97-100757r ii i i E. i)l t4ni wr)Y"
13 1
t edr, e'awa,,' . WO 4130k:,J t
661 - 4000
i --
P;i{i.10ira,--1 In-;pe,<t.ic>n 1(Itiv. :t•�-; .r.1 .:11.1;11
f1DDF ELI—,:;:29725 4111 (AVE
NO. : 69286O -.0550
PROJECI' DESCRIPT ION:HVAC - GAS TO GAS FIRPLA+:E INSEPI REPLACEMENT.
OWNER amrramman:xmems vma s"crurxs:rmtsmr rx tzn trierasus :a
GORDON TURCOIT
29125 4TH AVE S
FEDERAL_ WAY HA 18003
39 •• 4611
�:: CONTRACT�lEA�E �A
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: I
FURN<1009..: 0
GAS NWT....: 0
(011V BURNER: 0
BBV......... 0
GAS DRYLR..: 0
RANGE....... 0
GAS LOGS...: 1
f1
q7 IX 757
PE: RM I 1 NO: MLC` / -007 7
ISSU(: C): 0'4/0 /`)
Is'r : 1, (.
IrXPIW`, : 02/26/98
CONTRACTOR=:....r....mm..>R......-.uxLENDER ....tt��ma
NORTHWEST HATER NEATER
8201 DURANGO ST SH
TACOMA WA 98499
1�J4'640f,
00000010440 W1,
Tmxc.,.c�-xr^Zvma��cxr.:^��:-x..x;:rra :�-�ua> :w�ax,seiz;:vatt :u•s. - .a.s_,.z._c::sa_ r ..u.:... _ : x.x�a:_-.:.cs.:.caua:na arax�:c,rsex:rx:xa .-mr .: »:rm:.
SALES TAX FOR PROJECTS NITNIN TME MY Of FEDERAL MAY TAX MACE = 8.25 sts
.;oaezri:ex:Amarmmsrra_za.i~:.gin:::. rarxaxcmttrs uaemma:aaucax^o...:es::c acmx......xa.x_..—.:au....amomc.. .......... x•.a.c...wcx:a�: .mac. ;.xa�
FEES: #
20.00
$ 44.00
64.00
...>�c,:., cv:esrc:r.s:-:.:..w-a xx4..._...s.....r.s,:::aaa:awaairc^x.:�•a: ^z::ar.<ac.. u..._::.:x=sass -:sa.:s:sxz:x:mx, sr. _.s..:::_»:x a»2,.:trr m......cv::•enur.:mcrmxass.c::.r;.r...:cr-scr..r._r..aax ss:•s::_:o-:.e:s::.x......,.�.z�.........x..a
Does the neater supply systee contain a Pressure Reduction Device or Check valve`' () Yes () No (If "Yes" then water expansion tan!', is required on Not Water lank)
Inspection Record Water line ft Mrrk, Insperl .,n NOW
GAS PIPING
�C d
V
PEIMITS EXPIRE lbo DAYS Ann IS -SME TF MO NORC TS START[
I CERIIFY )IN INFO 11011 FURMISNED DY NE IS Mt. AND Cr
OWNER OP AGEN]
AMD momptinits EXPIRE ONE YEAR am DATE IN IwmE.
OF NY CMM DGE AND IME APPLICANLE CITY Of f[KW, IIAY REQUiREMEM S MILT DE NFT
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South ME4,',-.`HANICAL. PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:29725 4TH AVE S
NO.: 692860-0550
PROJECT DESCRIPTION: HVAC - GAS TO GAS FIRPLACE INSERT REPLACEMENT.
= OWNER
GORDON TURCOTT
29725 4TH AVE S
FEDERAL WAY WA 98003
839-4699
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA WA 98499
984-6404
NORTHWH103R2
LENDER
PERMIT NO: MEC97-0077
ISSUED: 03/04/97
BY: FC
EXPIRES: 02/26/98
-----------------------------------------------------------------------------------------------------------------------------------------
tst CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *22
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 7 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 1
1520
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:
NEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 44.00
TOTAL FEES $ 64.00
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 WK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND
OWNER OR AGENT
D G"DINq PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
MY KiNUDGE AND THE APPLICCAABBLE CIT OF FEDE Y REQUIREMENTS HILL BE MET.
DATE / . f
Crry of G
Y Y
BunDiNG DIVISION
33530 First Way South r
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
t4AR 0 4 1997 APPLICATION FOR MECHANICAL PERMIT
t.. yAAL WAY
t ,t t glllt WING DEPT.
PARCEL # Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner x_� �' `� �l� r =L Phone
Address/City/State/Zi
p 22_12,'l
Nature of Work `� �'SI, ����- SEAT I� L C L26 PProject Valuation: $ Zd
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone Fax
Company Name /\,' LJ L
Address/City/St/Zip - 2 �U ` L� �� �T i r l Cly "y V-�r Ll -
Contact Person 1.6& ` Qk /-J ���t Phone �� �� Fax
State L & I Contractor Registration # /Y 6 T�(U�� �� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfrn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Under ound
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other r" L `
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and
for which permit application is made. I further agree to save harmless the City of Federal y as
made by any person, including the undersigned, and filed against the City of Federa ay b
information supplied to the city as a part of this application.
Owner/Agent
Mr Ape
Revrsm 12/11,96
of my knowledge and further that I am authorized by the owner of the above premises to perforin the work
ig costs, expenses, and attorneys' fees incurred in mvestigation and defense of such claim), which may be
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
Date