97-100645b f, 1. re.,.� t V) a y
SO 4.1
1--eder"I I W< -y W( -'i 98(110 4 f 4J, I d i nq A. f j n
661-4000
0D1)RE1-;S:1501 SW 321ST �-'J
NO. . 0104 50 -0890
I)RQJ FCT DF(—'x(-R7 PT TON: HVA( - GAS TO GAS FIREPLACE INSERT & GAS PIPE REPLAUNENT.
OWNER
M)FORD SCRACHERE
1501 SW 321ST ST
FEDERAL WAY WA 98023
815-9056
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: qO
FURN<100K..: 0
GAS HNT....: 0
CORY BMW: 0
880......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: I
"t CONTRACT W,
"0'
CANS..
ft HOOD
MISC. 1wsl
AIR
<: 10,0
> 10,000
It RMI I IV-) MI, f
CONTRACTOR _7 LEMUR
NORTHWEST NATER HEATER
8201 WRANGO ST SW
TACOMA WA 98491
9A4-64,14
NG SALES TAX fOR PROJECTS VIINIR Iff CITY OF FEDERAL WAY. TAX RAIL 8.25 S**
PPOMWMMI ANCE... $ 20.00
%gM c
ra rmi tt 48.00 W
... -m ........... ........... -.. ... === ...... X . .... .........
Does the eater supply systes contain a Pressure Reduction Device or Check valve! Yes (I No
Inspection Record Nater line OK Mechanical Inspection HOPC
GAS PIPING OK _ _-_ Date By
t 68.00
(if 'Yes" then eater expansion tank is required on Not Water Tank)
............
PtRNIIS EXPIREtoo DAYS AFTER ISSUANCE If #0 WORK B SImjw. RE 0 GR DING PERMITS IXPIRI Off VIAP 4110 DATE Of ISSUAKI
I CERTIFY (K INFORNA1101 FURNISHED BY At IS TRUE ARD t' Of ECT ' MY WVt[DGF AND 131 APPtICAME CITY Of F[KRAI WAY NIQUIRENINTS TALI Of 411.
,
OWNER OR A6101 DA i
FIELD COPY
CITY OF FEDERAL WAY _
33530 First Way South �:'w. C H N 1('- M L- PFRHIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:1501 SW 321ST ST
NO.: 010450--0890
PROJECT DESCRIPTION:NVAC - GAS TO GAS FIREPLACE INSERT & GAS PIPE REPLACEMENT.
OWNER
BUFORD SCHACHERE
1501 SW 321ST ST
FEDERAL WAY WA 98023
815-9056
CONTRACTOR__ _____________________________________====7= LENDER
NORTHWEST WATER HEATER I
8201 DURANGO ST SW I
TACOMA WA 98499
984-6404
NORTHWH103R2
I
PERMIT N0: MEC97-0069
ISSUED: 02/25/97
BY: KLC
EXPIRES: 02/19/98
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 sts
PROJECT VALUATION
1800
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
( MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.: 90 ft
HOOD..........:
0
0-3 HP......: 0
l Mechanical Permit*
$ 48.00
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
$ 68.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WOR[ IS ST
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND C
OWNER OR AGENT
I GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
MY NOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
--------------- DATE --------- -�
FILE COPY
City of Federal Way
a
33530 First Way South
— Federal Way, WA 98003n�_/ (206)661-4000 / V� � ll Vc)ID
APPLICA T/ON FOR MECHANICAL PERMIT
PARCEL it. LSingle Family , Multi -Family ❑ Commercial ❑
t
FEB 2 5 1997
SITE LOCATION:
,[� a _
Tenant/Owner:—.lL,�� �S 6 r` ( E Phone:.1'
Address/City/State/Zip: §S� lid 02�
e'12 'Ann
_
Nature of work: ��, '����L ' I 1 project Valuation: $
APPLICANT:
Name
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: hl- 1a«�IwCE�S__
Fax:
Address/City/St/Zip:
v 1 i,ACO(n�`
Contact Person: �-- l I " Phone: =, . o
State L & I Contractor Registration #: t�UR-TF & _H I b 7k Z_ Exp. Date: _l
(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 <100K BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas H
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that theinformation furnis y e is true
premises to perform the work for which permit application is made. r:by
a��,sam
incurred in Investigation and defense of such claim), which im madeanout of the reliance of the City, including its officers and em gess, upon
trract best of my knowledge and further that I am authorized by the owner of the above
City f Federal Way a to any claim (including costs, expenses and attorneys' fees
the undersi ned, and filed against he City of Federay Way but only where such claim arises
nation sup lied to the City as a part of this application.
Owner/Agent: �� �4,.,04!l a Z Date:
M