97-101564rm-
i 77- J015GY
CITY OF FFDFRAI- WAY PERMIT NO: MEC97-0147
33530 First Way South 14 C C 11 rN H1 1C. t4 1- V% C IN M I T ISSUED: 05/06/97
Federal Way, WA 98003 Building Inspection Requcasts 661-41.40 BY: FC
661-4000 LXPIRES. 11/01/1,)7
AI)DRESS:31701 41141 AVE SW
NO.: 784300-0000
PROJECT DESCRIPTYON: E/fj rURMACL AND PIPE REPLACE
OWNER CONTRACTOR ...... LENDER
RICHARD SAMEr NORTHWEST WATER HEATER
31701 4 ?1 H AVE SW 2506 1041H ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
........... '» ....... .......... ...........
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE It NO WORK IS STARTED. A6, Q"m PERMITS EXPIRE ONE YEAR AFTER Nil Of ISSUANCE.
L CERTIFY THE INFORMATION 0,10NISHID BY III b TRITE AND (ORR I OF NY K -FOG[ AND ME 010110811 C -1-11Y. OF FIMAL NAY 91#11RENINIS MILL BE NET.
OWNER OR AGENT f
FIELD COPY i 114
Sts
CONTRACTORS, Pt[Aff ME
tOMIN W# MMI TIN 11, TAX FOR PROJECTS
VI TVIN III CITY
Of f f DFRAI WAY. TAX RATE
= 8.25 Us
N
PROJECT VALUATION
ILI 39
fits:
FUEL TYPIS.:GAS ?
FmN, ...... 0
,�,illiAllmwQl)aoiiS
Me (ha*al flet iki
54.00
GAS PIPING,: 37 It
NOW, 0
0 ......
ml 1: NOT ISSUANCE'.
20.00
FUF,N<IOOK..: I
DUO"Wr'..
15 n..
GAS NWT....: I
WOOD
30 ISP..
CORY BURNER: 0
1URR>IO0f._ . 0
30-50 lip- 0
880......... 0
MISC..—
5t HP........ 0
GAS DRYER-: 0
AIR HANDLING ONITS'
NCL TANKS ---------
RANGE......: 0
GAS LOGS...: 0
<:10,000 CFN: 0
) 10,000 (fM: 0
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES
74.00
............. I ..... ow . ............. z .... now .. m ....
"Yes'
......
Does the water supply
systes contain a Pressure
Reduction Device or Check valv Yes No (if
then water
expansion tank is required
on Not Water lank)
Inspection Record
Water tine OK
Mechanical Inspection Notes:
GAS PIPINi OK
Date By
........... '» ....... .......... ...........
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE It NO WORK IS STARTED. A6, Q"m PERMITS EXPIRE ONE YEAR AFTER Nil Of ISSUANCE.
L CERTIFY THE INFORMATION 0,10NISHID BY III b TRITE AND (ORR I OF NY K -FOG[ AND ME 010110811 C -1-11Y. OF FIMAL NAY 91#11RENINIS MILL BE NET.
OWNER OR AGENT f
FIELD COPY i 114
r
IN -
I
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)`
Date .— (�— By
FRAMING
. Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
CITY OF FEDERAL WAY
33530 First Way South 111,E Cf., I I Fs P-11el N...... F.', C. M,1,14 1,,,
Federal Way, WA 98000 Building Inspection Requests 661--4140
661-4000
ADDRESS:31701 47TH AVE SW
NO.: 784300-0000
PROJECT DESCRIPTION:E/G FURNACE AND PIPE REPLACE
OWNER
RICHARD SAMEK
31701 47TH AVE SW
FEDERAL WAY WA 98023
661-9884
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
PERMIT NO: MEC97-0147
ISSUED: 05/06/97
BY: FC
EXPIRES: 11/01/97
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 WORK IS STARTED. R
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO
OWNER OR AGENT
ND NG PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
NY K LEDGE AND THE APPLICABLE CI F FEDERAL WAY REQUIREMENTS WILL BE NET.
--------------
DATE ------------------
FlLE COPY
39 CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN
REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE =
8.25
sts
PROJECT VALUATION
2387
It FEES:
FUEL TYPES.:GAS
? FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit*
$
54.00
GAS PIPING.: 37
ft HOOD..........: 0
0-3 HP......:
0
MEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....:
0
a
GAS HWT.... : 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
i
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
$
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 WORK IS STARTED. R
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO
OWNER OR AGENT
ND NG PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
NY K LEDGE AND THE APPLICABLE CI F FEDERAL WAY REQUIREMENTS WILL BE NET.
--------------
DATE ------------------
FlLE COPY
CITY OF r-
uv �
City of Federal Way
33530 First Way South
Federal Way, WA 98003
(206)661-40oo ,,._AVE7
APPLICATION FOR ME0M,( ICAL PERMIT
RAL WAY
PARCEL A• `� d �o n U o l O CITY OF ING DEPT-
Single Fami ,l Multi -Family ❑
SITE LOCATION:
0 F G�-7, - oi I
Commercial o
Tenant/Owner: I ``�� 111�T� Phone: �U_ 1
Address/City/State/Zip: _1 tkt /l �1�� A � 16� ( 99023
Nature of work: E. L%1 � 1 I l rPn� �� + A i.1,) I'f Project Valuation: $ Z:3 f
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone:
My=CHANICAL CONTRACTOR:
Company Name: —h, � -6
\\I
Fax:
Address/City/St/Zip: C Itt(S zz C),t r-, j_7 A,. V I
Contact Person: �2 ` �" d Phone: -L `--4 ` C- , Fax:
State L & I Contractor Registration #:U+�T Uv l b�7(� Exp. Date:—�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gds/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <1OOK BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
r.v Bu
Corner
Duct Work
A/C
TONS
Other
Wood Stoves
ht,
DISCLAIMER: I certify under pensay of perjury that the information furnls y e is true
Premises to perform the work for which permit application is made. rther agree to s•
incurred in investigation and defense of such claim), which ma made by any per. , inc
out of the reliance of the City, including its officers and em yeas, upon ace -(b/
Drroct beat of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim fincluding costs, expenses and attorneys' fees
the txtdersi red, end filed against the City of Federay Way but only where such claim arises
motion wp lied ,:the City as a part of this application.
Owner/Agent: 1�—��s 1��� Date: