97-104448V - _4
CITY Of' FEI)CR(it_ W41Y
33530 Firss;t Way Soutt, MECII(WICAL PERMIT
Federal Way, WA 98003 '253 6,61
253-661--4000
ADDRESS:31011 8TII OVE S>
NO.: 0821.04--9205
PROJECT— DESCRI PT ION - OVA( - GAS TO GAS NOT CHANG[Of.
uwwtK .... r.l= , ..... ....".,¢:
MICHAEL GABIPT NORTHWEST WATER WATER
31011 BIN AVE S 21546 104TH ST (T S, SKIF A
FIDENt WAY WA 98003 TAC NA Of, 10444
253- "14-6404
own—,
ttt 0 rJlvi;," i4' N, P16"', tKAIV (UK 1;,7 i413 I ING SALL!; lax FOR PANECTS WITNIN THE CITY of f(Km NAY.
PROJECT VALUATION 600 FEES:
FUEL TYPFS.:GAS FANS... .... 0 'BOILU, #k( PRAI ISSUANCE...
GWI PIPING.. 0 Q WOOD. _'.. 0 �4,4.3 1.00.. Permits
FORW100K..: 0 (wUrpr- 1 3415 TON, ()
0 HUI U I ! r" .6
91 /o Z/"6
PERMH NO: MEC97-0366
LsY: KL,.0
L_YJIIRES: 06/08/9ti
TAX U11 : 8.25 Ut
GA
(OHV BURNER:
0
FUR0100r....
3u 1�10
0
880........:
0
MIS(..........: 0
504 TON—
GAS WYER..:
0
AIR HANDLING lftlfl't'
F110. TAN;;-
-
RANGE.......
0
/10,000 CFO- 0
AB(0,1 (�POUNP:
0
CAS LOGS ... :
0
> 10,000 (M. 0
f)"I IL f,'P�UN D.:
0
TOTAL FUS
20.00
24.00
$ 44.00
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No (It *Yes' then water expansion tai* is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date .___._ Gas Piping Date
MICHANICAL FINAL Ok- 'I
Date
KANITS tArlRf 190 DAYS IV 14 It".;UAN(I It 00 WORK IV SI
I CFRI11Y lot INfeftmilow vaap lsuy "I is Im"Am t
OWNU, OF WANT
aA..........
40 19 AMICAKI CITY Of FIKPA VAT RE41VIRENEKIS HILL AF 10
PAU
FIELD COPY
w 1
CITY OF FEDERAL. WAY
33530 F i rs t Way South N :, �:;::..' ,,.,� �.4, � :; ;: �:;;,.: 7,.,,.r ,,,,,, 8..,� ...... �'', 'w'' , .,'N'.
Federal Way, WA 93003 Mechanical Inspection Requests 250--661•-4140
253--661--4000
ADDRESS:21.011 3TF1 AVE S
NO.: 032104.-.9205
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT CHANGEOUT.
�= OWNER _________________________________________________=_= CONTRACTOR =_____________________ =__=___ =____________-= LENDER
MICHAEL GABERT NORTHWEST WATER HEATER
i 31011 8TH AVE S ) 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
I �
253- F 984-6404
j NORTHWH103R2
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
PERMIT NO: MEC97-0366
ISSUED: 12/11/97
BY: KL..0
EXPIRES: 06/03/93
TAX RATE : 8.25 :xx
PROJECT VALUATION
600
' 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*
$ 24.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT.... : 1
WOOD STOVES...:
0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K... ..:
0
30-50 TON...; 0
BBQ......... 0
MISC...........
0
50+ TON...... 0
f
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
0
ABOVE GROUND: 0
)
GAS LOGS...; 0
d
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 44.00
--------------
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 ---------------- DateGas Piping ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK '9 START[
I CERTIFY THE INFORMATION FURNISHED BY ME IS/TRUAND COR T BEST OF DGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT -------------------------------- . ... - DRTE--------------
FILE COPY
arroF G
�� Ay
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
DEC 1 1 1997APPLICATION FOR MECHANICAL PERMIT
Gli BVLDNG AY
DEPT. MEC
PARCEL # 0/ i 1 Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner /V\ c Phone( -; S4'( —0 w
Address/City/State/Zip t L �L 1 j A :/-\ T C l R cc
Nature of Work (a AwJ'���1,/L��� Project Valuation: $��
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name
Address/City/St/Zip ,2Ed t
Contact Person Phone g l ax
State L & I Contractor Registration # &LIZ f I It C-) -�� IQ Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type aslother
GasDr-ver
Air Handling <= 10 000cfn
Fuel Tanks:
Length of as piping
Range
Air Handlin > = 10,00061n
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furn>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
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 ( ,
made by any person, including the undersigned, and filed against the City of Fedemy Way but only where claim
information supplied to the city as a part of this application.
Owner/Agent
Me App
Revrsm 8/26/97
ized by the owner of the above premises to perform the work
d in investigation and defense of such claim), which may be
its officers and employees, upon the accuracy ofthe
Date L -f
P