97-104611CffFY-0* FF-DERAI.. WM'
3-3530 f-11-st Way South
_f ode t4ay, MA 9.-1003
:x'5:3--661--'4000
M C C 14 01 N I C A 1.- 1".,kI
'j Iij
01VRL!,5S:'3:'J10 '26111 tAVE ';W
t4O.: 8',1,--1180-0540
PROJI"(71 E)t'X'RMI`TF'44,--HVAC - GAS IOGAS fURNAC[(HAHGLO0l.
MIR
JOHN ELPSTED]
32110 2011 AVE SW
FEDERAL WA"i' VA 9823
M CONIMCIM,
1011
PROJECT VALUATION 1500
FUEL TYPES.:GAS FARS ..... S
GAS PIPING.: 0 ft HOOD.. I
F
URN,'100K.,: I DUCT Wilms,
GAS HUT—.: 0
(01Z"
(ONV DIMMEP: 0 F Uw I 1,
B8Q ........ 0 01030 0
(IAS DRYER... 9 AIR RAO . ... f Tlwll_��j Rip " ,
PFRMIT' No. MEC91-0387
12/dQZ9.4
By- F(
CONTRACTOR
NORTHWEST NTP HIR IN(/DAVIS MHx.
LIPPER
2800 IHORNDYtE AVE N
SEATTLE WA 98199
(253084-6404 890-292-4328
K sacs Ta FOR FROJECIIS VIININ M city Of FEDERAL VAT. fAX UIE 8.25 $*1
FEES:
ME( PROT ISSUANCE... S 20. UO
RANGE......: 0 <:10
GAS LOGS-- 0 10: 0
000, 0 TOTAL FEV. 62.00
..........
Does the dater supply system contain a Pressure Reduction ....
..
tion Device or Check valve? Yes No (If *Yes" M.D eater expansion tank is required on Hot Water link)
Inspection Record: Mechanic 4; Rough- Date Qs Piping Date
C) %,-
MECHANICAL FIRAi 1-2,16-79
PEARM EVIRt 130 10'r" A1,11p, ISSUANCE if so gar is
I C12111Y lot, 1111WINA111011 I(MAIA14 NY #1 Is INK
OWNER OR AGENI I 1- 7
.T ilk Ky OF KNOVIEDGE M TK VnICAKI CITY Of FLIMERAt, MAY ALQUIRILKNIS WIL! 14 rll
DATE
CITY OF -FEDERAL WAY"I"U PERMIT NO: MEC97-0387
3 � 5'5 0 F'i'rs t Way South II !1;;„;. �a,.. II ”"li i� ""�i ��'9 .,�I_ M. �" i ,,... il'", °;�. "'r. �W j I S � U E D : 12/30/97
Federal Way, WA 98003 Mecharinlcal Inspection Requests 25"7'j--661--4140 BY: FC2
253-661-4000 EXPIRES: 06/27/98
ADDRESS:32110 26TF1 AVE
NO.: 879180--054,0
PROJECT DESCRIPTION -HVAC
SW
- GAS TO GAS FURNACE CHANGEOUT.
r= OWNER =_____=___=________________________________________= CONTRACTOR =__________________= ______________________= LENDER
JOHN ELMSTEDT NORTHWEST WTR HTR INC/DAVIS WH s
32110 26TH AVE SW } 2800 THORNDYKE AVE W
FEDERAL WAY WA 9823 SEATTLE WA 98199 1
r �
(253)984-6404 800-292-4328
9 NORTHWH103R2
Its CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
f
{
------------
TAX RATE = 8.25 Us
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<1OOK..: 1
DUCT WORK.....:
0
3-15 TON....: 0
GAS NWT....: 0
WOOD STOVES...:
0
15-30 TON...: 0
CONV BURNER: 0
FURN>100K.....:
0
30-50 TON...: 0
BBQ........: 0
"LSC..........
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.: 0
TOTAL FEES
$ 62.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Hat Water Tank)
Inspection Record: Mechanical Rough -in _______________ Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA '
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AN OHRE 0 KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL RAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT --------_ _ - DATE
----------------------- ---- __.. .-.._.._._._. -_.._.-------------
crry OF
�� RY
RECEIVED
DEC 3 0 1997
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
-' LQ -:RAL. WA,`
APPLICATION gbh MECHANICAL PERMIT
MEC
PARCEL # ' S4 � i Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner �''� � 07 Phone > 3 �� - 2-
Address/City/State/Zip 1 �% �� ' �'�' LvA`{
Nature of Work (:`� ` �� �, �' LL Lf -P LA ( E Project Valuation: $ I. C G
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Fax
n/ 1
Company Name ZL2 ZL4
Address/City/St/Zip 9S -L(
Contact Person i6/Y\ ��� - AN Ef iLL A Phone (;LS-� `IS 4 - �C q Z � Fax
State L & I Contractor Registration # �L*✓� / r= Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling <
= 10 000efm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10 000cfn
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
wt
Hood
Boiler
BTU/H
Other
tC.nButner
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
DISCLAIMER: I certify, under penalty ofpetjury, that the information fumished by me is true��ywh=,u��(h
for which permit application is made. I further agree to save harmless the City of Federal Way made by any person, including the undersigned, and filed against the City of Federay Way butinformation supplied to the city as a part of this application.
71
Owner/Agent
M cH.APPs
R�mZ/26/97
knowledge and err that I am authorized by the owner of the above premises to perform the work
d aft mrys' fees incurred in investigation and defense of such claim), which maybe
reliance f the city, including its officers and employees, upon the accuracy of the
da;�—JL22�