97-100889CITY OF FFAIERAL WAY
33530 Firsf:, Way, !;oijI.ti
Federal Way, WA 9800,3
v661-4000
ADDRESS: 33805 351H 1,)L !.-,W
NO.: 921150-0070
OPROJECT DESCRIFITION,.G G Water heater replace.
OWNER .............. . .......
(B CARLSON
33805 3518 PL SO
FEDERAL WAY VA 98023 CITY OF
9?7-7062
AITN"",
T
Its CONTRAC '.
PROJECT VALUAI 100
FUEL TYPES.:GAS
GAS PIPING.: 0
FUMIM'.: 0
GAS HUI.... : I
COXV BURNLF: 0
800......... 0
GAS DRYER—: 0
RANG(.—..- 0
GAS LOGS—: 0
JAMM%- - - I-
tl
AA
ft 1100D..,
WOOD Slov
FQRM, 'I of.. 0
"M ........0
AIR HANDLING UNITS
040,000 CFM: 0
% 10,000 CM 0
'1 ink Pffl.M.f T
Otli 111i 11(r] Ire ,-.P0.- I-, i0r) PCIC41JE—e',,.1 -1, -1 11
CONTRACTOR :..m=--m...=—
NORTHWEST
4...=--m...=—
NORTHWEST WATER HEATER
CT S, SUITE A
F , Hpm.: 0
0 HP..... 0
)0-930 HP....: 0
54 "p— ..... : 0
FUFt IAHXS --------
ABOYL GROUND: 0
UNDERGROUND.: 0
IN
PERMIT 140: MEC97-0089
ISSUED: 0:3/13/`7 /97
ITY : F C 2
EXPIREI�: 091/08/97
.... . ...........
AX RATE :: R.25 us
IS: , --`
Mechanical fIrmilt 142.00
*^ Ppm] ISSUAN(f ... $ 20.00
MIAL FEES $ 42.00
................ .... =- .... ,f ..
Does the water .upply systen contain a Pressure Reduction Device or Check valve? 0 Yes No (if "Yes' then water expansion tank is required on Not Water lank)
Inspection Record Water Line Or Mechanical Inspection Notes:
GAS PIPING Or, Date By ... ....
PERMITS LXPIRE Igo DAYS Al M ISSUAKL It No "NMK'l ]KNIIAt ANQOADING PERMITS MINI ONE YEAR AFIEN IMIF of llj�;1141(1.
HE WSJ I f,�
I CERTIFY fig. INfORNA11ON IMMIS111.0 BY III IS (001 19 THE BEST #)(,,flY KMM Mt M 1* APPI tow (11Y "KRAI, WAY RWU"NIS Vill of Of 1.
FIELD COPY
0W,W,
CITY OF
'== �F=
^ 7 33530 1 ST WAY SOUTH
FEDERAL WAY, WA 9B003
C EC TION
ADDRESS: � �!q o� 35-7 I
VIOLAT NS OF CITY AND/OR STATE LAWS ARE LISTED
Y�
BUILDING DIVISION
661-4000
NOTICER
PERMIT : N.
BELOW:
lCtlA, I sl
ui
�b
a�
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
REINSPECTION.
DATE u INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661--4000
ADDRESS:33805 35TH PL SW
NO.: 921150-0070
PROJECT DESCRIPTION:G-G Water heater replace.
= OWNER
CB CARLSON
33805 35TH PL SW
FEDERAL WAY WA 98023
927-7062
Building Inspection Requests 661-4140
= CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT NO: MEC97-0089
ISSUED: 03/13/97
BY: FC2
E=XPIRES: 09/08/97
-------------------------.._-__
ss: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS NITNIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 sts
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 1
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
350
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:
Mechanical Permit* $ 22.00
MEC PRMT ISSUANCE... $ 20.00
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 DAYS AFTER ISSUANCE IF NO WORK
I CERTIFY THE INFORMATION FURNISHED BY ME IS
OWNER OR AGENT
FIYOKNONLEDGE
ADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
AND THE APEL,ICAM CITY A DERA< 7WILL BE NET.
DATE /1 //
M
crry of G BUILDING DIVISION
EO 33530 First Way South
"" Ay � Federal Way, WA 98003
V Y (206) 6614000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT
('t t gU1LDING DEI'j
MEC
PARCEL # Z L L I& Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner �' ��f D ��( Phone ?Z — 2D
Address/City/State/Zip J—/�(IA / V D U'/
Nature of Work UI — (27 A124 ILI< &C26 T�`�ZLLl/D Project Valuation: $ 3S
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name / �/^JyV I-9 72C— K D✓} -4
Address/City/St/Zip ZSD
Contact Person /L CDS Phone �8T J� �� `7` Fax
State L & I Contractor Registration # !—� 7 �!�� d _� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10 000cfrn
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true end correct to the best of my knowledge and finther that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I fiuther agree to save harmless 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 persoq including the undersigned, and filed against the City of Federay Way but only where such claim arises out of 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 Date
Mrcn.Arr
Revrsm I V11/96