97-104431CITY Of FEDEPALWAY
.
M �d11 YI ICA L P ERM 1 :
�h.
F-edEara,l Way. WA ",800? Xsisra c�( t,i.on R,,D TueE ,ts 253 ta6T.-41,ca1:)
5:3- 661-4000
ADWE:'tSS : 2694 SW '33-4111 ISL_
NO.: 010060-0340
PROJECT DF SCRIPT" .I ON: HVAC - GAS TO GAS FURNACE CHANGLOUT
GIORIA RUSSO
204 SN 33410 Pt
FEDERAL NAY NA 980^3
+A CON(V1CIONS" Ptusr DISE 1101IFNT
a:YnraYc�.^sm:•'..xnc.awu.svmwmse+ao.ax�aas.rar�a�exse.aa.imaosrvaxmss., .. � :...::,.�
PRO3E0 VALUATION 1500
PERMIT HO: ME(91 _GJGJ
L3`s': KI.0
;. PTP.f_S: 06.,/W -,/9H
CONTRACTOR LENKR .....,a........a;G.s=.,xx
NORTHWEST PATER NEATER
'1506 104TH ST CT S, SUITE A
TACOMA NA 98444
`784-6404
N(NiT#NHEU�t2
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(W III? NHP REMIA SALES TAX IM PROJECTS WITHIN Tff CITY Of FrKRAt NAY. TAX NATE = 8.25 sss
•.f•:•:. ,.:•.:zYCSd[11rihktle7li:les'a�sca:nsaxtax e:amn�etxt.Fc:+a:sau�;ai9s.Wmz::i".�r.:cx�:)zv;nrimza�sar..wa.a9wl+c._:,;.x.ilxs.c..eu:asys_.¢ax::ar:s'S:m:a-xs :w: scnv Sn,G:X�+a�::mx ra:mc�p
FUEL TYPES.:GAS
"
Ms. ... . .:
0
,u�,'lEkc,!�i�nt�l;l`�S4
GAS PIPING.:
I ft
HOOP.....,.,...
4)
!1 3 1!1A. ..
0
f9RN<100K..:
0
01Y VINt.. ..
t-I� ION_—
i
GAS HNT....:
0iTO:Yb
"t!'"4I" , , :
�J
15-30 TON, ..:
P
CONY BURNER:
0
FUF'0I0r .....
U
30-50 11)0..,:
0
BOO.........
0
111"C..
0
50+ fON......
4
GA,'-' DRYER..:
0
AIR HANDLIV6 +SRT`':
FUEL. TANKS ---
ANKS_--RANGE......:
RANGE ......
0
<:lC'OOO 0m:
0
ABOVE 000b:
0
GAS LtiS...:
0
> 10,000 tf":
I)
I+NDERGROUP.D.:
0
r(P.:
MEC PRMI ISSUANCE... S 20.00
11ecAanical Persit+ E 42.00
TOTAL FEES t E2.00
is—..1 ..x3.m:r3:........YS ... Y-% ..... ..x .:iA4iX.... Z.—W.Y:['SA:/Ji%n FX'.I .WY6ilP.....
Does the stater supply system contain a Pressure Reduction Device ar Check valve' ; ) Yes t) No (If "Yes" then water expansion tant is required on Hot Nater Tank)
Inspection Record: Mechanical Rough -in -ti., -._....r__....__ DR-,
MI(HANICAI FINAL... ,_..
RtIITS EXPIRE ItNi DAY; Af Tf.R It, IF No PORI Is
I CERTIFY M INFBRMHOM FURNISHED By NE IS TRUE AND
ONNLR OR AGENT _
Date vr7-&-- 1�
• r
Gas Piping _..._ _ _.... Date
S"i!<ae7x5YSF-E_:.a: k,.vit:>4i@mS9D,�1R..SS .::: o:mmu:u.aea3:us:R:�mcaaac Y#m
�Eff, KNW1frEITE Ai'PLIURE CITY of EEiE.M'NAYY REQUIRENEVIS PILL K Rtl
FIELD COPY
a..
CITY OF FEDERAL. WRY
,
33530 First Way South ..„
', P E R P'l I ,,�...
Federal Way, WR 95003 Mechanical Inspection Requests 2521--661-41.40
253-661--4000
ADDRESS:2694 SW 334TH PL
�!0 .: 01.0060_.0340
PROJECT DESCRIPTION -. HVAC - GAS TO GAS FURNACE CHANGEOUT
T= OWNER =_____-__________ ____________ ________-=-_________= CONTRACTOR =_ ___________________________ =_______=====T= LENDER
GLORIA RUSSO ? NORTHWEST WATER HEATER
2694 SW 334TH PL 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
x
( 984-6404
s
NORTHWH103R2
st CONTRACTORS, PLEASE USE LOCAIION CODE 1132 WHEN REPORTING SALES TAX FOR PR03ECTS WITHIN THE CITY OF FEDERAL WAY
PROJECT VALUATION 1500
r
PERMIT NO: MEC97-0363
ISSUED. 1.2/09/97
BY: KLC
EXPIRES: 06/06/93
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
1 ft
HOOD..........:
0
0-3 TON.....:
0
FURN<100K..:
0
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 ---------
RANGE.- ...:
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( } No
Inspection Record: Mechanical Rough -in
MECHANICAL FINAL
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND COR
OWNER OR AGENT
Date ----------- Gas Piping
Date
. TAX RATE : 8.25 Us
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 42.00 f
i
I
TOTAL FEES
$ 62.00
(If "Yes" then water expansion tank is required on Hot Water Tank)
--__-_-- Date
i0
T'"
H T NO DGE ND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE
tf--- - ✓✓
FILE COPY
CITY OF G
& Ry
RECE IVF -H.
DEC 0 9 jggr�
APPLICATION FOR MECHANICAL PERMIT
MEC
PARCEL # a Oa ro n r" . � 40 Single Family Multi -Family ❑
SITE LOCATION
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Commercial ❑
Tenant/Owner 67 LC �� �u S Phone 4.2-
Address/City/State/Zip
Nature of Work C-2 " L-2 r64. - / Z-1 (--E LaZ�C—IrSI'ZProject Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Fax
Company Name 41 Lk e l a //�L- 2
Address/City/St/Zip _.2'SLL it -A L
ContactPerson
r
+� ���z �� Phone //Fax
State L & I Contractor Registration # A1C' ? 77-) (fir d 16 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin <
= 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10 000cfm
Above Ground
Furry <100K BTUs
GasLog
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas H
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBO'.q
Wood Stoves
A/C
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to the best
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (mclu
made by any person, including the undersigned, and filed against the City of Federay Way bu[ only where suc
information supplied to the city as a part of this application.
Owner/Agent
Mgca.Arr
Revrsm 8/26/97
e and further that I am authorized by the owner of the above premises to perform the work
es, and attorneys' fees incurred in investigation and defense of such claim), which may be
reliance of the city, including its officers and employees, upon the accuracy of the
Date
I
i