97-104432CITY OF FEI)ERAL WAY
33530 Firsts Way South
Federal Way, WA 98003
2'53-661 -4000
ADDRESS:32708 ?OTH AVE
NO.: 951090-0690
PROJECT DESCRl'PT10h:HVAC
PI.RMIT NO: MUC97--0362
H CC V Ir-) f q f C ;cl L FA C ft HI T IS1,3,ULD. 12109197
Ile('Ihanical. fir_Pect,iori Pl(N<jtj-N.,:,k,r.: '253-661-4141-1 BY: KLC
EXPIRES: 06/06/98
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- GAS TO GAS FURNACE CHANGEOUT
OWNER.....—.a V.WXa.= ...
ROGER HARMON
32708 30111 AVE SW
FEDERAL WPY WA 98023
.......... ........
M CONJOCIfIRS, I'LlAt"t USA LOC
PROTECT VALUATION 1500
CONTRACTOR .... ---j- LENDER
1109THWESI WATER H[AIER
12506 104TH ST C' t. SUIT[ A
TACOMA NA 98444
984 6404
... . ....... .
In (off I M VK1 REPORTING SAFES JAY, FOR PROJECTS VIT1111 IK CITY or F FKAAL MAY. I AX #Alf : 8. 25 M
4$" ..... W .. ....... ;F .............
FUEL TYPIS.:GAS ?
FANS..
11LE111,"COM
GAS PIPING.:
0 It
HOOD.
1j,
FURow...:
I
K, k
1)
GAS 4111....:
0
wol)b
Toll... -
0
CORV BURNER:
0
ffjrfhl*
A % TON_:
0
BBV.........
0
501 1011......
0
GAS DRYER..:
0
AIR HANDLING IJNP
f9f[ TANKS—
RANGE......:
0
,--10,000 (in:
0
ABOVE GRO0111):
0
GAS LOGS...:
0
) 10,000 (FM:
0
UNDERGROUND.:
0
FEES:
NEC PHI ISSUANCE... S 20.00
lechanital PerAitt $ 42.00
TOTAL FEES $ 62.00
Does the water supply system contain a Pressure Reduction Device or Check valve? Ye�i No (If 'Yes' Cher, water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date . . __ Gas Piping Date
ME(HANKAL FINAL EJ Datel/
x -M.0 ..... I.W ....... ..... S......."....%..='.% ,, v. . - .
PERMITS tXPIP1. 130 DAYS AFTER ISSUANCE If No VORX Is St 0-1
MIL K 01.1
I CERTIFY IRL INFORMATION IURNISIWI RY Nt IS *51 -Of MY INMIKi4b
I lilt 0 3M PLICA1111 CITY Of 11VAY REQUIRENEITS IL
ORK9 OR
FIELD COPY
CITY OF FEDERAL WAY
03530 First Way South
Federal Way, WA 93003
253-661-4000
ADDRESS:327O8 3OTF-I AVE
NO.: 951090-0690
PROJECT DESCRIPTION: HVAC
PERMIT NO: MEC97-0362
ISSUED: 12/09/97
Mechanical Inspection Requests 253.661-4140 BY: KL.0
EXPIRES: 06/06/93
SW
- GAS TO GAS FURNACE CHANGEOUT
OWNER________________________________________________ ==r= CONTRACTOR
ROGER HARMON ! NORTHWEST WATER HEATER
32708 30TH AVE SW 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
x== CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 M
s
Inspection Record: Mechanical Rough -in -__----__-_,-_---- Date ---------- Gas Piping ________________ Date
MECHANICAL FINAL Date
------------------- -
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE COR I Y KN WLEDGE AND THE JA
APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ----------- —-----------
OT
Z� --
_
FILE COPY
PROJECT VALUATION
1500
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
� MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....:
0
Mechanical Permit*
$
42.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 TON...:
0
CONV BURNER: 0
FURN)1OOK.... .:
0
30-50 TON...:
0
r
�
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.:
C
TOTAL FEES
$
62.00
Does the water supply
system contain a
Pressure
Reduction Device
or Check valve?
O 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 ST
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE COR I Y KN WLEDGE AND THE JA
APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ----------- —-----------
OT
Z� --
_
FILE COPY
crry
F F� RECEIVED
DEC p 9
1997
Cl I Y OFF—
APPLICATION FOR3tl� tCHANICAL PERMIT
MEC
PARCEL # nC' C�' (C' Single Family Multi -Family ❑
SITE LOCATION
BUE[ DING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Commercial ❑
Tenant/Owner /11) 6 (�2 E� Y'/i J'Y-� rr' �,l Phone 7 T S
Address/City/State/Zip
Nature of Work ���I t' .�%fLA�C Project Valuation: $ l`t
APPLICANT
Name
Address/City/St/Zip
Contact Person —
Phone
Fax
MECHANICAL CONTRACTOR j
Company Name �� G t .' .� ze
Address/City/St/Zip S -r CT -TA y" 1 0 9
Contact Person i ! & &7 e � Phone ���� q S q -6LJ q 0A- Fax
State L & I Contractor Registration # �1`,! 1 --- Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
L-ength of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Undereround
Fum >100K BTUs
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 TONS
DISCLAIMER: I certify, under penaltyof perjury, that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and flied against the City of Federay Way but only where su out y� of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. --I'—
Owner/Agent
Mecrr-Apr
Revrsm 8/26/97
Date
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