97-101061I T Y 01 F [(A VAI. WHY
"-<,45,30 F i rst, Way '-;outti
I ode r -;i I Way, WE) 9800,'!
661-4000
(J)DREI--S:312104 6111 AVE �"W
NO.: 926490-0710
PROD 1. C r DESCR I PT I ON: FURNACE REPLACEMENT
97 /0/(�/
PERMIT NO: ME('91--01.0(o
Hf-'Cl-JANICAL. PERI'll"T
Ruil.(Jiiig 1rispection Requests 66'.1-41.40
- OWNER ...... CONTRACTOR .........
DON HIGH HORIHWESI WATER HEATER
32104 61H AVE SW 41506 10410 ST Q S, SUITE A
F[DIRAI. WAY WA 98003 IKOMA WA 98444
2153-838-5148
CITY OF
tst CONTRACTORS, too
PROJECT VALUATION 930
FUEL TYPES.:GAS ? f AN 80
GAS PIPING.: 0 ft
FURN<100K..: I DU(
W'fl
GAS HWT.... : 0 WOOL
COHV BURNER: 0 FURHAO
BBO... —..: 0 MIS(.......
(;AS DRYER..: 0 AIR \HANDLI IT NS
RANCE. . ..... 0 <10,000 CFM: I
GAS LOGS...: 0 -, 10-1000 CTM: 0
IM "W.: 0
NP........ 0
EL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
LENDER
k1S in FOR PROJECTS VITRIN IK CITY Of FEDERAL VAY, TAX RATE : 8.25 tst
32.00
.00
00
Does the water supply system contain a Pressure Reduction Device or Check valve" Ye, (If 'Yes* then water expansion tank is required on Not Water lank)
Inspection Record Water Line
OX
Mechanical
Inspection
Notes:
F1
GAS PIPING
OK
Date
By
PfRIIIIS EXPIRE 180 DAYS AFTER ISSVAKL 11 00 VORK IS SIARIW--CIiiEPWAND G RAVDI PERMITS EXPIRE ONE YEAR AFRO N11 OF ISSOAKE.
L
I CERTIFY INEK INFORNAlloff CURNISNED NY Is wit Ap'f,�FCT I TA [Wit AND IMF APPLKAKI CITY Of FFMAI. NAY RFQIIIRthLnI'1 41tt bl. KI
llwotp w T r
FIELD COPY
CITY OF FEDERAL WAY
3:3530 First Way South
Federal Way, WA 93003
661-4000
ADDRESS:32104 6"f F; AVE SW
NO.: 926490-0710
PROJECT DESCRIPTION: FURNACE REPLACEMENT
OWNER
DON HIGH
32104 6TH AVE SW
FEDERAL WAY WA 98003
253-838-5748
Building Inspection Requests 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT N0: MEC97-0106
ISSUED: 03/27/97
BY: FC2
EXPIRES: 09/22/97
S_= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CI'
PROJECT VALUATION
930
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
{ GAS PIPING.:
0 ft
HOOD...........
0
0-3 HP.......
0
I FURH<100K..:
1
DUCT WORK.....:
0
3-15 HP.....:
0
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 HP....:
0
I 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
fY OF FEDERAL WAY. TAX RATE : 8.25 Ut
FEES:
Mechanical Permit* $ 32.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES $ 52.00
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 ---------- Mechanical Inspection Notes:
GAS PIPING OK Date ______ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AN
OWNER OR AGENT
I-CRAD11C PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
7KNEDGE ANDTHE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
--------- DATE - '- --
FILE COPY
crrroF G
Y V �y
Ascot/ "W"r"h
BUILDING DIVISI(N
33530 First Way South:
Federal Way, WA 98003 '
(206) 6614000
Fax (206) 661.4129
APPLICATION FOR MECHANICAL PERMIT
TY yr � � p DST• � :
MEC '�
PARCEL # q "aCQ 4qo O T(C) Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner �/Q/� �A Phone
Address/City/State/Zip �� I G S w)
Nature of Work �J- C-( � ,� � A LC a—A C& -A f5'Q ( Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Fax
Company Name
Address/City/St/Zip � � r G J l� 37 If7— / ::1(4 ?TMI
% 7`
Contact Person m Phone L oy- �Q
State L & I Contractor Registration # f 6�� 774 Z� // 16 fff,
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
Exp. Date
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000din
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000dfm
Above Ground
Fum <100K BTUs
1 Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Dud Work
A/C TONS
Other
Wood Staves
A/C TONS
DISCLAIMER: I certify, under penalty of pedury, that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to my claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Federay Way but or ere ser claim arises out of theereliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application-
Owner/Agent
Mrcn.Arr
Revrsm 12/11/96
Date ?�