97-104558City OF FtDERAL WAYPERMIT NO: MEC97-0382
33530 Fi.rs't way Soutt, MECHANICAL- PERMf T' ISI.�IJJED, 12/2--1/97
,Federal Woy, WA 9800j' I1-_ t'IiA f I ;"il f i )4e� :t c) ri U., ei,Akj(? cf F; 1, (.',61 4140 OY: KI -C
2i 661-4000 EXPIRES: 06/20/98
Tr
�RU�'�,:36621 1L)III I'L I -W
PROJECT DUSCR 1. PT TON: KIAC - INSTALLING ONE GAS HIN, DRYER AND GAS PIPE.
OWNER COMPACTOR ..—! .. . ........... LENDER
BRUCE PETERSON NORTHWEST WfR HTR IN(IDAVIS 00
30621 1510 PL SW 2800 IHORODYKf AVE W
FEDERAL WAY WA 98023 SEATTLE WA `)Blqq
253- (253)184-6404 800-292-4378
'"WHIM
sts CON[Rhooks, PLEASE rx tkAf III CW�JTIIK SALES TAX [OR PMECTS VITNIN I* CITY Of FEDUAL MAY. TAX RATE M 8.25
12, OKI REM
Does the water supply system
Reduction Device or
FEES:
Nit PRHI ISSUARCE... 20.00
hectanical Permit, 3 52.00
IOIAt FUS
t 72.00
? Yes No (If 'Yes' then water expansion tank is required on Not Water lank)
Inspection Record:r nical Rough -in Date Piping
N
HI(At FINAL
ot C H, A' Oatir
Pfd[ 13 EXPIRE Igo MrA
off w(MM110H
QMNER OF AGrflj
ti
Date
If NoIs
I"
0"2L AIMS21-1 I 1Y 110111KE AND 11[ APPtf(AlU
Lf CITY Of KKAI MNU
Y RIQUIR(KNIS MILL BE .
Iff OO
toW2
FIELD COPY
PROJ[Cf VAUJAHON.
2000
IUIL 1YPfS.AA$
FANS..,
0 lfflim,("Plsw,
GAS !APING.:5 f t
NOOK.
0
TURN MOON ... 0
(ON
9
GAS HMT..... I
W040 714'.
ti Is -A TON
I
COR AIRNO: 0
FLIPP10'.
0, SO
A
880 ........ 0°`
MISC..,.,
50,
US DRUR..': I
AIR 10111f
F111t 10t,11 --
RANGE.......: 0
t,:10,000 UN-
0 AMY[ GROtIND-
GAS LOGS...: 0
> 10,000 Crit:
0 ',lN14j:,GR6UHD.:
0
Does the water supply system
Reduction Device or
FEES:
Nit PRHI ISSUARCE... 20.00
hectanical Permit, 3 52.00
IOIAt FUS
t 72.00
? Yes No (If 'Yes' then water expansion tank is required on Not Water lank)
Inspection Record:r nical Rough -in Date Piping
N
HI(At FINAL
ot C H, A' Oatir
Pfd[ 13 EXPIRE Igo MrA
off w(MM110H
QMNER OF AGrflj
ti
Date
If NoIs
I"
0"2L AIMS21-1 I 1Y 110111KE AND 11[ APPtf(AlU
Lf CITY Of KKAI MNU
Y RIQUIR(KNIS MILL BE .
Iff OO
toW2
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661--4000
Mechanical Inspection Requests 25:a- 661--4140
ADDRESS:30621 15T4.1 PL SW
NO.: 5149300190
PROJECT DESCRIPTION:HVAC - INSTALLING ONE GAS HTW, DRYER AND GAS PIPE.
OWNER
BRUCE PETERSON
30621 15TH PL SW
FEDERAL WAY WA 98023
253 -
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 25
FURN<100K..: 0
GAS NWT..... 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 1
RANGE......: 0
GAS LOGS...: 0
CONTRACTOR
ORTHWEST WTR HTR INC/DAVIS WH
800 THORNDYKE AVE W
EATTLE WA 98199
(253)984-6404 800-292-4328 !
NORTHWH103R2
F
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORIING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 US
2000 FEES:
? FANS..........: 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE..
ft HOOD........... 0 0-3 TON...... 0 Mechanical Permit*
DUCT WORK.....: 0 3-15 TON....: 0
WOOD STOVES...: 0 15-30 TON...: 0
FURN>IOOK...... 0 30-50 TON.... 0 i
MISC........... 0 50+ TON...... 0 !
AIR HANDLING UNITS FUEL TANKS ---------
<:10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 12.00
LENDER
PERMIT NO: MEC97-0382
ISSUED: 12/23/97
BY: KLC
EXPIRES: 06/20/93
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
MECHANICAL FINAL
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO
I CERTIFY THE INFORMATION FURNISHED BY ME TS
OWNER OR AGENT
IS ST
_.. Date --------- _ Gas Piping .................. Date
Date
78'piE ST E MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
_.. ----------------------- DATE` Z?1. ?�,c
FILE COPY
CITY OF I --
F=
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax(253)661-4129
9(17
pEC 2 3 1 'APPLICATION FOR MECHANICAL PERMIT
C1Ty OF FEDERAL vuF 'i
BUILDING DEPT.
MEC q -
PARCEL # ��� O�� ' Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner fil) ��a c j
Phone q 4 5 "4�3
Address/City/State/ZipIs
CL '-) L 6LA) <L.ti 'k 'IE (3Z3
Nature of Work L -Lj f�C aLE T 1 LOH 1 � P ect Valuation: $ '2CO
APPLICANT
Name �..
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone Fax
Company Name' L�t1� %✓Z t'/ [�1��
Address/City/St/Zip
Contact Person A / ��VLZ C Phone �z� �� �T-� ' `i Fax
State L & I Contractor Registration # ALL,-, T It Lt - H 0-3 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Under ound
Furn >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Hood
Boiler BTU/H
Other
tH-
rner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fumished by me is true q&coffect to
for which permit application is made. I further agree to save harmless the City of Federal Wa to any c
made by any person, including the undersigned, and filed against the City of FederayWa ut only ere sy
information supplied to the city as a part of this application.
Owner/Agent
Wca.App
Rn m 8/26/97
kn edge an Cunher that I am authorized by the owner of the above premises to perform the work
exrenses, an anomeys' fees incurred in investigation and defense of such claim), which may be
out of the reli a of the city, including its officers and employees, upon the accuracy ofthe
Date
. k