97-101110F
I t..rjr-, r_O W,,1y , 1,4f
401JO
n<) I n,,:;r)c-,ction 1 10 ,;U
UtIl 6vt
III(). : 15024 1, 41.1"M
0I()JE(J M',CR,1PI,l0N-HW
GAS TO GM' FURNACE REPLA(IMENT.
OWNER....... ........
WILLIE BUSH
32210 81H AVE S
FEDERAL. WAY WA 98003
M CONIRACT
PROJECT VALUATION 1735
1`11EL IYPES.:GAS FANS......... 90 RS 0
GAS PIPING.: 0 ft ROO ...
FUM 100K.. 1 5
GAS NWT....: 0 W S S. P.
(ORV BURNER: 0 FUR P
R . 0 "ISC
q 1 /0 ///0
PERM11 NO: MEC97-0111
F
f R 09
CONTRACTOR =... ... ..... LENDER
NORTHWEST WATER HEATER
2506 104TH ST Cl S, SUITE A
IA(OMA WA '4444
44.U404
im Mi NOW SIM IM fog PROTECTS VIININ THE Cify Of fma NAY. TAX RATE = 8.25
M.4 N-7; .... ..
.......
mmovemommum z= ....
0S DRYER—: 0 AIR HAND ANK
RANGE ...... : 0
\:10,000 VE GROUND: 0
GAS LOGS...: 0 > 10,000 C 0 UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Devi
Inspection Record Water Line OK
GAS PIPING 0!
PERMITS EXPIRE 180 DAYS AFIF.9 ISSUANCE if NO NINK
I C13TIFY TIE INFOWTION 11MINISILD By NE is TM
,.,V#Er Or %, r
"eawniny
ANCE... < 20.00
r8it* 48.00
TOTAL FEES $ 68.00
............. X.M ....... X- ...
ck valve? () Yes () No (If *Yes' then water expansion tank is required on Not Water lank)
.. -r *M ... =aN ,. .. : .... W—W,
,#0511MIAL AND M011116 PM11S EXPIRE ONE YEAR AMR ME Of ISSUANCE,
-'TO INE HEST Of NY IMM11110CIF AND IK APPILKA11111,VtITYK f"tML_*W RIQUiRILKINIS Will Of Nil.
DO[
FIELD COPY
CITY OF FEDERAL_ WAY
33530 First Way Soutt, NDN y.,�,, ,.,��"" N"..1k;,,,If) L P F04. fl
Federal Way, WA 98003 Building Inspection Requests 661..-4140
661-4000
ADDRESS:32210 8TH AVE S
NO.: 150241-0130
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE REPLACEMENT.
OWNER
WILLIE BUSH
32210 8TH AVE S
FEDERAL WAY WA 98003
941-0610
= CONTRACTOR =_________________________ _=_________== = LENDER
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
- R i
PERMIT NO: MEC97-0111
ISSUED: 04/01/97
BY: FC2
EXPIRES: 09/27/97
-----------------------------------------------------------------------------------------------------------------------------------------
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 sts
------ -----------------------------------------------------------------------------------------------------------------------------------
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
1735
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>IOOK.....: 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* $ 48AO
TOTAL FEES $ 68.00
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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE
OWNER OR AGENT
Mechanical Inspection Notes:
Date ------ By
D 6RADIN6 P NITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
OF NY KNOWLE E AND THE APPLICABL IT REQUIREMENTS MILL BE NET.
--------- DATE ---`----� ----__
PPE COPY
City of Federal Way
CITY OF 33530 First Way South
� Federal Way, WA 98003
(206)661-4000
APPLICATION FOR MECHANICAL PER
S M/T
i3�.RAl WAy
o pr pT.
PAROL IttNr o � I �C Single Family Multi -Family ❑
SITE LOCATION:
Commercial o
Tenant/Owner: �" -� c Phone:'_M/—
— v�l�
Address/City/State/Zip: - ` U ! I / � /� -azl
Nature of work: �( ` �� /ick /��'L9C�i✓� Project Valuation:
APPLICANT:
Name
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
Phone:
TI
Fax:
Address/City/St/Zip:�� Op (ttW17`['%� VI�
Contact Person: - I " Phone:r ``-'� Fax:
State L & I Contractor Registration #: LLRT4vit I Exp. Date:._1��
(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 o-( U's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas H
J Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIM En. , certify under penalty of perjury that the information furnis y e is true
premises to perform the work for -. ,ch permit application is made. rZby
r agree to as
incurred in investigation and defense of such claim), which ma made anyout of the reliance of the City, including its officers and em yees, uponace
erect best of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim (including costs, expensas and attorneys' fees
the undeni ned, 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.
Owner/Agent: tC 4( 4���' Date: