97-100847CITY OF FEI)ERAL WAY
34530 First:. Way Soutti
Federal Way, WA 90003
661- 4000
m E C F1 A t-11 1 111 T
1 -1
1-:i or) -1 40
1 4. -
ADDRESS:130 S 308Tti 1-11
NO.: 33921.0.0140
PROJECT DESCRIP11ON-G-G FRP( INSERT PIPE AND P[PLACE.
OWNER----- — — = — -- ------
LORNA LOMBARDI
130 S 30810 ST
FEDERAL WAY WA q8003
941-6085
CONTRACTOR ......= ...
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUI
TACOMA WA 98444
984-6404
---------- - ---------------------
PROJECT VALUATION 435 an
FUEL TYPES.:GAS FANS.. ..... ", am 90 Rs' P
GAS PIPING.: 27 ft HOOD. 006 N
�4,apm* op
FURW10OX..: 0 DUCT' 5
" 2" "'
GAS 041 .... : 0 WOODS,2 P....
Nit
CONY BURNER: 0 f URR)1110X��111, 011
10
BBQ......... 0 MISC..
GAS DRYER..: 0 AIR HANDLING 011
RANGI ...... 0 10,000 icl- VF GROUND
GAS LOGS...: I > 10,000 C w. 0 UNDERGROUND.
............. Im .... =-, ...
Does the eater supply system contain a Pressure Reduction Device
Inspection Record Water Line OY
GAS PIPING OK
Mechanical
. I . Date ---- By
I f.
tK . .......... . . . . . . ..
#-7
PERM11 NO: MEC9-/-()032
1,SSULI): 0',1/11/97
BY: FC2
L,XPII�ES: 09/06/9*7
A—A .. a.= .... r..*.aw ... a.m..mm.w ..........
SKIS TAX FOR PROJECTS VIININ Illf CITY Of IFIKLK NAY. TAX RATE : 8.25 *n
..................... ............ ..............
FEES:
111111100000 tilt AN([... $ 20.00
0
0 • foTAL FEES
Check valve? i;,—e reZp,,
expansion
ion Notes:
PERMITS fXPIRL 180 GAYS 0111 1SSUwI It No Is STM m RISI IAI
STAR
W, I
I CERTIFY 119 INTOWTION FURNISHED BY IRK TO I KSI Of NY KNON
i1X(P OR W-0
t 42.00
is required on Hot Water lank)
..........
P PMIIS EXPIR Afffl SATE Of 1S%WI
MIIS 1EXPIR Kill 111
W W I
.-ICARE CITY Of FEIFIK MAY RIQUIRENENTS 911t, 8t Iffl.
DATE
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:130 S 308TH ST
NO.: 33921.0-0140
PROJECT DESCRIPTION:G-G FRPL INSERT PIPE AND REPLACE
PERMIT NO: MEC97-0082
ISSUED: 03/1.1/97
BY: FC2
EXPIRES: 09/06/97
r= OWNER___________________________________________________T= CONTRACTOR===a=====___________________________________-= LENDER
( LORNA LOMBARDI NORTHWEST WATER HEATER
130 S 308TH ST 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
(
941-6085 984-6404
NORTHWH103R2
sn CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 t#*
( PROJECT VALUATION 435 FEES:
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS Mechanical Permit* $ 22.00
GAS PIPING.: 27 ft HOOD..........: 0 0-3 HP......: 0 NEC PRMT ISSUANCE... $ 20.00
( FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0
GAS HNT....: 0 WOOD STOVES...: 0 15-30 HP....: 0
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...: 1 > 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: ----------------------------------------- 1
GAS PIPING OK ---------- Date ------ By ------ -----------------------------------------------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO e
#TN
IAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY M TRUST OFNY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT---�----------------------- DATE __ _!
FILE COPY
R pE F oPMD DE AR
crry of BunmiNG DIVISION
• EL7 = 1997 33530 First Way South
uv AY MAR 1 1 Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT
MECg7 - 005 2
PARCEL # l Z (U� ! 7j Single Family Multi -Family O Commercial ❑
SITE LOCATION
Tenant/Owner ���� / v Phone U0
Address/City/State/Zip �, `� U l f)c) I 1� n I
Nature of Work - 621 E Wt, I� SLTZ:77 P � � L Project Valuation: $ 43
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name - / `t w t 1 ',�1T�
Address/City/St/Zip -- Z SG (-p - e � CT- 2A L&vvA 9 � `t
Contact Person k'6"A 61z- AN vPhone (�� (-o 4U 4 Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other E— (, r
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 bat 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 FederalWay as to an tchrdf�g cost eases, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and filed against the City of Federay Way bu where such claim o f liana of the city, including its officers and employes, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
MwHArr
Revrs® 12/11/96
Date -3 ` //