TOM BRAIN
30304 91H AVE S
FEDERAL WAY WA 98003
946-6710
CITY OF'
Sit 404ACTORS, LOCA
I�
PROJECT ,,VALUAIIW:— :1700
FUEL TYPES.:GAS ? F DO
GAS PIPING.: 0 ft 8
FUP"<1OOk..: I DU_
GAS NWT..... 0 WOOD V
CONY BURNER: 0 FUR">l
GAS DRYER..: 0 AIR HANDLIM S
�i
RANGE......: 0 \<:10,000 (f 0
GAS LOGS...: 0 > 10,000 (f m: 0
�q INIS-1
PERMIT' NO: MEC97-0116
fiy
EXPIPE!,--
(ONTRA(TOR . ...... LEWDEP ......
NORTHWEST WATER NEATER
2506 10410 ST (I S, SUITE A
TACOMA WA 9b444
LJ TAX 109 MOJI(15 U1141H INE CITY Of FEDERAL WAY. TAX RAH = 8.25 Its
.1 ..m.. �
HP ....... : 0
L TANKS ----------
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply systes contain a Pressure Reduction Device or Check valve') 0 Y,� -
Inspection Record Water Line OK --.11 1- Mechanical Inspection Notes:
.....t'._._... 4... x.... E --- ---x
20.00
46.00
66.00
Ifr, (if --s' W -r, iiter is required on Hot Water lank)
;U— �— cq� fm�z--
GAS
PIPING OK Date By
................ ......... — ....... ......
PfRNIIS EXPIRE ISO 1AYS AFTER ISSmr If NO PORI ISS E 11 AI�QAIIING RKH111,; EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY lut INFORMATION FURNISHED RY HE Is IR01 (0 0 lot fiLST (I MY t*)Vt.[DGC 00 THE APPLICAItt CITY OF FEDERAL NAY RLQUIRLHINTS 91ti. IF Nit
OWNER. OR AGENI DAT,
uff*4 0=010
CITY OF FEDERAL WAY
33530 First Way South�'I ' NI C A L .. PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
6614000
ADDRESS:30304 9TH AVE S
NO.: 515365-0100
PROJECT DESCRIPTION :HVAC - GAS TO GAS FURNACE REPLACEMENT.
p= OWNER
J TOM BRAIN
30304 9TH AVE S
I FEDERAL WAY WA 98003
946-6710
s=t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 M
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
It
PERMIT NO: MEC97-0116
ISSUED: 04/03/97
BY: FC -2
EXPIRES: 09/29/97
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
1700
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
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 START L ANI GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE C 0 T ST MY KNOWLEDGE AND THE APPLICAJkE CITY OF FEDERAL MY REQUIREMENTS MILL BE MET..
OWNER OR AGENT
-- DAT —,r------
FILE COPY l
FEES:
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
0-3 HP......; 0
Mechanical Permit*
$ 46.00
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES
$ 66.00
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 START L ANI GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE C 0 T ST MY KNOWLEDGE AND THE APPLICAJkE CITY OF FEDERAL MY REQUIREMENTS MILL BE MET..
OWNER OR AGENT
-- DAT —,r------
FILE COPY l
City of Federal Way 1
CITY OF G 33530 First Way South
Federal Way, WA 98003 '
(206)661-4000
V V
APPLICATION FOR ME
�,ql ® 3 1997
MECHANICAL PERMIT M
PARCEL JX- AQQ Single Family Multi -Family C1Commercial El
tr BUILD t Ur -r- a
SITE LOCATION:
Tenant/Owner: d/V, 14�1r� �j Phone: '3-
� ` (4r 0
Address/City/State/Zip: �n � - Al� 7) V�tD-(/V(-�`-1 ":2K06
Nature of work: "�� ► C� '/�f� I f P C'?!�'l� �roject Valuation: S ��
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: h, l a Kc�tW CE�5>
Phone: � Fax:
Address/City/St/Zip: c)(t(' L� D%r-"7-
Contact Person: 1'� G6- '� �— Hr
T,
2— ,
State L & I Contractor Registration #: _ Exp. Date: _ _L2
(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 < 1 OOK 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
A/C
TONS
DISCLAIMER: I certify uoder penalty of perjury that the information funis y e is true
premises to perform the work for which permit application is meds. rther agree to sa
incurred in investigation and defense of such claim), which mrY made by any para , in
out of the reliance of the City, including its officers and a eel, a on acc
correct -t beat of my knowledge and further that I am authorized by the owner of the above
le K City f Federal Way as to any claim lincluding costs, expenses aril attorneys' fees
the undeni ned, and filed against the City of Federay Way but only where such claim arises
+mat ion sup lied to the City as a part of this application.
Owner/Agent: I�Jw" .. -