97-104485W C::7-4 ,
,cuy ov FEDEPAt, WAY
3:35:311 f .'i i -s; t. Islay w o ij t I-) M E. C 11 A- N1 C. A L P E R H1 T'
Fedpral, Way, WA 9000"1
AMS E`Sw;:34506 -,3o-rli AVE 3W
NO..,: 797X311,_ 0180
PROJECT DESCRIPTION.HVAC - FLU 10 GAS FURNACE, HMT t GAS PJPL INSTALLATION
I.- nuora -------
*1 1
---------------
ALAN 101041
34506 MR AVE SW
FEDERAL WAY #A 98023
253-
xlt (0111RACIONS, PLEASE ft IKA
CONTRACTOR LENDER
NORTHWEST WTR HTR IRC/DAVIS WH
2900 MODYKE AVE W
'A'Afftf WA 981"
(253)184-6104 800 292-432£f
PROM! VALUATION 3500
FUEL HPIS.:0S [LE !'ANS.. . Boup "'O"m
GAS PIPING.: 50 ft HOOD---.: 0 04 TA.'..
rURN"'loot..: I 14)(f "t .... 0 3-15 too_'* 0
GAS NWT..... I WOOD S TOW". 16-30 0
CONY 99OLP: 0
HBQ ........ o "I, . 0 $04
GAS DRYER..: 0 AIR HANDt'b 10111S L TANK%�
_G
RANGE......: 0"
to 0.
ARVE GFOOMD: 0
GAS LOGS...: 0 10:L100 AVO *(Rvoump.: 0
PLRMI f NO: MEC 97-037O
ISSULD: 12/16/91
BY: KI -C
LXPIIIES06/1-3/90
W SALES TAX FOR PROJECTS 111111 INC CITY Of I'MR41 NAY. TAX RATE : 8.25 M
FM':
K( MI ISSOAlIQ S 20.011
iuchAnical Pei -mitt 1 63.06
TOTAL FEES
S 83.00
Does the water supply system (ontain a Pressure Reduction Nvice or Check valve? Yes No (if 'Yes' then water el-pansion tank is required on Hot Water link)
Inspection Record: NerhaiRdl Rough -in Date Gas Piping
MECHANICAL FINAL Date
lotwits Explitt too Mys Arm ISSMWI it M "t m
I (0tify 101 INFOW.11ON twirsab 01 "1 Is FIM- Ago (.01110 C SI 0( -NY K LIGE Mb lilt APPLICAR1 CITY Of f'LN.PAL NAY RtQ019MIS WILL 41 111.1.
OWNER 09 AGENT Nif
FIELD COPY
CITY OF FEDERAL WAY dG„ I I G,„.„. PERMIT N0: MEC97-0370
33530 First Way South IMI li:.::, C' !;"'Il 11"'Al�"II! .. ISSUED: 12/16/97
Federal Way, WA 9300:3 Mechanical Inspection Requests 253--661-4140 BY: KLC
253-661-4000 EXPIRES: 06/13/98
ADDRESS:34506 :30'fFI AVE: SW
NO.: 797200--0180
PROJECT DESCRIPTION :HVAC - ELE TO GAS FURNACE, HWT & GAS PIPE INSTALLATION
OWNER
ALAN DUNN
34506 30TH AVE SW
FEDERAL WAY WA 98023
CONTRACTOR
NORTHWEST WTR HTR INC/DAVIS WH
2800 THORNDYKE AVE W
SEATTLE WA 98199
Iwi"\Ji
253- (253)984-6404 800-292-4328
NORTHWH103R2
L----------------------------------_._-----_-____.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
-----------------
----- --- ---- - -
PROJECT VALUATION 3500 FEES:
FUEL TYPES.:GAS ELE FANS..........: 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE...
I GAS PIPING.: 50 ft HOOD..........: 0 0-3 TON.....: 0 � Mechanical Permit*
. TAX RATE : 8.25 ***
FURN<100K..:
1
DUCT WORK.....: 0
3-15 TON....:
C
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
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ......
0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES
$ 20.00
$ 63.00
$ 83.00
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 STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT
OWNER OR AGENT
AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
17_
__._..._ DATE 1_1?_V_L1_
FILE COPY
Clrtl of G BUILDING DIVISION
33530 First Way South
�� Ry Federal Way, WA 98003 '
(253) 661-4000
®� Fax (253) 6614129
G �% X99 �PAPPLICATION FOR MECHANICAL PERMIT
MECq � -
PARCEL # ICA 0 Single Family'V( Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner AL 44 t .1J�,�� Phone
Address/City/State/Zip
-IL
L
Nature of Work r-- -�= LI LR-t'i ACS + 6 UNIA HID ( ALF Project Valuation: $ - 1 1
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name 4 � fi L'? _� r C=;r•
Address/City/St/Zip_220(0f /O � 57- C-7-
Contact Person ", PIV` 0,� L� �� � A-� Phone �'11 >T`_' T Fax
State L & I Contractor Registration # - Zbg �/14 16 JZZ' „��- Exp. E Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000cfin
Fuel Tanks:
Length of as piping
0
Range
Air Handlin > = 10 000cfn
Above Ground
Futn <100K BTUs
Gas Log
Unit Heater
Underground
Furn>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
i I Hood
Boiler BTU/H
I Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of 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 (includin , 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 Citi.effedefay Way but only w h 6m 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
MEcn.Ape
REvrsm 8/26/97