97-100320(..II'Y 01• 1`11)ERAL_ WAY
33530 Fit-st Wav Scautl) C.VIKNH1C M L PC(A tOl I N..
F'PtiFxI-a1 WA%/, WA 9f 00'I t w.iii(.1iiig ffii;pe ctiori 661-4140
661.4000
A1)1*E:.SS:296(.)P
No. : 718:300-0110
PR,0JF(-1 Df'S(-PfPI 10tJ:NVAr . eAS 10 GAS IIkLPLA(E CHANGEOUI
�� lrr w
NERMI t No. MEC97--UO41
01 /28/97
BY: K
F.XP1FtE`.a: m /2,1/9."j
r,. OWNER .— .......... . . ......... .— . ............ (ONIRACIOR ... war....0":X:i @N..�RSq gIAC C..l i`•:: Wk LJ q «.L`::C`tC ."�.Z. LEKDLk F'..:ri,FFi FSY3a5CR XECR.xiAfi bkL9gP1aC3miCY iYppgN`FG2SMo..➢R:'f ...was
j JIM HALVORSON ( NORTHWEST NATER NEATER j
} 29607 2ND PL S 8201 DURANGO ST SW j
} MERAL WAY VA 48UO3 TACOMA WA 98494 j
} � j
} 441-0461 } 984-6404 j
{!^'..F...:..:-Sr•:....5.'.._:"".:... s;L�:..:. Y!:i'G.•:..'t :'..". .. ILp �..'. N�4 R31: .::Cgi:RTSC:..J..Y 9S«IYmRx`S yY ir..:3 k^.' F.__Tr,'v�.:YCk .. q: era4 TT'.t ^�,•.: Y�'S'Sb. .�'.;'tyv.:»`L'.._Ftq ..._i._...1 -.'... �..d.". .. }... .:-.Y.., iJ�. f....:GFx '. x...�x::�
its CONTRACTt E E A SALES TAX 109 I�JECiss N1T11IN Tff CITY Of FEKKAL PAY. TAX NATE _ N.25 :*
�r.:x:e.ax,.l.:x.z..r..a.:..r._.-.__:.a¢..::_r-z�aa_st-•c�ngse�mv»:x��.r^ezit^c.. qm.. ic. :: mra.tir n:mua5aceestr..e nxxx:a:'.: e.�:. n;:cr. x..is.....:.csH..�c<_...'s..:.,...:.»T.rsr:znx—x!s_txwmrrer::::::.ar-:aTprax::»rn.aa:.:re-rs:-::rvur. srxa:w.:rxr. c.rss, ..rz=.r_say.. r.z:.:.;,�
PROJECT VAlUA1IDN 1325 � wN FEES. j
} FUEL TYPES.:GAS ? FANS. 0 tL ! `.i' OMP 8 r NCE... 0.f)U j
} GAS PIPING.: U ft NOOf},�it ' H��..,..`.° ermits i 40.00——,... j
} FURN<100y'..: 0 1►t I 41,
"l -of
n j
�a+
j GAS NWT....: 0 W 3tj
} CONV BURNER: 0 f
} BBD......... 0 MISC. 10 j
} GAS DRYER..: 0 AIR RAN G` !
} RANGE......: 0 =1U,U0 VE GROUND: 0
} GAS LOGS_: 1 10,000 ( 0 UNDERGROUND.: 0 Tom FEL: 6U.DU i
} j
�`e.•s:c-a
............. ........ xxnd-¢s-eaxrx w:wrreme:r¢zyae:.+armz:arsn,r:;+rtaxi: rvxm..mxr<a�: r. rxe:...�
} Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Rot Water )ink) i
} j
} Inspection Record Water Line OK Mechanical Inspection Notes.: {
} j
} GAS PIPING OK Date By
txxcr:,;...eccxarL:arxFa,-aaraq:xurnaai.�zs:ca:,saez:><�rcnos'a'mage..c,�_srx.aswti;i..:s.+sv�crc :..arrxx::ar:•e: aYscrs�•c�r�Quaar�r.+crmr.'aa:-•c.en:z>rxt:ewcrv.a.o;r:xaess.�sr..x:xtsrzowwgr:!:.-rrcm:-::;:•:�xasrr...a.a .r,..._.z"r_..:rx.x+a a.._rn x....:r..:: •a<:;
VERNITS EXNIRI t21t) DAYS At 1,111 ISSUANCE It NO PORK IS STAgl I;f11IE 'Umiq PWITS EMPIRE OAE YIRR At Ito #411 Of ISSUANCE.
I CERTIFY INt 1ilFt�RNA114N ltwNISHLO NY i1E iS TRUL AND c Ltl 1t► I It9''KROWL. DGI. AMD INE APPLKA811. CITt�77/
1Y,R*IRENLMIS PILL K Nil.
OWNER OR AGENT i / r � 1lAt€ �l J
FIELD COPY
■
■
■
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFL009 F.MMING
Date By
SHEAR VALLS
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 - 1 ST 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 3 �2(t By
OTHER
Date By
OTHER
Date By
CDO193
-4�.
CITY OF" FEDERAL WAY
33530 First Way S o u t f �'rt, ? ,. M°"^ $ �`4 ih`l LF I ,: M1, P -1I ,�...
F•ecaeral Way., WA 98003 3ui.tclirig Inspection t�?eq(jest:s 661-4140
661-4000
ADDRESS:29607 2ND PL S
NO.: 718300 0110
PROJECT DESCRIPTION -HVAC - GAS TO GAS FIREPLACE CHANGEOUI
�= OWNER ____________________________:_____=--___»- ____,» CONTRACTOR ====
JIM HALVORSON ; NORTHWEST WATER
i 29607 2ND PL S 8201 DURANGO ST
FEDERAL WAY WA 98003 s TACOMA WA 98499
PERMIT NO: MEC97-0041
ISSUED: 01/28/97
BY: FC2
EXPIRES: 01/22/98
LENDER
r
0
r
i
:$a CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL HAY. TAX RATE : 8.25 sts
_.:_..__.:___.....__rc___===n»===»c== c-e=:n=ae:.•c ee»=»:r.•,=-.
,.»._.,q._�..._«, «._ __:;.. a::�c-=:-»r=c=»a :_»= ca: ==c=e e»c-»»»�:oa»-:.r:,...::•_..__._;.�.»=c___._____.___«.___..________,_______'»__..____..____:•e=x==s=»c-cz»-»»».-xra-.^rc
cecs +
PROJECT VALUATION
1325
FEES: r
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
MEC PRMI ISSUANCE... $ 20.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 HP......: 0
Mechanical Permit* $ 40.00
a FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP.....: 0
GAS HWT.... : 0
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
4
I GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 1
> 10,000 CFM: 0
UNDERGROUND.: 0
ti TOTAL FEES $ 60.00
y
'________._"_____"______"____.c====»-----^.______________'"--------------"--__---...^._----------.._--"-»==c.•
=c====-__=:•_»x•»===»�'»'_°'_====r-.-».a-c❑c==cc=c»c=»»c=:=»='°==c»=c-r»=-===:a::»»::::7
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 STAR
I CERTIFY THE INFORMATION FURNISHED BY ME IS IRUL AND tOR
OWNER OR AGENT
PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
GE AND THE APPLICABIT UIREMENTS WILL BE MET.
)....�_.._ DATE- .,
FILE COPY
CITY OF BtIrLDiNG DIWSION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
JAN 2 8 1997 Fax (206) 6614129
I )e FEDERAL WAY APPLICATION FOR MECHANICAL PERMIT
BUILDING DEPT. MEC43
-4 P�4 '-3LL I C Single Family E�' Multi -Family 0 Commercial 0
PARCEL# I
SITE LOCATION
Tenant/Owner L� Olip'so Phone qq- 1 -N(d
Address/City/State/Zi" LL
Nature of Work U
APPLICANT
Name
Address/City/St/Zip
Contact Person - - - Phone
MECHANICAL CONTRACTOR
Company Name
Project Valuation: T� �:;; —
Fax
Ad&ess/City/SVZip
Contact Person gkyl 0 A—C E LA Pho,, —(6 Fax
(3a:Z4 L6 14 [6
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type (gaslother)
Gas Dryer
Air Handling<= 10,000cftn
Fuel Tanks:
Length of gas piping
Range
Air Handling> = 10,000cfin
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTLJ/H
I OtherL E.�
Conv Bumer
Duct Work
A/C TONS
Other
J3aQ:A—
Wood Stoves
A/C
DISCLAIMER. I certify, under penalty ofpciJury. that the information furnished by and correct to the beat ofmy knowiedge and further that I am authorized by the owner ofthe above premises to per[brat the work
for wl&h permit application is made. I further agree to save haradess the City o as to any_rJ4m (including costs, orpenses, and attorneys' fees incurred in investigation and defense ofsuch clairn� wbich may be
made by my person, including the undersigned, and fled against the City o MerayWaybut er su ut f the reliance of the city, including its officers and employees, upon the accuracy ofthe
information supplied to the city as a part of this application.
Owner/Agent (77 — Date 77-
�'JMEcH.App
R�m 12/11/916 70