97-100228E , I
(.I'fY Or FI)Ef3At- WF)Y
33530 Fir-st. Way Sout.ti 1 es L P, C` ft m x 'r,
Federal Way, WA 198M',? otli.t(lillg 11)sp�cfdon 661-4.140
661 -4000
(ADI)RESS:41730 4714-1 141 '.-.,W ()t-ijL-,: 13
flO. : '784300 -0340
PROJECT DESCR I F) I'l, 0 N : OVA( -- ELL 10 GAS f URRACI 4 Off CHANGIOU1.
OWNER`11-=-r-..1-1-mmw .................... CONTRACTOR
ALICE MAITINGLEY NORTHWEST NATER HEATS
91730 471fl tH SW, 9B 8201 DURAKO Sl
FEDERAL WAY NA 9823 TACOMA WA 98499
661-
m ONIKAO
OIL—
W�, ts lit,
qq
11ERM11 NO: MEC97--UO26
]-�;�iU[J):
01/23/97
D'Y.-
KLC
LXPIRES:
01/17/98
f.1�WWP%=..mV---....
PROJECT VALUATION 3500 FEES:
V�l - M-Fll
FUEL IYPES.:GAS ELI UAKE... 20.00
GAS PIPING.: 0 ft. Ht ersitt 63.00
, �Ik
GAS ILI
0 ft
GAS Wl
X
Cook, BURNERw
BBQ ......... t" L
.4
'AS DPY1R..
AIR
RANGE.... ONOVE GROUND: 0
GAS LOGS—: OW1 J41. UNDERGROUND.: 0 TOTAL FEES 83.00
. Mm
Inspection Record
ies contain a Pressure Reduction Device or. check valve! Yes No (It 'Yes* then water expansion tank is required on Not Water, Tank)
?r Line OK Mechanical Inspection Notes:
PIPING of Date ed,
PEMIS Explat too DAYS 011iR I -)UAIKI 11, �o
11boMEI ION f!"ANIS11tv BY fit 1�
WI1K PERRIN EXPIRE OIL Y[Ag AttER DAIS Of ISSUNKI.
KWWLLKL ift fk APPI109A I1Y Of Ff.D AL E4AL RLQUIRLfft.NIS WILL 91 NO -
PAT[
(CfS W1111111 I #I CITY Of FEDERAL MAY.
(AX RAIL =
3.25 tst
f.1�WWP%=..mV---....
PROJECT VALUATION 3500 FEES:
V�l - M-Fll
FUEL IYPES.:GAS ELI UAKE... 20.00
GAS PIPING.: 0 ft. Ht ersitt 63.00
, �Ik
GAS ILI
0 ft
GAS Wl
X
Cook, BURNERw
BBQ ......... t" L
.4
'AS DPY1R..
AIR
RANGE.... ONOVE GROUND: 0
GAS LOGS—: OW1 J41. UNDERGROUND.: 0 TOTAL FEES 83.00
. Mm
Inspection Record
ies contain a Pressure Reduction Device or. check valve! Yes No (It 'Yes* then water expansion tank is required on Not Water, Tank)
?r Line OK Mechanical Inspection Notes:
PIPING of Date ed,
PEMIS Explat too DAYS 011iR I -)UAIKI 11, �o
11boMEI ION f!"ANIS11tv BY fit 1�
WI1K PERRIN EXPIRE OIL Y[Ag AttER DAIS Of ISSUNKI.
KWWLLKL ift fk APPI109A I1Y Of Ff.D AL E4AL RLQUIRLfft.NIS WILL 91 NO -
PAT[
CITY OF G
=•- E0 BUILDING DIVISION
33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 6 _6 1 4000
R
C ECTIO NOTICE
ADDRESS: 730 6 /7 �� PERMIT /
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
S G�-�c,✓S Al 2 7/—
"-,
0, - doioc 007(c -
S c f ` 1M C 30f,
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 -41 40 FOR
REINSPECTION.
3 - 12-196�� 2— '�"/
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
CITY OF FEDERAL WAY
33530 First; Way Soutt-i
Federal Way, WA 9800:3
66.1-4000
ADDRESS:31730 471`11 LN
NO.: 784900-0340
PROJECT" DESCRI P1 -ION : HVA(
PERMIT NO: MEC:97-0026
or".,,: t -o id "s P41.11'. M;»..,: 1h01 I,,.... f:: � 01."., Ifk. P4 .1',' 1,,. ISSUED: 01/23/97
l3ui.l.diric; 1ispecL:ion Requests 661.--4140 13Y: K.LC
EXPIRES: 01/17/98
SW LJ11i L: B
- ELE TO GAS FURNACE & HWT CHANGEOUI.
OWNERCONTRACTOR==_________:________-_____::_________________-_=
LENDER
ALICE MATTINGLEY
NORTHWEST WATER HEATER
31730 47TH LN SW, #B
8201 DURANGO ST SW
�
1
s
FEDERAL WAY WA 9823
€ TACOMA WA 98499
I
661-
( 984-6404
I
€ NORTHWH103R2
5
M
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS
WITHIN THE CITY OF FEDERAL WAY. TAX RATE
= 8.25
9st
PROJECT VALUATION
3500
FEES:
}
FUEL TYPES.:GAS ELE
FANS..........: 0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-9 HP......: 0
Mechanical Permit*
$
63.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....: 0
j
GAS HWT.... : 1
WOOD STOVES...: 0
15-30 HP....: 0
€
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....: 0
BBQ......... 0
MISC........... 0
5+ HP........ 0
1
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
4
g
RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS,..: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
9 TOTAL FEES
$
83.00
f 1
a
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
d
DateBy ... __ ----- ------------------------------------------------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 41 N5TRUL
IS ST R `IDENTI RADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME RRE' T ST MY KNOWLEDGE AND THE APPLICA CITY Of FED Y REQUIREMENTS WILL BE MLI.
OWNER OR AGENT
._..__...,....___-----..._.... .-__---- DATE
FILE COPY
City of Federal Way
CXI Y C�F� 33530 First Way South
_ ®_ Federal Way, WA 98003
(206)661-4000 MEC
APPLICATION FOR MECHANICAL PERMIT
S74:
PARCEL d Single Family Multi -Family 0 Commercial 1-1
AN 2 a Wi
SITE LOCATION: CITY OF FEDERAL WAY
�[ � �- t.
BUj1.QG T�
Tenant/Owner: �\� �`�; Phone:-(,
Address/City/State/Zip: 'f2 l,( o ':-::�g / i� ,S ti \ �'' A� A l .�j Q
Nature of work: � rc-q Egl_ l/Y��►-n � 1`C—V( �i C Project Valuation: $
APPLICANT:
Name: \
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Fax:
Company Name: ���I.t•� ����-T---
Address/City/St/Zip: -�c',G C. ' t �C— r_ q- `1
Contact Person: el A
Phone: Fax:
IL
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
i
Fuel Tanks:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Fax:
Company Name: ���I.t•� ����-T---
Address/City/St/Zip: -�c',G C. ' t �C— r_ q- `1
Contact Person: el A
Phone: Fax:
IL
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
-r`` Range
Air Handling > = 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
RRO's
Wood Stovta
A/C TONS
iph
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to
premises to perform the work for which permit application is made. I further agree to save �harmless C
incurred in investigation and defense of such claim), which may be made by any person, inche undo
out of the reliance of the City, including its officers and employees, upon the accuracy oftformat.�
Owner/Agent:
*-knowledge and further that I am authorized by the owner of the above
Way as to any clihim (including costs, expenses and attorneys' fees
filed against the ¢ity of Federay Way but only where such claim arises
City as s part of this application. �Z
Date: