97-100098(_1'rY (,)[- FEI)ERAL. W(AY
32530 Firzt, Way Socith
Feder -a] Way, W0 98003
661-4000
ADf)K'.SS:9.17 S '11w'95111 1-11-
t4O.: 515180-0050
PROJEC-f DESCRIP1 10f,1:HVA(
F4 C, C r V% 1:4 1' %= ri I— M C r% R1 1
13t vi. 1(1:i wl I rl
It[ TO GAS FURNACE RIPLA(LOINI AND A
OWNER COMIRA(fOR
DIRK VAN WOFPDEM NORIONLEST WAFER
911 S 295TH PL 8201 DURANGO S*f
8tq
FEDERAL WAY WA 980 91111
03 TACOMA 9 4 9
839-911", 984- 04
A
ttt COMTRAC roks t 14 1.91 1p,
PROJECT VALUAIIOH 2500
FUEL TYPES.:GAS FANS
GAS plpfK.: 65 It HOOD_
illrptl<lfillif 1 Wh
GA,, NW .... 0 K1,
(ONY IPJRNER: 0
000. ....... : 0 Hill(
GAS DPYER..: 0 AIR sig
RANGE....... 0
lu,uli;, GPO!)No: 0
GAS LOGS—' 0 10,00L, i ~ 110KPGROUND.: 0
Does the vater supply system contain a Pressure Reduction Device or Check valve?
() Yes () No
MOB
PERM II 140: MEC97--0008
J'__L;,)(_)LJ)- 01/14//97
,BY: r,c
L,XPIRCIS: 01 /08^3
It MAY. TAX I!Alf 8.25 its
AIII 1 210. 00
e r@i t; 54.00
(OIAL FEES )4.00
(if 'Yes" then water expansion tans[ is required ori Not Water tang)
Inspection Record Water Line OK Mechanical Inspection//Notes:
GAS PIPING OK Dat)I1��%Ey . �4r�7 f
PFINIIS EXPtItt 190 KiYS fillift 1�1,'UAIKI If NO VQRt I" �S* 11.11 PL>kNOWL-4110"ING K*0115 LYPIVA ONt, VLAR At ILK MIL Of ISS0110..
I CE911ty lot INIORNA1100 1URNISKI) By MT Iia w;ILNI) LORRIC 'I Of 14Y OjlkfDQ AND (i# APPIKA1111, CITY Of ffDtRAI WAY 91001RININIS 4111 'A wl.
OW#tp' OR AG'LNI %DATE
FIELD COPY
CITY Of
-_�.Y- �0 BUILDING DIVISION
n 7 33530 1 ST WAY SOUTH
F rlo FEDERAL WAY, WA 98003 15151-4000
CORRECTION NOTICE
ADDRESS: C//n/(/ S PERMIT #: %/ 1/ /
(
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
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
RE-INSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
f
CITY OF FEDERAL. WAY PERMIT NO: MEC97--0008
33 530 F i rs t Way S o u t f t ;: �,::,., �,,, R 4 q„°N .",1:1'u,;; 40i rN 114..1'.' 1,.. I S S U E D: 01/14/97
Federal Way's, WA 98003 OLiildirig Irispectiori hoc -clue; -sty; 661-4140 BY: FC
661--4000 EXPIRES: 01/08/98
ADDRESS : 917 S 295 T Fl ISL..
NO.: 5151.80.-.0050
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE REPLACEMENT AND GAS PIPE.
E= OWNERLENDER
DIRK VAN WOERDEN
NORTHWEST WATER HEATER
917 S 295TH PL
8201 DURANGO ST SW
FEDERAL WAY WA 98003
TACOMA WA 98499
(�
839-9112
? 984-6404
HORTHWH103R2
M
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Its
PROJECT VALUATION
2500
FEES:
FUEL TYPES.:GAS ?
FANS— ........:
0
BOILERS/COMPRESSORS
1 MEC PRMT ISSUANCE... $ 20.00
s GAS PIPING.: 65 ft
HOOD....,.....:
0
0-3 HP......: 0
E Mechanical Permit* $ 54.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
GAS NWT....: 0
WOOD STOVES.,.:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
)
BBQ........: 0
MISC..........:
U
5+ HP.......: 0
I GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM:
0
ABOVE GROUND: 0
j
s GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 74.00
Does the water supply
system contain a
Pressure
Reduction Device or Check valve? O Yes
O 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 ARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS T AND CORRE-0
OWNER OR AGENT
NG PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
LEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003 4 j�f�/�•l//���� j
C)
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT
JAN 14
PARCEL �• �
610 t'� 5� Single Family Multi -Family ❑ � e Commercial O
SITE LOCATION:
Tenant/Owner:
Phone: 53 / — qZ
Address/City/State/Zip: f :t .. 1_J. i7C`/ ) f Ci Ci// " f/L'/'1 :t I.1iUV
Nature of work: + a l�� I" Project Valuation: $"1—z�'
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: —
MECHANICAL CONTRACTOR:
Company Name:
Fax:
Address/City/St/Zip:
Contact Person: ` ' " Phone: g� Fax:
State L & I Contractor Registration #: SIU+tT 1(� I O�7[� Z- Exp. Date: J---��—�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn < 1 OOK BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBQ's
Wood Stoves
A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the information furnis ane is true
premises to perform the work for which permit application is made. ,then agree [o sa
incurred in investigation and defense of such claiml, which me made by any para in
out of the reliance of the City, including its officers and riyeas, upon acc
xrect beat of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim (including costs, expenses and attorneys' fees
the undersi nod, and filed against the City of Federay Way but only where such claim arises
nation sup lied to the City as a part of this application.
Owner/Agent: �r— �, a \�� Date: