97-104450CITY CTC"• FEDERAL WAY
�r
-,335',46 First WZ1y South H C HM M I C >r1 L PCIV41T
Feder T. Wiy, WA 98003 Mec. h.,,zmi (-,,:0 1 Pec t: ori 1 6' quw.+-s 253- 661 -4140
2,93 -661-4000
ADI)RL 3S : 2001• S `192ND
NO.: 422280-0200
PROJECT DESCRIPTION., OVA( - INSTALLING I GFS NWT AND GAS PIPE.
OWNER»s aamm.•sxx,Knmm
PETE STOBART
2001 S 292HO ST
FEDERAL MAY WA 98003
cONTPAcrart ��ffi��xn�«�.�.m��n�
NORTHWEST WATER NEATER
2506 1041H SI fT S, SHITE A
TKOKA MA 98444
,q% /0450
PERMIT NO: -Ujc i
ISSOLD: 1."?/1.1/97
BY: KLC
EXPIRL!R: 06/08/98
?53 p84 4404
THaHIa�R�
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tst CANTRACTt1AS, mAsE i ti itT t (O 1132 UHLN FEPINTING MS lAX IOR RUICTS NITMIM TME CHT Of FEDE"t NAY. IAX RAIL : 8.25 tst
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PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: ft
FURP100k..:
GAS OWT..... 1
09V BURNER: 0
PBQ........ . 13
GAS DRYfR..: 0
RANGE....... 0
GAS LOGS'.... 0
1000
FANS...... .. . 0
Hoot........... 0
DO{ I Ht?N'' • ... O
000D STO"T'..,: 0
rORN�IUt)r... . o
tIISC...... ... 0
AIR HANDLING +!NITS
<:10,000Tts: O
> 10,000
t?°3 Tbit. tl
15 >0 TCS°f.. . f)
30 So RIK—: 0
50f ION.....: 0
FUEL TANKS --
ABOVE GROUND. 0
UNDERGROUND.: 0
HIS:
MEC PRIJ ISSUAKE... i 20.00
K,''A'3+ical Prreitt 32.00
TOTAL FEES E 52,00
:i.i::: i:lCttSCP.:.aS.SW - s:•:TM;�^.:.a�aAAHe.ux.sw:ism. al:sm:�.: I...':`Y[[R.#1 �.«msaza.... <m 3.' ..Ym.'.=..+..L+xte.:.w LIIfY w^;cstap%s'.:5M2e0.k.#.t.SY::—. SS;.:.Nrr:-.:za zac8num:..aaxsate,r.:wausS..,. a; a..:: a�a>'mxsa.•cc�xm�xmi xas:e:va:.•enm<;�^a�..c;:as•-. `.rrar.'�:<
Does the vater supply systes contain a Pressure Reduction Device or Check valve? () Yes (} No (It `Yes" then vater expansion tank is required on Not Nater Tank)
Inspection Record: Mechanical PouDh-in .._...._.__._.__.. Date _ .. _ Gas Pipir �? .._.. Dat,
MECHANICAL F INAI. ��' Da` Z- ZZ--TBL/ f
PI FNITS 1APIRI 180 PAYS AF IEA ISSUANCE IF NO MORE IS ST01E9. _
I CERTIFY IRi 10 011M]I N1 TtIRNISNIO VY NT IS TRUE no CONRFCT 10 INt BES 'KIM
, 0WHIP OR AGENT _.. __.___..______ .._,.._. ___ ..._....___ ,__ .. _...... -- _._.... ..a.:._._•__ ..___....
I
AMI• TME AVM.ICAiIE t.1TY TsF FT.IiIHAI NAY RE{MT[RENEMTS Netl K MEF.
FIELD COPY
i
CITY OF FEDERAL_ WAY PERMIT NO: MEC97-0367
33530 First. Way South �'��I".': �,,,"i"' .,,. M"»,:"i �I,.",.°ati':';."'','`�'!..,,. ISSUED: 12/11/97
Federal Way, WA 98003 Mechanical 1nspec`.ion Requests 253--661,,-4140 BY: KLC
2.53-661-4000 EXPIRES: 06/08/98
ADDRESS:2001 S 292ND ST
NO.: 422280--0200
PROJECT DESCRIPTION: HVAC - INSTALLING 1 GAS HWT AND GAS PIPE.
€= OWNER =____-_____________________________________________$= CONTRACTOR==____________________________________======T= LENDER
PETE STOBART NORTHWEST WATER HEATER
2001 S 292ND ST 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
253- 984-6404
NORTHWH103R2
Sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *t_
---------------------------------------------__----.---...-._------_.---------_----------------------------------..---------.--T------------------------------------------.-----------------�
PROJECT VALUATION
1000
FEES:
FUEL TYPES.:GAS ?
FANS..........:
0 BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.: 25 ft
HOOD.,........:
0 0-3 TON.....; G
s Mechanical Permit*
$ 32.00
FURN<IOOK..: 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
BBO.......,: 0
MISC..........:
0 50+ TON.....: 0
9
GAS DRYER..: 0
AIR HANDLING UNITS
FUE. TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
0 ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0 UNDERGROUND.: 0
TOTAL FEES
$ 52.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes O No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in ....... Date ---------- Gas Piping
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
OWNER OR AGENT
Date
THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
FILE COPY
DATE
txrr OF
vv
DEC 11 199'
BUMDING DIVMON
33530 First Way South e'
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
e,
�4 .,PLICATION FOR MECHANICAL PERMIT
t✓Ik�v t ;.4LV,
BUILDING DEPT
MEC-
PARCEL # —2,00 Single Family ❑ Multi -Family ❑ Commercial 13
SITE LOCATION
Tenant/Owner ?e-nf�— ��Q 1/1 ��� Phone
Address/City/State/Zip
s%}
Nature of Work i-4 Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person low
Phone
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
Fax
(V L✓�) j i� �'� /� Exp. Date
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Under ound
Fum>IOOKBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
BBO's
Wood Stoves
--4A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fumished 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 claire (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Federay u o uc lairn arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
Date / 2-� T
T7��
7.
Mecu.App
Revmsm 8/26/97