97-1033437
d35.30 Vir!�J. W.)iy Socit-li m C V: I IM P1 I V:m L, F4 C_ n f"I I-
,F'eder,cil, W..iy. WA 98003 Me Cflcli i IFISPeCtiOl-) !'(-qLK)SAF, '2�.�,3 4,61-4140
2,5 3 A
"I - 4000
*;W "1104111 F1'1
t4o. : 5560011-01-80
PROJEC r I)ESQ11)11 0t1: HVA( INSTALLING A FURNACE 0b A/C VNII,
I-)FRMI.-T NO: IIEC97---0259
Vi�_,IJED: 014/04/9/
BY: K[ (..,
91 ( 0 A/V,,) d
OWNERIRACTOR
COIN , I
GEORGE ROBERTS HORINKST NATER HEALER
113 SN 304TH ST 2506 10410 S) (I S, SUI
FEDERAL WAY VA 98023 1A(OhA WA 98444
984-6404
ata P1. t w,r !mA tom 11 LPW TAX t VIMIN YK CITY Of 1,10EAK MAY. TAX all 8.25 *as
PROJECT VAIUAI!100
25
His:
FUEL IYPES..:(,A,,
S
FANS.
m((
GAS PIPING.: 0 it
HOOD ......
HOC
:4-
he� .11 pew",
Voic. $
fumlow.: I
)(I wo, !j
I W
GAS N I .... 0
0,
(0mv WRm: (I
1 0
BBQ......... 0
h
Gas DRYER..: 0
fit 114I)IL19t, 001i
fUl TARrs-
I PHU—. : 0
001! Jh,
AVE GROUND: 0
GAS LOGS—: 0
H, 0
UNDERGROUND.: 0
TOTAL fits $ 74.00
Does the watersupply
systes contain a Pressure
Reduction Device or Check valve? Yes No
(if "Yes* then water expansion tank is repaired on Hot Nater 119k)
Inspection WKorel:
Mechanical Rough -in
Date Gas Piping
Date
MLCHARI(At IINAL
Date _._.. _.. _ ..._.
l
PtItAIIS [XPIXE 190 DAYS AtIE9 IS-tIt MI WORt b>amb-
I CLATIFY 1Aj*0PNA110* 111KNISK6 91 fil IS 1"D CIONIK IM, % Ni tWM 1L%Gt AND I HL APP KAULt (I IY 0 1 LKRAI, VAT ILQUIRtNINIS MILL ft Nt 1.
1P
it
Ilk -
FIELD COPY
CITY OF
'-• F� • BUILDING DIVISION
���/ 33530 1 ST WAY SOUTH
^J FEDERAL WAY, WA 9B003 661-4000
CORRECTION NOTICE
ADDRESS: —Ai__.] 3,1174k ST PERMIT #i: ?—(��;�g
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
,?�C-�`2•' iJ_.s+.�? i�-� T�-� c. , r
,.. �.c..�
; r
Qi�C Sic ..� : c ..i 7���-. [�
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 INSPECTOR F DING DEPARTMENT
DO NOT REMOVE THIS NOTICE
CITY OF FEDERAL WAY
33530 F= i rs t Way South
Federal Way, WA 93003 Mechar)ical 1r)spection Requests 2.53-1663.-4140
253661-4000
ADDRESS:113 SW 304TH ST
NO.: 556000--0180
PROTECT DESCRIPTION: HVAC - INSTALLING A FURNACE AND A/C UNIT.
F= OWNER___________________________________:::::______=_—====r= CONTRACTOR
GEORGE ROBERTS NORTHWEST WATER HEATER
113 SW 304TH ST 2506 104TH ST CT S, SUI
FEDERAL WAY WA 98023 TACOMA WA 98444
946-5716 984-6404
NORTHWH103R2
__...-___---.-.-------___-_-
W.,...M
PERMIT NO MEC97-0259
ISSUED: 09/04/97
BY: KLC
EXPIRES: 03/02/98
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 Us
PROJECT VALUATION 2825
FUEL TYPES.:GAS
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....:
1
FURN<100K..:
1
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ........:
0
MISC..........:
0
50+ TON.....:
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
FEES:
MEC PRMT ISSUANCE... $ 20.00 y
Mechanical Permit* $ 54.00
RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion
Inspection Record: Mechanical Rough -in ---------------- Date Gas Piping ----------------- Date -------._--
MECHANICAL FINAL _
Date ----__-_--
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If
I CERTIFY THE 1NFORMATION FURNISHED BY HE
OWNER OR AGENT
1
$ 74.00
tank is required on Hot Water Tank)
f
t
t
EDGE AND THE APPLE CITY FED WAY EQUIREMENTS WILL 8E MET.
___.__..__.... DATE -- -- � _
FE COP
IA.Y
City of Federal Way
CITY OF G 33530 First Way South '
- _� - Federal Way, WA 98003 'r
(206)661-4000
GW11, ME Col
'INI APPLICATION FOR MECHANICAL PERMIT
PARC A./ Single Famil
9 yA Multi -Family o Commercial o
�DEP� AY
SITE LOCATION:10A
Tenant/Owner: el Phone:
i
Address/City/State/Zip: 1 3 �✓ 3f] A,ie�d G✓ `/ � � k Nz Z
Nature of work: IPL %/4 t� L C7� J rLj /�/�(/a C (✓ 4jyId S �-
�1 � Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: ____h,�_a
Address/City/St/Zip:
do Ch
T
Fax:
Contact Person: - �� v HFax:
Phone:
State L & I Contractor Registration #: MnRT4V`(H I0) 7k Exp. Date: -1 �',�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (as/other)
as Dryer
Air Handling
< = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10,Ooocfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Under round
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas HW t
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information furni y e is true sorra
premises to perform the work for which permit application h made. then agree tow ml
incurred in investigation and defense of such claim), which me made by any per. in the
out of the reliance of the City, including its officers and a yees, upon sec inform■t
beat of my knowledge and further that I am authorized by the owner of the above
if Federal Way as to any claim (including coats, expenses and attorneys' fees
nod, and filed against the City of Federay Way but only where such claim arises
ied to the City as a part of this application.
Owner/Agent: Date: -