97-101046i Y
(-'ede r,41 W-iy, Wri 98-00"A
661 - 4000
m E C V1 m WE C m L, P E rt N I T
Hi,61(Ji.rig Inspect.ion 661-41,1#0
AI)DR.E1j113:32'?06 2541 AVE -"W
NO.: 873180-0270
PROJE(I-T OF"�-;CRIPTON :HVAC - GAIJ 10 GAS NWT REPLACEMENT.
OWNER
EDWARD RALPH
3?206 25TH AVE SW
FEDERAL WAY WA 98023
838-3543
iss CONTRACTORS, - PLEASE fIST EOCA
PERMI I )MES
L X P I R 09/2"? /9,/1
CONTRACTOR........ ..... LENDER ............
NORTHWEST WATER HEATER
2506 1041H SI (I S, SUITE A
TACOMA WA 98444
984-6404
SALES TU f0k PROJECTS VIFM INE CITY Of FEDERAL NAY. TAX RATE : 8.25 Its
FEES:
CE... S 20.00
its S 36.00
TOTAL Iffs $ 56.00
............ ...... r ......
Does the nater supply systet contain a Pressure Reduction Device or (fieO valve, then nater expansion tank is required on Hot Water 130)
Inspection Record Water Line OK — ... - I Mechanical Inspection Notes: Iq
GAS PIPING OK .. . - Date .... .... By
PIRAI IS EXPIRE 180 DAYS At 111 ISSt1AIKf If NO STAKTU. GRAN K 'ZI 14; UPIRL ONE YEAR AFTER DATE Of ISSUAKt
I URI IFY INL INF %MAf ION ilMNISN[b P Mt ISS6 Cmj#,-,10,,j1kf SISI 01 NY KNL*t E IND JOE APPLICARE CITY Of Fl -KW NAY AMIRLHIENIS WILt 91 MEI,
OWNER OR AGENT
FIELD COPY
. ' PERMIT SNODMECq%O O7§A� OOFJJPE�j� §6uth C:'t"��10,01.�.�L. f;a�kMu1.*' " CO2
Federal Way, WA 98003 Building Inspection Requests 661-41.40 BY: FC2
661-4000 EXPIRES: 09/22/97
ADDRESS:32206 25TH AVE SW
NO.: 873180-0270
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT REPLACEMENT.
F= OWNER
EDWARD RALPH
32206 25TH AVE SW
FEDERAL WAY WA 98023
838-3543
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
1189
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:
NEC PRMT ISSUANCE... $ 20.00
Mechanical Permits $ 36.00
TOTAL FEES $ 56.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Y S" then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date ...... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WO IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS UE AND CORREE]
OWNER OR AGENT
-AND GRADING; ERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
OF 111, KNNNWL E AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
------------------ DATE j,_ _ _ __-- --
FILE COPY
urroF �— BUIMINGDIM10.11
EO 33530 First Way South
Federal Way, WA 98003
(206) 66111000
EN Fax (206) 6614129
R a�ti1.QP�
MM 211991 APPLICATION FOR MECHANICAL PERMIT
�a
` - 7 MECG--- [ O�
PARCEL # 13 L U a T C Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner C D1 ,i 1 R l) -R1,1 LP H Phone g 3 n �� q 1,�
Address/City/State/Zip 11-2� b( -Q— A4 <ZSL&S LL D -CAJ a q '�N 6 Z -f)
Nature of Work L I L Lk L C -PCA C2.L-A ( Project Valuation: $ • � S
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Fax
Company Name /61 % 1�(IA 7�--- e /k-�- 1—n-;'
Address/City/St/Zip Ln co - / 6 V V 6' T � /'/, a
Contact Person ,A m L- u'q Phone q'?�1 67 V I- Fax
State L & I Contractor Registration # IV
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10 000c&n
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Understround
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler
BTU/H
other
Conv Burner
Duet Work
A/C
TONS
Other
iiag.:s-
Wood Stoves
A/C
TONIS
DISCLAIMER I certify, under penalty of perjury, that the information famished by me is true and correct
for which permit epphcetion is made. I hrther agree to save harmless the City of F s to an
made by any person, including the undersigned, and filed against the City of F y Way but'
information supplied to the city as a part of this appliartion
Owner/Agent
Me .APP
Aevrsm IVI1/%
o knowledge and fuAher flat I ern eutho[ized by the owner of the above premises to perform the work
ig experrses, and attorneys' fees ineured mr mvesfip pion and defense of such claim), which may be
arises of the reliance of the city, including its officers and employees, upon the accuracy of the
lf-2p -
Date