97-104371OTY (If- FFDERAL WAY
'13530 First. Way South ME(AIANICAL PERMIT*
I
Ir
�:ederal Way, WA 98003 ROqLW�[s 253-6.61-4140
:?53- 6�,1-4000
�DDRESS: °:3O6 33 4111 OVE ,i
NO.: 241320-.-0510
PROJECT DESCRIPTION"HUC - ELI TO GAS NWT CHAIIGIOUT 9 GAS PIPE.
INZ71
PERMIT NO: MEC97--0357,
IS.
AJLD: 12/04/97
BY: FC2
EXPIRES: 06/01/98
OWNER CONTRACTOR .... LENDER .........
MICE FRIEND NORTHWEST WATER HEATER
30638 4TH AVE S 2506 1041H ST (I S, SUITE A
FEDERAL WAY WA 9W3 TACOMA VA 18444
253-839-1585 984--6404
S" CONUK1010, P41.1ast Ust 10CA1101 (off 11,111 Ulu PfIr"Or'llic SALES TAX foll FMICTS V11911 IN[ city Of FEKIK MAY. TAX RAI[ = 8.75 tts
ftft., ............ ...... w ....... -11, .. --
PROJECT VALUATION
FUEL TVP[S.:GAS I
GA', PIPING.: 5 ft
.1
FURK/100r..: 0
GAS NWT....: I
(ORV BURNER: 0
goo ........ : 0
GAS DRYER..: 0
RANGE....... 0
QS LOGS...: 0
1341
fAHS ........ 0
IND..... . 0
DUC I Vwt
ROOD Slfffl�
f Upbloor.
AIR 000�1. Ull, 41111
(-",10,000 Oh: 4
19,000
VO! LIP'; !COMPPI c—PORS
40vt 0
"11DOGROUHI).: 0
FEE,,:
MIC PMI ISSUANCE... $ 20.00
Mechanical Permit* $ 40.00
TOTAL FEES $ 60.00
I.....". ...— .... ml-- ...... i� z t 1�_ — 1=.. . :+ — ;': WO.. Z Z 1.11mwl— ;i.. 11 A. a. N.=w =a.. W=. a .. .., A .,, . x r, . . 1. __ _ . &=*.v . am . r xwwr_,,Vw� %x. way....
Does the vat , er supply system contain a Pressure Reduction Device or Check valve? Yes No (if "fes' then nater eypansion tank is required on Not Water lank)
Inspection Record: Mechanical Rough -in Date . ...... Gas Piping 2— 1 7
NE(HANICAL FINAL Date
KPINIIS FXPI?i IN it 41 Ilk V11wi if w "t Is StAKI0.
I Kt AND 1K AM101110 CITY 01 RKRAt WAY PIQUIRtAIMS 111t! It MIT.
I I -(ER I HY TIS I NFQWI i0k I URNISIL 0 PY NF IS 1101 O-C*FC IIFST 01' MY K�A
04HER OR ArAp;
FIELD COPY
CITY OF FEDERAL_ WAY
,. k PERMIT NO: MEC97 — 0 3 57
204/9z33530 First Way South P-1 is.'_"- �1!11 �1 .1", E F'�ISSUED: 1/
Federal Way, WA 98003 Mecharii.cal Tnsper_tion Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 06/01/98
ADDRESS:30638 4TIA AVE S
NO.: 241330--0510
PROJECT DESCRIPTION: HVAC - ELE TO GAS HWT CHANGEOUT & GAS PIPE.
f= OWNER ______________________________ ________________::____. CONTRACTOR =_________=____=:__:.___________________=____= LENDER
MIKE FRIEND NORTHWEST WATER HEATER '
30638 4TH AVE S 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
253-839-1585 ' 984-6404
NORTHWH103R2
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TRX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 =;
PROJECT VALUATION 1341
FUEL TYPES.:GAS
?
FANS..........: 0
GAS PIPING.:
5 ft
HOOD..........; 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT.... :
1
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<-10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
FEES:
BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
0-3 TON.....: 0 Mechanical Permit* $ 40.00
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES
$ 60.00
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: Mechanical Rough -in --------------- Date ----------- Gas Piping ------------------ Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A ORREC OF MY K LEDGE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL BE MEL
OWNER OR AGENT_________ __ DATE N-
-----------------_---- _---------- ---------------- -
FILE COPY
cr;oF
Y RY
HEGE EID
BUILDING DIVISION r
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax(253)661-4129
DEC ®41997 APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL WAY MEC CJ
BUILDING Td
' L` c) I
PARCEL # , U Single Family � Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner M t �Je �� I � -) Phone S3 9 - `:3 t?
Address/City/State/Zip ��� �__�_ �1�-- %1 ��_ F (")U?
Nature of Work lara>% i �� r t%, L�roject Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name
Address/City/St/Zip --2-S Ld 6 4 16A C C"'14i -1 (1
Contact PersonAWANK"11 /�L UI Phone 2 Fax
State L & I Contractor Registration # / `' C? l I' l L QS Q 2L- Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
GasDryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Lengthofgaspipin
S ' Range
Air Handlin > = 10 000efm
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and correct to
for which permit applications cation is made. I Earthagree to save harmless the City of Federal Way as to any c (u
made by any person, including the undersigned, and filed against the City of Federay Way but only wh a such
information supplied to the city as a part of this application.
Owner/Agent
Mrcu Arr
Ravrsm 8/26/97
my knowledge and further that 1 am authorized by the owner of the above premises to perform the work
costs, es, and attorneys' fees incurred in investigation and defense of such claim), which may be
ses t of a rehance of the city, including its officers and employees, upon the accuracy of the
Date