97-101031CITY OF- Wvf"
S'3530 F'i r --.f Way 1�eml-h M C.- C t I (i N JC A t., P ER Pol IT
F"odr-- ral Wa�, - WA ')-1300 A 'Pil'i tf.fini.i tion Peqt.je!:.ts 661 4140
�61 -41300
ADDVLI�*S:30655 ".,'Rt) 11, �3
NO.: 232970-0300
PkOJECT DESCRI P F1.0N: f -G WATER HEATER POLK[ AND PLUMBING
OWNER
LORETTA KI(HOLSON
X0655 3RD PL S
FEDERAL WAY WA 18003
sts (ON[RAC10", PRAO fAtAkAINN
PROJECT VALUATION 939
FUEL TYPES.:'
FANS.. ... 'Nta � 6 o -I p
GAS PIPING.: 0 ft "0ff)44
0" HF
F990<100K..: 0
,,AS NWT,...: I
00V PUPHER: 0
860........: 0
GAS DRYER-: 0
RANGE....... 0
GAS LOGS. - .: 0
CONTRACTOR 4— ....... UNDER
NORTHWEST WATER HEATER
2506 1000 ST (I S. SUITE A
TACOMA WA 98444
984-6401
(rl /0/&P3/
PE:RMI`l lit): MEC9-1-0102
BY -, F C 2
L PIIZEI-1: 014/20/97
AG SAttS IAX FOR PMECTS VITVIK TNF CITY Of f[KRAt NAY. TAX RATE -- 8.25 sts
14
MISC... 50
AIR NAND 1,
<-10,00 -- , 11 GROUND: 0
10.00 C 0
UNDERGROUND.: 0
rmit* $ 32.00
ocl— $ 20-00
TOTAL FEES 1 5?.00
DI)es the water supply systes contain a Pressure Reduction Device or Che ik-valv e-' water expansion tank is required on Not Water Tank)
Inspection Record , Water Line 4 Mechanical lnsp�ction oteS
GAS PIPING ov, --, - . Date - -_ By
11MI15 EXPIRE 1,80 MYS A[ I[R ISSUANCE If N WORK IS SIN(ED. RLSIKOW - AK8 001K KRMIIS 1"Pl2f OWE YEAR AFIUR 911ft Of ISSIOAKE.
*, -I CERTIFY INt INFORNAI ION ItOtNISK) VY Mt B TRUE AND (W10 T 8f.5j-41T-,1Nm.* CIND IN[ APPLICABLE CITY Of FEKKAt WAY rtQUIPENINK WILL BE NET
17
1;1L;11 0114-�Ko
CITY OF FEDERAL WAY" PERMIT N0: MEC97-0102
33530 First Way South`s "�i .....R..�.�".�� ..�. "� ISSUED: 03/25/97
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 09/20/97
ADDRESS:30655 3RD PL S
NO.: 232970-0300
PROJECT DESCRIPTION : E -G WATER HEATER REPLACE AND PLUMBING
OWNER
LORETTA NICHOLSON
30655 3RD PL S
FEDERAL WAY WA 98003
941-4594
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
___.._______=====assscaaacaaaaaaaaaaaaaaaaaaaaasaaaaaaaaaa==aaac=c-ccacca===acct=aacaaaaaaaaaaccccccacaaacacacc=aca=aaaa=ca=aaaaaaamaac=.a=;
*23 CONTRACTORS, PLEASE USE LOCATION CODE 1732 NHEN REPORTING SALES TAX FOR PROJECTS NITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 SU
PROJECT VALUATION
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
939
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
fir+ r,
WO
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 MORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT
OWNER OR AGENT
NITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS HILL BE MET.
--- DATE --- --a=-2 J--,--�)
FILE COPY
ctrr OF BUILDING DIVISION'
'aE PMEN�
tm
33530 First Way SouthFederal Way, WA 98003
BAR 2 a 199 Fax (206) 661A1129
APPLICATION FOR MECHANICAL PERMIT
MEC'"i % - (t 4
1
PARCEL # � Single Family�C] Multi -Family ❑ Commercial ❑
SITE LOCATION /�� `, �yC ( �C
Tenant/Owner TT � ; y Lc R L c, Phone ` T ` ) � (�
r
Address/City/State/Zip
Nature of Work f �� � A 1L� � PL L CC—+ fiLi4roject Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR ���
Company Name �U /1 ��. �Gi (�� a- Tr��c
Address/City/St/Zip
Fax
Contact Person ,LL;� �� �/ V L'�� Phone `U —a Fax
State L & I Contractor Registration # ':1zL�5' / L) Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfin
Fuel Tanks:
Length of gas piping
Ran a
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Under ound
Fum > 100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler BTU/H
I Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER I certify, under penalty of perjury, that the information fiunished 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 perfomi the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any ' including costs, exper�, and adomeys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and tiled against the City of Federay Way but o ere such claim azises out the reliance 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
Mrnf.Ape
Rin m 12/11/96
Date