97-101696(11'Y OF FEDERAL.. WAY
:30530 Fi.rsi. Way Soutti
Feder -al Way, WA 98003
661-4000
ODIIRESS:31 7`2"') IM AVF S
NO. : '794160-0160
[)RO.TF('T DESCPIPTIOM :9-9 furnance & awh replace
OWNER...... ............. . ............
CHERYL CLARK
131729 7T11 AVE S
FEDERAL WAY WA 98003
5,9-951,5
A
"I CONTRACTORS, PIM USE LOCATION
MECHANICAL, PERMIT
lltd.ldinq Inspectinr) 1�,(�querts 661-4140
q lc,16q,�
PERM11 NO: MEC97-0159
ISSUE,L). 05/15/9/
BY: FC?
EXPMES: 11/1.0/97
CONTRACTOR =—... .... ......... LENDER ......
NORTHWEST WATER HIATCR
2506 104TH SI (I S, SUITE A
IKOMA WA 98444
9N4, fadOd
.......... ...... ......
732 VNF# W01111K SALES TAX FOR PROJECTS VITNIN THE CITY OF FIKKAL NAY. FAX RATE = 8.25 M
GAS HWT....:
CORV BURNER:
1
0
WOOD �Irovt''
1UR6*f'-- ti
. . . . . . . . .m
PROJECT VALUATION
21395
0
MlllC ....... ..
FEES*
FUEL TYPES.:GAS GAS
FANS..........'
0 ILt VAOMPR(SIMIr
AIR HAND[ % lflilc
$
GAS PIPING.: 0 ft
HOOD—
Hp—.— Q
arF PRM1 I61AHrr ...
FURK<1Q0K..: 1
DW ! WOR111.
A 3-1') "I - .. - 0
0
> 10,000 Cf)i: 0
GAS HWT....:
CORV BURNER:
1
0
WOOD �Irovt''
1UR6*f'-- ti
30 r10
BBO ........ :
0
MlllC ....... ..
Hr.
0
-01
GAS DRYER..:
0
AIR HAND[ % lflilc
1-141 1ANKC-
RANGE ......
0
'10.000 CFO: 0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 Cf)i: 0
UNDERGROUND.:
0
54.00
20.00
)TAL FEES $ 74.00
I-., ...= . . . . . cc rax . = . . . = .. . I xm.z 10.. = . . — . . . . —91=1 . . . . . . .. . . . —�. . . . . -.=—
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 Water Line OK Mechanical Inspection Notes:
GAS PIPING ft Date By
-- .... il...,..=;.,.....:..et.co.......X"i-...;.,!.=... . . . U_ . . . - . . . . . . . . . . . =— . . . . . . . .
PMIS EXPIRE 180 DAYS AVIER ISSUANCE If 00 W1S D. R IDINTIAt AND GRADIK PERMITS VXPIRI 0#1 YbW A:*IER DAII OF ISSUANCE.
1 CERTIFY INE INIORNATION IURNISNID BY H T 00ECT 101 RES) 'if 1`11 IMMILDGL AND fill APPLK�L MY Of FEDERAL WAY REQUIREMENTS 111t1, BE Nil.
DAT[
OWNER OR AGENT
FIELD COPY
CITY OF FEDERAL WAY
33500 First Way South
Federal Way, WA 98003
661--4000
ADDRESS:31729 7TH AVE S
NO.: 794160-0160
PROJECT DESCRIPTION:9-9 furnance & awh replace
F= OWNER
CHERYL CLARK
131729 7TH AVE S
FEDERAL WAY WA 98003
529-9515
Building Inspection Requests 661-4140
CONTRACTOR========
NORTHWEST WATER HEA
2506 104TH ST CT S,
TACOMA WA 98444
984-6404
NORTHWH103R2
PERMIT NO: MEC97-0159
ISSUED: 05/15/97
BY: FC2
EXPIRES: 11/10/97
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 Water Line OK ----------- Mechanical Inspection Notes:
GAS PIPING OK Date ....... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO
I CERTIFY THE INFORMATION FURNISHED BY MEMS
OWNER OR AGENT
91DENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYOF FEDERAL NAY REQUIREMENTS HILL BE MET.
------------------------- DATE ----� -- -!r
FILE COPY
Sts CONTRACTORS, PLEASE USE
DATION CODE 1132 WHEN
REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 US
PROJECT VALUATION
2395
FEES:
j FUEL TYPES.:GAS
GAS FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit* $ 54.00
GAS PIPING.: 0
ft HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....: 0
I GAS NWT....: 1
WOOD STOVES...: 0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....: 0
BBQ......... 0
MISC........... 0
5+ HP........ 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND: 0
g GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES $ 74.00
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 Water Line OK ----------- Mechanical Inspection Notes:
GAS PIPING OK Date ....... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO
I CERTIFY THE INFORMATION FURNISHED BY MEMS
OWNER OR AGENT
91DENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYOF FEDERAL NAY REQUIREMENTS HILL BE MET.
------------------------- DATE ----� -- -!r
FILE COPY
City of Federal Way
clTy of �� 33530 First Way South
Federal Way, WA 98003
"" RY (206)661-4000
APPL/CAT/ON FOR ME
A 6j__ -7
1
CHAN/CAL PERM/T
PARCEL A• l 6;
Single Family'
SITE LOCATION:
Tenant/Owner: - L— L
Multi -Family [ Commerc.al o
>6
—
Address/City/State/Zip: 1 �( / V <�> l 1- I_L��
Nature of work: ject Valuation: S 7 --
APPLICANT:---
Name:
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Fax:
Company Name: � 6 Z il,,J 161cre 2_ AL Address/City/St/Zip:lS1S ��[' �c Y L�
Contact Person: ` v Phone: L92-4 Fax:
State L & I Contractor Registration #: NURTi+yjti i z- Exp. Date: �C=::,
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling
< - 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> - 10,000cfm
Above Ground
Furn < 100K BTU's
Gas Loa
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
j
Wgod Stoves
A/C
IONS
DISCLAIMER: I certify under penalty of perjury that" information furN is true cwro
Promises to perform the work for wNch permit application it made. r agrp to u
defense in investigation and deferof such claim). wNch ma mad* by any pen the
out of the reliance of the City, including its officers and yap, upon ae infamat
Owner/Agent:
beet of my knowledge and furtMr tMt I tam atxhorb:ad by eta owner of the above
Cky Federal WW p to any claim Uncludirg coats, *xparroa end attorneys, leas
nod, and filed against the City of Fedway Way but only whoa such claim arises
to the City as a part of this application.
Date: ��//�
a