97-101032(I I Y OF F FI)U.RAt WFAY
:335:30 First: Way Sault) HE»��J NI�w_
AL PE. I'T
F pOe"ral Way, Wt) 9800:,_t C3ui 1.clir►<,T Iry_prc r.i(:m
fatal -4000
ADI)PE.SS:33624 5I Fl Pl. 'W
NO.-. 729805-•0530
f)ROJEt 'i DESCRIPI 10N -G -G FRPL INSERT PIPE AND ROPLACE
pm OWNER ".................
aaaaaca amsasms rms,xwraa aurum eux .c
1 STEVEN SCHREIBER
33624 510 PL SW
FEDERAL WAY WA `8021
CITY OF
R71-F>37� .
..x... ..
U» CONTRACTORS i';wtW;r: ,f I KA , N
x1101
I PROJECT VALUATION 457
FUEL TYPES.:GAS ? f RS
GAS PIPING.: 28 ft NO D. N
VOL IWOL
FURN"'104C... 0 3
GAS HNT..... 0 WOOD
r11MV BURNER• 0 FURN>1 "A
9q 1r10_--3 a_)
PE-RMI1 NO: MEC97-0101
tSSUF 1I: 03/2h,/" ,
L3Y. F'C2
- (ONIRACTOR ..:.......... LENDER ..... — ......
ate
NORTHWEST MATER NEATER
:506 104TH ST CT S. SUITE A
TACOMA NA 98444
Its IN fats TAX FOR PROJECTS NIININ FIIF. CITY OF FEDERAL *+Y. TAX RAIE = 8.25 ;a=
i BBO......... 0 MISC..... P..�.. 0
GAS DRYEP..: 0 AIR HANDLIN S L IANKS---------
RANGE... _.:
--------RANGE...,..: 0 ':10,000 CF 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
S.._Y.'^WT:�SCt..H:.KK.E:JC:�iLs?.R_:.L�CC':ICY:a:'�453TSSfC:CO[040.'iLY::4..dY.11:Z.d.944... =.":.;'.xtBC^Y".[..A ...w...w'. .. ......t..... -._. 5....i... .........
'""YY:�:TiS'L:�
Does the Water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes' then water expansion tank is requirel on Not Water Tank)
Inspection Record Water Line OK ___.,_,_,_ Mechanical Inspection Notes:
GAS PIPING Uk _)-X3417 Date ._ BY
PERMITS EXPIRE 100 !SAYS AF ICR ISSI E it 00 MORK IS g0ffl. RESIDENT IAL AND GRADIN PERMI IS I0IRE ONE YI:AN Af 1E9 101 OF ISSUANCE.
I CERTIFY INE IWORMA11011 IURNISMED BY ME IS TRITE OIM CORREC 0 IME OF MY KN10q.E1iGE AND 1111- APPII(.A111.E (:TTY Of FEDLRAL WAY RLQUIRI.MINIS WILL Bl MIT.
OWNER UR AGE N 1
FIELD COPY
rw 1�
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661--4000
Building :inspection Requests 661-4140
ADDRESS:33624 5TH PL SW
NO.: 729805-0530
PROJECT DESCRIPTION: G -G FRPL INSERT PIPE AND REPLACE
OWNER
STEVEN SCHREIBER
33624 5TH PL SW
FEDERAL WAY WA 98023
871-6374
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT NO: MEC97-0101
ISSUED: 03/25/97
BY: FC2
EXPIRES: 09/20/97
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 DRYS AFTER ISSUANCE IF NO WORK IS ?CORREC
ESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ST OF NY KNOWLEDGE AND THE APPLICABLE C1TTY Of DERAI WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT --- ---- ------------------ DATE
FILE COPY
*** CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE
= 8.,25
***
PROJECT VALUATION
457
FEES:
FUEL TYPES.:GAS
? FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit*
$
22.00
GAS PIPING.: 28
ft HOOD..........: 0
0-3 HP......:
0
NEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP.....:
0
GAS HWT....: 0
WOOD STOVES...: 0
15-30 HP....:
0
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....:
0
BBQ......... 0
MISC........... 1
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
TOTAL FEES
$
42.00
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 DRYS AFTER ISSUANCE IF NO WORK IS ?CORREC
ESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ST OF NY KNOWLEDGE AND THE APPLICABLE C1TTY Of DERAI WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT --- ---- ------------------ DATE
FILE COPY
OV
13
n�I/��MMUNIB DEVELOPMENT ?* M�q
CWF �� VV BurfmiNGDiwsION
E� +��� 33530 First Way South
�� AY MAR 2 5 1 Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT
MEC���- l�`I
PARCEL # J C Single Family x Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner ) ,l� C—n \ �� �� PhoneJ,
Address/City/State/Zip 0-3 -3 ( Q �A-.d L 1�71-2 (A,4l l ' 90 ��
Nature of Work t' / ��Z f t �� LC (-project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Fax
Company Name !V W " !A l r - ll --1 IC :W—\ I --L< c
Address/City/St/Zip - � (0 l� -ftA ) ��
Contact Person Kim c � 46-L A Phone �C,`� � `��� Fax
State L & I Contractor Registration # 4 l 0"e VU lb 3 7 - Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Len of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTU's
GasLog
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER I certify, under penalty of perjury, that the information furnished by me is true and correct to the beat of my knowledge and further that I am auttrorucd by the owner of the above premises to perform the work
for which permit application is made. I further agree to save harudess the City of Federal Way as to any claim (mcluding 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 only where a t o e reliance of the city, including its officers and employees,
information supplied to the city as a part of this application. upon the accuracy of the
Owner/Agent
Ma App
Rxvrsm 12/11/96
Date - 14--T
T--
8